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Under the Sky Tower
There are lists as long as your arm of overseas celebrities (think Arnold Schwarzenegger, Clint Eastwood) who have ditched the big screen or the sportsfield for the greener and generally less lucrative pastures of politics, but New Zealand's government is fairly lacking in shining stars.
OPINION: It's also lacking the salt-of-the-earth, down home, sensible Kiwis who really run the country at a grass-roots level anyway.
So here's a list of fifteen people I reckon should be on political party lists for the next general election:
Steven Adams
He's got youth, talent and humility... along with height... so who better to advise on youth issues than this giant-sized basketball centre. I'd even pick him for the prime ministership in years to come, after he's finished his contract with the Oklahoma City Thunder in the NBA. Oh, and he's obviously a decent bloke as well. Our Prime-Minister-In-Waiting?
Judy Bailey
She was our 'Mother of the Nation', although I'm not sure exactly who penned that phrase in the beginning (probably TVNZ's spin doctors). Judy is a class act and still attracts respect and love from the public several years after disappearing from our screens. Just for obviously abandoning her hair dye programme, she deserves to be making decisions on our behalf in Wellington. Perhaps spokeswoman on superannuation?
Shaun Johnson
On behalf of all New Zealand women, I'd like to suggest Warriors halfback Shaun as an ideal back bencher. Not only is he intense, brooding and mysterious, but he's got a body that gets the pulse of us middle-aged matrons racing. The face is pretty nice as well, and his gorgeous concentration while eyeing up a penalty kick is simply sizzling. I reckon he'd be good as Minister of Hot Sportsmen?
Robyn Malcolm
So she's not really the irrepressible Cheryl West from Outrageous Fortune, but don't we all think that underneath that often sparkling exterior is a bit of the West Auckland character she's famous for? And that's what Parliament needs more of - salt-of- the-earth individuals who are loud, rough and proud to voice exactly what's in their minds. Minister of Westies?
Richie McCaw
As far as I'm concerned, Richie will be somewhere in the background of the second coming, mainly for being a decent bloke and the perfect captain with the best profile on New Zealand's sporting fields. But could we benefit from the presence of top leadership in the bowels of the Beehive? With those thighs, oh yes we could. Definitely Minister of Internal, External and Extra-Marital Affairs.
Virginia Winder
I've known this journalist for more decades than I care to admit, and her countless layers of persona give her incredible insight into multiple strands of society. She's also hugely loyal to Taranaki, and one of the bravest people I know, with massive empathy and caring for friends and strangers alike. So her sort would be pretty rare on the floor of the Beehive, making her a perfect spokeswoman on human decency.
Mike Hosking
Well, this broadcaster knows nearly everything there is to know about anything on the radio and telly each day, so he'd be just as know-it-all in Parliament, wouldn't he? Caucus would now have to enjoy his daily rant about how great the wife is and how hilariously annoying the tribe of kiddies are...and not his poor listeners and viewers. Sounds good, doesn't it! How about know- it-all broadcasting minister?
Mona Dotcom
This tiny woman, recently separated from millionaire and international tycoon Kim Dotcom, would be an ideal list MP because... well... the woman deserves some recognition for having five children with the huge German. Need I say more? Minister for Women's Rights?
George (my neighbour next door)
What we need in Wellington are 'salt of the earth' people who understand what it's like on the ground floor of New Zealand society and business, so my mate and neighbour George is an ideal choice. He ran a business for nearly all his working life and, now in his early 80s, would bring character and truth to the Beehive. A great spokesman for law and order?
Sally Ridge
What Parliament really requires is someone who can whip up doilies or placemats at a moment's notice, so this 'Kiwi celebrity' mother would be ideal to rev up the troops during those long and boring sessions when those who know everything (like Mike Hosking and Trevor Mallard) go on and on about stuff. I hear Sally can cook as well, so there'd be muffins and slices for Africa. Minister for Handcrafts and Scrapbooking?
Gordon Brown
I know people have tried to talk him into it, but our district councillor Gordie's my pick for Minister of Fun. He'd tip Parliament upside down, let alone Bellamy's and would inject some good old-fashioned common sense into legislation. Mrs Brown would be a revelation as Minister of Finance as well.
Pinetree Meads
Parliament is missing something - the wisdom of strength and the depth of courage, perhaps? Who better to offer that than the great Colin himself? This famous All Black captain knows what it's like to face a formidable foe, stare them straight in the eye and snarl. And that's just controlling the dogs on his farm.
Anna Pacquin
She's the star of a hugely popular American vampire television series, is a mother of twins, an Oscar winner, a former New Zealander who acknowledges little of her Kiwi roots, and reportedly swings both sides of the fence. Can you imagine the fireworks if she sat down between Gerry Brownlee and Stephen Joyce in the Chamber?! Boy, would I like to be a fly on the wall for that one. She'd be perfect for Minister of Traitorous Expats?
Sir Peter Jackson
Our most famous of movie directors knows what to do and how to get the money together to do it. He's thoughtful and deep, and used to winning at all costs. He's also got lots of Oscars he can decorate the Debating Chambers with. Let's face it, that place needs a bit of a lift. Spokesman for interior design?
My brother Carey
He may be the spoilt baby of our family, but my brother takes an idea, thinks about it and then gets on and does it practically and competently. Next year, he is undertaking a 4000km mountain- bike ride in 42 days from Cape Reinga to Bluff to raise $50,000 for the Motor Neurone Association of New Zealand and, while it will be hard, I have no doubt whatsoever that he'll do it. He's my ideal spokesman for innovation and entrepreneurship.
- Taranaki Daily News
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Clifftop mosaic sofa keeping artistic neighbours busy at Opunake


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Pokémon GO has been released for Android and iOS in Australia, New Zealand, the United States, most of Europe, Canada, and Japan with more countries on the way soon! Need help learning Pokémon GO? Take a look at our Pokémon GO Player's Guides
Check BNN and Bulbanews for up-to-date Pokémon news and discuss it on the forums or in our IRC channel #bulbagarden on irc.systemnet.info.
Giratina-EX (Dragons Exalted 92)
Giratina (Japanese: ギラティナEX GiratinaEX) is a Dragon-type Basic Pokémon-EX card. It was first released as part of the Dragons Exalted expansion.
Card text
Release information
This card was included as both a Regular and a Full Art card in the English Dragons Exalted expansion, first released in the Japanese Dragon Blast expansion. The Regular print features artwork by Eske Yoshinob, while the Full Art print features artwork by 5ban Graphics. The Full Art print was reprinted as one of the BW-P Promotional cards with different artwork by 5ban Graphics and awarded to winners of the 'Super Rare Card Set Get!' campaign. Those who bought a combination of four BW5 products at participating stores could enter into a drawing to win one of 1,000 copies of Giratina-EX and Rayquaza-EX.
Dragon Pulse is a move in the Pokémon games that Giratina can learn, though at the time of this card's release it could only learn the move via TM59 in Generation IV. This card features the Altered Forme of Giratina.
|This article is part of Project TCG, a Bulbapedia project that aims to report on every aspect of the Pokémon Trading Card Game.
- Sun and Moon pre-order bonuses announced for Australia, Europe: Figures, pins, Quick Balls as ...
- Pokémon Ranger: Shadows of Almia to be released on Wii U Virtual Console in Japan: To be ...
- Pokémon GO now available in Japan: Available for iOS, Android
- Original Pokémon Ranger available for North American Wii U Virtual Console: Costs $9.99
- Legendary Pictures to produce Detective Pikachu movie: Universal to release worldwide outside Japan

subset: commoncrawl


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Health & Safety:
Our campus safety officers are very polite and they are there for you if you need them. They always send out warning emails if something suspicious is going on. They also inform us if something happens at nearby universities.
The professors are great here…they're always available during their office hours, they're easy to talk to, and most of them work with you if you have a problem arise where you have to be absent. We have a lot of different majors to choose from at AU, as well. Registering for classes is kinda stressful, but inevitable. You'll know how to do it once they teach you. Sometimes its scary not knowing if you're going to get into a class, but it always works out.
We have a diverse group of students as far as ethnicities…we have many students that come from different countries to study and play sports at Anderson. Our students are accepting of those who come from different backgrounds, challenges, beliefs, etc. Keep in mind, this is college…everyone is soo different! Its not really like high school where you've all grown up in the same town. You can find plenty of people who identify with you and accept you here at AU.
Most everyone at Anderson has a car. If you don't have a car, then you'll make friends and just ride around with them :)
We have computers in the library, a computer lab next to the coffee shop, and computers in Watkins building. Each student has up to 500 prints a year; if you go over, then you have to pay out of pocket. Most students don't go over their print limit though. Its not a necessity to have a computer, but I think it is much easier and convenient.
I came from a Christian background, so the rules here don't really bother me. Anderson is a dry campus, and we have visitation hours for boys and girls to hang out in each other's dorms, teachers are pretty strict on the honor code. I have never actually encountered someone cheating in one of my classes, though.
I am a psychology major. When I entered the program there wasn't any type of requirements, but now you have to apply to become a psyc major. The application includes an essay and a certain GPA…maybe a few other things that I cannot think of right off hand. The psychology department is difficult!
Overall, I would describe the psychology department as challenging. I enjoy most of the classes because I am interested in child development and educational psychology, but I have to work really hard to get good grades. Other departments are not as difficult as psyc.
Definitely apply for scholarships within Anderson and outside scholarships. Anderson gives A LOT of inside scholarships.
South Carolina's weather is so odd, but I love it. Last week we had three days of light snow and ice. We were out of class 1 and a half days, commuters were out an extra half day. But then this week, its 65 degrees outside and its February. I love it though. Definitely bring warm and cool clothes for each season. You never know when you're gonna get a bipolar day.
Health & Safety:
Campus Safety is good about sending out weather reports (during snow storms or thunderstorms) and warnings about suspicious people or events on campus.
Overall Experience:
I love Anderson. I have met some of my best friends here. The people here are so nice and genuine.
Local Area:
The town of Anderson is quaint. There is plenty to do here between eating, seeing a movie, going downtown, getting coffee, etc. If you can't find what you're looking for in Anderson you can probably find it in Clemson or Greenville.
Overall Experience:
I have wanted to go to AU since I was in 7th grade. This campus has lived up to my expectations and more.
The financial aid provided by the university is reasonable, and very helpful.
Off-Campus Housing:
Nothing major to brag about, but nothing super awesome. Pretty expensive.
Special Education is a new major, so the workload is expected of that of an education major. The program is amazing, and very feasible when it comes to workload.
There are plenty of amazing majors and opportunities offered by the university. I know freshman who already have internships at local churches and businesses, as well as placements for education majors.
I love the Education department. Dr. Locy and staff are genuinely willing to help you with anything you need. The auditions are nerve-racking, but you are definitely prepared to take them on head first. All of the staff is amazing.
Because we are in the South, when we have snow it shuts down campus, but generally the weather is very forgiving, and nice on campus.
Local Area:
Anderson is a very friendly community. It is definitely a college town, so everyone has some relation to the university, and is very supportive of our school and students.
Health & Safety:
Our health services is amazing. Deb and Sarah do a phenomenal job at taking care of the students when they need them. The ladies are so friendly, and constantly check up on you after you come see them. Campus safety is awesome on campus. They helped me jump my car last year when it wouldn't start, and are always helpful with safety reminders when there is an event going on around us.
The labs are great, and easy to use, all you need to do is enter your student ID if you want to print items and they take them off of your free copies.
Our campus shuttle is new, but very effective for students. If they have classes at the athletic campus (old fairgrounds) or if they are a freshman who has to park over there, the shuttle makes things much more feasible for them.
Off-Campus Dining:
There are plenty of diverse off-campus dining facilities around campus. Either on Greenville street (81) or Clemson Boulevard.
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Feynman Hardcover – August 30, 2011
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A Look Inside Feynman
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"These images capture with remarkable sensitivity the essence of Feynman's character. The comic-book picture somehow comes to life and speaks with the voice of the real Feynman." ―Freeman Dyson, The New York Review of Books
"Spectacular." ―The Horn Book, starred review
"...a penetrating and insightful biography" ―Washington Independent Review of Books
"Challenging and thought-provoking" ―VOYA review
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The book takes us through Feynman's early years. It was poignant to see him struggle to feed scientific books to his little sister Joan, in a day when little girls weren't supposed to want to be scientists. We see a puckish Feynman at Los Alamos during the war, and his loving efforts to tend to his ailing wife. After the war, we see him developing his theories of Quantum Electrodynamics and win a Nobel. His efforts to clarify the causes of the Challenger disaster - famously dipping O-ring material into a glass of cold water -- get the coverage they deserve. Only in the last pages does the narrative falter. Feynman's final trial with illness and death are barely shown.
The famous Feynman personality comes across very well in these pages. He is the smirking warrior, sneaking in and out of the Los Alamos compound through a hole in the fence that the military insisted did not exist. His brilliance is more than hinted at. He develops a notation to help him with his quantum calculations. The book is even not afraid to show him as somewhat of a kook and horn dog, ogling pretty coeds, hanging out in hot tubs at Esalen and doing his research in a strip club. The man was unstoppable and inscrutable.
Some of the sciencey sections of the book may be too much.Read more ›
Ottaviani and Myrick manage to capture the essential characteristics that made Feynman such a cherished teacher, scientist, friend, colleague, and public personality. Most importantly, the book succeeds in vividly bringing out Feynman's quintessential quality of almost obsessively staking out his own iconoclastic path both in science and in life. The biography is really a memoir akin to "Surely You're Joking Mr. Feynman" since it features Feynman's own account of his life, work and intellectual development. The great strength of the book is that it uses close-ups and color to highlight key words and moments from Feynman's life. While the biographical information in the book has been covered in other works and most notably in Feynman's own memoirs, the comic book form has a very different impact because of the combined literary-visual effect it has on the viewer.
For instance, in describing Feynman's time at Los Alamos, one can actually see people's bewildered faces as they struggled to comprehend both his genius in solving intractable physics problems and his wildly successful attempts at safe-breaking.Read more ›
This well done and mostly easy-reading graphic "biography" tells the Feynman story with Feynman as narrator. It is, of course, a posthumous narration and, as such, represents a bit of hagiography on the part of the author (Ottaviani). But the voice of Feynman comes through, and with it, for me, comes a pleasing sense of nostalgia.
What keeps me from five stars is that this is presented as a biography, while it is actually a compilation of Feynman's reminiscences in graphic form. So it is really a posthumous memoir, and if were billed as that I would give it five stars. But it is called a biography, and as such it fails because it lacks any independent or critical viewpoint.
But don't let that keep you from reading it. The Feynman story as told by Feynman is a terrific story, even if his contemporaries might have quibbled with pieces here and there. Love it on its own terms.
Feynman (the graphic novel) is a very accurate retelling of his life story. It hits all the major points of his education, his career and his thoughts on physics and quantum mechanics. The authors include bits from several of his lectures and do a good job showing the quirkiness of the character. They, however, do not fully capitalize on the comic form. This could have been an opportunity to try and illustrate many of Feynman's revelations. Instead, during a lecture the reader gets an illustration of the protagonist lecturing! Biography can always trend a bit more toward's tell rather than show, but as a graphic novel this approach makes for poor sequential art.
If you want to read about a great physicist and need to do with heavy graphic elements then this book is right for you. Otherwise, just dive in to the already existing fantastic prose work about Mr. Feynman.
Most Recent Customer Reviews
Feynman is a amazing illustrated graphic novel showing the unknown to most life do Richard Feynman a Nobel Prize winning physicist It is a bit hard to comprehend some parts of the... Read morePublished 1 month ago by Tony Dubai
Great book to hook a science kid.
Just a fun-loving romp, a look at the life of science-mindedness, irreverent. Read more
Was unable to download the book - never happened before and I have more than 400 Kindle books I enjoy to read. Nevertheless, I have been charged (probably twice) for $9. Read morePublished 10 months ago by oldcaman
I didn't read the description of this beforehand, and had no idea it was a graphic novel. I lived this more than expected. Read morePublished 14 months ago by RF
gift for old scholar-professor type who enjoyed reading Feynman's lectures. Recipient loved it, enjoyed it very much.Published 17 months ago by jazz n justice
Had no idea this was a graphic novel or comic book when I bought it. Wouldn't have done so if I had known.Published 17 months ago by T. C. Orr
Very Fun read!
Tells a lot about Feynman that most folks don't know. Sometimes it seems disjointed, as if bits were cut out, or cut n pasted. Read more


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Bye Bye Fattening Ice cream, Hello Teami Skinny Pops!
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Stay Independent from fatty foods on the 4th!
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4th of july – outfit of the day
Three things that make an effective healthy lifestyle and weight-loss journey
There are a lot of puzzle pieces that go together in order to make up a healthy lifestyle and successful weight-loss journey. If you miss one of the important factors listed below, you may struggle to meet your overall health goals. When properly fueling your […]


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Taser used on teenager
New figures, obtained by openworld news, show a taser was used on a 14-year-old in the Northumbria Police area in 2010.
New figures, obtained by openworld news, show a taser was used on a 14-year-old in the Northumbria Police area in 2010.
"Taser provides a proportionate response to situations and is only deployed by officers who have been selected and carefully trained in its use. "It is a highly effective tactical option available and an important tool in maximising safety to the general public and is only deployed in circumstances where serious injury could occur.
"Northumbria selects officers from 24/7 response teams to become trained in the use of Taser as it is these officers who are more likely to be first at the scene of a violent situation.
"The circumstance of the incident they are responding to; whether an offender posses a risk to another member of the public or an officer and the dangers and possible risks to the offender, whatever their age, are very carefully assessed before a decision is made to use Taser.
"Every usage is thoroughly reviewed by a senior officer. "Taser has been used on five occasions on people under the age of 19 and has not been used since 2010 on this age group."
Thousands of Flying Scotsman fans have flocked to the National Rail Museum in Shildon to see the famous steam engine
The bank warned more than one million business customers it may introduce negative interest rates if the economy takes a tumble.
Corporal Josh Hoole died in Wales last week after a two-hour march with the Rifles Regiment, on what was the hottest day of the year.


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The new home of
Holiday cottages in Scotland offer the perfect opportunity to relax in some of the UK's most spectacular scenery. With an abundance of culture, fantastic heritage, stunning cities and a wealth of activities to suit all ages and interests, you'll find more than enough to entertain all kinds of holidaymakers. So, whether you're on two feet or two paws, a holiday in Scotland is guaranteed to have something to offer, and we're going to make a few suggestions for the best things to see and do in the region.
With such a rich history, Scotland's past is all but unavoidable. Thankfully, it's equally fascinating, and some of the country's best attractions combine the colourful tale of Scotland with some stunning landscapes. The Speyside Whisky Trail is just one such example. One of the main reasons so many choose Scottish holiday cottages, the trail takes in some of Scotland's most renowned distilleries, offering a history lesson, a 'wee dram' and a showcase of stunning views. If you fancy a more vibrant experience from your holiday in Scotland then you may prefer to stay in and around Edinburgh. The capital city offers an intoxicating mix of medieval history, Georgian architecture and contemporary culture. A wealth of festivals and some fantastic shopping opportunities are just the icing on the cake, but if you fancy a more tranquil view then the views from Arthur's Seat are unrivalled. Scotland's wilder side is justly celebrated through the Cairngorms National Park. Larger than the Lake District, and boasting beautiful moorland, rivers, mountains, lochs and forests, it's an unforgettable journey taking in some of Scotland's most iconic topography. If you'd like to experience the more mythical side of Scottish history then our final recommendation is the legendary Loch Ness. Admire the dramatic ruins of Urqhart Castle and gaze over the loch's gentle lapping waters to see if you can spot Nessie!
Thanks to a prevalence of wide-open expanses, many choose to enjoy Scottish cottages for a wealth of outdoor activities. Hiking, climbing, boating, cycling, horse riding and more are all perfectly suited for making the most of your stunning surroundings. Pet owners will be equally spoilt for choice with a wealth of fantastic locations to treat their four-legged friends. If you fancy somewhere to relax and explore at your own pace then you will be equally satisfied with Scotland. There are plenty of beautiful heritage attractions and a wealth of city break destinations offering a fun-filled and vibrant urban experience.
If you're ready to begin your exploration, take a look at our featured holiday cottages in Scotland today.
2 reviews
This well-appointed, semi-detached, family holiday home was once a forester's cottage and lies in the peaceful village of Ratagan, overlooking Loch Duich and the Five Sisters of Kintail. Outdoor enthusiasts will enjoy walking and hiking opportunities in the area. Discover Glenelg, drive over Mam Ratagan and enjoy the spectacular view from the top or stroll down through forestry to beautiful Sandaig Bay. Take the small car ferry to Isle of Skye from Glenelg to Kylerhea. Attractions include Glenelg Brochs, Eilean Donan Castle and Battle of Shiel. Shop 5 miles, pub and restaurant 2 miles.
Ground floor: Living room. Dining room/kitchen. Separate toilet. First floor: 3 bedrooms: 2 double, one with en-suite shower room and toilet, 1 twin. Shower room with toilet.
Multi-fuel burner in living room (initial fuel included). Solid fuel central heating, electric heaters, electricity, bed linen and towels included. Travel cot. High chair. Freeview TV. DVD. Stereo/CD. Electric cooker. Washing machine. Dishwasher. Fridge/freezer. Wi-fi. Small garden with sitting-out area and furniture. Parking (2 cars). Cycle store. Welcome pack. No smoking.
6 reviews
Situated in a beautiful rural location with the River Stinchar running close by, this detached holiday cottage boasts stunning views over open countryside. The picturesque village of Barr is just 3 miles away, with a small shop and a pub with excellent restaurant. An ideal area for walkers and cyclists with quiet back roads and Forestry Commission trails taking you deep into the countryside and onto the Galloway hills. Close by is the newly opened Ayrshire Coastal Path, Scotland's newest long distance walking route, 100 miles along one of the finest panoramic coastlines in the British Isles. Shop, pub and restaurant 1.5 miles.
All on ground floor: Living room. Kitchen. Conservatory. 3 bedrooms: 2 double, 1 bunk. Bathroom with shower over bath and toilet.
Woodburner in living room (initial fuel included). Oil central heating included (£20per week October-March). Electricity, bed linen and towels included. High chair. Freeview TV. DVD. CD. Electric cooker. Microwave. Washing machine. Dishwasher. Fridge/freezer. Lawned garden with sitting-out area and furniture. Parking (3 cars). No smoking.
2 reviews
Ground Floor: Property has oil central heating and comprises: Open plan lounge/kitchen/dining Lounge Area: With free view TV and DVD Kitchen Area: With electric cooker, microwave, fridge/freezer and washing machine Cloakroom: With WC and wash basin.
First Floor: Bedroom 1: A family room with two double beds. Bedroom 2: With double bed (access from one side only) Shower Room: With shower enclosure, WC and wash basin.
All fuel, power, bed linen and towels included.Shared games room equipped with pool table, football table, table tennis and dart board. Shared play area with picnic tables and equipped with lots of activities for children. Outbuilding with shared use of tumble dryer. Off road parking for 2 cars. Shared use of hot tub (seats 4) on request, at cost payable direct to owner.
22 reviews
A beautifully renovated croft house in the small hamlet of Bernisdale approximately 7 miles from Portree, the main village on Skye, with wonderful views of the Cuillin Mountains from the kitchen. Enjoying ferry trips to the Outer Hebrides, boat trips to see the seals or the Cuillin Mountains. Good restaurants and craft shops as well as castles to visit. A fantastic holiday retreat. Shop 7 miles, pub and restaurant 1 mile.
Ground floor: Living/dining room. Kitchen with wooden floor. Utility room. 1 twin bedroom. 2 steps to shower room with toilet. Open tread stairs to first floor: 2 bedrooms: 1 double, 1 twin, both with en-suite shower rooms and toilet.
Woodburner in living room (initial fuel included). Oil central heating, electricity, bed linen and towels included. Cot. High chair. Video and small library. DVD. CD. Electric cooker. Microwave. Washing machine. Tumble dryer. Dishwasher. Freezer. Wi-fi. Large garden with sitting-out area and furniture. Ample parking. No smoking.
1 reviews
Ground Floor: The property has one step to the entrance, is all on the ground floor, has oil central heating and comprises:Lounge/dining room: Large with oak flooring, wood burner and 38" Freeview TV.Kitchen: Large with electric cooker, fridge/freezer and dishwasher.Bedroom 1: With king size bed.Bedroom 2: With king size bed.Bedroom 3: With single bed.Bedroom 4: With single bed.Shower room: With shower and WC.Bathroom: With bath, shower, WC and heated towel rail.Utility room: With washing machine and tumble dryer.
All oil, electric, bed linen and towels included. Initial fuel for wood burner provided (6 logs to begin with, further packs of logs can be purchased from the owner at a cost of £10 a pack). Cot and high chair available. Welcome pack. Large, enclosed, lawned garden with sitting-out area and furniture. Parking (3 cars). No smoking. NB: 2 steps in garden.
8 reviews
Set in a quiet rural location, this cosy holiday cottage enjoys lovely views across open countryside towards Nigg Bay and the Cromarty Firth. An RSPB Reserve, sea trips, fishing, golf, castles and south, west and east facing beaches all within easy reach. Great for touring the scenic Highlands. Historic Cromarty is a short ferry trip (also accessed by road) with Inverness, the Highland Capital approx 45 minutes' drive. Shops 41/2 miles, pubs 3 miles. Can be booked with property 19987 (which has adjoining garden) to sleep up to 12 guests.
Ground floor: Living room with wooden floor. Step down to dining room/kitchen with beams. 1 double bedroom. Bathroom with shower over bath and toilet. First floor: 2 twin bedrooms with sloping ceilings.
Woodburner in living room included. Partial electric heaters, electricity, bed linen and towels included. Electric cooker. Microwave. Washing machine. Tumble dryer. Dishwasher. Fridge/freezer. Wi-fi.Telephone-incoming calls only. Large enclosed garden with sitting area and furniture. Parking (3 cars). No smoking. NB: There are steps and sloping banks in the garden.
8 reviews
Ground Floor: Property is all on ground floor level, has electric heating and comprises: Lounge/Dining Room: With open fire, satellite sky package TV, DVD and radio/CD featuring picture windows overlooking the gardens leading onto the loch side and with incredible views of mountains, water, hills and wildlife. Kitchen: With electric oven and hob, microwave, fridge/freezer and washer/dryer Bedroom 1: With king size bed and stunning views across the loch to the mountains Bedroom 2: With double bed Bedroom 3: With two single beds Shower Room: With shower enclosure, WC and wash basin
All electricity, bed linen and towels included. First supply of fuel for open fire provided. Cot and high chair available.Gardens leading directly onto the loch side with pebble beach and mooring available for boat. Off road parking for 2 cars.
9 reviews
Ideal touring base
Well furnished and presented, Thistle Cottage, a detached house for four, enjoys wonderful views across rolling fields and on to the waters of the Cromarty Firth and the slopes of Ben Wyvis, there is an abundance of wildlife in the grounds and surrounding fields. Set on the beautiful Black Isle, and perfectly placed for touring the unspoilt Glens and coastlines of the northern Highlands and Wester Ross. Available in the area are golf, mountain biking, climbing, water sports, and dolphin spotting. Day trips to Loch Ness, Orkney Islands, Isle of Skye and Inverness are recommended, or relax in the comfort of your chair and watch the changing scenery of this lovely part of the Highlands. Shops, pubs and restaurants 5 miles.
Ground floor: Living/dining room. Kitchen. 1 twin bedroom (zip and link). Shower room with toilet. First floor: 1 double bedroom with double sofa bed (for children).
Oil central heating, electricity, bed linen and towels included. Cot. High chair. DVD. CD. Microwave. Washing machine. Tumble dryer. Freezer. Wi-Fi. Enclosed patio and furniture. Parking (2 cars). No smoking.
5 reviews
Loch Tay Lodges are beautiful self catering holiday properties (refs 31282, 31283, 31284 and 31285), set on a working sheep and beef farm in the heart of Scotland. Accessed by a well-maintained 55 yard dirt track, they form part of Remony Estate, which surrounds the picturesque village of Acharn, and enjoys stunning scenery overlooking Loch Tay towards Ben Lawers and Schiehallion. Red deer abound on the hills, red squirrels scurry about the established woods and trees, red grouse call on the heather, black grouse lek in early mornings and red kites circle overhead - a veritable wildlife paradise if you know where to look! The stone built Grade B listed building was originally constructed in the 1800s by the Earl of Breadalbane for house crofters. This has now been sympathetically converted to provide comfortable holiday lodges, whilst retaining many of its original features. It is located between the village and the loch, with good parking, a play area for children and easy access down to the loch where dogs may be walked. A secluded beach and jetty with access to a private boat shed and moorings are a temptation to those wishing to use the estate boats, sail their own, fish or simply paddle or have a picnic. Visit some of the many local restaurants and bars, where you will receive a warm Highland welcome and be able to taste the local produce. Nearby Kenmore boasts a village shop and post office, from where a shopping list may be ordered and placed in your lodge to await your arrival. Aberfeldy, the local town, can provide almost anything else you may need. Activities available locally include hill walking, bird watching, horse riding, golfing, fishing, sailing, white water rafting and other watersports. There are gentle walks, scenic tours and visits to castles and distilleries as well. Whether you are seeking peace and seclusion or a more action-packed break, there is something for everyone. Each season of the year has its own special appeal. Shop 2 miles, pub and restaurant 1 mile.
Stairs to entrance. All on first floor: Living/dining room/kitchen. 2 twin bedrooms, both with additional single. Bathroom with shower over bath and toilet.
Electric heaters, electricity, bed linen and towels included. Travel cot and high chair on request. 19" Freeview TV. DVD. Electric cooker. Microwave. Washing machine. Shared laundry room with tumble dryer. Parking (3 cars). Cycle store. No smoking.
4 reviews
Ground Floor: The accommodation is all on ground floor level, heated by electricity and comprises: Lounge: with open fire, satellite TV and DVD Kitchen / diner: with electric oven and hob, microwave, fridge / freezer, dishwasher and French doors overlooking the rear garden Bedroom 1: with king-size bed, French doors leading to Juliet balcony Bedroom 2: with double bed, French doors leading to Juliet balcony Bedroom 3: with two single beds Bathroom: with shower over bath, WC and wash basin
All electricity included. First supply of coal for open fire provided. Bed linen and towels supplied. Travel cot and high chair available.Large mature ¼- acregarden. Garden furniture, sun loungers and BBQ (coals not included). External basement space with washing machine, dart board, snooker/pool table, storage space for bicycles and outdoor equipment. Off road parking for 3 cars. NB: River running through garden and there are steep concrete steps from the kitchen French doors to the rear garden.
17 reviews
Nestled into the hillside, in a sheltered and secluded position, and enjoying some of the most spectacular views imaginable, Tigh An Iasgair is a superb, detached, architect-designed house situated on the Applecross Peninsula. This stunning, warm and light-filled property is beautifully presented throughout, with great attention to detail. The main living area is open plan. With high vaulted ceilings and large patio doors it is exceptionally light and spacious. A large multi-fuel stove acts a focal point. The patio doors open onto a paved patio, a wonderful spot to sit and drink in the views of sea, mountains and open countryside. The grounds lead down to the sea shore below. There is a beautiful sheltered beach 4 minutes away at the end of Fearnbeg village.There are three large bedrooms, all superbly presented. Tigh An Iasgair, Gaelic for The Fisherman's House, is completely eco-friendly, with a ground source heat pump supplying the underfloor heating throughout. Applecross Peninsula is renowned for its wild, rugged and unspoilt beauty. Until the building of this coastal road from Shieldaig, Applecross was one of the most inaccessible parishes in mainland Britain, with the only route being the very scenic but hair-raising 'Pass of the Cattle', or Bealach na Ba. Rising up to 2053ft, it is the highest road in Scotland and affords truly panoramic views across the Minch to Raasay and the Isle of Skye. The other route gently winds along the coast round Loch Torridon from Shieldaig. This is a fantastic area for hill walking, climbing in the Torridon Hills, kayaking around the coast and cycling the quiet lanes with amazing views around almost every corner. The surrounding region is a delight for nature lovers and the area is home to pine martens, wildcats, badgers and otters as well as buzzards and golden eagles. Shop, pub and restaurant 7 miles.
Large living/dining room with multi-fuel stove, vaulted ceiling and patio doors, open to large kitchen area with wooden floors. Sitting room with double sofa bed (for alternative sleeping only). Utility. Double bedroom. Shower room with toilet. First floor: Double bedroom with 5ft bed. Twin bedroom. Bathroom with separate shower cubicle and toilet.
3 reviews
Ground Floor: The property is all on the ground floor, has oil central heating and comprises: Open plan living space. Lounge area: With wood burner and Freeview TV. Dining area. Kitchen area: With electric cooker, microwave, fridge/freezer, dishwasher, washing machine and tumble dryer. Bedroom 1: With super king size bed. Bedroom 2: With super king size zip and link bed (which can be made to twin beds – please advise when booking). Bedroom 3: With king size bed and en-suite with bath, walk-in shower and WC. Shower room: With walk-in shower, WC and heated towel rail.
All oil, electric, bed linen and towels included. Initial fuel for wood burner provided. Wi-Fi. Welcome pack.Enclosed garden with patio and furniture. Gas BBQ. Parking (3 cars). No smoking.
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Registered Office: Spring Mill, Stoney Bank Road, Earby, Lancashire,BB94 0AA, UK
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World J Surg (2007) 31: 879–887 DOI: 10.1007/s00268-006-0864-0
TNM Classification of Thyroid Carcinoma
Ashok R. Shaha, MD, FACS1,2
1 2
Head and Neck Service, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10021, USA Cornell University Medical Center, New York, NY, USA
Abstract Background: The understanding of biology of well-differentiated thyroid cancer has improved in the last two decades with the detailed understanding of prognostic factors and risk group stratification. The risk groups are crucial in the management of thyroid cancer and overall prognosis. TNM Staging System: The TNM staging system has been used in all human cancers, and it adheres to the biology of tumors. The data in thyroid cancer comes from retrospective studies, as there are no prospective randomized trials. The most recent TNM staging system was revised and published (6th edition) in 2002. The major attributes of the staging system include: age as the most important prognostic factor, and age is included in the staging system, below and above the age of 45; T1 tumors are considered to be those below 2 cm; T3 tumors include minor extrathyroidal extension invading the strap muscles; T4 tumors includes T4a and T4b, T4a being operable tumors; all anaplastic cancers are T4, although operable anaplastic thyroid cancers are considered to be T4a. Conclusion: These changes in the TNM system are consistent with our current philosophy in the overall management of thyroid cancer and adjuvant therapy. The N staging system includes N1a and N1b—N1a being level VI lymph nodes, while N1b includes level IV and superior mediastinal and contralateral neck nodes. The TNM staging system helps reporting our data and comparing results in different parts of the world. However, there is no level I evidence in thyroid cancer.
he TNM staging system (tumor, node, metastasis) was developed approximately 65 years back in 1940 by Pierre Denoix.1 The UICC (International Union Against Cancer) adopted the TNM staging system and published the 1st edition of the TNM staging system in 1968 for approximately 23 body sites.2 This has been traditionally the clinical staging system of the primary tumor, as well as lymph node metastasis and distant metastasis. Extensive revisions have been made in the TNM staging system over the years.3 As the technology advanced, imaging studies were included in the TNM staging system. As the revisions were made, evidence-
Correspondence to: Ashok R. Shaha, e-mail: firstname.lastname@example.com
based information was added, and the committee made every effort to use level I evidence. Unfortunately, in many human cancers, level I evidence is not available. An example of this would be thyroid cancer, where the bulk of evidence is level III. The head and neck tumors generally include multiple sites, with a variety of histologies and different clinical behavior and outcomes. Since there is no level I evidence in thyroid tumors, generally the changes in the TNM staging are mainly based on retrospective large cohorts of published series. Unfortunately, the decisions in thyroid cancer management are based mainly on the institutional policies, direct involvement of the surgeons, nuclear physicians, and endocrinologists. However, the thyroid cancer staging system does address some of the important prognostic factors, such as age of the patient
The American Joint Committee on Cancer (AJCC) and the International Union Against Cancer Committee (UICC) have formulated a standardized staging system for every malignant tumor. with the latest version adopted in the 6th edition of the AJCC/UICC Staging Manual published in 2002. mainly total versus lessthan-total thyroidectomy. and these are Stage III patients. These are the lymph nodes commonly removed in patients undergoing total thyroidectomy with central compartment clearance. and there would likely not be any major statistical difference in the long-term follow-up to suggest which treatment modality is superior. though commonly used in the evaluation of malignant tumors. Tumor progression occurs from the T stage to the N stage. and anaplastic variants. Unfortunately. These histologies are grouped into papillary follicular. There are only two stages for patients below the age of 45. since a majority of patients with anaplastic carcinoma have Stage IV disease. An attempt has been made in this article to compare the new staging system with that of the 5th edition. The PET scan. the presence of distant metastasis may not become apparent in well-differentiated thyroid carcinoma unless the patient has undergone radioactive iodine ablation. and to analyze the differences. and patients are divided into groups below or above the age of 45. The staging system is based on clinical evaluation at the time of initial examination. Thyroid cancer staging has similarly evolved over time. nodal disease. The clinical TNM staging system is converted into TNMp after the pathology report has been made available following a surgical procedure. The purpose of the cancer staging system is to divide patients into groups to categorize prognosis and define treatment. the TNM staging system remains the global standard. Even with. Patients with Stage IV universally behave poorly. medullary. and has been utilized worldwide. This system has been recognized in most tumors as standard progression of the disease. The 6th edition of the AJCC Staging Manual reveals several changes in the staging system for papillary/follicular thyroid carcinoma. However. Radioactive iodine ablation cannot be performed effectively unless the patient has undergone total thyroidectomy. UNIQUE FEATURES OF THYROID STAGING The staging of thyroid tumors generates considerable confusion since various histologies have different staging systems. It is important for the reader to understand these changes. These staging systems are based on studies from individual institutions or countries using analysis of retrospective data to determine prognostic factors. One of the main purposes of the staging system is to guide the treating physician in the treatment of the primary tumor.4 The Committee on the Staging System meets periodically to review the data and correct deficiencies in the previous staging system. is not currently included as a standard procedure in the staging system. The TNM staging system is in a process of evolution. such a study would require a large number of patients to be followed for an extended period of time. the results of imaging studies. nodal metastasis does have some impact. there are no prospective randomized trials in well-differentiated thyroid carcinoma based on a variety of surgical treatments. known as the TNM staging system. and the management of distant metastasis. These are level VI nodal groups. or perhaps due to. The committee generally reviews the latest publications on any individual subject along with recommendations made by members. However. A majority of the data in thyroid cancer comes from retrospective studies. This is the only human cancer with such a distinction. ÔNÕ for nodal metastasis. The clinical staging system in thyroid cancer may change after the surgical procedure. and subsequently to the M stage. the timely re-evaluation of standards. have also been included in the recent versions.5–7 The lymph nodes commonly involved in metastatic disease are the Delphian nodes and lymph nodes in the tracheoesophageal or paratracheal areas. Regional lymph node metastasis has no major impact on patients with thyroid cancer. As there is hardly any survival difference between the groups. For every malignant problem. Studies of this kind are unlikely to be undertaken. The staging system also influences the role of primary treatment and adjuvant therapy. Stages I and II for papillary and follicular carcinoma. such as CT scan and MRI. in older patients.8–29 There is inevitably bias in these . Decisions regarding the definitive treatment in thyroid carcinoma are therefore somewhat difficult to categorize based on the staging system. especially those with well-differentiated thyroid cancer. Another important aspect of the thyroid staging system is the inclusion of age. However.880 Shaha: TNM Classification of Thyroid Carcinoma and stage of the tumor. and ÔMÕ for distant metastasis. a variety of staging systems are available worldwide. The ÔTÕ stands for tumor. The staging system is quite different for medullary and anaplastic thyroid carcinomas. especially if the final pathology report reveals extrathyroidal extension or disease extending outside the thyroid gland.
age. including EORTC. and size) Score = 3.08 · age [if age = 40 years]) +0.0 cm No distant metastases Based on Lahey Clinic data. such as radioactive iodine ablation.3 · tumor size (cm maximum diameter) +1 (if incompletely resected) +1 (if locally invasive) +3 (if distant spread) Based on Mayo Clinic data. However. size) Low risk Younger patients (men = 40.99 = 80% 5–5.2 · tumor size (cm maximum diameter) Based on Mayo Clinic data. and overall prognosis. AGES. size. with many similarities. there is considerable debate on the management of thyroid cancer. Survival by AGES score (20 years) <3. extrathyroidal extension. .10.00 = 13% Table 3.99 = 56% >8. extent. Based on Memorial Sloan-Kettering Cancer Center data. invasion. distant metastasis Survival by MACIS score (20 years) <6 = 99% 6–6. many institutions have defined prognostic factors and risk groups in thyroid carcinoma. minor capsular invasion for follicular lesions) Primary cancers <5.30–33 Hopefully. Prognostic factors in thyroid cancer: AMES (age.99 = 89% 7–7. and strong influence in relation to postoperative adjuvant therapy.17 Whether this over-treatment will result in any long-term survival difference will likely remain the subject of debate. In the last two decades.0 cm in older patients (men > 40.99 = 99% 4–4. grade. RISK GROUP ANALYSIS FOR DIFFERENTIATED CARCINOMA The subject of thyroid carcinoma and the extent of thyroidectomy generates considerable controversy.1 (if age <40 years) or 0. High risk All patients with distant metastases Extra-thyroid papillary. extra-thyroidal extension. completeness of resection.05 · age +1 (if grade 2) +3 (if grade 3 or 4) +1 (if extra-thyroid) +3 (if distant spread) +0. Prognostic factors in thyroid cancer: AGES (age. patients undergo total thyroidectomy so that radioactive ablation can be facilitated. Histologic variations in well-differentiated thyroid carcinoma are not included in the staging system. At the majority of institutions where radioactive iodine treatment is routinely used. future editions of the Staging Manual will include histological variants to aid standardization.13 These risk group analyses and scoring systems have divided the patients into low and high risk groups (Tables 1–4). The majority of patients in the low risk thyroid cancer group invariably get over-treatment. Risk groups in thyroid cancer Group Low risk Intermediate risk High risk Patient factors Tumors factors Type Low risk patient/low risk tumor Low risk patient/high risk tumor High risk patient/low risk tumor High risk patient/high risk tumor Age. gender Grade.9. especially in relation to the extent of thyroidectomy and the role of radioactive iodine ablation.8–29 Various scoring systems have been developed. major capsular invasion follicular Primary cancers = 5. women = 50) with no metastases Older patients (intrathyroid papillary. extent. distant metastases.00 = 24% studies based on the philosophy of individual institutions in managing these patients. women > 50 881 Survival by AMES risk groups (20 years) Low risk = 99% High risk = 61% Table 2.Shaha: TNM Classification of Thyroid Carcinoma Table 1. rather than adherence to the staging system or prognostic factors.99 = 67% >6. Table 4.12. Due to the lack of appropriate evidence-based studies. it must be remembered that this differentiation is crucial in relation to outcome. Prognostic factors in thyroid cancer: MACIS (metastasis. size) Prognostic score = 0. and MACIS. This is generally quite dependent on institutional and individual practices.
22 Patient-related prognostic factors include age of the patient and gender. tumor size. limited to the thyroid gland. T4a includes tumor of any size.19 However.21 Unfortunately. while T2 includes tumors between 2 and 4 cm.7. T4 has been divided into T4a and T4b. These prognostic factors have been considered to be important. Clearly. with no strong evidence base. multicentricity. tumor grade. extrathyroidal extension. while tumor-related prognostic factors include size of the tumor. patients were divided into low. trachea. Risk groups definitions in differentiated carcinoma of the thyroid Low risk Intermediate risk <45 M+ T3. limited to the thyroid. Chicago.6. Nodal metastasis may have some impact in older individuals in whom there is a high incidence of regional recurrence. grade of the tumor. the detailed analysis of the large number of patients from Memorial Sloan-Kettering Cancer Center divided prognostic factors into patient-related and tumorrelated groups. The original source for this material is the AJCC Cancer Staging Manual. The low risk group includes patients below the age of 45 with low risk tumors. Most studies are type IV or V.5. and presence of distant metastasis. com). II or III data in the management of well-differentiated thyroid cancer. Springer. Overall survival in the low risk group exceeds 98%. extending beyond the thyroid capsule to invade subcutaneous soft tissues. Schematic presentation of operable extrathyroidal extension (T4a). while T4b . The analysis also included an intermediate risk group. T4 (>4 cm) Follicular and/or high grade 96 85 Intermediate risk >45 M0 T1. while gender. thyroid carcinoma is a serious disease for patients belonging to the high risk group. or recurrent laryngeal nerve. Used with permission of the American Joint Committee on Cancer (AJCC). or any tumor with minimal extrathyroidal extension (extension to the sternothyroid muscle or perithyroid soft tissue). T2 (<4 cm) Papillary 100 99 Based on Memorial Sloan-Kettering Cancer Center data.springeronline. though a minor impact on overall outcome.7.10. and distant metastasis.13. Illinois. T1 is considered to be a tumor 2 cm or less in its greatest dimension. intermediate. larynx. the survival in the high risk group drops to almost 57%. Figure 1. extrathyroidal extension. the lack of randomized studies means there are no good evidence-based type I. However. SUMMARY OF THE SIXTH EDITION STAGING SYSTEM FOR THYROID CANCER Primary site: T Staging T staging in the 6th edition has been revised. This risk group analysis is crucial in the management of thyroid carcinoma and understanding the biology and prognosis of patients with well-differentiated thyroid carcinoma. two groups—a young patient with aggressive thyroid cancer or an older patient with a small thyroid cancer. esophagus. T3 tumors are more than 4 cm in their greatest dimension. Sixth Edition (2002). and nodal metastasis are considered unimportant. T4 (>4 cm) Follicular and/or high grade 72 57 Age (years) Distant metastasis Tumor size Histology and grade 5-year survival (%) 20-year survival (%) <45 M0 T1. Based on these prognostic factors. while the high risk group included patients above the age of 45 with high risk tumors. Most studies include prognostic factors of age.882 Shaha: TNM Classification of Thyroid Carcinoma Table 5. Even though studies from the Mayo Clinic and the Lahey Clinic divided patients into low and high risk groups. intermediate. and high risk groups is important for making treatment decisions based on the long-term follow-up and survival differences. The division of patients into low. Survival in the low risk group was 99%.19 while the survival in the intermediate and high risk groups were 87% and 57% respectively (Table 5). and high risk groups.9. T2 (<4 cm) Papillary 96 85 High risk >45 M+ T3. an understanding of the prognostic factors and risk group analyses is quite helpful in directing the staging system. which included again. New York (www.22.
2. The majority of patients with nodal metastasis generally have disease at level VI. and are best evaluated with radioactive iodine ablation. prelaryngeal. These are generally grouped as level VI. Sixth Edition (2002). 7). Lymph node metastasis in the neck is grouped according to classification of squamous cell carcinoma: level I being submandibular. and IV along the jugular vein. and Delphian lymph nodes). or any tumor with minimal extrathyroidal extension (for example. Schematic presentation of inoperable extrathyroidal extension (T4b). bones. Anaplastic thyroid carcinoma is generally a Stage IV tumor. The first echelon of nodal metastases is in the tracheoesophageal group or pretracheal and prelaryngeal lymph nodes. However. high. however. or brain. while level VII includes upper mediastinal lymph nodes. or contralateral cervical Staging for Medullary Thyroid Carcinoma Staging for medullary thyroid carcinoma is essentially the same as papillary follicular carcinoma. Distant metastases from medullary carcinoma to the liver are best evaluated with laparoscopy and laparoscopic liver biopsy. Used with permission of the American Joint Committee on Cancer (AJCC). bilateral. as patients with T4a tumors may undergo surgical resection. Tumor stage has been revised and categories have been re-defined: a) T1 now includes tumors less than 2 cm. as these metastatic lesions are generally very small and located on the surface of the liver. III. while Stage IVb is considered to be T4b. it does not include age as a differentiating factor. pulmonary metastases may not be recognized on routine chest X-ray or CT scan. Chicago. (pretracheal. Regional Lymph Nodes Nodal metastasis is considered to be of less prognostic significance in patients with well-differentiated papillary or follicular thyroid carcinoma. Tables 6. extension to sternothyroid muscle. nodal metastasis has a much worse impact on overall prognosis. and usually submandibular and nodal dissection is not necessary in patients with well-differentiated thyroid carcinoma. Metastases to the jugular chain or supraclavicular region are less common. and stage IVc is any patient with anaplastic thyroid carcinoma and distant metastasis. Springer. while level V is the lymph nodes in the posterior triangle of the neck. nodal metastasis at level Va is very uncommon in well-differentiated thyroid carcinoma. Similarly. Disease at level I is quite rare. in the recent revision. or perithyroid soft tissue) . and are difficult to detect with routine imaging studies. The original source for this material is the AJCC Cancer Staging Manual. mid. Generally T4b is considered to be an inoperable situation (Figs. paratracheal. N1a is nodal metastasis at level VI. Even though medullary thyroid cancer patients follow a similar pattern of spread. New York (www. This lymph node categorization is important and is based on the patterns of lymph node metastasis. The current AJCC staging system has elaborated on the histological examination of selective neck dissection. This is in keeping with other head and neck staging systems b) T3 includes tumors more than 4 cm in their greatest dimension that are limited to the thyroid. however. including 6 or more lymph nodes. com). includes tumor-invading prevertebral fascia or encasing carotid artery or mediastinal vessels. Level VI includes lymph nodes in the central compartment of the neck or paratracheal lymph nodes. while N1b is metastasis to unilateral. 1.springeronline. This classification has important practical implications. tumors are divided into Stage IVa as T4a. and low jugular lymph nodes respectively. Illinois. Important Changes in the Fifth and Sixth Editions of Thyroid Cancer Staging 1. Figure 2.Shaha: TNM Classification of Thyroid Carcinoma 883 or superior mediastinal lymph nodes. while it is an important prognostic factor in patients with medullary thyroid carcinoma. Distant Metastasis The most common organ sites for distant metastasis are lungs. level II. where histological examination of the modified radical neck dissection ordinarily would include 10 or more lymph nodes.
trachea. these trials are difficult to undertake. bilateral. or mediastinal vessels. c) T4 includes T4a and T4b. The American College of Surgeons Oncology Group (ACOSOG) and the Endocrine Committee discussed extensively on the subject of randomized prospective trials in relation to lobectomy versus total thyroidectomy and postoperative radiation therapy. (ii) multifocal tumor (the largest determines the classification). larynx. and recurrent laryngeal nerve. Memorial Sloan-Kettering Cancer Center. lateral cervical. Stage IVc includes advanced tumors with distant metastasis. All anaplastic carcinomas are now considered to be T4. Definition of TNM Category Primary tumor (T) TX T0 T1 T2 T3 a Shaha: TNM Classification of Thyroid Carcinoma Definition Primary tumor cannot be assessed No evidence of primary tumor Tumor 2 cm or less in its greatest dimension. while N1b includes unilateral.884 Table 6. but not more than 4 cm in its greatest dimension. . Lahey Clinic. For well-differentiated papillary and follicular thyroid carcinoma. trachea.g. Unfortunately. esophagus. Unfortunately.. limited to the thyroid Tumor more than 2 cm. such as Mayo Clinic. The T staging in anaplastic thyroid carcinoma has been divided into T4a (intrathyroidal anaplastic carci- noma—surgically resectable) and T4b (extrathyroidal anaplastic carcinoma—surgically unresectable). 5. paratracheal. c Regional lymph nodes are the central compartment. the stage grouping for patients older than 45 has been revised. extension to sternothyroid muscle or perithyroid soft tissues) Tumor of any size extending beyond the thyroid capsule to invade subcutaneous soft tissues. T4b—extrathyroidal anaplastic carcinoma (surgically unresectable). Most of the information available in the management of thyroid cancer comes from large series. EVIDENCE BASE FOR TNM STAGING Well-differentiated thyroid cancer continues to be an indolent disease. N1a being paratracheal and level VI nodal disease. Stage IVa includes tumors of any size extending beyond the thyroid capsule to invade subcutaneous soft tissue. and are unlikely to be undertaken due to the need for a large number of patients and long-term follow-up. esophagus. or contralateral cervical or superior mediastinal lymph nodes Distant metastasis cannot be assessed No distant metastasis Distant metastasis T4ab T4bb Regional lymph nodes (N)c NX N0 N1 N1a N1b Distant metastasis (M) MX M0 M1 a b All categories may be subdivided: (I) solitary tumor. 3. Nodal staging has been revised: a) N0 b) N1 has been divided in to N1a and N1b. or contralateral cervical or superior mediastinal (level VII lymph nodes). carotid artery. All anaplastic carcinoma are considered T4 tumors: T4a—intrathyroidal anaplastic carcinoma (surgically resectable). and SEER data. while Stage IVb includes tumors that invade prevertebral fascia. no randomized trials have been performed in well-differentiated thyroid cancer. or recurrent laryngeal nerve Tumor invades prevertebral fascia or encases carotid artery or mediastinal vessels Regional lymph nodes cannot be assessed No regional lymph node metastasis Regional lymph node metastasis Metastasis to level VI (pretracheal. limited to the thyroid Tumor more than 4 cm in its greatest dimension limited to the thyroid or any tumor with minimal extrathyroidal extension (e. and prelaryngeal/Delphian lymph nodes) Metastasis to unilateral. and the committee decided against such randomized trials. and upper mediastinal lymph nodes. National Cancer Database. Stage III now includes tumors with minimal extrathyroidal extension (T3). 6. larynx. 4. The overall survival exceeds 95%. bilateral. 2.
Since the new staging system was published. Clearly. postoperative thyroid suppression. even though this is commonly seen in older individuals. The 6th edition changed the Tstaging. However. Traditionally. They concluded that earlier intervention is warranted to keep the nodules under suspicion from growing more than 20 mm. and poorly differentiated thyroid cancer is one of the most important prognostic factors. there was no difference in the outcome in tumors below 20 mm. it appears that most of the patients with tumors below the size of 2 cm do extremely well and in most of the series the outcome has been excellent with no major outcome difference for tumors smaller than 20 mm. They concluded that there was significant difference in cancerspecific survival between tumors less than 10 mm and those 11–20 mm. Even though these 2 studies have contradictory conclusions. and patient preferences. One of the major deficiencies in the staging system is the inability to include grade as an important prognostic factor. and 21–40 mm.Shaha: TNM Classification of Thyroid Carcinoma Table 7. The understanding of extrathyroidal extension is crucial in the management of thyroid cancer.35 reviewed the prognostic value of primary tumor size in papillary and follicular thyroid carcinoma. unless the patient has undergone radioactive iodine ablation. T1 being less than 2 cm. However. since the majority of imaging studies will not show distant metastasis. Machens et al. especially children with bulky nodal metastasis. insular. The general impression continues that the majority of patients with tumors less than 2 cm will do remarkably well. Their group does not appear to support the T1 classification up to 20 mm. and radioactive iodine treatment are generally based on institutional practices. especially identification of tall cell. Hopefully. The identification of distant metastasis continues to be an issue.34 reviewed their experience with papillary and follicular thyroid cancer in relation to the size of the tumor. especially to reduce the incidence of local recurrence. The decisions regarding total thyroidectomy. The incidence of distant metastasis continues to be high in younger individuals. The grade of the tumor. microcarcinoma was considered to be less than 1 or 1. rather than the previous staging system of less than 1 cm. and the issue related to T1 tumors being less than 2 cm.34 They divided their patients with papillary thyroid carcinoma into 3 groups according to the size of the tumor: 1–10 mm. Most of the information available in the literature is level III evidence. Stage grouping: separate stage groupings are recommended for papillary or follicular. The change in the T-staging system is a valuable addition to the staging system to distinguish operable and inoperable thyroid cancer. Passler et al. the overall outcome in this group is excellent.5 cm. and the overall outcome exceeds 98%–99%. there have been two interesting publications on size of the tumor. the presence of poorly differentiated thyroid carcinoma is always a poor prognostic factor. this has generated some debate recently. the philosophy of the treating physicians.35 They concluded that there was increased risk of distant metastases in tumor size more than 20 mm. . in young individuals. 11–20 mm. medullary. in future staging systems. and anaplastic (undifferentiated carcinoma) Staging Papillary or follicular under 45 years Stage I Stage II Papillary or follicular 45 years and older Stage I Stage II Stage III T N M 885 Any T AnyT Any N Any N M0 M1 Stage IVA Stage IVB Stage IVC Medullary carcinoma Stage I Stage II Stage III T1 T2 T3 T1 T2 T3 T4a T4a T1 T2 T3 T4 T4b Any T T1 T2 T3 T1 T2 T3 T4a T4a T1 T2 T3 T4 T4b Any T T4a T4b Any T N0 N0 N0 N1a N1a N1a N0 N1a N1b N1b N1b N1b Any N Any N N0 N0 N0 N1a N1a N1a N0 N1a N1b N1b N1b N1b Any N Any N Any N Any N Any N M0 M0 M0 M0 M0 M0 M0 M0 M0 M0 M0 M0 M0 M1 M0 M0 M0 M0 M0 M0 M0 M0 M0 M0 M0 M0 M0 M1 M0 M0 M1 Stage IVA Stage IVB Stage IVC Anaplastic carcinomaa Stage IVA Stage IVB Stage IVC a Any anaplastic carcinomas are considered Stage IV There is no level I or II evidence in the management of thyroid cancer. mainly with extrathyroidal extension. overall outcome.
Long-term results and prognostic factors in patients with differentiated thyroid carcinoma. A National Cancer Data Base report on 53. Fleming ID. Winchester DP (2006) AJCC Cancer Staging Atlas Springer New York. Am J Surg 1990. Rossi R.15:1033–1041. et al. Staging in thyroid carcinoma. Head Neck 1996. Prognostic factors and management considerations in patients with cervical metastases of thyroid cancer. et al. Fremgen AM. Coburn MC. 19. Cancer 1998. Miller D. Bergstralh EJ. A novel classification system for patients with PTC: addition of the new variables of large (3 cm or greater) nodal metastases and reclassification during the follow-up period. 16.83:1012–1021.16:344–347. Am J Med 1987. Cancer 1997. 8. Surgery 1987. Cancer 1998. These can then be included in the staging system. et al. 14. Grant CS. Simpson WJ. Total thyroidectomy: the treatment of choice for patients with differentiated thyroid cancer. 22.856 of thyroid carcinoma treated in the US. Jhiang SM. TNM: evolution and relation to other prognostic factors.55:794–804. Auer G. Schindler A. Papillary and follicular thyroid cancer: prognostic factors in 1578 patients. Long-term of initial surgical and medical therapy on papillary and follicular thyroid cancer.21:3–7. Loree TR. 9. et al.100:1–5. but no single molecular marker has yet been used in clinical practice routinely. 1973–1991. The molecular markers are not included in the staging system at this time. Cady B. Impact of lymph node metastasis in differentiated carcinoma of the thyroid—a matched pair analysis. Review. 21. Clark OH. Denoix PF.118:1131–1138. 29. Sugitani I. 24. 11. et al. 7. et al. along with vascular invasion. Our AMES is true: how an old concept still hits the mark. Eur J Cancer 1979. Shah JP. et al. Sobin LH. Prognostic factors in differentiated carcinoma of the thyroid gland. Am J Surg 1992.79:564–573. National Thyroid Cancer Treatment Cooperative Study Registry Group. Morris DM. Hay ID. Ann Surg 1982. Kasai N. Shah JP. et al.886 Shaha: TNM Classification of Thyroid Carcinoma 13. Cancer 2004. Surgery 1993. Cady B.102:1088–1095. a variety of molecular markers have been studied. 28. Shaha AR. Papillary thyroid carcinoma: factors influencing prognosis and current therapy. An expanded view of risk-group definition in differentiated thyroid carcinoma. Zedenius J. Shaha AR. Surgery 2004. In: Greene FL. Laryngoscope 2000. 5. The future in thyroid surgery will be to identify one or two important molecular markers. Sherman SI.97:417–428. Ann Surg Oncol 1997. Surgery 1988. 2. et al. Am J Surg 1995.135:(2) 139–148. Compton CC. Hay ID. Addition of nuclear DNA content to the AMES risk-group classification for papillary thyroid cancer. 12. 25. Predicting outcome in papillary thyroid carcinoma: development of reliable prognostic scoring system in a cohort of 1779 patients surgically treated at one institution during 1940 through 1989. Groome PA. Noguchi M. Int Surg 1993. Am J Med 1994. 18. Green SB. et al. 4. Am J Surg 1992. Shaha AR. Multivariate study of prognostic factors of differentiated thyroid carcinoma: the significance of histologic subtype. Cancer 1991. Taylor WF.4:328–333. 3. Node and Metastasis (TNM). Prognostic factors and risk group analysis in follicular carcinoma of the thyroid. et al.196:361–370. Cancer 1998. Fujimoto Y. which can be performed on the needle biopsy specimen and be used as a major prognostic factor prior to definitive treatment. Shah JP. Am J Surg 1997.18:127–132. Shaha AR.78:10–15. Pasieka JL. Tumor. Hughes CJ. Survival discriminants for differentiated thyroid cancer. Controversies in the management of thyroid nodule. Shah JP. Shah JP. 1985–1995. Prognostic factors in papillary carcinoma of the thyroid. Cancer 1985. Wanebo HJ. Cunningham MP. or risk group assignment points the arrow to rational therapy selection in differentiated thyroid cancer. 23. Anderson PE. Low-risk differentiated thyroid cancer: the need for selective treatment. Differentiated carcinoma of the thyroid with extrathyroidal extension. Capsular invasion divided into minor and major is crucial. et al.110:(2 Pt 1) 183–193. Bull Inst Nat Hyg (Paris) 1944.170:467– 470. Prospective multicenter study of thyroid carcinoma treatment: initial analysis of staging and outcome.174:462–468. Epidemiology and End Results (SEER) program. et al. 17. Hunt WC. Brierley JD. Semin Oncol 1987. 6. 26. Surgery 1995.83:2638–2648. Mazzaferri EL. Cady B. Ipsilateral lobectomy versus bilateral lobar resection in papillary thyroid carcinoma: a retrospective analysis of surgical outcome using a novel prognostic scoring system. et al. 83:479–488. 20.164:671–676. Gospodaroqicz MK. . The process for continuous improvement of the TNM classification.114:947–953.1:69.112:1154–1160. REFERENCES 1. Unfortunately. Surgery 1992. Dor P. A prognostic index for thyroid carcinoma: a study of the EORTC Thyroid Cancer Cooperative Group.164:658–661. 30. 15. 10. Byar DP. Semin Surg Oncol 2003. Sperling M. Loree TR. Prognostic factors for thyroid carcinoma: a population-based study of 15.68:324–330. Goellner JR. Mazzaferri EL. et al. et al. Fritz AG. Tubiana M.14:315–332. 83:844–847. 27. et al.104:947– 953.698 cases from the Surveillance. Gilliland FD. grade may be included. Hundahl SA.
. 32. Resectional management of airway invasion by thyroid carcinoma.. Importance of tumour size in papillary and follicular thyroid cancer. Asari R. Passler C. Cancer 2005. et al. Hay ID. Czaja JM. Bergstralh EJ. Ann Thorac Surg 1986. Locally invasive papillary thyroid carcinoma: 1940–1990. The surgical management of laryngotracheal invasion by well-differentiated papillary thyroid carcinoma. 16:165–172. McCaffrey TV.42:287–298. Holzhausen HJ. 35. Machens A. Grillo HC.103:(11) 2269–2273. 887 34. McCaffrey TV. Head Neck 1994. 33. The prognostic value of primary tumor size in papillary and follicular thyroid carcinoma. Dralle H. Br J Surg 2005. Zannini P. Arch Otolaryngol Head Neck Surg 1997. Scheuba C.Shaha: TNM Classification of Thyroid Carcinoma 31.92:(2) 184–189.123:484–490.
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Animal Pens (thanks Socket Ryanist) - In the English language we have many different words to help us describe the diseases of the anus. In the universal language of art, we have one: web comic. I guess we also have illustrations of gross butts, but they are one in the same when you think about it.
Nothing good has ever really come from the tortured medium of the web comic. Sure, there have been one or two gems over time, but they do not make up for the countless horrifying attempts at humor and artistic expression. If you were to look at a planet populated by three geniuses and three billion savage cavemen, you would not call it "the Planet of the Three Wise Men." No, you would average it out to "the Savage World" and be done with it.
For every little Achewood or whatever people are raving about these days, there are a million terrible web comics like this one. There are ones even worse than this out there, but they usually involve hardcore animal sex or stories about the various people Jesus hates as illustrated by somebody with multiple sclerosis.
Take a look below and tell me this does not exemplify everything that is wrong with the world.
Animal Pens is what happens when a sense of humor somehow ends up in a persistent vegetative state. Even though it needs to be put down because it is not really living at all and just being degraded, we delude ourselves long and hard into imagining that there is still some spark of intelligence alive inside there. That is when we have to remind ourselves that we are talking about a picture of a snake being used as a jump rope by an anthropomorphic cat. We are not preserving life or art or even showcasing human creativity here. We are interfering with nature and preventing something from being at peace. I think there has been enough prolonged suffering for everyone. I think it is time we pull the plug on this and all web comics. Maybe in the next life they will have some dignity.
TOTAL WRECK - crazy-eyed hound is covered in cobwebs, has a vespiary on back, graffiti on side and savage thirst for boat fuel. Frankly, I'm in over my head. He's in room 115 at Motel 6, yours free. 555-2851
Yes, it's the perfect form for surviving a car crash. But it's also the perfect form for so much more, like surviving the trauma of reading any news headline in 2016.
Thirty games and a novel piece of hardware for sixty dollars? This is an insult to my honor.
Selling objects to the past, lighters, weed, etc. Pretty intriguing stuff.
Title of this one pretty much says it all. If it's what you're looking for, then uh, look no further
Awful Links of the Day spotlights the worst and weirdest websites on the internet. And we're not talking "weird" in a good way either.
Copyright ©2016 Rich "Lowtax" Kyanka & Something Awful LLC.


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2009 marks the 20th anniversary of the Beastie Boys critically acclaimed Paul's Boutique. This is the album that gave us "Shake Your Rump", "Egg Man" and "Hello Brooklyn". To celebrate the occasion EMI is re-releasing the record in all manner of formats beyond Tuesday's exclusive digital release on beastieboys.com.
The digital release comes packed with five videos as well as 3D interactive album art. For those of us that still love our stereo systems, CD and vinyl releases follow next week on February 10th. Oh, and Beastie Boys will also be headlining at Bonnaroo this year too. Bet they'll be performing a lot of these songs.
Here are all the possible ways you can pick up this re-issue:
Deluxe Digital Download
Digital album download in choice of format (320kbps MP3, FLAC, Apple Lossless), 5 Beasties music videos, video commentary, 3D interactive digital album art
CD + Digital Download
8 panel ecopack CD + Digital Download
Vinyl + Digital Download
8 panel, 180g vinyl + Digital Download
T-Shirt Combos
Limited edition Paul's Boutique t-shirt with wraparound album art. Available with Deluxe Digital, CD, or Vinyl combo.
20th Anniversary Commemorative Pack
Includes Digital Deluxe, CD, Vinyl, T-shirt, and an 8 foot wide poster of the album art as it was originally intended to be enjoyed.
The Strokes "Threat of Joy" (Singles Going Steady) // Music
Blesst Chest "Blesst Chest Theme Song" (audio) (premiere) // Music
The Chairman Dances "Dorothy Day and Peter Maurin" (audio) (premiere) // Music
National Park Radio 'The Great Divide' (album stream) (premiere) // Music
Josh Ritter Gives Beautiful Performance at Prospect Park (Photos)
// Notes from the Road
"Josh Ritter kicks off a string of summer U.S. shows with rousing free performance at BRIC Celebrate Brooklyn! Festival.READ the article


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It's the year 2154 and Max Da Costa is living in the densely populated, crime and war ravaged wasteland that is the planet Earth. Meanwhile, the rich and the privileged live on an orbital settlement in space called Elysium which boasts perfect landscapes, no poverty and medical advancements that can eliminate illnesses such as cancer in half a second. Despite Earth being a disease-stricken planet with little resources to go around, Secretary Rhodes is vehemently strict with her immigration laws disallowing anyone of a lower class to be allowed into their utopia even in the case of the most serious of illnesses. An ailing Max is determined to survive, however, even if it means embarking on a highly dangerous mission to break into the highly guarded space habitat and retrieve medical resources that could save him and the rest of the suffering population.
Continue: Elysium Trailer
Jesse Bradford and Carly Pope - The PaleyFest Icon Award at The Paley Center for Media, Beverly Hills - Los Angeles, California, United States - Wednesday 27th February 2013
Anel Gorham, Christopher Gorham, Tammy Lynn Michaels, Leslie Bibb and Carly Pope - Anel Gorham, Christopher Gorham, Tammy Lynn Michaels, Leslie Bibb and Carly Pope Sunday 14th October 2012 28th Annual AIDS Walk Los Angeles in West Hollywood
Carly Pope Tuesday 19th April 2011 Canadian premiere of 'Textuality' at TIFF Bell Lightbox - Arrivals Toronto, Canada
Carly Pope - Friday 30th July 2010 at Beverly Hilton Hotel Beverly Hills, California
Carly Pope Friday 30th October 2009 STK And Coco de Ville Host Mischief Night 2009 Los Angeles, California
Who's behind the game, how exactly it is played, why people are playing, and even who's footing the bill for the thing are questions that will have to go ananswered. Even the most casual viewer will be inevitably frustrated and completely baffled by the inexplicable story in Nemesis Game, but I have to admit that despite a massive failing in the plot department I actually had fun watching this film.
Continue reading: Nemesis Game Review
The 1969 session, including the only known recording of 'Sunshine Woman' by the band, will be included on a re-issue of 'The Complete BBC Sessions'...
The 55 year old actor joined Chris Martin and co. on stage in New Jersey to perform 'Earth Angel' and 'Johnny B. Goode'.
Bjork Digital comes to London's Somerset House in September, along with a single live show at the Royal Albert Hall.
Kim Kardashian released an audio excerpt from a phone call between Kanye and Taylor Swift over the lyrics of 'Famous' - but if it was recorded...
There's very much a strength of conviction in remaining what you were, but arguably more so in becoming what you want to be.
The BBC drama starring Aidan Turner returns to BBC One on September 4th.
Guns N' Roses were detained at the Canadian border last week for gun possession but they're adamant the weapon didn't belong to them.
It's the year 2154 and Max Da Costa is living in the densely populated, crime...


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Wireless commander,, su 800 or another sb800?
Started May 8, 2008 | Discussions thread
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Craig • Veteran Member • Posts: 5,880
Wireless commander,, su 800 or another sb800?
May 8, 2008
I have read some reviews on B&H, Adoroma and some are saying that the su 800 has a distance and reliability problem.
I have used KM and sony wirless and I find that they too can missfire, especially on high ceilings.
I need good distance and reliability for shooting weddings.
What is your experience with the Nikon system and using the su/sb 800 flashes, etc.??
I own a D3 and have not got this question answered there..
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Minky Monday: Take 20% off 1+ Yards of Minky fabric through 11:59 p.m. EDT July 25th.
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sef says:
I think I drew these characters back in the early 1980s and I'm fairly certain this set didn't say anything even then (unlike the other various character sets I designed and used for things).
Posted about 3 years ago.
elramsay says:
what's it say? :-)
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- Articles tagged "processor"
Intel's First Broadwell-based Products to Be Available Year End
Intel announced today that products based on the upcoming Broadwell processors will be available in time for this year end's holiday season.
Intel to Celebrate 20 Years of Pentium with Anniversary Edition
Intel will be releasing an anniversary edition of the Pentium processor to commemorate 20 years of the Pentium brand.
Intel Core i7 Processor Hits 4.0GHz with Devil's Canyon
Intel announced their latest processor series, codenamed Devil's Canyon, at its keynote in Computex 2014 earlier today. Representing the updated Haswell "K" series parts, the latest Core i7 processor is the first Core microprocessor to hit the 4.0GHz mark since the Pentium 4.
Early Performance Benchmarks of Intel's Latest Bay Trail Processor
We were given an opportunity to preview and run some early performance benchmarks on Intel's upcoming Bay Trail tablets. Find out how it's performing against its competitors.
- Nintendo's shares plunge as Pokémon Go has limited effect on its earnings
- Photo-editing app Prisma arrives on Android
- Verizon is paying US$4.8 billion to acquire Yahoo's core business
- Canon launches new A3 color laser printers for businesses with large print runs
- Cyanogen Inc. discharges 20 percent of its workforce
- Now Samsung is suing Huawei over patent infringements
- Pokémon GO has the most downloads in first week of launch on Apple's App Store
- Galaxy Note 7's iris scanner may not work well with glasses or contact lenses


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aerator Companies in West Virginia
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INVENT Umwelt-und Verfahrenstechnik AG
Distributor in WEST VIRGINIA (USA)
INVENT develops, produces and globally implements innovative components, systems and processes for the treatment of water and wastewater. INVENT focuses on applications in the municipal and industrial water and wastewater treatment. INVENT Umwelt- und Verfahrenstechnik AG offer a wide range of products and services in the field of mixing and aeration for water and ...
Environmental Dynamics International (EDI)
Distributor in WEST VIRGINIA (USA)
Environmental Dynamics International (EDI) specializes in the development and application of advanced technology aeration and biological treatment solutions for municipal and industrial wastewater. The professionals and engineers at EDI provide the highest level of value added service, technology transfer, process application and system design support. EDI is a full ...
Cleartec Water Management GmbH
Distributor in WEST VIRGINIA (USA)
On this site you get comprehensive information about our product Cleartec Biotextil – a textile fixed bed for biological wastewater treatment in industry and municipal with IFAS technology. In our download area we provide our Cleartec Biotextil flyer in different languages.
Beckart Environmental, Inc.
based in Kenosha, WEST VIRGINIA (USA)
A leading supplier of wastewater treatment systems worldwide, Beckart Environmental provides high performance, cost-efficient, turnkey industrial wastewater solutions for granite and stone manufacturing, fish and food processing, the corrugated market, municipalities, and much more.
Endress Hauser Instruments International AG
Distributor in WEST VIRGINIA (USA)
Endress Hauser is a global leader in measurement instrumentation, services and solutions for industrial process engineering. The Group employs more than 12,000 personnel across the globe, generating net sales of 2.0 billion euros in 2014. Water quality, discharges, regulations, the environment… just rely on a trusted partner. No resource is more precious than water. But ...
Environetics, Inc.
Distributor in WEST VIRGINIA (USA)
Environetics is committed to improving water quality through the development of products which help to solve industrial and municipal water and wastewater quality problems.We have designed, developed, patented and manufactured many specialized products to solve liquid pollution problems. Our innovative environmental control products provide solutions to water and ...
Raven Environmental Products, Inc.
Distributor in St. Albany, WEST VIRGINIA (USA)
Raven serves a wide variety of industries with high quality instruments engineered and manufactured in the USA. EPA and founded Raven in 1983 to manufacture the process control instruments necessary to carry out the control tests created by Al West. Lynn designed the instruments to be durable, simple to use, and affordable. With a manufacturing plant and staff, Lynn ...
Huber SE
Distributor in WEST VIRGINIA (USA)
Hans Huber AG offers innovative machines and plants for the whole sector of waste water process / clarification process / sludge treatment - for municipal waste water, industrial waste water and cycle water. We offer innovative, efficient technology for solid/liquid separation in process engineering and a comprehensive program of stainless steel equipment. Huber invented ...
Preiser Scientific Inc.
based in St. Albany, WEST VIRGINIA (USA)
As a supplier of scientific instruments, laboratory equipment and supplies to the industry, mining, medicine, research, government, and education, we recognize that exceptional performance is dependent on providing products and services of a superior quality which satisfy our customers needs and specifications, in an acceptable time frame, at a fair market price, and in a ...
CST Industries Inc
Distributor in WEST VIRGINIA (USA)
CST Industries, Inc., is the complete storage system provider for engineering and manufacturing professionals in thousands of different industries and applications throughout the world. The company is the global leader in the manufacture and construction of factory coated metal storage tanks, aluminum domes and specialty covers. CST`s existing company portfolio consists ...
Smith & Loveless Inc.
Distributor in WEST VIRGINIA (USA)
For more than 65 years, Smith & Loveless has delivered engineering ingenuity and quality craftsmanship to the water industry by pioneering superior pre-engineered pumping, treatment and headworks systems. Our factory-built concepts pave the way for thousands of municipalities, developments and industry to reap the benefits of complete, single-source solutions and peerless ...