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Author Affiliations: Departments of Radiology (Dr Shah), Internal Medicine (Dr Weed), and Otolaryngology–Head and Neck Surgery (Drs Agrawal, Ozer, and Schuller), College of Medicine and The Comprehensive Cancer Center–Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, The Ohio State University, Columbus; and Department of Epidemiology and Biostatistics, University of Maryland School of Public Health, College Park (Dr He).
Objective To identify specific alcohol-related predictors of postoperative delirium.
Design Inception cohort, logistic regression with step-wise selection.
Setting Ohio State University Comprehensive Cancer Center, Columbus.
Patients A total of 774 patients undergoing major resection of head and neck squamous cell carcinoma.
Main Outcome Measures The correlation of 19 variables with postoperative delirium. One variable was an alcohol-related blood test: mean red blood cell volume (MCV). Eight variables were patient responses to alcohol-related questions.
Results Eighty-nine of 774 surgical procedures (11.5%) were complicated by delirium. Six variables were significantly associated with delirium: age older than 69 years (odds ratio [OR], 2.43; P < .01), preexisting cognitive impairment (OR, 3.83; P < .01), surgery duration greater than 6 hours (OR, 2.40; P < .01), MCV greater than 95.0 femtoliters (OR, 2.23; P < .01), ever being advised to cut back on alcohol (OR, 2.25; P = .01), and not abstaining from alcohol for at least 1 continuous week in the preceding year (OR, 2.16; P = .02). The number of variables stratified delirium risk (0 variables: 198 patients, 2.5% incidence of delirium; 1 variable: 278 patients, 6% incidence of delirium; 2 variables: 206 patients, 18% incidence of delirium; and >2 variables: 92 patients, 34% incidence of delirium).
Conclusions Three clinical variables not related to alcohol drinking (age, preexisting cognitive impairment, and surgery duration), an alcohol-related laboratory test (MCV), and 2 alcohol-related questions ("At any time in your life, has anyone ever suggested that you should cut back on your drinking?" and "What is the greatest number of days in a row you have gone without an alcoholic drink in the past year?") may help in estimating a patient's risk for postoperative delirium.
Half of all people older than 13 years in the United States report consuming alcohol at least monthly, and the per capita annual consumption of ethanol is over 2.3 gallons.1 Heavy alcohol consumption is associated with a higher risk of surgical complications, including blood loss, infection, and heart failure, and with longer, more expensive hospital stays.2- 7 Heavy alcohol consumption is also associated with postoperative delirium, including delirium tremens (DTs), and patients who develop DTs after surgery are up to 3 times more likely to die.2- 6,8
Despite the potential adverse impact of heavy alcohol consumption on postoperative outcomes, screening for alcohol consumption prior to surgery is often haphazard. In one survey, just over one-third of people who had received medical care in the previous 2 years reported being asked about their alcohol consumption.9 There are several questionnaires validated to detect problem alcohol use, but these questionnaires were developed to identify people with various different types of alcohol use disorders, and none of them was developed to identify patients at risk for postoperative complications. Therefore, currently available questionnaires to detect problem alcohol use may not effectively or efficiently identify patients at risk for alcohol use–related postoperative complications.
The aim of this study was to determine which alcohol use–related questions and which laboratory tests best identified patients at risk for postoperative delirium. We chose to study patients undergoing major head and neck squamous cell cancer surgery because these patients have both a high prevalence of heavy alcohol consumption and a high incidence of postoperative delirium.10,11 Our ultimate goal is to more effectively and efficiently identify patients who might benefit from interventions to reduce alcohol consumption before surgery and from treatments to prevent alcohol withdrawal delirium after surgery.
The study population was an inception cohort of 978 medical evaluations performed by one of us (H.G.W.) from July 1994 through January 2004 prior to major surgery performed by one of the other authors (A.A., E.O., or D.E.S.) to resect squamous cell carcinoma of the head and neck at the Comprehensive Cancer Center–Arthur G. James Cancer Hospital and Richard J. Solove Research Institute at the Ohio State University, Columbus. Preoperative data were collected prospectively using a structured questionnaire. Sixty-four of the patients (6.5%) had been treated with chemotherapy at some time in their lives prior to their head and neck cancer surgery, 46 within the 24 months before surgery, and 26 in the 12 months before surgery. Five had been treated with chemotherapy for colorectal cancer; 4 for leukemia or lymphoma; 1 each for bladder, ovarian, and skin cancer; and the remaining 52 for head and neck cancer. Only the first surgery was analyzed if a patient had undergone more than 1 procedure. Of the 978 preoperative evaluations, 173 surgical procedures were excluded because data were incomplete or because the surgery did not last at least 2 hours, 30 were excluded for being the second surgery, and 1 was excluded for being the third surgery. The 204 excluded patients and surgical procedures were similar to the 774 whose data were studied, with regard to age (mean, 64 years; median, 63 years [range, 33-92 years]; t test, P >> .05), sex (male, 72%; χ2 test, P >> .05), self-reported race (white, 91%; χ2 test, P >> .05), duration of surgery (mean duration, 384 minutes; median, 348 minutes [range, 115-1081 minutes]; t test, P >> .05), and prevalence of preexisting cognitive dysfunction (prevalence, 6%; χ2 test, P >> .05). Hospital records were reviewed to determine the occurrence of postoperative delirium, defined as agitation or confusion noted after the first postoperative day.
Nineteen variables were analyzed for correlation with postoperative delirium. The variables were chosen because of their previously demonstrated associations either with postoperative delirium or with alcoholism.12- 14 The 4 demographic variables were age, sex, self-reported race, and self-reported living-alone status. The 5 medical variables were cachexia; markedly abnormal serum sodium, potassium, or glucose levels; preexisting cognitive impairment; poor self-reported functional class; and elevated mean corpuscular volume.15 The 2 surgical variables were American Society of Anesthesiology (ASA) class and duration of surgery. Rhinophyma, a physical finding associated with chronic heavy alcohol consumption, was considered as a variable, but too few patients had this finding to make it statistically useful. Markedly abnormal serum sodium, potassium, or glucose levels were defined as serum sodium levels lower than 130 or higher than 150 mEq/L (<130 or >150 mmol/L); potassium level lower than 3.0 or higher than 6.0 mEq/L (<3.0 or >6.0 mmol/L); or glucose level lower than 60 mg/dL or higher than 300 mg/dL (<3.3 or >16.7 mmol/L). Preexisting cognitive impairment was defined as any history or physical findings of stroke, transient ischemic attack, or dementia. Functional class was measured using the Specific Activity Scale (SAS), which has been validated against formal exercise testing.16 Age and duration of surgery were converted to dichotomous variables. For age, a cutoff of 69 years was used to make a model comparable with the model of Marcantonio et al.12 For duration of surgery, a cutoff of 6 hours was used, because there was a 7.1% incidence of delirium for surgical procedures lasting less than 6 hours but a 14.6% incidence of delirium for procedures lasting longer than 6 hours. The other variables were analyzed as binary variables: sex (male or female); self-reported race (white, black, or other); self-reported living alone status (living alone or not); cachexia (body mass index [BMI], calculated as weight in kilograms divided by height in meters squared, <18.5 or ≥18.5); markedly abnormal serum sodium, potassium, or glucose levels (any abnormal or all normal); preexisting cognitive impairment (impaired or not); poor self-reported functional class (4 or <4); elevated mean corpuscular volume (>95.0 or ≤95.0); and higher ASA class (>2 or ≤2).
The patients' responses to 8 questions about alcohol drinking were also analyzed for correlation with postoperative delirium:
The 8 questions consisted of modified versions of the 4 CAGE questions and 4 additional questions about recent alcohol drinking, abstinences from alcohol during the preceding 12 months, history of alcohol withdrawal symptoms, and history of memory loss episodes (blackouts) associated with heavy drinking. Strategies recommended by Isaacson and Schorling17 were used to make alcohol use–related questions less threatening, including asking the questions in the flow of history taking, after asking about adverse medication reactions, medications, medical history, surgical history, family history, and smoking history, and after a brief introductory disclaimer. The responses to all of the alcohol-drinking questions were analyzed as binary variables: most recent use of alcohol (≤2 days or >2 days), longest time without alcohol in the past year (<7 days or ≥7 days), having an "eye opener" early morning alcoholic drink in the preceding 12 months (yes or no), blackout episodes in the preceding 12 months (yes or no), feeling guilty about drinking alcohol in the preceding 12 months (yes or no), ever having been advised to cut back (yes or no), ever feeling the need to cut back (yes or no), and ever having shakes, seizures, or DTs (yes to any, or no to all).
Logistic regression with step-wise selection was used to analyze the data, because the outcome was dichotomous. Only characteristics correlated with P < .05 by univariate analysis were included in the final model. The ASA class was not included in the multivariate analysis because ASA class is subjective and is, by itself, a type of multivariate analysis, a gestalt based on the many variables in the medical history, physical examination, and laboratory findings. The Hosmer-Lemeshow goodness-of-fit test was applied to the final model. We performed statistical analysis with Stata statistical software package (version 10.0; StataCorp Inc, College Station, Texas).
After creating the main effects model, 7 interaction terms were created by multiplying the coded values of selected pairs of predictors. Only those predictors for which interaction was plausible were tested. The tested pairs were as follows: being advised to cut back by others and time without alcohol, being advised to cut back by others and mean red blood cell volume (MCV) level, being advised to cut back by others and cognitive status, time without alcohol and MCV level, time without alcohol and cognitive status, MCV level and cognitive status, and cognitive status and age. The findings of step-wise multivariate logistic regression were unchanged when run with these 7 additional terms. No interaction terms were significant, and thus none of them were included in the final model. The Hosmer-Lemeshow goodness-of-fit test yielded a χ26 value of 5.44 and P value of .49, implying an adequate fitting of the model to the data set.
All data were abstracted from the medical records, deidentified, encrypted, and password protected. The institutional review board of the Ohio State University's Office of Responsible Research Practices approved the study.
The 774 patients were predominantly white (93%), and male (71%) (Table 1). They ranged in age from 24 to 90 years, with a mean and a median age of 63 years. Almost half (44%) reported feeling, at some time in their lives, that they needed cut back on drinking alcohol. Twenty-three percent reported having had an alcoholic drink in the 2 days preceding preoperative evaluation; 17% reported having been advised by others to cut back on their drinking at some time in their lives; and 14% reported prior shakes, seizures, or DTs. Surgical procedures lasted from 2.0 hours to more than 16.0 hours, with a median duration of 5.5 hours. Ninety-two of the procedures (11.5%) were complicated by postoperative delirium.
Ten variables correlated significantly with postoperative delirium by univariate analysis (Table 2). The only demographic variable significantly correlated with postoperative delirium was age older than 69 years (odds ratio [OR], 2.06). The 2 medical variables significantly correlated with postoperative delirium were preexisting cognitive impairment (OR, 3.31) and an MCV greater than 95.0 femtoliters (fL) (OR, 2.72). Both surgical variables correlated significantly with postoperative delirium: ASA class of 3 or 4 (OR, 3.01), and duration of surgery greater than 6 hours (OR, 2.35). Five of the questions about alcohol drinking were significantly correlated with postoperative delirium: drinking alcohol in the 2 days before preoperative medical evaluation (OR, 1.91), not going without alcohol for at least 1 week in the preceding 12 months (OR, 3.24), having 1 or more blackouts in the preceding 12 months (OR, 2.01), feeling guilty about drinking in the preceding 12 months (OR, 1.92), and ever having been advised by others to cut back (OR, 2.67).
Six variables remained significantly correlated with postoperative delirium after multivariate logistic regression: age older than 69 years, preexisting cognitive impairment, MCV greater than 95.0 fL, duration of surgery greater than 6 hours, not going without alcohol for at least 1 week in the preceding 12 months, and ever having been advised by others to cut back on alcohol use (Table 3). There were no significant interaction terms.
The ORs in the final model enabled creation of a clinical prediction rule to quantify an individual's risk of postoperative delirium. We assigned 1 point for each of the following variables: age older than 69 years, preexisting cognitive impairment, surgery lasting more than 6 hours, MCV greater than 95.0 fL, not abstaining from alcohol for at least 1 week in the preceding 12 months, and ever having been advised to cut back on alcohol intake. The prediction rule stratified the patients into 4 cohorts with risk of postoperative delirium increasing from under 3% in the lowest risk cohort to over 30% in the highest risk cohort (Table 4).
Alcoholism is associated with postoperative delirium, and postoperative delirium is associated with worse surgical outcomes.2- 6,8 Despite the potential adverse impact of alcoholism on surgical outcomes, screening for alcoholism prior to surgery remains problematic. There is no reliable blood test for alcoholism. Patients are often embarrassed and furtive about how much they actually drink. Even cohabitant family members often do not know how much alcohol a patient is drinking. Furthermore, the same amount of alcohol has different effects on different people. Alcoholism screening questionnaires, such as the CAGE and Michigan Alcohol Screening Test, can be effective in indentifying patients with alcoholism; however, they have limitations: (1) they do not solicit information on the amount, frequency, or pattern of alcoholic drinking; (2) they do not distinguish between current and past alcohol drinking; (3) they are designed to detect alcohol dependence but not other types of problem alcohol drinking; and (4) they require the time to ask multiple questions.18 The Alcohol Use Disorders Identification Test questionnaire includes questions on the amount, frequency, and pattern of alcohol drinking, and it specifically asks about drinking in the past year. However, it takes time to administer because it consists of 10 questions.18 The National Institute on Alcohol Abuse and Alcoholism recommends a single screening question, "How many times in the past year have you had x or more drinks in a day?", where x is 5 for men and 4 for women, and a response of once or more is considered indicative of some type of alcoholism.19 This question has been demonstrated to accurately identify unhealthy alcohol drinking in a sample of primary care patients,19 but, to our knowledge, its ability to predict postoperative complications has not been studied.
We undertook this study to identify specific clinical variables related to alcohol drinking that correlate with postoperative delirium. We analyzed 19 variables previously associated either with postoperative delirium or with heavy alcohol drinking. Although ASA class has been associated with postoperative delirium and was associated with postoperative delirium in our univariate analysis, we did not include it in our multivariate analysis because ASA class is subjective and is, by itself, a type of multivariate analysis, a gestalt based on the many variables in the medical history, physical examination, and laboratory evaluation. We analyzed a number of alcohol drinking–related questions, because we sought to identify a few specific alcohol-related questions that clinicians can ask so that they can adequately evaluate alcohol-related risk without wasting their time and their patients' time during the preoperative evaluation by asking questions that are not helpful.
We intended to analyze 10 specific variables related to alcohol drinking, including 1 physical finding (rhinophyma) and 1 blood test (MCV); however, too few patients had the physical finding of rhinophyma for it to be analyzed. Four of the 8 questions related to alcohol drinking were derived from the CAGE questionnaire. The other 4 questions were about the most recent alcohol drinking, abstinences from alcohol during the preceding 12 months, history of alcohol withdrawal symptoms, and history of blackouts associated with heavy drinking. We sought to avoid confrontation and patient furtiveness by structuring the questions so as not to ask patients about current amount and frequency of alcohol drinking. We also carefully worded the questions to minimize emotional content. For example, we changed the CAGE question, "Have people annoyed you by criticizing your drinking?" to "Has anyone ever advised you to cut back on your drinking?" It seems to us less embarrassing to report having been advised than to admit to having been criticized and annoyed. We found that responses to 2 of these alcohol-drinking–related questions and the MCV were correlated with postoperative delirium.
This study confirmed some of the previously identified predictors of postoperative delirium and suggests 3 additional predictors that are associated with heavy alcohol consumption. In 1994, Marcantonio et al12 published a clinical prediction rule for delirium after elective noncardiac surgery (hereinafter, the Marcantonio rule), which assigns 1 point for each of 6 predictors: (1) age older than 69 years; (2) poor preoperative cognitive status; (3) high-risk surgery; (4) poor preoperative functional status; (5) markedly abnormal serum sodium, potassium, or glucose levels; and (6) heavy alcohol drinking, as defined by self-reported consumption of more than 2 drinks daily. We previously applied the Marcantonio rule to 138 major head and neck cancer surgical procedures, and it stratified them into 3 cohorts of increasing prevalence of postoperative delirium (9%, 19%, and 25%).13 However, the Marcantonio rule did not identify a cohort of patients at low risk for postoperative delirium, perhaps because it did not distinguish different degrees of alcohol drinking in the population of patients with head and neck cancer, a population with a high prevalence of alcohol drinking. In the current study we analyzed the predictors previously identified by Marcantonio et al,12 and we found that, while advanced age, impaired cognitive status, "high-risk" surgery (defined as surgery lasting >6 hours in our population), and self-reported uninterrupted daily alcohol drinking were correlated with postoperative delirium, a poor SAS functional status of 4 and markedly abnormal preoperative levels of serum sodium, potassium, or glucose were not (Table 2). This may have been because Marcantonio et al12 included laboratory findings up to the day of surgery, whereas the laboratory findings we analyzed were obtained 1 to 2 weeks prior to surgery, and the abnormal findings were addressed and usually corrected prior to surgery. For example, electrolytes were replaced, medications were adjusted, and diabetes mellitus was controlled several days, if not a week or more, prior to surgery.
The abnormal laboratory test that was correlated with postoperative delirium in the current study was an MCV greater than 95.0 fL, a marker of heavy daily alcohol consumption. An MCV greater than 100 fL has been shown to predict alcohol withdrawal delirium in hospitalized medical patients.20 The MCV is also often elevated for several months after cytotoxic antineoplastic chemotherapy.21 At the time MCV was determined, 11 of the patients in this study had undergone antineoplastic chemotherapy in the previous 6 months, and 21 had done so in the previous 12 months. In addition, an elevated MCV is associated with increasing age and myelodysplastic syndrome; however, an MCV greater than 95.0 fL remained correlated with postoperative delirium after controlling for age. Finally, an elevated MCV is also associated with inadequate intake or absorption of vitamin B12, which can also impair neurologic function. Although vitamin B12 deficiency may explain some of the correlation of an elevated MCV with postoperative delirium, most of the patients with postoperative delirium were not clinically malnourished, and many were also taking multivitamin supplements either as a tablet or in a liquid nutritional supplement. Therefore, the association of elevated MCV with alcoholism seems the most likely explanation for its correlation with postoperative delirium in this study. If this is true, then the fact that elevated MCV remained associated with postoperative delirium after controlling for self-reported alcohol drinking also suggests that there was underreporting of alcohol drinking by some patients. That is, considering the MCV improved the detection of risk compared with only asking the alcohol-drinking related questions, and, likewise, asking the alcohol-drinking–related questions improved the detection of risk compared with only considering the MCV. Other studies have also found that considering the MCV improves the sensitivity of alcohol-drinking screening questions.20
In the current study, the Marcantonio rule12 stratified patients into cohorts of increasing prevalence of postoperative delirium (4%, 10%, 23%, and 33%), but it did not identify a low-risk cohort. The proposed "Shah rule" developed in this study did stratify a significant number of patients into a low-risk cohort (198 patients, <3% risk). It also stratified a greater number of patients into a high-risk cohort than did the Marcantonio rule (92 patients at >30% risk vs 24 patients at 33% risk). At least some of the comparative advantage of the Shah rule is likely due to data fitting, the fact that the rule was derived from the data to which we are applying it. Nonetheless, these findings suggest that, in addition to considering age, preexisting cognitive impairment, and expected duration of surgery, asking patients (1) whether anyone has ever advised them to cut back on their drinking and (2) the greatest number of days in a row they have gone without an alcoholic drink in the past year and (3) also noting whether their preoperative MCV is higher than 95.0 fL may help to identify patients at both low and high risk for postoperative delirium. Although not addressed in this study, patients who are identified as being at risk for postoperative delirium based on risk factors related to alcohol drinking might reasonably be expected to benefit from special assistance with alcohol abstinence before surgery22,23 and from symptom-triggered treatment with benzodiazepines after surgery to prevent postoperative alcohol withdrawal delirium.24
Application of the findings of this study should be guided by its limitations, including that the questions were asked, and the patients' responses were interpreted, by a single observer; that it was performed at a single institution; that some medical records were excluded from analysis owing to missing data; and that the findings have not been externally validated.
In conclusion, in 774 patients undergoing major resection of head and neck cancer, multivariate analysis identified 6 predictors of postoperative delirium: advanced age (>69 years), preexisting cognitive impairment, longer duration of surgery (>6 hours), ever having been advised to cut back on alcohol drinking, not abstaining from alcohol for at least 1 week in the preceding year, and an MCV greater than 95.0 fL. The findings of this study suggest that, in addition to advanced age, preexisting cognitive impairment, and long surgery, 2 specific questions regarding alcohol drinking and MCV may help to identify patients at risk for postoperative delirium.
Correspondence: Harrison G. Weed, MD, Morehouse Internal Medicine, The Ohio State University College of Medicine, 2050 Kenny Rd, Ste 2400, Columbus, OH 43201 (firstname.lastname@example.com).
Submitted for Publication: March 3, 2011; final revision received November 1, 2011; accepted December 5, 2011.
Author Contributions: Dr Weed had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: Shah, Weed, Ozer, and Schuller. Acquisition of data: Weed, Ozer, and Schuller. Analysis and interpretation of data: Shah, Weed, He, and Agrawal. Drafting of the manuscript: Shah, Weed, and Ozer. Critical revision of the manuscript for important intellectual content: Shah, Weed, He, Agrawal, and Schuller. Statistical analysis: Shah and He. Administrative, technical, and material support: Schuller. Study supervision: Weed. Decision making and planning care: Ozer.
Financial Disclosure: None reported.
Funding/Support: Dr Weed was supported in part by Department of Health and Human Services Primary Care Research Initiative Grant No. 5D12 HP00027-02. Dr Schuller was supported in part by grant P30 CA16058, National Cancer Institute, Bethesda, Maryland; The Ohio State University Comprehensive Cancer Center Head and Neck Oncology Group, Columbus; and the Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, Columbus.
Previous Presentation: This study was presented as a poster at the Society of General Internal Medicine Annual Meeting; May 15, 2009; Miami, Florida.
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Chatsworth-Murray County Library presents a Teen SRP2016 Event: Movie & Popcorn coming Tuesday, June 7, 2016 at 12:00pm-3:00pm
Would you like to enjoy a nice afternoon in the library watching a movie and eating popcorn? You're just in luck. We'll be showing a movie and providing popcorn and drinks! Teens in 6-12th grade only, please.

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text: Hi There - I am trying to figure out if there is a way to move posts between custom taxonomies. I know in the old wordpress there was a plugin that let you convert pages to posts and vice versa. I have events, and when they are over I want to be able to turn them into products to sell videos of them without re-entering all of the information. Is that possible? I have searched all over and can't find and answer.


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You can make your tree mighty memorable for your Milli fan when you print this pretty paper ornament! Cut and fold to create, and let little helpers hang. For more Umizoomi ornaments, click here!
Weekdays on Nick Jr.
Print the template on card stock paper and help your child cut the template along the dotted lines.
Fold along all the lines until a diamond is formed (see photo for reference). Tie a knot at one end of a piece of string, insert into shape leaving enough to create a loop to hang the ornament, and apply glue to tabs to secure shape.

 Allow time for the ornament to dry before hanging it on your Christmas tree.
Make movie night Umi-rrific with Team Umizoomi popcorn holders!
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DistributionRead full entry
Range DescriptionIn the Eastern Tropical Pacific region, this species is present on continental and oceanic Islands, from Costa Rica to Panamá, Colombia and Ecuador (Glynn et al. 2001).
In Costa Rica, it is found in Caño Island (Glynn et al. 2001, Guzman and Cortes 2001) and Cocos Island (Guzmán and Cortés 2006).
In Panamá, it is found in Montuosa Island, Ladrones Island, Secas Island, Silva de Afuera Island, Uva Island (Contreras Island), Santa Cruz Island, Coiba Island, Jicarita Island, Restinge Island in the Gulf of Chiriquí, and Iguana Island, Saboga Island (Pearl Island) in the Gulf of Panamá (Glynn et al. 2001, Maté 2003, Maté 2003b).
In Colombia it is found in Malpelo Island, Gorgona Island, and Utria (unconfirmed specimen) (Zapata and Vargas-Ángel 2003, Glynn et al. 2001).
In Ecuador it is found in La Plata Island and throughout the Galapagos Archipelago (except for Fernandina and the west side of Isabela) (Glynn et al. 2001, Hickman et al. 2005).


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Fimbulvetr Game EnginePosted Monday, 13 August, 2012 - 19:30 by greenboxal in
FimbulvetrEngine is an XNA-inspired game engine based on OpenTK. It provides high level Texture, Shader and VBOs management classes with a nice plugin system.
It also provides a FileSystem manager to implement custom file systems(like Zip) and a ContentManager to provide intelligent GC-aware content caching.
The engine supports background loading of resources(OpenGL context bound - like Textures and VBOs - resources are scheduled to be loaded in the main thread).
Also the resource management is GC-friendly so you don't have to manually dispose your Textures and other objects, you can just wait GC cleanup them.
GitHub Repository: FimbulvetrEngine
First game: FimbulvetrClient(a Ragnarök Online client)
FileSystem example:
public class GrfFileSystem : IFileSystem { public Grf Grf { get; private set; } public string Type { get { return "Grf"; } } public GrfFileSystem(string filename) { Grf = new Grf(filename); } public bool Load() { try { Grf.Open(); } catch { return false; } return true; } public Stream OpenStream(string name) { GrfFile file = (GrfFile)Grf.Files[name]; return file != null ? new MemoryStream(Grf.GetDataFromFile(file)) : null; } public void Close() { Grf.Close(); } }
ContentManager usage:
Texture2D texture = ContentManager.Instance.Load<Texture2D>("data/dog.png", loadAsBackground);


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Order the quesadilla Both choices are full of fatty cheese, but the nachos pack a second whammy: a mountain of deep-fried chips. Quesadillas are no grease-free zone, but they're más bueno because they're made on the griddle with less oil than the chips. "Cut down on the cheese by asking for yours to be stuffed with vegetables," suggests Dawn Jackson Blatner, R.D., of Chicago.
Sang An
Order the beer Thanks to sugary mixes, a margarita can set you back 500-plus calories. (SELF based all calorie counts on USDA and restaurant data.) The exception: versions made from scratch, with only tequila, triple sec and lime juice. One on the rocks adds 150 calories, the same as a regular beer.
Order the fajitas At 888 calories, a chicken burrito is a belly-buster, not a meal, Blatner says. Fajitas let you customize your feast. Opt for corn tortillas (50 calories apiece vs. 300 for a ginormous flour wrap), and pile on the meat and veg. Love guac or sour cream? Pick one, but skip the high-cal beans and rice.
Order the beef tacos "A fried taco bowl with meat, cheese, sour cream and guac is a salad in name only," Blatner says. Ditch the shell and you're still OD'ing on fat. But two soft tacos, with 346 calories and 17 grams of fat, leave you room for chips and salsa.
Order the chicken enchiladas Yes, peppers are healthy—before you add cheese and fry them. The chicken enchiladas have about the same amount of protein as the melty dairy in the chiles but without artery-clogging fat. We'll drink a margarita to that!
20 superfoods for weight loss
Superfoods for Flat Abs
Tired of Chicken? 10 Tasty Recipe Twists
The 2011 Healthy Food Awards
4 Insanely Delicious Ways To Use Your Thanksgiving Leftovers
The 6 Most-Requested Cuts For Long Hair
14 Ways To Air-Dry Your Hair To Perfection


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Police say the number of car accidents in the city is on the rise. Accidents have risen 10 percent over this time last year.
Thursday, a white Nissan heading west on Mance Newton Road, overturned and slid down an embankment
Luckily no one was injured, but Dothan officials say this is one of many accidents the city has seen lately.
Sgt. Tim Ward with Dothan Police said, "We're looking at a 10 percent increase. It stayed the same for a while, but it has risen 10 percent."
Dothan Police attribute the increase to more traffic on Dothan's major roads, 431, 231, 84 and Ross Clark Circle.
Officers are writing more accident reports on side streets like Denton, Honeysuckle, and Westgate as local drivers avoid the major highways.
Sgt. Ward says, "Drivers, [we] remind you to always wear your seatbelt, watch what's going on in front of you and never follow too closely. We have wrecks when people look away; then the people in front of them stop and they don't stop."
Last year, there were 3800 wrecks on Dothan roadways; more than 4000 counting private property accidents.
That averages out to 11 car accidents a day last year in Dothan.
Officials are hoping Ross Clark Circle expansions will help.
"Highway Department plans for widening Ross Clark Circle and six laning the road, which would take out median crossovers," Sgt. Ward says. "So drivers must plan where they turn."
The expansion, plus drivers paying closer attention will keep accidents decrease as Dothan traffic continues to increase.
Officials say this time of year it's especially busy on Dothan roads as vacationers head to the coast.


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Controlling tuberculosis in MontenegroIn the light of a highly disputable global battle against tuberculosis, the efforts of tiny Montenegro with a population of less than 630,000 inhabitants can be considered a rather successful and steady one - especially in the last few years during which the cases of TB have been steadfastly declining.
Do children of street sex workers in Montenegro know about Santa?It was sad to see some even older kids meeting Santa for the first time in their lives. When you see sparkles in the eyes of a 10 year old who believes Santa came that day just to be with them, you simply know that the opening of the centre was a meaningful and justified thing to do.
Towards Social Inclusion in Šavnik: Montenegro's Forgotten RegionThe number of old, lonely and ill people unable to meet their own basic needs continues to grow in rural areas of Montenegro, some of which not connected by any sort of organized transport. Social exclusion has been recognized by the Government of Montenegro as one of major societal challenges, and its eradication has been made one of key priorities.
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TORONTO � Perhaps lost in the conversation about whether the Red Sox should move Xander Bogaerts back to shortstop if they deem themselves out of contention is this: Bogaerts hasn�t been very good at third base so far.
A night after he hesitated too long to make a play that could have saved a run, Bogaerts made a throwing error on another play that cost the Red Sox a run on Wednesday night. By Defensive Runs Saved, an advanced fielding metric, Bogaerts rates as a minus-7 third baseman this season � meaning he�s made seven fewer plays than the average third baseman would have made.
(He was a minus-8 shortstop before he shifted to third base.)
�It�s the play that�s similar to last night� that has given Bogaerts trouble, Boston manager John Farrell said on Thursday. �It�s not the hard-charging play. It�s not the play that he�s back at a normal depth. And whether or not that�s the on-the-run throw that he doesn�t quite get his feet set that causes him to pull the ball, that�s something that he and Butter continue to work on in their pregame routine. To me it�s probably more mechanical in getting his feet set rather than anything confidence-wise.�
Some of the challenge comes from his inexperience at third base. But that�s still a throw that the Red Sox expect Bogaerts to make.
�Where he�s moving laterally at third base, he�s coming through the ball at shortstop, so there might be a little bit of a change of direction where he�s pulling that throw,� Farrell said. �Maybe there�s a little bit more side-to-side motion rather than coming through it. But I can�t say it�s a drastically different delivery to the throw.�
Twitter: @brianmacp
Location, ST | website.com


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Home > News, Stories & Videos > News
Severe drought in the Horn of Africa is fueling extreme hunger and malnutrition. In Ethiopia, some 4.5 million people are affected. See how World Vision is responding, and join us as we work to bring assistance to those suffering the most.
Make a one-time gift to our Horn of Africa Food Crisis Fund. Your donation will help provide emergency food and care to children and families suffering from hunger and malnutrition, as the worst drought in 60 years rages on.
Give monthly to provide support for children affected by hunger worldwide. Your monthly contribution will help bring assistance like emergency food aid, clean water, agricultural assistance, nutritional training, and more to those in greatest need.
Sponsor a child in Ethiopia. Your love and support for a child in need will help him or her better cope with disasters, like the current drought and food crisis.


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Okaz: Wedding
Buckle Up. Live.
Unconnected, the first part read a sad message, yet when connected to the second part through the seatbelt, the complete sentence would reveal a happier, life-celebrating meaning. This clearly depicts that the use of seatbelt is an easy & effective way to preserve and cherish one's life.
Advertising Agency: Impact BBDO, Jeddah, Saudi Arabia
Creative Director: Mohamad Sarhi
Associate Creative Director: Shafiq Alam
Senior Art Director: Mahmoud Khawaja
Copywriters: Amar Hasan, Lynn Ramadan
3D Artist: Junaid Khan
Graphic Designers: Sajid Ali, Ferdie Magsino
Published:January 2014


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Clem Smith Haskins (The Gem)
Position: Shooting Guard and Point Guard ▪ Shoots: Right
Height: 6-3 ▪ Weight: 195 lbs.
Born: July 11, 1943 in Campbellsville, Kentucky
High School: Taylor County in Campbellsville, Kentucky
College: Western Kentucky University
Draft: Chicago Bulls, 1st round (3rd pick, 3rd overall), 1967 NBA Draft
NBA Debut: October 14, 1967
Sponsor this page for $10 and help Basketball-Reference.com provide this service. Your message will replace this ad.


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I'm including a lot of pics in my Harry Potter party posts for a few reasons...
1. As previously mentioned I'm currently feeling very lazy. I do not want to spend time sorting through photos to find the best ones. I apologize to you as it means you have to look at a bunch of pictures that may be blurry, not good color, etc. On the bright side at least you're getting pictures to look at (and that's saying a lot for this blog that has been ignored for the last little while)
2. Im including lots of photos of guests as wells as party decor pics. If any Potter fans make their way here to this little blog I think they'll be interested in seeing costumes too. I'm someone that scours the internet for both party ideas and costume ideas and I know I always love coming across pictures of both.
3. My husband wants to show co workers photos of the party and our photo sharing sites are blocked at work. He can access this blog though so if you're angry about too many pictures send your complaints to him :)
Here are more shots from the great room & sorting
The floating candles were a hit...just look at Snape smiling
more of the candles...they came out perfectly - i'll be back with a how to (it's simple) you just need fishing line, hot glue, tacks and battery operated candles
i love a student with attitude
lots of love between Ravenclaw & Gryffindor
a few muggles even got in


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Delaying the Inevitable in Greece
Outsiders watching the euro-zone debate on Greece's finances often have the following question: What are they thinking? The governments are expending much time and energy coming up with a new package of loans for Greece. But with total debt approaching 160% of gross domestic product and a deficit that's one of the largest in the EU, a major debt restructuring appears unavoidable.
So why delay the inevitable?
The answer, according to a senior euro-zone official involved in the debate, is that time is a valuable commodity – not for Greece, but for Ireland and Portugal, the two other bailed out euro-zone nations. Governments have largely accepted that full repayment by Greece is impossible, the official says. What they are trying to do now is "ring fence" Greece from Ireland and Portugal.
All three countries face messy economic problems, but Greece's mess is of a different order of magnitude: The budget books were cooked to start with, while the country's debt was well over 100% of GDP when the first rescue program was negotiated. Greece's current account deficit, after reaching a whopping 20.4% in 2008, is still, at nearly 12%, the highest in the euro zone.
The new aid program will likely tide Greece over until 2014. The idea is that Ireland and Portugal by then will be able to show that the programs imposed on them in exchange for getting rescue loans are working, the official says. If the programs go according to plan, both countries will have started borrowing from financial markets again.
Ireland, which recorded its first current account surplus in over a decade last year, has a competitive underlying economy; its main problem is the legacy bank debt left over from the collapse of the country's epic real-estate bubble. Portugal, like Greece, needs to make its economy more competitive, but it has much less debt.
Once these governments have shown that their programs are working, "then we have isolated the Greek case, and that is manageable," the official said.
So, once Greece is isolated, what to do with the more than €360 billion in debt Greece will have accumulated by then? Most of the debt will likely be held by euro-zone governments, the International Monetary Fund and the European Financial Stability Facility, the euro zone's sovereign rescue fund. One idea would be for the euro zone to assume Greece's debt at a discount, provided the banks that still hold Greek debt can absorb the hit. But that means euro-zone tax payers would also have to absorb the hit, a politically toxic proposition in Germany, the Netherlands and Finland, three of the euro zone's most important creditor countries.


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1 of 3 photos
Picture of recalled bunk bed
2 of 3 photos
Images of sample labels attached to recalled bunk beds
3 of 3 photos
Wood Twin Bunk Beds and Loft Bunk Beds
The guard rails on upper bunks can crack and cause the mattress and its support rails to collapse, posing a fall hazard.
For additional information, contact American Woodcrafters at toll-free at (888) 429-7265 between 8 a.m. and 5 p.m. ET, or visit the firm's website at www.american-woodcrafters.com
About 180
This recall involves upper guardrails on twin-over-twin bunk beds and twin-over -double bed loft designs. The beds have a permanent label attached to the headboard or the footboard with the American Woodcrafters logo; SKU numbers, 1800-977 or 1800-969; PO Numbers: 103276, 103432, or 300038; and the manufacturing date.
The firm has received two reports of cracked guard rails causing the mattresses and support rails to collapse. No injuries were reported.
Consumers should immediately stop using the upper beds and contact American Woodcrafters or their furniture dealer to arrange for the free replacement of upper bunk guard rails.
Furniture dealers nationwide from October 2010 to June 2011 for between $600 and $1,000.
American Woodcrafters, of High Point, N.C.
The U.S. Consumer Product Safety Commission is charged with protecting the public from unreasonable risks of injury or death associated with the use of
thousands of types of consumer products under the agency's jurisdiction. Deaths, injuries, and property damage from consumer product incidents cost the
nation more than $1 trillion annually. CPSC is committed to protecting consumers and families from products that pose a fire, electrical, chemical or
mechanical hazard. CPSC's work to help ensure the safety of consumer products - such as toys, cribs, power tools, cigarette lighters and household
chemicals -– contributed to a decline in the rate of deaths and injuries associated with consumer products over the past 40 years.
Federal law bars any person from selling products subject to a publicly-announced voluntary recall by a manufacturer or a mandatory recall ordered by the
To report a dangerous product or a product-related injury go online to www.SaferProducts.gov or call CPSC's Hotline at 800-638-2772 or teletypewriter at
301-595-7054 for the hearing impaired. Consumers can obtain news release and recall information at www.cpsc.gov, on Twitter @USCPSC or by subscribing
to CPSC's free e-mail newsletters.
Times: 8 a.m. - 5:30 p.m. ET; Messages can be left anytime
Call to get product safety and other agency information and to report unsafe products.
Please use the below phone number for all media requests.
Phone: (301) 504-7908
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View CPSC contacts for specific areas of expertise
We are still interested in receiving incident or injury reports that are either directly related to this product recall or involve a different hazard with the same product.
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SNOWMASS VILLAGE - Brandon Zukoff was killed, at the age of 26, in an avalanche on Feb. 22, 2011. It happened while he was skiing with two friends in Sand's Chute, which is located off the edge of Sneaky's run in the Big Burn area of Snowmass, and which descends a steep and rocky slope to the East Snowmass Creek valley. All three men carried beacons, probes and shovels and began their run between 2:30 and 3:15 p.m. that day. Zukoff was the second of the three to descend the steep terrain, and he triggered the avalanche that swept him 1,000 vertical feet nearly to the bottom of the chute. The other two located him within five minutes of the slide and dug him out, but he showed no signs of life.
Officials distributed to the public a "mission statement" that Zukoff had written inside a personal photo album. This was done with the family's blessing as a way of showing the type of person Zukoff was, officials said. The mission statement reads as follows:
"As I roam the earth as a free-spirited ski bum, I want to be known as a fun-loving thrill seeker who loves nothing more in life than homemade chocolate chip cookies and a big glass of skim milk. I want to be looked at as a loyal grandson, son, brother, friend and teammate while maintaining the freedom to do things on the spur of the moment. I'm a Christian who believes all things happen for a reason, and good things happen to good people. After my days wandering this place we call earth are over, I want to be looked at and remembered as a caring man who would do just about anything for anyone. I want people to also remember me as random, intelligent, honest trustworthy, and last but not least a risk taker who loves the outdoors and skis like there's no tomorrow."
The Brandon Zukoff Shrine is located near the Big Burn area at Snowmass. It contains a carved wooden sign that says "BZ Hut," and there are also numerous laminated photos of Zukoff, a copy of a newspaper article about his death, a large copy of the mission statement that is framed and under glass, and a snowboard bench. On the bench is a black and white oval "BZ" sticker, and this is printed on the top of the board: "Peace Love and Powder." There are prayer flags draped around the shrine.
David Wood (email@example.com) is the author of the best-selling book about the Aspen shrines, Sanctuaries in the Snow-The Shrines and Memorials of Aspen/Snowmass. He donates all of his profits from book sales to a local charity, The Trashmasters Scholarship Fund. The book can be purchased in Snowmass Village at Snowmass Sports, the Stew Pot, Sundance Liquor and Gifts, the Village Market, and 81615, as well as at various locations in Aspen.


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ADDIS ABABA, 5 June 2014 – An exhibition of leather products manufactured by micro and small production units owned by women opened today in the Ethiopian capital.
The opening ceremony was attended by the Ethiopian First Lady, Roman Tesfaye, who commended the efforts of the United Nations Industrial Development Organization (UNIDO) and other actors operating at the national and international levels for their efforts in the field of empowering women and promoting gender equality.
The event was organized by UNIDO and the Centre for Accelerated Women's Economic Empowerment (CAWEE) under the patronage of the Office of the First Lady, and is part of her initiative entitled "Connecting 1,500 women and young girls to the export market".
The State Minister of Industry, Tadesse Haile, also took part in the opening.
UNIDO is currently implementing a project that is helping upgrade the Ethiopian leather products industry and is in line with the Organization's focus on inclusive and sustainable industrial development.
"UNIDO recognizes that gender equality and the empowerment of women have significant positive impacts on inclusive economic growth and sustainable industrial development, poverty reduction and social integration," said Aurelia Calabrò, Chief of UNIODO's Rural Entrepreneurship Development and Human Security Unit.
She added that the exhibition represented a good starting point for close cooperation between UNIDO and CAWEE, which works to create a globally competitive core women entrepreneurs class in Ethiopia.
For more information, please contact:
Aurelia Calabrò
Chief, UNIDO Rural Entrepreneurship Development and Human Security Unit


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PHOTOS: USAC Sprints At Lawrenceburg
by NSSN Staff
Brady Bacon (69) moves inside of Christopher Bell during AMSOIL USAC National Sprint Car Series action at Lawrenceburg (Ind.) Speedway on Saturday. (David E. Heithaus Photo)
Posted by NSSN Staff on Apr 10 2013 Filed under Latest Headlines, Media Gallery, Photos, Sprints & Midgets, USAC. You can follow any responses to this entry through the RSS 2.0. Both comments and pings are currently closed.


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FILE - In this Friday, March 12, 2010 file photo Archbishop Robert Zollitsch listens to reporters questions during a press conference following an audience with Pope Benedict XVI at the Vatican. On Saturday, March 20, 2010, a German daily paper Badische Zeitung accused the head of the German Bishops Conference Zollitsch of covering up sexual abuse cases that happened twenty years ago, while he was in charge of human resources at the Freiburg diocese. (AP Photo/Gregorio Borgia, File)


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The westbound I-10 ramp exiting onto northbound Airline Highway will close Wednesday.
Louisiana DOTD says the closure will last from 9 a.m. to 2 p.m. for drain cleaning.
Exiting onto Tulane or Carrollton Avenue are suggested alternate routes, according to the DOTD.
The views expressed are not those of this site, this station or its affiliated companies. By posting your comments you agree to accept our terms of use.blog comments powered by Disqus


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we are all in the gutter, but some of us are looking at the stars.
Oscar Wilde (1854 - 1900)
Contributed by: Shelby
While we are living in the present, we must celebrate life everyday, knowing that we are becoming history with every work, every action, every deed.
Mattie Stepanek
Contributed by: bLove
Inspiration is the child of spontaneity.Spontaneity is the child of choice.Freedom to be spontaneous is freedom to choose.Now that's inspirational!
Duncan Pemberton
Source: Self
Contributed by: cyd
"Faith gives limitation wings and empowers one to access higher levels of wisdom."
yaffa leibowitz
Source: Yaffa Leibowitz
Contributed by: yaffie
"Go live, win and lose, smash your hands against hystericalconstellations, your head against phases of the moon, and your heartagainst another heart. Find the leisure to contemplate the results. Youwill discover the human condition. Foolish people who say that theyseek reality don't know what they are saying. For them, the worldly,when they approach it, they tremble and feel weak, distressed, fearful,terrified and repelled. They reject the truth and turn somewhere elsefor it, an easier, a softer, lifeless one. Little do they realize thatthey have been through the door itself, and in error, stupefyingignorance, in that immensity, said nothing is here, and stepped back todullness. They may be less eloquent and merely realize the words it ispainful. I must stop it, and step back."
John Brzostoski
Contributed by: Melissa
People that have the power to dream, have the power to make dreams come true.
Amy Power
Source: Amy Power
Contributed by: Amy
Give me somewhere to stand, and I will move the world.
Archimedes (c.. 287 - 212 BC)
Contributed by: Angela
"What the mind can believe and the heart can concieve the body can achieve"
Source: Life experience
Contributed by: Steve
"I will live my life as an expression of the principles I believe in: empower, inspire, lead, learn, love, forgive, have faith and live."
Karl Karl Martino
Source: http://www.paradox1x.org/html/mission.shtml
Contributed by: Jennifer Rangubphai
Everything that is new or uncommon raises a pleasure in the imagination, because it fills the soul with an agreeable surprise, gratifies its curiosity, and gives it an idea of which it was not before possessed.
Joseph Addison (1672 - 1719)
Contributed by: AchievementRadio
Copyright © 2016 Gaiam, Inc.


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FBI Marks 30th Anniversary Of Bloody 'Miami Shootout'Thirty years ago, FBI agents Ben Grogan and Jerry Dove died in a vicious gun battle with two heavily armed suspected bank robbers.
Top Locally-Focused Podcasts About South FloridaWith pride in our community comes knowledge of our community. In promoting local culture and empowering the local community, we have selected five of South Florida's most in-demand podcasts for your listening pleasure. Covering everything from history to nations, music to local politics, check them out and be sure let us know what you think!
Remains Of WWII Marine Found On Island To Arrive In FloridaRemains of a World War II U.S. Marine, recovered from a Pacific Island, will be buried in Florida near the grave of his twin brother.
Top Labor Day Facts To Impress Your FriendsLabor Day facts to make you the Resident Smarty Pants at your weekend BBQ
An Epidemic: Top 10 Outbreaks In U.S. HistoryThroughout the years, epidemics and plagues have shaken up societies and cultures around the world.
Top Historical Tours Of South FloridaFlorida is relatively young state, but there have been five flags that have flown over Florida since it was first discovered in April 2, 1513 by Juan Ponce de Leon who is fabled to have been searching for the "fountain of youth."
Volunteers Needed To Document Overtown's HistoryResearchers want youth volunteers to help snap photos of their surroundings as part of a study of the historic community.
Historic Promotion To Take Place At Miami PDHistory will be made at the Miami Police Department as the first female will be appointed to Assistant Chief of Police.
15 Of The World's Oldest Bars (The Beer's Fresh, Though)Visiting local restaurants and bars is one of the best parts about traveling. Check out any of these old bars - most of which are older than America.
Holocaust Survivors Express Outrage, Organize ProtestThe twilight years for some Holocaust survivors in South Florida, like 84-year-old David Schachter, are punctuated with a pain that won't go away.
Heat Hope June 20 History Repeats ItselfJune 20 holds a special place in Miami Heat history. It's the anniversary of the team's first NBA Championship and could become the date when the Big Three hoist a second straight title
New Twitter Tool Will Let You Export Tweet HistoryTwitter is developing a handy new tool. Careful, though: the tool is a double-edged sword.


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Definition of Progressive Party in English:
Progressive Party
Entry from US English dictionary
Any of three related political parties active in the first half of the twentieth century that favored social reform. The most prominent was that formed under Theodore Roosevelt in 1912.
Example sentences
- Back in 1912, Theodore Roosevelt ran on the Progressive Party ticket.
- Increasingly critical of President Truman's foreign policy, in 1948 he ran for president as a Progressive Party candidate.
For editors and proofreaders
Syllabification: Pro·gres·sive Par·ty
What do you find interesting about this word or phrase?
Comments that don't adhere to our Community Guidelines may be moderated or removed.
= trending


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CHARLESTON -- Better communication should prevent future conflicts between Wyatt's chief official and the Mississippi County Sheriff's Department.
Wyatt Mayor Riley Fitzgerald Jr. met with county officials during the regular County Commission meeting Thursday to discuss his recent clash with Deputy Mike Borders.
For the complete article and more stories from the Standard Democrat, click here to log on to the electronic edition.


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Whether at your office, home, church, school, club or association, Schmidt's professional staff will work with you to ensure a great experience from one of Columbus' landmark eateries. We guarantee that your menu selections will arrive on time and that the quality will be outstanding, just as it's been for the past forty years at the Sausage Haus.
Our courteous staff will deliver and set-up your buffet or, for larger parties, we will bring our sausage grills and prepare your delicious meal on premises. (Click for menu)
Schmidt's invites you to experience our unique banquet facility located above the historic Sausage Haus at 240 E. Kossuth Street. Accommodating groups of up to 115 guests, the facility features three separate rooms and a private bar for entertaining. Schmidt's can also arrange for a group tour of beautiful German Village.
Schmidt's is also pleased to offer the Reception House at Raymond Memorial for your next event. Conveniently located at 3860 Trabue Road, this newly renovated banquet facility accommodates up to 200 guests and overlooks a magnificent, championship golf course.


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Product prices and availability are accurate as of the date/time indicated and are subject to change. Any price and availability information displayed on Wal-Mart.com USA, LLC at the time of purchase will apply to the purchase of this product.
Get it today!Shop Now
OrAdd to Wish List
Bucilla Santa's Workshop Felt Applique Stocking Kit: Festive designs Quality materials and generous embellishments A favorite stitchery tradition Kit contains stamped felt, embroidery floss, sequins, bead, needles Trilingual instructions Finished measurements: 18" long Designer: Maria Stanziani Made in USA. Price: $21.88
© Copyright 2016 - Christmas.com. All rights reserved and protected by Christmas Spirit


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With the use of the Rich Text Lite field type it is very easy to get an image from a document and display on the iPhone. I have uploaded the third tutorial. You will have to complete the second tutorial first though. Here is what you should see if it works.🙂
Monthly Archives: February 2010
Following on from my first write up I have created the second tutorial. It is an extension of the first one. Using an agent it will display the details of the selected document in the view on the iPhone app. You can download the second part as a PDF file. I have also uploaded an image file of the sample.
Here is what it should look like when your finished.
Connecting to a Domino view with an iPhone application.
I have taken up studying Objective-C for iPhone development. More as a hobby then a business need at this point. For studying I've been using the iPhone Developers cookbook. Very easy to follow and well worth reading!
As part of the learning process I normally do up small samples and create write ups of my steps (meta-cognition trick). So I will have a few mini-tutorial/walk through posted as I go. If your already a experienced Objective-C developer you are probably going to find it very noobish. Likewise for Domino developers (for the Domino part). But it is how I learn, and it might help someone else.
Tutorial 1: Connecting to a Domino view.
This creates a very simple Domino application containing 10 records. Then in your iPhone application you connect to the view reading the JSON and using the NSString class to pull just the related information out and display on the apps table. I could of gone with JSON library (not core foundation though) or XML but I wanted to keep it as simple as possible.
Next tutorial will deal with selecting one of those items and reading the documents data. Then continue to build on that.


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CHARGERS: Scouting report vs. Denver Broncos
When : Sunday, 1:15 p.m. | TV : CBS | Radio : 105.3 FM, 101.3 FM (Temecula)
Record : 5-5 | Division : AFC West
Last week : The Broncos won again in thrilling fashion, with quarterback Tim Tebow directing a late 95-yard drive to defeat the Jets 17-13 on Thursday. Denver has won four of its past five outings to climb back into the AFC West race, trailing first-place Oakland by a game.
Last game vs. Chargers : Things looked rosy for the Chargers when left Denver on Oct. 9 with a 4-1 record after holding off the Broncos 29-24. But the Bolts haven't won since. They led the Broncos 23-10 at halftime then watched Tebow direct two fourth-quarter touchdown drives and throw incomplete in the end zone on the game's final play. Ryan Mathews rushed for a career-high 125 yards in the Chargers' lone road win of the season.
Player to watch : Tim Tebow, QB – You were expecting someone else? The former first-round pick of ex-coach Josh McDaniels has gone from bust to savior with his intoxicating mix of skills and a knack for doing the right thing at the right time. That Tebow wins despite his flaws only adds to his magical connection with Broncos fans, who long ago pleaded for Tebow to start over Kyle Orton. Tebow's numbers are both ugly – he completes just 45 percent of his passes – and beautiful – he's 4-1 as a starter. The Chargers' run defense will be challenged by the ground-oriented attack Tebow loves to orchestrate.
On offense : The Mile High team keeps it real low. The Broncos, especially with Tebow, average 155 rushing yards per game, No. 4 in the NFL. That doesn't bode well for a Chargers defense that often struggles against the run. Tebow is averaging 7 yards a carry with three touchdowns. RB Willis McGahee has enjoyed a resurgence this season with the Broncos, gaining 639 yards and scoring three touchdowns, though he has been bothered by a hamstring injury the past two weeks. The Broncos used RB Lance Ball when former starter Knowshon Moreno tore his ACL two weeks ago, and he has averaged 4.1 yards on 60 carries. Denver's passing game doesn't get much love, but keep an eye on shifty WR Eric Decker (34 receptions, 462 yards, seven touchdowns).
On defense : The Broncos point rookie standout Von Miller toward the pocket and watch the fireworks happen. Miller, the second overall pick in April's draft, has been sensational in giving the Broncos' pass rush a jolt, leading the team with 9 1/2 sacks. In Thursday's win over the Jets, he had 10 tackles, 1 1/2 sacks, a forced fumble, four quarterback hits and three tackles for losses. A secondary that includes Champ Bailey (two interceptions) is always compelling, although it's a unit with just seven interceptions.
Special teams : K Matt Prater is coming off a big game, and his kicking could be the difference in what is expected to be a close game Sunday. In the win over the Jets, Prater converted field goals of 59 and 48 yards.
Coaching : John Fox , a Chargers defensive backs coach under Bobby Ross , has seen his stock rise after starting his first season in Denver with four losses in five games. He has benefitted from Tebow's emergence though he was initially reluctant to embrace his quarterback's style. The defense has been mediocre, especially against the pass - the team Broncos rank No. 21 against the pass. But Fox, a defensive specialist, won't make it easy on Philip Rivers and crew.
– Jay Paris


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Came across an interesting post by Bret (co-founder of FriendFeed) about how
FriendFeed uses MySQL to store "schema-less"
data. According to the post, they weren't having issues with
scaling existing features but rather they were experiencing pain
when trying to add features.
Now the way they are using MySQL is interesting and bizarre at the same time. At a very high level, it seems their approach is to use a RDBMS as if it is a …


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Clifford R. Smith Jr., 76, of Shawnee, passed away Sunday, March 24, 2013, in Oklahoma City.
Visitation will begin 9 a.m., Thursday, March 28, and continue until 9 a.m., Friday, March 29. Casket will remain closed after service.
Service will be 10 a.m., Friday, March 29, at Cooper Funeral Home Chapel with Reverend Brent McCutcheon officiating. Burial will follow at Tecumseh Cemetery under the direction of Cooper Funeral Home of Tecumseh.
To share memories, or to sign the guestbook online, go to www.cooperfuneral.com.
Location, ST | website.com


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Charles begins with an investigation of how we arrived at our current predicament and tackles the increasingly difficult task of dissecting government's role in today's complex economy. Charles shows his Austrian influence by bringing up common themes familiar to those partial to the Austrian school of Economics, but also does a fantastic job of presenting important aspects to those readers willing to learn and familiarize themselves in the only school that was able to accurately predict the current crisis. More importantly, Charles discusses money; it's origins and what function money serves in today's economy. You may think you know what money is, after all it makes the world go round, but what is it really? Where did it come from, what makes it valuable and how can a country's currency collapse. These are the questions that every American must be able to answer and The Dollar Meltdown does an excellent job of presenting this vital information in an easily digestible fashion.
As you begin to appreciate the gravity of the situation, Charles lays out in a eerie fashion the most likely scenario awaiting us while building a strong case for why he believes the dollar will collapse. At this point most readers not familiar with economics or America's history of debt may begin to panic and pass out from fear, as Charles' arguments are extremely convincing. From a long term perspective there is very little to argue about, our fiat pyramid of debt has to and will eventually collapse - the only question is of timing. This question is crucial to properly answer as it will spell out the direction of the next several years. While Charles attempts to answer the question with an open mind, his views can be best described as inflationist and he firmly believes that the forces in charge of our destiny will turn to the only tool available to them - currency depreciation. Once again, in the long run this may be true, but for the time being America finds itself in a unique situation where our dollar is still the reserve currency and is still trusted around the world. Certain technical reasons also suggest that the dollar may strengthen in the coming months not so much due to any internal policy, but the systemic failures in other parts of the world. Still, as Charles poignantly argues our status as the reserve currency is on borrowed time (pun intended) and can change with a blink of an eye. For this reason the book's last section presents advice valuable for every American regardless of what one's prognostication may be.
Charles is partial to value, a concept easy to grasp when you realize just how worthless the dollar can become. Therefore common sense approaches involving gold, silver and oil are presented. Charles makes a deliberate effort to provide options for any would be investor regardless of experience and if you are under the impression that you must build a ten ton safe and start hoarding gold ingots then you are mistaken, it is easier than you could ever imagine. Several sections are also devoted to address other popular investment strategies like equities and treasuries and why you should think twice before you invest in these increasingly risky asset pools. A rather amusing analogy between America's credit strength and a shady uncle constantly looking to borrow should be reprinted and distributed all over the Internet.
The Dollar Meltdown is a unique and valuable book, offering the complexities of economics in order to explain where we are and how we got here while presenting investment strategies for those people interested in taking control of their financial future. If you prefer eating glass over reading economic text or think Wall St. is a prerequisite before making investments, then this book is a must read for you and your family.


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I'll See You In My Dreams…
I believe that when we dream our souls are allowed to leave our bodies and join the spiritual world. Have you ever felt your body jump as you awaken from sleep? That is your soul coming back to your body after a journey into the spiritual realm. This phenomenon is also referred to as astral travel.
These journeys are essential to our waking life. During our dreamtime, our souls depart our bodies and we are able to reconnect with loved ones on the other side. Here, they provide us with love, support and care in regards to our lives, whether it be accomplishments, happier themes, or our hardships.
Dreams are today's answers to tomorrow's questions ~ Edgar Cayce
Our loved ones in spirit are always around and they give us advice and guidance through dreams, words, pictures, phrases and symbols. We may not always understand them at the time, but our subconscious will understand it perfectly. Some of my most prophetic experiences have come during my sleep or just before, or after falling asleep.
I had a dream once when I was 23 years old. I was a new mother and I was having loads of anxiety and depression. I did not understand my plan on this earth yet, and I wasn't thinking about my future, or my path. During my dream, I found myself on a deserted dirt road with my grandmother who passed away when I was four.
The road was covered in gravel and large sharp rocks and we were barefooted. I asked her why the rocks weren't hurting my feet. She laughed at me and said, "Nothing hurts here." I didn't bat an eyelid; instead I started asking her more questions. One of those questions were: "What happens when you pass away?" She gently replied, "You have a choice in leaving or staying. If it is truly your time, you will leave."
I think we dream so we don't have to be apart so long. If we're in each other's dreams, we can play together all night ~ Bill Watterson
I woke up from that dream experience, and could see wispy-looking white strands all about my room. It looked like cobwebs. I blinked my eyes a few times and they went away. Years later, when I began to revisit my psychic abilities and became more focused, the first thing I noticed were the wispy, white strands of what looked like the same thing I had seen after the dream of my grandmother. I believe these strands are a symbol that we have visited past the veil and that the veil is now open to us.
After a few weeks, I stopped seeing those strands. I then began to see the pinhole flashes of white, blue and purple light around me, as well as around other people. These flashes usually told me that spirit was around that person. I still enjoy telling others when they have a spirit nearby. They are nothing but a dream away.
Phone calls are replaced by dreams in the afterlife. The important thing for us to remember is that our dreams are just an alternate state of reality. Our dreams are real.
| PsychicAccess.com.Savannah is a North Carolinian who enjoys a close relationship with Spirit, as does her teenage son and even her dog! A third generation psychic born with the gift of the 4 C's (Clairvoyance, Clairsentience, Clairaudience & Claircognizance), she tunes in through Tarot to contact guides and communicate with Spirit. Savannah is well-versed in many metaphysical disciplines and it is her privilege to help clients to find their destiny. If you're interested in claiming your own destiny, you can find Savannah at
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Welcome to Wholistic Sound!
This site is a forum for the introduction and discussion of ideas regarding the use of vibration, frequency, sound and music as a non-invasive modality for healing on the physical plane as well as expanding consciousness and furthering our connection to the psychospiritual realms.
Tuesday, April 15, 2014
Norah Jones - Rosie's Lullaby
Yes, this is definitely my lullaby.
My good friend Will told me a few weeks ago that I had to listen to this song. I found this video of it that same day and soon began sobbing- heartfelt, gut-wrenching tears. The video itself is exquisite.
For me, the song touches such a deep place that I have no words for it. I listened to it over and over that first day, singing with it and weeping. I don't know if it brought up some grief over my mother's death that I was unaware was sitting quietly in a space in my heart waiting to be released- or if it was something much older, deeper, the longing for Home. I only know that this song is one of a very few that I feel has really tapped into the deepest part of my Self.
I immediately ordered the CD and the studio version is so rich, full and poignant. I typically listen to it at least once a day and most of the time it still makes me weep. I figure they are tears of a grief and a longing that need to be released so I have been letting them go. The funny thing is, I don't feel sad- more just a pulling on my heart.
I am posting this one- a live version- rather than the studio version because the imagery is so beautiful. Whoever put together the visuals did a beautiful job.
2 comments:
Lovely Rosie - thanks. It's amazing how a certain song, certain lyrics, phrasing, can evoke such deep deep emotions. I don't cry easily, but certain pieces of music can bring me to tears over and over again. Music and sound help us digest and make sense of experience.ReplyDeleteReplies
Thank you for your comment- for some reason I didn't see it until now- 8 months later! Yes, I love the way music can sometimes just pick us up and carry us away and then gently put us down renewed...Delete
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Story Highlights
Investment Team
Michael J. Walls
Portfolio Manager
IT HAS BEEN A VOLATILE SUMMER for municipal bond market investors. Late-spring fears about rising interest rates prompted a wave of selling pressure across the bond market that increased as the Federal Reserve struggled to communicate its interest rate policy outlook. Muni investor sentiment suffered again when Detroit filed for bankruptcy and has taken yet another hit amid concerns about Puerto Rico's debt.
Michael Walls, portfolio manager of the Ivy Municipal High Income Fund, believes that many of the risks that dominated the summer headlines have been overblown by investors, creating a downward spiral. He shares his views about the Fund's strategy and what he views as a significant buying opportunity.
A lot of time can be spent talking about the various negative headlines that have created selling pressure on the municipal bond sector. The entire bond market has been significantly impacted by the change in investor sentiment that added more than 100 basis points to the reference 10-year U.S. Treasury between May 1, when it was yielding 1.66%, and the end of July, when it was approaching 3%. As we would expect, this move had a significant impact on bond funds with longer duration.
Within the muni sector, however, many of the negative summer headlines related to municipal finance were events already well-known in the market. Although Detroit has generated a lot of headlines, it is not necessarily "news" that the city was in a dire financial condition.
Looking broadly we are seeing no signs of an uptick in municipal defaults. We believe the most significant issue currently facing the market is the fact that we are in a vicious sell cycle where heavy muni bond fund redemptions prompt a wave of selling that, in turn, lowers prices encouraging another wave of redemptions.
This level of selling is something the market has not experienced for some time. August will be the sixth consecutive month with negative fund flows out of municipal bond funds, according to Investment Company Institute (ICI) data. For some perspective, municipal bond funds only had two negative months over the entire period between June 2011 and February 2013. And the flows have been especially large in recent months with more than $16 billion out of the sector in June and $10 billion out in July. Based on weekly data, it looks like August saw another $10 billion or more in outflows.
This summer sell-off has created a buying opportunity that we see as similar to what we saw in 2008 during the financial crisis or in 2010 when banking analyst Meredith Whitney made an extremely high profile (and incorrect) prediction that a wave of municipal defaults was on the horizon. We believe tax-free yields may be especially attractive to some investors. For example, according to Barclays, the yield-to-worst on the index has risen from a recent low of 5.30% on May 2 to 6.84% on Aug. 31. Assuming a marginal tax rate of 39.6%, the taxable equivalent yield-to-worst for the index is around 11.3%.
While retail investors have exited the market, we have seen an increase in trading activity from institutional buyers whom we believe are coming into the muni market because of the dramatic yield rise on tax-free paper. We are seeing yields on high-grade muni paper that are now higher than what is available on similar quality corporate, taxable paper. This dislocation is especially rare. According to Bloomberg, AAA general obligation munis as a percentage of Treasuries are over 100%. They normally trade at a discount because of the tax benefit, so valuations are cheaper relative to Treasuries.
The portfolio's holdings of floating-rate securities and auction-rate securities helped to provide liquidity during the market's redemption wave. In the past, the portfolio was defensive because we felt we were not getting sufficient compensation for the risk. As a result, a majority of the portfolio was in premium bonds with above-market coupons priced to shorter calls.
We are now slowly shifting toward more aggressive structures. We are looking to take advantage of the current valuations, which we believe are highly attractive, and move out on the yield curve, purchasing bonds priced to longer call dates. We believe that the longer maturities currently trading at deep discounts stand to benefit when the market eventually stabilizes. That said, we continue to remain underweight sectors that we believe to be more volatile, but are instead looking at specific opportunities where price declines have opened up entry points that we find attractive.
Past performance is no guarantee of future results.The opinions expressed are those of the Fund manager and are not meant as investment advice or to predict or project the future performance of any investment product. The opinions are current as of Sept. 6, 2013 and are subject to change due to market conditions or other factors.
Risk factors. As with any mutual fund, the value of the Fund's shares will change, and you could lose money on your investment. Fixed-income securities are subject to interest-rate risk and, as such, the net asset value of the Fund may fall as interest rates rise. The lower-rated securities in which the Fund may invest may carry a greater risk of nonpayment of interest or principal than higher-rated bonds. An investment in the Fund is not a bank deposit and is not insured or guaranteed by the Federal Deposit Insurance Corporation or any other government agency. The Fund may include a significant portion of its investments that will pay interest that is taxable under the Alternative Minimum Tax (AMT). These and other risks are more fully described in the Fund's prospectus. Not all funds or fund classes may be offered at all broker/dealers.
Investors should consider the investment objectives, risks, charges and expenses of a fund carefully before investing. For a prospectus, or if available, a summary prospectus, containing this and other information for any of the Waddell & Reed Advisors Funds, call your financial advisor or visit www.waddell.com. Please read the prospectus or summary prospectus carefully before investing.
The products and services described in this website are for U.S. residents only. The products and services offered within this site are available through our financial advisors. Waddell & Reed financial advisors may only conduct business with residents of the states for which they are properly registered. Some products and services mentioned may not be available in all states or to all clients. Brokerage, investment and financial advisory services are made available through Waddell & Reed, Inc.
Certain Waddell & Reed offices are located in banks, credit unions and other financial institutions. Investment products offered by Waddell & Reed, Inc. on the premises of financial institutions are not insured by the FDIC, are not deposits or other obligations of the financial institution and are not guaranteed by the financial institution, and are subject to investment risks, including possible loss of the principal invested.
Past performance is no guarantee of future results. The Waddell & Reed Advisors Funds, the InvestEd Portfolios and Ivy Funds Variable Insurance Portfolios are managed by Waddell & Reed Investment Management Company and distributed by its subsidiary, Waddell & Reed, Inc. Ivy Funds are managed by Ivy Investment Management Company and distributed by its subsidiary, Ivy Distributors, Inc. Review the Corporate Entities page for detailed information about Waddell & Reed, Inc's subsidiaries.
Investors should consider the investment objectives, risks, charges and expenses of a fund carefully before investing. For a prospectus, or if available, a summary prospectus, containing this and other information for the mutual funds offered by Waddell & Reed, call your financial advisor or click here. Please read the prospectus or summary prospectus carefully before investing.
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Mom accused of wielding mop at daughter
Published: Friday, February 26, 2010 at 5:10 p.m.
Last Modified: Friday, February 26, 2010 at 5:10 p.m.
HOUMA — A 23-year-old mother is accused of hitting her 4-year-old daughter with a mop Saturday because the child told the mother's boyfriend that another man was at their home.
Lacey Ieasha Smith, 3218 Gary St., Gray, was arrested Wednesday for cruelty to a juvenile, and the girl was placed in the custody of her grandmother, according to sheriff's spokesman Maj. Malcolm Wolfe.
Terrebonne Parish sheriff's deputies were called to the girl's school, Schriever Elementary, Tuesday afternoon because the child had bruises on both sides of her face and neck.
On Wednesday, Smith went to the Sheriff's Office and said she only hit her daughter with a mop on the buttocks. She also claimed she slapped her daughter on each side of her face but couldn't explain the bruises on the child's neck.
Smith was taken to the Terrebonne Parish jail. There she was also charged on a warrant for failure to return a leased movable. She remains in jail on a $12,000 bond. If found guilty of cruelty to a juvenile, Smith would face up to 10 years in jail.
Reader comments posted to this article may be published in our print edition. All rights reserved. This copyrighted material may not be re-published without permission. Links are encouraged.


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Morning Links: Election Year Poses Challenge for Stocks
The Dow is off to its best start in years. But the exuberance soon could give way to the first pangs of electoral anxiety. [WSJ]
Fears about Europe's debt crisis and the U.S. economy appear to be easing, but the flight into safe-harbor Treasurys hasn't reversed as sharply as might be expected — WSJ
Oil can't go much higher without derailing the economy — Heard on the Street
Plateau oil meets 125 million Chinese cars — Telegraph
Are you buying this stock-market rally? Insiders aren't — Heard on the Street
Bargain hunting in a rising stock market — SmartMoney
China aims to deliver economic growth of 7.5% this year — WSJ
China's Premier endorsed a blueprint for reform aimed at making the bond and equity markets more market-oriented — WSJ
The nonmanufacturing index is seen as a good leading indicator of growth, but investors shouldn't grow complacent — Ahead of the Tape
"If it weren't for this destructive fiscal austerity, our unemployment rate would almost certainly be lower now than it was at a comparable stage of the "Morning in America" recovery" — Paul Krugman