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Eric M's commuter bike
Description: Mongoose 18-speed.
Eric M's Personal Story: It goes faster than I walk. I once rode really far on it. Well, not too far. But far enough. I got where I was going.
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Join NeighborGoods or login to your account to borrow this item.
Condition: Like New
Original Price: $400
Location: Boulder, CO


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Utah Jazz (0-2, 0-1 road) vs. Oklahoma City Thunder (2-0, 1-0 home)
TV: NBATV (Cox 256, HD 726); FSOK (Cox 37, HD 722, Tulsa Cox 27, DirectTV 679, UVerse 753)
Stream: Click here (League Pass Broadband is free until Nov. 2!)
Radio: WWLS The Sports Animal (98.1 FM, 640 AM, 97.1 FM Tulsa)
Time: 6:00 CT
Offensive Rating: Thunder – 109.2 (8th), Jazz – 93.7 (29th)
Defensive Rating: Thunder – 102.9 (14th), Jazz – 113.2 (28th)
Pace: Thunder – 96.7 (11th), Jazz – 97.1 (9th)
View from the enemy: Salt City Hoops
Any time you're playing a wounded dog it's a little scary. Especially if that wounded dog is a pretty good basketball team. The Jazz are expected to be a contender in the West, but in their first two games haven't played well. They're 0-2 and in both games, they lost by a total of 38 points. Obviously Utah is a good club and they're due to start putting it together any moment.
I watched the Jazz pretty closely against the Suns and where they really seemed to struggle was in giving up dribble penetration and allowing the Phoenix shooter open outside looks. The Suns hit 10 3s and had Channing Frye knocked down a few wide open ones, that number would've been higher. Of course the Thunder have a point guard that's terrific at creating dribble penetration and the Thunder have some shooter capable of hitting an open shot.
Utah coming in: As mentioned, the Jazz are 0-2 with losses to the Nuggets and Suns. Both games weren't extremely competitive, with the Jazz struggling on the defensive end.
Traditionally, Oklahoma City really struggles with Al Jefferson. He's one of the few true post-playing big men remaining in the league. He's gifted on the block and at times, he's been unstoppable. But that's not just a Thunder thing. When Jefferson has his game working in the post, he's tough for the entire league. Serge Ibaka played Jefferson really well last season so I would expect more of the same with Ibaka seeing time at center and low minutes for Nenad Krstic.
The Deron Williams-Russell Westbrook matchup is one of the funnest point guard showdowns in the league. Both are physical, bruising point guards. And both are extremely competitive that don't lay back for anything. It will be a battle between the two. However, if the game is close late, I'd fully expect to see Thabo Sefolosha moving over to guard Williams, especially since Raja Bell isn't much of an offensive threat.
Andrei Kirilenko is a potential Kevin Durant stopper, and we've been lucky are Kirilenko has been out in a lot of the games OKC has played against Utah. Kirilenko and his stupid hair are ready to go for this one though. Of course Carlos Boozer is gone so Paul Millsap is starting. Jeff Green will likely have some issues there, though Green matches Millsap in size so it's not going to be a matter of being at a disadvantage physically this time.
This is a big opportunity for OKC to establish some early position in the Northwest and get a leg up on a Utah team that's trying to sort things out. And also, it's another big return to OKC for Earl Watson, which should make tonight extra special.
Tip at 6:00 CT. Go Halloween.
Tickets for this game are tough to come by so if you're looking for some, be sure to check Totally Tickets for some great seats.


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The following video is from Tuesday's Market Foolery, in which host Chris Hill and Motley Fool analysts Mike Olsen and David Hanson give their Foolish take on the biggest investing stories of the day.
Shares of BP (NYSE: BP ) hit a 52-week high after Q3 earnings results came in. The company saw profits fall off 34% but is increasing its dividend. In this segment, the guys discuss why the market is reacting the way it is to BP, what they think of the stock, and how it compares with some of the other big players in the energy space.
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Is Kindness Key to Happiness and Acceptance for Children?
The study "Kindness Counts: Prompting Prosocial Behavior in Preadolescents Boosts Peer Acceptance and Well-Being" published by Layous and colleagues in the journal PLOS One on December 26, 2012 was cited by multiple websites as proof of how important it is to teach children to be kind. NPR commented on the study in the blog post "Random Acts Of Kindness Can Make Kids More Popular", and the study was also discussed in ScienceDaily in "Kindness Key to Happiness and Acceptance for Children", Fox News in "No bullies: Kind kids are most popular" and the Huffington Post in "Kind Kids Are Happier And More Popular (STUDY)".
According to most of these news reports, the design of the study was rather straightforward. Schoolchildren ages 9 to 11 in a Vancouver school district were randomly assigned to two groups for a four week intervention: Half of the children were asked to perform kind acts, while the other half were asked to keep track of pleasant places they visited. Happiness and acceptance by their peers was assessed at the beginning and the end of the four week intervention period. The children were allowed to choose the "acts of kindness" or the "pleasant places". The "acts of kindness" group chose acts such as sharing their lunch or giving their mothers a hug. The "pleasant places" group chose to visit places such as the playground or a grandparent's house.
At the end of the four week intervention, both groups of children showed increased signs of happiness, but the news reports differed in terms of the impact of the intervention on the acceptance of the children.
… the children who performed acts of kindness were much more likely to be accepting of their peers, naming more classmates as children they'd like to spend time with.
This would mean that the children performing the "acts of kindness" were the ones that became more accepting of others.
The conclusion in the Huffington Post was quite different:
The students were asked to report how happy they were and identify classmates they would like to work with in school activities. After four weeks, both groups said they were happier, but the kids who had performed acts of kindness reported experiencing greater acceptance from their peers – they were chosen most often by other students as children the other students wanted to work with.
The Huffington Post interpretation (a re-post from Livescience) was that the children performing the "acts of kindness" became more accepted by others, i.e. more popular.
Which of the two interpretations was the correct one? Furthermore, how significant were the improvements in happiness and acceptance?
I decided to read the original PLOS One paper and I was quite surprised by what I found:
The manuscript (in its published form, as of December 27, 2012) had no figures and no tables in the "Results" section. The entire "Results" section consisted of just two short paragraphs. The first paragraph described the affect and happiness scores:
Consistent with previous research, overall, students in both the kindness and whereabouts groups showed significant increases in positive affect (γ00 = 0.15, S.E. = 0.04, t(17) = 3.66, p<.001) and marginally significant increases in life satisfaction (γ00 = 0.09, S.E. = 0.05, t(17) = 1.73, p = .08) and happiness (γ00 = 0.11, S.E. = 0.08, t(17) = 1.50, p = .13). No significant differences were detected between the kindness and whereabouts groups on any of these variables (all ps>.18). Results of t-tests mirrored these analyses, with both groups independently demonstrating increases in positive affect, happiness, and life satisfaction (all ts>1.67, all ps<.10).
There are no actual values given, so it is difficult to know how big the changes are. If a starting score is 15, then a change of 1.5 is only a 10% change. On the other hand, if the starting score is 3, then a change of 1.5 represents a 50% change. The Methods section of the paper also does not describe the statistics employed to analyze the data. Just relying on arbitrary p-value thresholds is problematic, but if one were to use the infamous p-value threshold of 0.05 for significance, one can assume that there was a significant change in the affect or mood of children (p-value <0.001), a marginally significant trend of increased life satisfaction (p-value of 0.08) and no really significant change in happiness (p-value of 0.13).
It is surprising that the authors do not show the actual scores for each of the two groups. After all, one of the goals of the study was to test whether performing "acts of kindness" has a bigger impact on happiness and acceptance than the visiting "pleasant places" ("whereabouts" group). There is a generic statement " No significant differences were detected between the kindness and whereabouts groups on any of these variables (all ps>.18).", but what were the actual happiness and satisfaction scores for each of the groups? The next sentence is also cryptic: "Results of t-tests mirrored these analyses, with both groups independently demonstrating increases in positive affect, happiness, and life satisfaction (all ts>1.67, all ps<.10)." Does this mean that p<0.1 was the threshold of significance? Do these p-values refer to the post-intervention versus pre-intervention analysis for each tested variable in each of the two groups? If yes, why not show the actual data for both groups?
The second (and final) paragraph of the Results section described acceptance of the children by their peers. Children were asked who they would like to "would like to be in school activities [i.e., spend time] with'':
All students increased in the raw number of peer nominations they received from classmates (γ00 = 0.68, S.E. = 0.27, t(17) = 2.37, p = .02), but those who performed kind acts (M = +1.57; SD = 1.90) increased significantly more than those who visited places (M = +0.71; SD = 2.17), γ01 = 0.83, S.E. = 0.39, t(17) = 2.10, p = .05, gaining an average of 1.5 friends. The model excluded a nonsignificant term controlling for classroom size (p = .12), which did not affect the significance of the kindness term. The effects of changes in life satisfaction, happiness, and positive affect on peer acceptance were tested in subsequent models and all found to be nonsignificant (all ps>.54). When controlling for changes in well-being, the effect of the kindness condition on peer acceptance remained significant. Hence, changes in well-being did not predict changes in peer acceptance, and the effect of performing acts of kindness on peer acceptance was over and above the effect of changes in well-being.
This is again just a summary of the data, and not the actual data itself. Going to "pleasant places" increased the average number of "friends" (I am not sure I would use "friend" to describe someone who nominates me as a potential partner in a school activity) by 0.71, performing "acts of kindness" increased the average number of friends by 1.57. It did answer the question that was raised by the conflicting news reports. According to the presented data, the "acts of kindness" kids were more accepted by others and there was no data on whether they also became more accepting of others. I then looked at the Methods section to understand the statistics and models used for the analysis and found that there were no details included in the paper. The Methods section just ended with the following sentences:
Pre-post changes in self-reports and peer nominations were analyzed using multilevel modeling to account for students' nesting within classrooms. No baseline condition differences were found on any outcome variables. Further details about method and results are available from the first author.
Based on reviewing the actual paper, I am quite surprised that PLOS One accepted it for publication. There are minimal data presented in the paper, no actual baseline scores regarding peer acceptance or happiness, incomplete methods and the rather grand title of "Kindness Counts: Prompting Prosocial Behavior in Preadolescents Boosts Peer Acceptance and Well-Being" considering the marginally significant data. One is left with many unanswered questions:
1) What if kids had not been asked to perform additional "acts of kindness" or additional visits to "pleasant places" and had instead merely logged these positive activities that they usually performed as part of their routine? This would have been a very important control group.
2) Why did the authors only show brief summaries of the analyses and omit to show all of the actual affect, happiness, satisfaction and peer acceptance data?
3) Did the kids in both groups also become more accepting of their peers?
It is quite remarkable that going to places one likes, such as a shopping mall is just as effective pro-social behavior (performing "acts of kindness") in terms of improving happiness and well-being. The visits to pleasant places also helped gain peer acceptance, just not quite as much as performing acts of kindness. However, the somewhat selfish sounding headline "Hanging out at the mall makes kids happier and a bit more popular" is not as attractive as the warm and fuzzy headline "Random acts of kindness can make kids more popular". This may be the reason why the "prosocial" or "kindness" aspect of this study was emphasized so strongly by the news media.
In summary, the limited data in this published paper suggests that children who are asked to intentionally hang out at places they like and keep track of these for four weeks seem to become happier, similar to kids who make an effort to perform additional acts of kindness. Both groups of children gain acceptance by their peers, but the children who perform acts of kindness fare slightly better. There are no clear descriptions of the statistical methods, no actual scores for the two groups (only the changes in scores are shown) and important control groups (such as children who keep track of their positive activities, without increasing them) are missing. Therefore, definitive conclusions cannot be drawn from these limited data. Unfortunately, none of the above-mentioned news reports highlighted the weaknesses, and instead jumped on the bandwagon of interpreting this study as scientific evidence for the importance of kindness. Some of the titles of the news reports even made references to bullying, even though bullying was not at all assessed in the study.
This does not mean that we should discourage our children from being kind. On the contrary, there are many moral reasons to encourage our children to be kind, and there is no need for a scientific justification for kindness. However, if one does invoke science as a reason for kindness, it should be based on scientifically rigorous and comprehensive data.


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Top Definition
A name commonly yelled out in anger or distress.
Shes Pregnant?!?! AHHH HORSE TITS!!!!
av Gage Butch 1 september 2010
Trending Now
Can you define these popular missing words?
A term that can replace the word shoot or sh*t
As his project started to fall apart he screamed "Horsetits"
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Monday, January 28, 2013
The Lifesaver of Lip Balms
Well, about 3 weeks ago my lips were so chapped I was reapplying Aquaphor every 5 minutes. The second I could feel it wearing off I'd have to reapply it. I'd get a few minutes of relief and then I could literally feel the moisture being sucked out of my lips again. I couldn't eat anything hot or with the slightest bit of spice. I found that out the hard way and spent the rest of the evening sitting on the sofa with an ice cube on my lips trying to numb the burning. Not only were they on fire, they were BRIGHT RED. Whether I wanted to try out this whole red lip trend or not...I was!
These are just a few that I could find stashed around me. Trust me when I say I tried everything. Organic brands, brands without petroleum, switched my toothpaste and face wash (I was desperate!), I tried pure Vitamin E and Bag Balm. I drank more water. Nothing helped. If one more person recommended Burt's Bee's Wax, I was going to scream! I even made an appointment with my dermatologist who told me it was "the weather" and gave me another tube of Aquaphor...as if I hadn't already gone through 4 tubes of it.
After leaving the dermatologist's office I went by Sephora to get some new foundation. Up near the register in that "travel-size section" I spotted this.
Dr. Lipp Nipple Balm for Lips. The night before I had read briefly about people using lanolin (from the baby aisle) for all kinds of chapped skin so what the heck. What's another $15 lip balm at this point! Within a few hours of buying it, my lips were completely healed. The first few days I used it, I reapplied maybe 3-5 times a day. Now- once or twice!
Did I really just write a blog post about lip balm? Sure did. I spent so much time googling remedies that hopefully this will help someone if they're in the same situation. So thankful I found this stuff!
Tell me about a product that just saved you- you might help someone in the same situation!
28 comments:
I had this problem in high school! The doctor told me that basically once your lips become used to the artificial moisture from the lip balm products (I had always used carmex and blistex), they become dependent on it. So you basically end up addicted to chapstick! I can't remember now what ingredient she said to avoid that creates the "addiction" but she told me specifically to switch to Burt's Bee's (the regular balm, not the fruity or lip glossy ones) and I've never had the issue since. I still get chapped lips, but I don't get addicted!ReplyDeleteReplies
Yes!! I read months ago how bad Burts was for your lips so every time suggested it I would think 'you're a victim!!'. They loved it so much because they're addicted to it!Delete
I am going to get this asap!ReplyDelete
Glad you are feeling better!Replies
I just ordered this after reading your review. I have the worst chapped lips!ReplyDeleteReplies
Please come back and let me know how it works for you!!Delete
I haven't picked this up yet - I was in a really bad place as far as chapped lips go last week, I ended up using neosporin (like original greasy nasty not to be eaten neosporin) because my lips were so cracked they were bleeding. It helped. Is this real life, can you really get addicted to lip balm?ReplyDeleteReplies
I think I get addicted to being able to "slide my lips". It's a habit and if they aren't slick from lip balm it bothers me. Maybe that's my addiction?Delete
wow... who would have thought. I hateeeee when my lips get so chapped like that. For me it's usually a combo of being dehydrated and the cold weather, but then it hurts too much to drink anything, so it gets worse.ReplyDelete
So thanks for reminding me to drink water NOW so it doesn't happen. At least I'll have a good new back up for when I inevitable forget.
I get the worst chapped lips every winter, it's miserable! I just ordered this, I'm hoping it works for me too! Thanks for the recommendation!ReplyDelete
Actually, the ingredients in many "balms" are not only drying but also carcinogenic. Menthol, phenol and camphor are what provides the addictive tingly sensation and the moisturizers give the illusion of comfort but in the long run they are really bad for you...and they make the problem WORSE! (Those sneaky bastards). The product is patented and those ingredients, though PROVEN unsafe by the FDA are still allowed to be used.ReplyDelete
I am currently addicted to a product called Grins and Giggles" Moisturizing stick by Gerber. It's actually for baby's faces and they no longer make it! I bought all I could find on ebay years ago and I keep it in my refrigerator! I used to get cold sores ALL THE TIME as a result of dry lips. The Blistex I used only exacerbated the problem. I have not had a cold sore in ten years! I know there will come a day when my supply runs out! I am looking for replacements in advance!
You poor thing! When I was hospitalized for a kidney stone last year, I had super dry, chapped lips even though my body was being pumped full of fluids via IV. The nurses gave me a travel tube of the same Medela lanolin used for breastfeeding, and I swear I was cured in a day (after I got over the fact that I was using a product on my mouth that was supposed to be used on my 'girls' instead). I remember the stuff being super cheap too, so you may want to give that a shot next go 'round? Glad you found something that worked!ReplyDeleteReplies
The ingredients on this are 100% medical grade lanolin so it's the same exact thing...just fancier packaging! I felt a little more comfortable taking this little tube out in my meetings than a tube of boob cream. :) :)Delete
I wanted to suggest the same thing but I can understand why the packaging makes the cost worth it ha! Maybe you can get the "boob cream" for house use only. ;)Delete
To echo the above comment, we used Lansinoh (lanolin) from the hospital all the time, and it was definitely the preferred lip/breast product. It's also available at WalMart for a lot less than $15.ReplyDelete
I've always relied on plain old chapstick medicated, but I'm not a fan of the smell. I may have to try this!ReplyDelete
Wow - sorry for all the trouble you went through, but thanks for sharing!!ReplyDelete
I'm going to give this product a try too. Thanks for the reco!! Mine aren't chapped but they are dry, often. I'm forever applying lipgloss, which works but is probably not the answer. Maybe this will help before it gets worse. if I couldn't eat spicy food I would cry! Glad you found a remedy!!!ReplyDelete
Thank you for the information! Very helpful. I also love Paula's Choice Lip & Body Treatment Balm, seems to keep the chapped lips at bay. I keep a jar just about everywhere. It is also great on the cuticles. I will remember the product you found for desperate times! I'm glad you are healed!ReplyDelete
yep. I was going to suggest either medela or lansinoh cream you can buy in the baby aisle at Target or Walmart (it's like $6 maybe?) and 100% lanolin!ReplyDelete
My love you, you can't believe you wrote an entire blog post about lip balm? I not only read it but I read every comment! I love this! I think that this is something we all deal with . Right now on my night table are four tins of Rosebud Salve. I use Kiehls, I have bag balm and my purse is loaded with pretty much everything you have above. i am so glad that this story had a happy ending and you found Dr. Lipp. I have a visit to sephora due very soon so I will pick up this baby.ReplyDelete
I also like Lip Sugar ..it is a little exfoliator that i Put on and it is from sephora .. it scrubs all that dry stuff off and let's you start from scratch..
And it tastes kind of yummy xooxo hugs
Southern Belles need pretty lips. Glad you found your solution!ReplyDelete
When I went on Accutane years ago, my lips were horribly chapped. Even the corners of my mouth cracked and bled. My derm recommended Dr. Dan's CortiBalm. I still use it! I get mine from my dermatologist, but you can order online.ReplyDelete
I'm so glad you posted this. My lips are ok right now but I had a similar thing happen to me last year. I tried SO many different things. I am writing this down on Evernote to keep in mind for the future!ReplyDelete
I know I'm a little late to the party on this one, but I too have suffered with very dry lips. A friend of mine, a makeup artist in CA, told me that Elizabeth Arden's 12 Hour Cream is a favorite backstage at runway shows. I adore it! Healed my chapped lips and now I'm never without a tube.ReplyDelete
Dr.D.M.Mahajan is an expert in permanent lip augmentation gurgaon and runs the popular lip augmentation before and after.ReplyDelete


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MIDLAND, MI — The Great Lakes Loons announced Tuesday that they will increase bag checks for fans entering Dow Diamond.
Dow Diamond employees will check all bags, including purses, diaper bags, backpacks and camping chair bags.
Guests without bags will have a different entry lane.
In a letter to Great Lakes Loons ticket holders, Great Lakes Loons general manager Paul Barbeau explained the change, which was in response to the bombings at the Boston Marathon.
"Since opening in 2007, all bags have been subject to search at Dow Diamond. In practice, we have not searched all bags. We have conducted random bag searches and searched bags when we had a specific reason to search.
"Starting Wednesday, May 1, all bags entering Dow Diamond will be searched. This includes purses, diaper bags, backpacks, and carrying bags for camp chairs. We are committed to your safety and are making this change to keep Great Lakes Loons baseball a safe, enjoyable event for all guests.
"We are also committed to fantastic guest experiences, so we plan to conduct bag checks in the most guest friendly manner possible. Starting on May 1, you will find separate entry lanes for guests with bags. Guests with bags will place their bag on a table and be asked to open their bag for inspection. If we want to see a specific area of the bag, we will ask the guest to move their items so we can inspect further."
The Loons begin a six day homestand Wednesday, beginning with three games against Beloit.
Fans are not allowed to bring in their own food and drinks, including bottled water, but free water is available at drinking fountains and at concession stands.Outside food for infants and other special dietary needs is permitted.


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Scrapbook MAX! Digital Scrapbooking Software
Archival Quality Digital Scrapbooking Software
Originally Posted by crops2dawn
Hey Binks they installed in the embellishments!
Marion- that LO is spectacular!!!! LOVE IT! Thanks!
Wonder- Those papers are to die for!!! Thanks!
I also think this month of stuff is going to be FANTASTIC!!!!!
DITTO: Everything Crops said.
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Author Affiliations: Departments of Obstetrics and Gynecology (Drs H.-W. Tsai, Chen, Chao, and Wang) and Anesthesia (Drs Ho and Hseu), Taipei Veterans General Hospital, National Yang-Ming University, and Department of Anesthesia, Chen-Hsin General Hospital (Dr S.-K. Tsai), Taipei, Taiwan.
Objective To evaluate the effectiveness of the pulmonary recruitment maneuver (PRM) and intraperitoneal normal saline infusion (INSI) in removing postlaparoscopic carbon dioxide from the abdominal cavity to decrease laparoscopy-induced abdominal or shoulder pain after surgery.
Design, Setting, and Patients A prospective, randomized, controlled trial was conducted at Taipei Veterans General Hospital, Taipei, Taiwan, from August 1, 2009, through June 30, 2010. One hundred fifty-eight women undergoing laparoscopic surgery for benign gynecologic lesions were randomly assigned to 3 groups: the PRM group (n = 53), the INSI group (n = 54), and the control group (n = 51).
Interventions Postoperative maneuvers included PRM and INSI.
Main Outcome Measures Evaluation of pain, including abdominal pain and shoulder pain, was performed at 12, 24, and 48 hours postoperatively.
Results The frequency of postoperative shoulder pain at 24 and 48 hours was significantly decreased in the INSI group compared with that of either the PRM or control group (40.7% and 24.1% in the INSI group vs 66.0% and 50.9% in the PRM group [P = .009 and .004, respectively] or vs 72.5% and 54.9% in the control group [both P < .001]). Both methods significantly reduced the frequency of upper abdominal pain compared with the control condition (73.6% in the PRM group at 24 hours [P = .03] or 72.2% at 24 hours [P .02] and 44.4% at 48 hours [P = .01] in the INSI group vs 90.2% at 24 hours and 68.6% at 48 hours in the control group).
Conclusions Both PRM and INSI could effectively reduce pain after laparoscopic surgery, but INSI might be better for both upper abdominal and shoulder pain.
Trial Registration clinicaltrials.gov Identifier: NCT01135836
The advantages of laparoscopic surgery, including smaller incisions, shorter hospitalizations, less postoperative pain, and earlier return to normal activity, are attractive and promising.1 However, laparoscopy-induced shoulder pain, which rarely occurs in exploratory laparotomy, has gained importance2- 4 because the occurrence varies from 35% to 80% and it may be severe.2,5- 7 Many strategies, including treatment with nonsteroidal anti-inflammatory drugs, have been used to try to reduce laparoscopy-induced shoulder pain; however, no sufficiently reliable methods have been reported yet.8,9
The mechanism of laparoscopy-induced shoulder pain is mainly derived from carbon dioxide retention within the abdomen, subsequently irritating the phrenic nerve and causing referred pain in the C4 dermatome.10- 13 Moreover, carbon dioxide trapped between the liver and the right diaphragm, irritating the diaphragm, also causes upper abdominal pain.14- 16 All make the patient uncomfortable after laparoscopic surgery. Although the incidence and intensity of laparoscopy-induced upper abdominal pain are not clear, the problem is worthy of intervention.
Because carbon dioxide retention is a key factor in laparoscopy-induced upper abdominal pain, removing or washing out residual carbon dioxide might help reduce the occurrence or severity of this pain in both the shoulder and upper abdomen. Recently, 2 methods, the pulmonary recruitment maneuver (PRM) and intraperitoneal normal saline infusion (INSI), have been proposed to reduce shoulder pain.15- 19 Both maneuvers assist the expulsion of abdominal residual carbon dioxide, although they may be mediated through different mechanisms. The pulmonary recruitment maneuver works by mechanically increasing intraperitoneal pressure to facilitate the removal of residual carbon dioxide immediately after operation16,17; INSI is also mediated through increased intraperitoneal pressure but offers a physiologic buffer system to dissolve excess carbon dioxide.18- 20
Although both maneuvers are reported to be effective, no head-to-head comparison of the 2 methods was found in a MEDLINE search (English language; 1966-2010; search terms "laparoscopic" and "shoulder pain"). Therefore, a randomized controlled trial was conducted to compare the 2 methods and to test the efficacy of both; a control group using no maneuver was also included in the study.
The study was a prospective, randomized, controlled clinical trial. Participants were recruited at Taipei Veterans General Hospital from August 1, 2009, through June 30, 2010. Approval for the study was obtained from the local ethics committee, and informed consent was obtained from all patients.
A total of 180 patients were screened. The inclusion criteria were being female, being aged 24 to 65 years, and having an American Society of Anesthesiologists physical status classification of 1 or 2. Randomization (n = 177) was done via a computerized, balanced (1:1:1) method. Random numbers were computer generated. The randomization code was inserted into numbered, sealed, opaque envelopes. A single envelope was opened by the surgeon when the patient was hospitalized. Study coordinators, patients, gynecologists, anesthesiologists, and members of the panel were not masked to intervention after assignment. Finally, data for 158 patients were analyzed.
The subjects were anesthetized by 1 of 2 anesthesiologists (C.M.H. and S.S.H.), who followed a specified protocol. The patients' vital signs were monitored according to clinical standards. All procedures were performed by 2 experienced surgeons (H.W.T. and Y.J.C.) during the study period. The postoperative assessment was performed by 2 independent investigators (K.C.C. and P.H.W.).
We used 4 ports to perform all laparoscopic operations. One 12-mm port was inserted through the umbilicus, and the other 5-mm ports were inserted through the lateral lower abdominal wall and suprapubic area.21 Laparoscopy was performed using carbon dioxide gas as the distention medium, which was introduced through a Veress needle placed intraumbilically. The intra-abdominal gas pressure was monitored, as was the total volume of gas delivered during the procedure. The gas pressure was set at 15 mm Hg during the procedure. The flow of carbon dioxide did not exceed 2 L/min when creating the capnoperitoneum.
At the end of surgery, the routine method of removing carbon dioxide by passive exsufflation through the port site was used in the control group. Gentle abdominal pressure was applied to evacuate as much gas as possible. In the PRM group, in addition to the routine method, the patients were placed in the Trendelenburg position (30°) and a pulmonary recruitment maneuver consisting of 5 manual pulmonary inflations was performed with a maximal pressure of 60 cm H2O.16 The anesthesiologists held the fifth positive-pressure inflation for 5 seconds. During these maneuvers, the surgeon was instructed to ensure that the trocar sleeve valve was fully open to allow the carbon dioxide to escape the abdominal cavity. The patients were then placed in the level position, the trocar was removed, and the abdominal incisions were closed. In the INSI group, the upper part of the abdominal cavity was evenly and bilaterally filled with isotonic normal saline (25-30 mL/kg of body weight), which was then left in the abdominal cavity.19,20 During this procedure, the surgeon was instructed to ensure that the trocar sleeve valve was fully open to allow the carbon dioxide to escape the abdominal cavity. The patients were then placed in the level position, the trocar was removed, and the abdominal incisions were closed.
Postoperative pain control was provided with meperidine hydrochloride intravenously as needed within 48 hours after operation. Nonsteroidal anti-inflammatory drugs were not used within 48 hours after operation. Postoperative blood pressure, heart rate, and respiratory rate were recorded at 4-hour intervals. Postoperative hospital stay (in days), duration of surgery, estimated blood loss (in milliliters), and cumulative dose of meperidine were recorded. Flatulence-relief time, which indicates resumption of normal bowel function as expressed by the presence of bowel sounds and the passage of flatus, was also recorded.22 According to the guidelines of the national health insurance system in Taiwan, patients who receive laparoscopic surgery can stay in the hospital for 4 to 6 days.
The primary outcome of pain was rated using a 10-cm visual analog scale,23 anchored at one end with no pain at all and at the other with the worst imaginable pain. Women rated the degree of pain by placing a mark on the line, and scale values were obtained by measuring the distance from 0 to that mark. This measurement was validated as a sensitive measure for large-group comparisons.24 The visual analog scale ratings were obtained at 12, 24, and 48 postoperative hours for each of the 3 types of pain: upper abdominal, shoulder, and lower abdominal. Lower abdominal pain was defined as a trocar wound and intra-abdominal pain. All pain assessments were made at rest. The patients were asked about any occurrence of nausea, vomiting, or abdominal distention. Abdominal distention was defined as the symptoms of the patients or postoperative gastrointestinal dysfunction and prolonged ileus based on the clinical judgment of the attending physician.25 The number needed to treat for benefit is the reciprocal of absolute risk reduction, which helps clinicians understand the impact of interventions. Therefore, we also reported outcome data as the number needed to treat for benefit for both interventions.
The 2 primary end points of our study were the incidence and visual analog scale rating of the overall upper abdominal and shoulder pain. Expecting that the incidence of shoulder pain may be reduced from 80% to 50% by using the methods, we determined a required sample size of 45 patients per group for a 2-tailed χ2 test with 80% power and P = .05 based on another study.16 Allowing for a 20% loss to follow-up, the recruitment target was inflated to 54. Considering that existing research into postoperative pain has shown substantial rates of loss to follow-up, recruitment continued until the end of the finding period when 60 women in each group were included.
Statistical analysis was performed with SPSS version 17.0.0 statistical software (SPSS Inc, Chicago, Illinois). Analysis by χ2 test or Fisher exact test was done to evaluate discrete variables. For continuous variables, we used t test, analysis of variance, and Scheffé post hoc test with adjustment for multiple comparisons. Statistical significance was defined as P < .05.
Between August 1, 2009, and June 30, 2010, 180 patients were admitted and participated in our study. Three refused to give consent and were excluded. Therefore, 177 patients were randomly assigned to the 3 groups, with 59 in each group. Of these participants, 13 did not complete the questionnaire, 5 were converted to laparotomy, and 1 cancelled the surgery for personal reasons, ultimately resulting in 53 patients in the PRM group, 54 in the INSI group, and 51 in the control group. The groups did not differ in age, weight, height, operative time, type of surgery, operative blood loss, postoperative hospital stay, and flatulence-relief time (Table 1).
According to the patient description, upper abdominal pain was dull pain and prick pain. The incidence of laparoscopy-induced upper abdominal pain in the PRM group was lower than that in the control group at 12 and 24 hours postoperatively (P = .047 and P = .03, respectively). The laparoscopy-induced upper abdominal pain in the INSI group was significantly lower than that in the control group at 24 and 48 hours postoperatively (P = .02 and P = .01, respectively). The effect of INSI persisted, lasting to 48 hours after surgery. The number needed to treat for benefit to reduce upper abdominal pain incidence at 48 hours was 5 (95% CI, 3-18) for INSI (Table 2).
The mean laparoscopy-induced upper abdominal pain scores were compatible with the incidence of pain in the 3 groups. The postoperative upper abdominal pain scores were significantly lower in the INSI group than in the control group at 12, 24, and 48 hours (P < .001, P < .001, and P = .001, respectively) (Table 2). However, the postoperative upper abdominal pain scores were significantly lower in the PRM group than in the control group at 12 and 24 hours only (P = .002 and P = .007, respectively) (Table 2) and were significantly lower in the INSI group than in the PRM group at 48 hours (P = .01).
Shoulder pain was described as a sharp pain and soreness. At 24 and 48 hours, the incidence of postoperative shoulder pain was significantly lower in the INSI group (40.7% and 24.1%, respectively) than in the control group (72.5% and 54.9%, respectively; P = .001 and P = .001, respectively) and the PRM group (66.0% and 50.9%, respectively; P = .009 and P = .004, respectively) (Table 3).
The postoperative shoulder pain scores were also significantly lower in the INSI group than in the control group at 12 hours (mean [SD], 1.80 [2.41] vs 3.57 [3.59], respectively; P = .02), 24 hours (mean [SD], 1.50 [2.20] vs 4.22 [3.32], respectively; P < .001), and 48 hours (mean [SD], 0.70 [1.55] vs 2.20 [2.42], respectively; P = .004) (Table 3). They were significantly lower in the INSI group than in the PRM group at 48 hours (mean [SD], 0.70 [1.55] vs 1.94 [2.73], respectively; P = .02).
The incidence and intensity of lower abdominal pain (wound pain) did not differ among the 3 groups at 12, 24, and 48 hours (Table 4). Analgesic requirements and the incidence of postoperative nausea and vomiting were also not significantly different (Table 5).
Because the abdominal cavity of the subjects in the INSI group was filled with isotonic normal saline at 25 to 30 mL/kg of body weight, we suspected that the incidence of flatulence-relief time or abdominal distention would be different between the groups. However, there was no difference among the 3 groups (Table 1 and Table 5). There were no cardiovascular or pulmonary complications among the 3 groups.
Upper abdominal pain and shoulder pain after laparoscopic surgery may be transient or may persist for about 3 days26; sometimes, it may cause more discomfort to the patient than the pain at the incision sites. In this study, both the INSI and PRM interventions reduced the incidence and intensity of upper abdominal pain and shoulder pain after laparoscopic surgery. The effect of INSI was continuous and persistent until the intraperitoneal warmed normal saline was absorbed. The INSI maneuver seemed to be much more effective at reducing laparoscopy-induced upper abdominal and shoulder pain than PRM, and the effect lasted longer.
Phelps et al16 reduced positional pain from 63% to 31% using PRM because PRM used positive-pressure ventilations at the end of surgery to inflate the lungs and lower the diaphragm (increase intraperitoneal pressure), which eliminates carbon dioxide from the peritoneal cavity and results in less intra-abdominal acidosis and consequent phrenic nerve or peritoneal irritation. In a recent randomized clinical trial, the frequency and intensity of shoulder pain were significantly decreased in the PRM group at 12, 24, and 48 hours after surgery.17 Although similar positive results were also found in our study, these effects were observed immediately after operation (at 12 hours, P = .002; and at 24 hours, P = .007) but disappeared later. This might be related to the different or complicated operations in our study compared with the majority of diagnostic procedures in the study by Phelps and colleagues. Different surgical types and operation times might interfere with the interpretation of the results.17
The INSI maneuver is also used to reduce laparoscopy-induced pain. Tsimoyiannis et al19 treated patients with 37°C normal saline (25-30 mL/kg of body weight) under the right hemidiaphragm after laparoscopic cholecystectomy to show the significant decrease in frequency and intensity of laparoscopy-induced shoulder pain. In other studies, these patients were treated with low-pressure pneumoperitoneum, and the data also showed that INSI significantly reduced the incidence and intensity of shoulder pain after laparoscopic cholecystectomy at 12 and 24 hours (pain scores: 3.0 for the control group vs 2.5 for the INSI group [P = .01] and 1.29 vs 0.75 [P = .04], respectively).19,27,28 In our study, convention-pressure pneumoperitoneum was used. Consistent with previous studies,19,27,28 a significant reduction in intensity and frequency of laparoscopy-induced pain was seen 24 hours postoperatively (P < .001 and P = .001, respectively). We found that the effectiveness of INSI seemed to be long acting, continuous, and physiological until the warmed normal saline was absorbed, because significantly reduced pain was still noted 48 hours postoperatively (P = .004 and P = .001, respectively).
The amount of normal saline used in INSI was 1000 mL, which has been reported to be safe.19,27,28 Consistent with previous studies,19,27,28 the patients in the INSI group in this study did not have complications. The absence of a statistical difference in flatulence-relief time among the 3 groups in this study suggested that this extra fluid (1000 mL) might not prolong ileus. In fact, studies have attempted to verify the kinetics of intraperitoneal fluid absorption for preventing postoperative adhesions.29,30 It is estimated that intraperitoneal absorption is approximately 30 to 60 mL/h; therefore, there would be fewer or no problems with fluid shifts.31 The INSI maneuver is different from hysteroscopic procedures with the potential risk of fluid overload. Increased intrauterine pressure seems to affect the onset of fluid overload syndrome.32 The relative risk of fluid overload increases significantly when the intrauterine pressure exceeds the mean arterial pressure.33
In our study, the effect of INSI was longer lasting and more persistent than that of PRM. Besides increased intraperitoneal pressure similar to PRM, INSI had an additional buffer system.18 Carbon dioxide readily dissolves in water and forms carbonic acid. Carbonic acid is then absorbed into the intravascular space and contacts red blood cells, which contain carbonic anhydrase that transforms carbonic acid into bicarbonate. This reaction is reversed in the lungs, where bicarbonate is converted back into carbon dioxide to be expelled. This equilibrium plays an important role as a buffer in mammalian blood. As a physiologic buffer system, INSI facilitates the dissipation of carbon dioxide in the abdominal cavity, thus preventing diaphragmatic irritation and lessening postoperative upper abdominal and shoulder pain. The effect of INSI is long lasting, continuous, and physiological until the normal saline is absorbed. In contrast, PRM eliminates the retained carbon dioxide gas mechanically with high pressure but is a relatively short-acting maneuver, which means that the effect might stop when the maneuver stops. That is, its effect is transient and not persistent. Therefore, INSI would be more effective and longer lasting than mechanical PRM to reduce upper abdominal and shoulder pain.
The pain scores peaked at 12 to 24 hours postoperatively in our study, which revealed that the pain was most frequent and severe after early mobilization of the patient.34 This result was similar to that of laparoscopic cholecystectomy and gynecologic laparoscopic surgery.35,36 It suggests that mobilization increases traction on the peritoneal reflections of the heavy viscera, which then lose suction support for their weight owing to the creation of peritoneal spaces by the carbon dioxide.34
The strengths of this study include the prospective and randomized design comparing INSI, PRM, and controls and the fact that surgery on all patients was conducted by the same surgeons using the same technique and instruments.
This study has certain limitations, however, including the relatively healthy women and the fixed national health insurance payment per case for these operations. Furthermore, we have focused only on laparoscopic surgery for benign gynecologic diseases, but other procedures (laparoscopic cholecystectomy, for example) need validation. Different surgical types and the length of surgery might interfere with pain evaluation, although there was no difference in the surgical types among the 3 groups. In addition, the effect of low-pressure pneumoperitoneum was not tested in this study because 2 studies showed the superiority of the use of low-pressure pneumoperitoneum in reducing laparoscopy-induced pain compared with conventional-pressure pneumoperitoneum.27,28 The mean (SD) postoperative pain score was lower by 2.64 (0.86) in the low-pressure pneumoperitoneum group and the incidence of shoulder pain was also lower compared with conventional-pressure pneumoperitoneum (1.6% vs 11.29%, respectively).27 Finally, the analgesic requirements did not differ among the 3 groups in this study, which suggested that these strategies may need further modification to improve clinical efficacy. Moreover, other causes might be overlooked. For example, the retention of some intraperitoneal blood or inflammatory cystic fluid or residual carbon dioxide might contribute to it.
In conclusion, both INSI and PRM could significantly reduce laparoscopy-induced pain, but the INSI method is recommended because it was more effective.
Correspondence: Peng-Hui Wang, MD, PhD, Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, National Yang-Ming University, 201, Section 2, Shih-Pai Road, Taipei 112, Taiwan (firstname.lastname@example.com).
Accepted for Publication: May 26, 2011.
Author Contributions: Drs H.-W. Tsai and Chen contributed equally to this work. Study concept and design: H.-W. Tsai, Chen, and Wang. Acquisition of data: Chao and S.-K. Tsai. Analysis and interpretation of data: H.-W. Tsai, Chen, Ho, Hseu, and Wang. Drafting of the manuscript: H.-W. Tsai, Chen, Ho, Hseu, Chao, S.-K. Tsai, and Wang. Critical revision of the manuscript for important intellectual content: Wang. Statistical analysis: H.-W. Tsai, Chen, and Wang. Obtained funding: Chao and Wang. Administrative, technical, and material support: H.-W. Tsai, Chen, Ho, Hseu, S.-K. Tsai, and Wang. Study supervision: Wang.
Financial Disclosure: None reported.
Funding/Support: This work was supported in part by grants V99-C1-085, V99-C1-166, V99F-014, and V99-A-065 from the Taipei Veterans General Hospital and grants CI-97-6 and CI-99-7 from the Yen-Tjing-Ling Medical Foundation.
Previous Presentation: This paper was presented at the 39th Global Congress of Minimally Invasive Gynecology of the American Association of Gynecologic Laparoscopists; November 9, 2010; Las Vegas, Nevada; and the XXII Asian and Oceanic Congress of Obstetrics and Gynecology; September 26, 2011; Taipei, Taiwan.
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Forum indexCanon PowerShot TalkChange forum
Canon PowerShot SX10 IS review
Started Oct 12, 2008 | User reviews thread
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pixers • Junior Member • Posts: 49
Canon PowerShot SX10 IS review
Oct 12, 2008 • Review of Canon PowerShot SX10 IS
I am impressed with the image quality and image stabilization. I really like the flip monitor. Great camera. I have no affiliation with Canon or seller other than being just a customer.
None so far.
10 megapixels • 2.5″ screen • 28 – 560 mm (20×)
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This position has just been filled.
Join TheLadders now for access to 2 open jobs.
A. TITLE OF ROLE: Sr. Manager, Corporate Communications
B. WORK GROUP: Communications
C. SUPERVISOR'S TITLE: Management Committee
10. Responsible for all communication media and modes (i.e. text, audio, visual)
11. Carries out communications and integrated Marcom plans, actions and results in partnership with the Marketing services team
12. Fulfills other duties as assigned by the Management Committee.
N. BEHAVIOR AND ATTITUDE: ASQ's mission and core values require each staff member to perform professionally and personably. How the employee relates to coworkers, customers, and visitors is as important as the employee's technical knowledge and ability. Respect and consideration for coworkers, customers, and visitors is a requisite of successful job performance. ASQ's diversity vision requires each employee to promote in principle and in practice an inclusive environment that maximizes opportunity and responsibility for each member, volunteer, employee, and stakeholder in the organization.
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East Jefferson General Hospital Chairman Newell Normand and West Jefferson Medical Center Chairman Harry "Chip" Cahill sat down with NOLA.com | The Times-Picayune on Friday to discuss the lease of the hospitals to a private operator.
Normand and Cahill, reflecting the positions of their boards, disagree on which operator should get the lease. The East Jefferson board prefers Hospital Corp. of America, while the West Jefferson board want to lease to Louisiana Children's Medical Center.
Both officials also addressed criticisms of their choice.


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An accurate roentgen diagnosis of any breast lesion based on recognition of morbid anatomic change presumes familiarity with the normal anatomic roentgen appearances. In a recent report of the normal breast we1 indicated some limitations of the roentgen examination in such borderline pathologic states as mazoplasia, cystiphorous desquamative epithelial hyperplasia, epitheliosis and adenosis. Since the roentgenologist can attain little more accuracy than the pathologist, if limited to a macroscopic examination in making conclusive diagnoses of breast lesions, claims made for the roentgen studies inferring accuracy akin to the pathologist's microscopic studies must be carefully analyzed. This is well exemplified in those cases of fibro-adenomas of the puberal period when clinically, roentgenographically and macroscopically a diagnosis of neoplasia is agreed on only to be controverted by the microscopic finding of simple hyperplasia.2 While it is difficult to credit some of the recent enthusiastic reports on the roentgen examination of
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I have all the Pokemon games out for that
And the Zelda Game.
Pokemon PinBall as well.
Ok well I want all you Nintendo fans to dig up some old GBC games and tell me what you find =) I found
Legend Of Zelda Links Awakening
Pokemon Red
Pokemon Yellow
Pokemon Silver
Commander Keen
Return of the Ninja
and a GameShark
P.S. I was addicted to pokemon =)
I have all the Pokemon games out for that
And the Zelda Game.
Pokemon PinBall as well.
'I don't want to go back, I want a new day & age.'
Retired Moderator-[PM]
Brawl FC: 4682-8172-0512 [PM for add]
Originally Posted by Sumn0ob
i found pokemon red, yellow, sonic the hedgehog, and croc
Just pokemon... lol
PM me and add me to ur address book...
Never heard of it! Does anyone remember destruction derby for the original PS?
PM me and add me to ur address book...
I dont remember that game but I still got my playstation lol might just sell it or make quick 20 bucks =)
Crash Bandicoot Games
Pokemon Gold/Silver (Best Pokemon Games EVA!)
I sold everything else
i found pokemon red, yeller, cyrstal, gold, silver, warioland 2, pokemon pinball, lucky luke, the pokemon trading card game, black bass lure fishing, yu-gi-oh dark duel stories, donkey kong land, game and watch gallery, super mario land 6 gold coins
If the Wii is a sport then i'm an athlete.
Having trouble??? Please PM me and i will help out when ever i can
*looks in cupboard*
Ahh....there we are
Alfred Chicken
Zelda: Links awakening
Kirby's pinball
Parasol Stars
Wario Land (super mario land 3)
Pokemon Pinball
Pokemon Silver
Where have the others gone? ? ?
i only have pokemon yellow..and my sister had red..man i loved those games..please bring those on VC
iMac 2.4ghz Aluminum, 4GB iPhone, 12 iPods!


text:
problem in query
i m having problem while deletign and updateing the data in the tables. i m using the MS ACCESS with jsp . in which im doing work on school website project.sir i m trying to delete complete record of a teacher from all the tables related to teacher by giving the teacher id.
i m usign the query ,
stat.executeQuery(DELETE * from teacherpersonalinfo ti,
teacherjob tj where ti.ID=tj.ID AND ID='"+ID+"');
but this is giving me the problem "specify the table name".and i m able to delete the information from one table at a time , not from all.
.................................................. .......................
2nd problem;
sir i m having the problem in code for updating the teacher information in my project . i have two tables
how can i made update the table is this right code .in this code i m trying to update the selected id from selected table by fetching the olddata from database in the form and then again inserting the data in to database .i m using the access,jsp.
check pls if there is any problem.and also tell me how can i get the result from two tables through while(rs.next()){} and print it
.........code is here........
String tid=request.getParameter("tid");
Re: problem in query
Apart from the code formating in the code block you should also provide a good title. I would suggest you aread Before you make a query
Re: problem in query
You can only delete from one table at a time, unless you have foreign keys specified on the related tables.
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text:
Big surf
November 14, 2013 - Harry Eagar
Yesterday, I drove out to Hookipa to look at the surf. From Baldwin Avenue around the old men's home, you could see the whole coast was closed out, with surf crashing over the outer reef.
The picture doesn't show it very well -- iPhone cameras weren't made for that.
It was the heaviest surf I've seen in several years, though nowhere near as big as I've seen it a long time ago. The big sets came intermittently, and the crests were far apart. At its biggest, Hookipa surf comes in tightly bunched and crashes hard enough to make the ground shake.
Wednesday was nowhere close to that. But it did come quite early in the season.
There's been some blather about global warming in connection with the typhoon in the Philippines, part of the promised more and bigger storms. You sure can't prove that by Maui (or by measuring Accumulated Storm Energy worldwide, either).
It rained hard at Kahului Airport Sunday; set a record that doubled the old record for a short period. It wasn't raining hard Upcountry, and I didn't realize there was a downpour Downcountry or I'd have rushed to see whether the intersection at Hana Highway and Dairy Road flooded.
That intersection used to flood two or three or more times a year, and become impassable every other year or so, a serious matter since that's how you get to the airport from the tourist areas. One time in the late '80s, I forget which year, there was a three-day storm that closed off that intersection for days, cutting off East Maui from West and South Maui.
The alternative way along Hansen Road flooded, too, and that was closed. I reported that East Maui was completely cut off, although it is possible that in a truck you could have gotten down Amala Place, through the airport and out along Haleakala Highway to Hana Highway. I didn't try it, and it wouldn't have made a difference in the big picture anyway.
My story in The Maui News made a big deal of the fact that if the state closed Haleakala Highway north of Hana Highway, which it was proposing to do as part of the runway extension, flooding at Dairy and Hansen would truly cut off East Maui any time there was a moderate rainstorm. (Ed Tanji, then reporting for the Advertiser, thought I overreacted; he believed Hansen Road had been closed by a rookie cop who didn't understand the situation; but he was kind enough not to say a malihini reporter had misunderstood, too.)
Gov. John Waihee, trying to soothe the furor over the runway and flush with $500 million from Duty Free Shoppers that could be spent only on airport projects, ordered Haleakala Highway rebuilt around the end of the runway, which never was extended. Nowadays, if you wonder why the road wanders around in the fields and requires you to make three mysterious dogleg turns, it's because John Waihee wanted to keep me happy.
It cost $1,000,000, the most anybody has ever spent to make me happy.
Later, as part of the development of Kmart and other big box stores, the intersection of Dairy and Hana was rebuilt. (It was raised, so that the cross-streets flood now in a heavy dew.)
The point (and I do have one, though it has taken a while to get to it) is that after the intersection was raised, it stopped raining. Whenever I saw Warren Unemori, who designed the road, I'd ask him if he was sure it would handle a big storm, and he always smiled and said he was sure it would. But for more than 20 years, until Sunday, it was never tested.
So, whenever the alarmists say we are going to have to weather more and bigger storms, you can't prove it by me.
The Dairy-Hana intersection stayed open, so Warren was right.
Article Comments(3)
Nov-15-13 8:47 PM
If you have time; see the island from the air. A truly unique place.
Nov-15-13 2:37 PM
Harry You may have missed your calling..... Harry Eagar, Maui County Weather Historian & Flood Control Observer.
Nov-15-13 2:36 PM
Harry You may have missed your calling..... Harry Eagar, Maui County Weather Historian & Flood Control Observer.
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Last August, Dubai rounded up 17 foreign men accused of being...gay. That's right...gay. The worldwide response was deafening. Personne, as the French would say. Nobody. Nobody cared. After all, it was just gays.
Today's sports pages revealed yet another human rights transgression by the United Arab Emirates. An Israeli tennis player was refused a visa to play in a the $2 million Dubai Tennis Championships. Her offense? She's... Israeli. Not front page news: only in the sports section. More deafening response.
How quickly we forget the poem attributed to Pastor Martin Niemöller:
"In Germany, they came first for the Communists, And I didn't speak up because I wasn't a Communist;
And then they came for the trade unionists, And I didn't speak up because I wasn't a trade unionist;
And then they came for the Jews, And I didn't speak up because I wasn't a Jew.
And then . . . they came for me . . . And by that time there was no one left to speak up."


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Celebrity Central / Top 25 Celebs
Joel Madden
- 2008
'We're So Blessed!'
Richie appears on her second PEOPLE cover with baby Harlow, where Madden reveals just how 'blessed' they are. "I can't imagine life without her," Madden says of their 9-month-old daughter. "It was never a moment where it was like, 'This is inconvenient for us.' We're very blessed to have it happen the way it did." Richie adds, "I'd love to say she's a mommy's girl, but when she sees her dad, she nose-dives for him."
- 2009
Here Comes Sparrow
Madden and Richie welcome their second child, Sparrow James Midnight Madden. Their baby boy weighs 7lbs 14oz. "Mothering comes naturally to Nicole," Madden tells PEOPLE. "She loves it." In the New Year, Madden announces his engagement to Richie on Twitter. "Yeah we've been engaged for a while so your all kind of late on that," he Tweeted.
- 2010
Ready to Rock Again
After a three-year hiatus, Madden returns to the music scene, releasing his fifth studio album with Good Charlotte, Cardiology. The dad-of-two dedicates a song to daughter Harlow on the CD, "Harlow's Song (Can't Dream Without You)", who he also enlists to help promote the album in a YouTube video. "Harlow helps announce our song on iTunes," Madden Tweeted. "LOL She's loves goin 2 work w/me."
Making It Official
After four years and two children together, Madden and Richie tie the knot in front of 130 close family and friends at Lionel Richie's Los Angeles estate. "It was the best night of my life," the gushing groom tells PEOPLE of the nuptials, whose guests include Benji Madden, Samantha Ronson and Gwen Stefani.
Photo Credits
BIOGRAPHY (top to bottom): amazon.com; Matt Baron/BEImages
- Name
- Joel Madden
- Date of Birth
- March 11, 1979
- Birth Place
- Waldorf, Md.
- Relationships
Nicole Richie, wife (Dec. 2006 to present)
Hilary Duff, ex-girlfriend (July 2004 to Nov. 2006)
- Children
Harlow Winter Kate Madden, daughter (1/11/08)
Sparrow James Midnight Madden, son (9/09/09)


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Gran Turismo 5 to Feature Track Editor
Sony's Shuhei Yoshida confirms new feature in an official interview.
Sony's upcoming Gran Turismo 5 will feature a track editor, a first for the longstanding racing sim.
Speaking in an interview on the official PlayStation UK blog, Sony Computer Entertainment president Shuhei Yoshida casually mentioned that the game would feature an online track editor when asked about new features we'll be seeing in the game.
Other features teased by the publishing president include night racing, weather effects, stunt arenas, and a go-karting mode, saying that the sequel would go beyond a definitive driving experience to "a definitive gaming experience full stop."
One of the most oft-delayed games in modern development history, Gran Turismo was revealed to have a definitive November 2 release date during this year's E3.
See Also
Comments (14)
Go-carts?Posted: Jun 22, 2010 12:00AM PST by Roo5676
I plan on buying GT5, but go-carts? Really?
To me driving go-carts in a video game would be as pointless as playing a paintball video game (and there have been some). You only play paintball in real life because you can't use real guns and ammo, just like you only drive go carts in real life because you can't drive real race cars. So instead of playing a simulation of the real thing, you're playing a simulation of a watered-down version of the real thing.
I'd gladly trade go-carts for more real tracks or a quicker release.
I can see what you are getting at....Posted: Jun 22, 2010 12:00AM PST by Gold_Ultima
I really can. It does depend on the KIND of go-karts though. You see, there are karts that go just as fast as normal cars. They often use them for racing driving training. These karts actually require a driving course before you are allowed to drive them and whatnot.
Also, it's not Polyphony that is delaying the game. Sony is telling them they have to wait to release it, so they are just adding stuff in the meantime.
the term...Posted: Jun 21, 2010 12:00AM PST by myballzich
"To big for your britches"...comes to mind..but still...i cant wait for GT5
Sounds prettyPosted: Jun 21, 2010 12:00AM PST by Ap3cHe_w3rrior_falco
good but it may have some frustrating limitations. I'll have to see.
Holy F'ing Poop!Posted: Jun 21, 2010 12:00AM PST by Gold_Ultima
That came RIGHT OUTTA LEFT FIELD! I can't bloody wait to make me some mountain tracks! First up, Mount Haruna!
So GranNation Turismo?Posted: Jun 21, 2010 12:00AM PST by MooseyMcMan
Horrible combination of names, but still.


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Drop 1 Liberation
A militarized Central Park stretches across a vast landscape, ripe for long-range sniper and LMG fire. Mounted turrets on either end lend power to anyone brave enough to expose themselves in exchange for deadly firepower. Plan out your movement and always be aware of nearby sightlines to avoid becoming fodder for the enemy.
- Xbox Available Now
- PS3 Available Now
- Map
- On Elite since 1/24


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At the weekly Monday Press Conference athletic director Barry Alvarez made two announcements regarding the Badgers annual Spring Game for football. The first was that the game would be set for April 20th at 2pm Central time at Camp Randall and the second was that the game proceeds would go to the UW School of Pharmacy.
"We're going to use this as an opportunity for us to highlight the school, to highlight the role of the pharmacist, and especially to launch a new med drop site at the UW police department headquarters across from Camp Randall," said UW School of Pharmacy Dean Jeanette Roberts on Monday. "This will be the first med drop site on campus."
This will be the 3rd year the Badgers have used the Spring Game to help benefit projects amongst the different college's at the University – starting with the school of nursing and then the school of Ecology last year. One of the neat things is that each school has been able to use this partnership to benefit their department as they see fit and that doesn't change with the game this year either.
The money raised will go to helping the Pharmacy school's Great People scholarship fund.
"We will be devoting the proceeds of the spring game to our Great People scholarship program," Roberts announced. "This is all needs based scholarships, a program that was originated two or three years ago now, and we're absolutely committed to reducing the student debt load of our graduates and promoting the fact that pharmacy education can and should be accessible for any qualified student regardless of socioeconomic status."
This game has been plagued by bad weather and cold conditions the past two years and with a new staff, a QB battle brewing, and a program coming off of back-to-back-to-back Big Ten championships the hope is that this will be the biggest crowd yet for the annual spring game.
Tickets are on sale for the game now and details as well as actual tickets can be bought on the official Badgers website. Cost of a ticket is $5.


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Police Department Changes Disability Policy For Military VetsDepartment spokesman Adam Collins said the policy for those officers wounded or injured while on active duty military assignments will be the same as those wounded or injured in the line of duty.
Battle Of Library's Internet Porn Policy Heats UpMegan Fox, a mother of two who homeschools her children, said when she tried early Monday to hand out fliers claiming the Orland Park Public Library is "a dangerous place for children," she was told to leave.
Gay Activist Hopes To Get Eagle Scout Pin BackAn Oak Park activist says he'll try to get his Eagle Scout pin back, now that the Boy Scouts are ending their policy of gay exclusion.
East Aurora School Board Rescinds Transgender-Support PolicySchool Board President Annette Johnson has said her panel was erroneously advised by an assistant superintendent that the transgender policy was necessary to meet changes in the Illinois school code.
Parents Upset With CPS Policy On Age For KindergartenOne age doesn't fit all – that's what dozens of Chicago parents say about the Chicago Public Schools' rigid policy about starting kindergarten at age five and no later.
Parents Protest Policy Restricting School Buses In WaukeganA school bus boycott Friday in Waukegan was less than successful, but the protesters' request may be met this week.
Police Vacation Day Policy Changed In Light Of Weis' Big PayoutAfter a controversial payout to former police Supt. Jody Weis, the new superintendent is making some major policy changes.


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on January 30, 2013 - 7:43 AM
Albright-Knox Art Gallery announced Tuesday that it will team up with First Niagara Bank to establish a new mentoring program for young artists, AK Teens.
The program will offer workshops and personal guidance on making art, working in the arts and other talents, including public speaking. Volunteers from First Niagara will teach sessions on the financial considerations of making art.
"First Niagara has been an outstanding supporter from the first time we talked to them about this idea," said Karen Lee Spaulding, the gallery's interim director.
"We are delighted that they will be active partners in AK Teens, providing not only financial support for the program, but also important expertise in helping our teens understand how to manage the practical aspects of their careers, such as budgeting and securing funding for their work."


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How Harry Met
Mari(juana): PEOPLE
On July 30, Britain's - Prince Harry arrived at Featherstone Lodge, a drug rehab center in a gritty south London neighborhood, without the usual royal pomp and circumstance. Instead, PEOPLE reports in its latest cover story -- about the revelation and aftereffects of Harry's pot and alcohol use -- the prince, then 16, slipped quietly into the red brick building for a tour by a recovering addict. "He asked several residents, 'How did you come to be in rehab?,' " Featherstone staffer Wilma Graham, who attended the meeting, told the magazine. "And I think he was quite shocked to hear that you can be using 'soft' drugs and that suddenly you're moving toward hard drugs. I think it was quite an eye-opener for Harry." And these were eyes that apparently needed opening, PEOPLE reveals. According to reports, Harry drank alcohol with pals at the Rattlebone Inn, a pub in Wiltshire near the family's Highgrove estate, and smoked dope in the Rattlebone's backyard shed; he also reportedly enjoyed "lock-ins," the common practice in which a pub owner locks the door at closing time but continues to serve drinks inside. Sometimes, too, PEOPLE quotes one newspaper account as reporting, should Harry spot a young English rose he'd like to know better, the young royal, third in line to the throne, would approach her at the Rattlebone with the line, "Do you want to come back to my palace for a drink?"


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Hollis Brookline school opening delayed due to water quality
School was scheduled to open Wednesday
Published 7:38 AM EDT Aug 27, 2013
Hollis Brookline High School has delayed the start of school due to a water quality issue.
The school was scheduled to open Wednesday. Freshmen will have a half day on Thursday, and the remainder of students will start on Friday.
Copyright 2013 by WMUR.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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interested in adding friends for gaming
interested in adding friends for gaming
Spoiler Alert!
TNOG.ORG - Games events in Manchester
MikeDBloke - PSN
I was into weird games before people knew what they where
@D_Bloke - My inane prattle
Welcome to the forums.
Double posting is a no no anywhere on these forums.
Make sure you read the rules.
WiiChat Photo Album:
Welcome to the forum Peaches.
Try the "Share friend codes here" thread in the Wii Online section.interested in adding friends for gaming
Link: http://www.wiichat.com/nintendo-wii-...odes-here.html
Last edited by Syntax; 01-21-2007 at 10:19 AM.


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Association Between Tamsulosin and Serious Ophthalmic Adverse Events in Older Men Following Cataract Surgery
Chaim M. Bell, MD, PhD; Wendy V. Hatch, OD, MSc; Hadas D. Fischer, MD; Geta Cernat, MD, MSc; J. Michael Paterson, MSc; Andrea Gruneir, PhD; Sudeep S. Gill, MD, MSc; Susan E. Bronskill, PhD; Geoffrey M. Anderson, MD, PhD; Paula A. Rochon, MD, MPH
Both benign prostatic hyperplasia (BPH) and cataract formation are common in older men. The α-adrenergic receptor blocker tamsulosin is frequently prescribed to treat BPH, and research suggests this drug may increase the intraoperative difficulty of cataract surgery. No studies have documented whether use of tamsulosin or other α-blocker drug therapies affect the risk of serious postoperative adverse events.
To assess the risk of adverse events following cataract surgery in older men prescribed tamsulosin or other α-blocking drugs used to treat BPH.
Design, Setting, and Patients:
Nested case-control analysis of a population-based retrospective cohort study using linked health care databases from Ontario, Canada. We included all men aged 66 years or older who had cataract surgery between 2002 and 2007 (N = 96 128).
Main Outcome Measures:
A composite of procedures signifying retinal detachment, lost lens or lens fragment, or endophthalmitis occurring within 14 days after cataract surgery. The risk of these adverse events was compared between men treated with tamsulosin or other α-blockers and men with no exposure to these medications in the year prior to cataract surgery. We separately examined the association of drug exposure that was either recent (within the 14 days before surgery) or previous (15-365 days before surgery).
Overall, 3550 patients (3.7%) in the cohort had recent exposure to tamsulosin and 7426 patients (7.7%) had recent exposure to other α-blockers. Two hundred eighty-four patients (0.3%) had an adverse event. We randomly matched 280 of the cases to 1102 controls according to their age, surgeon, and year of surgery. Adverse events were significantly more common among patients with recent tamsulosin exposure (7.5% vs 2.7%; adjusted odds ratio [OR], 2.33; 95% confidence interval [CI], 1.22-4.43) but were not associated with recent exposure to other α-blockers (7.5% vs 8.0%; adjusted OR, 0.91; 95% CI, 0.54-1.54) or to previous exposure to either tamsulosin (1.8% vs 1%; adjusted OR, 0.94; 95% CI, 0.27-3.34) or other α-blockers (2.9% vs 2.1%; adjusted OR, 1.08; 95% CI, 0.47-2.48). This corresponds to an estimated number needed to harm (NNH) of 255 (95% CI, 99-1666).
Exposure to tamsulosin within 14 days of cataract surgery was significantly associated with serious postoperative ophthalmic adverse events. There were no significant associations with exposure to other α-blocker medications used to treat BPH.
Thank you for submitting a comment on this article. It will be reviewed by JAMA Ophthalmology editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
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Community Matters.
Community Matters grew from the needs and energy of the Lower Price Hill community and we are firmly committed to growing opportunities from within. We believe that all people can thrive when positive opportunities exist within their community.
Our goal is to remove barriers to opportunity so that we can develop community with our neighbors.


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Hampshire hampered in run charge
Click here for exclusive match highlights from every day's play, latest scores, reports, news and interviews during the LV= County Championship campaign
Rain and bad light meant only 10 overs were possible on the third day of Hampshire's LV= County Championship Second Division match with Leicestershire at the Ageas Bowl.
Hampshire's fifth-wicket pair of Michael Carberry and Sean Ervine added a further 36 runs to guide Hampshire to 217 for four - still 17 behind the Leicestershire first-innings total of 234 all out - before more rain called a premature halt.
Carberry, this time batting without the aid of a runner, took his score from 73 to 84 not out and the more aggressive Ervine went from 17 to an unbeaten 41.
The previous day Carberry, recalled to the England Lions squad for the match against West Indies next month, struggled to run because of the effects of cramp and a groin injury.
Leicestershire turned to spinner Kadeer Ali when play started at 3.40pm and pace bowler Nadeem Malik but neither looked like succeeding in overcast conditions and on a wet outfield.
Later Robbie Joseph's pace was brought into the attack in place of Kadeer, also without hint of a breakthrough.
Want to know what's happening at your county? Interested in how your rivals are faring? Look no further than ecb.co.uk's county-by-county page


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The combined Red Land and Cedar Cliff marching bands, along with parents, chaperons and teachers, have arrived safely China.
The West Shore band is one of only two from the U.S. representing this country in the Olympic Youth Festival Parade, which is part of the welcoming ceremonies for the 2008 Summer Olympics in Beijing. The band will be in China until July 3.


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Sienna Miller 'spat at' by paparazzi
Actress Sienna Miller tells an inquiry her emails and phones were hacked by the News of the World as part of a "web of surveillance" that led her to make paranoid accusations against her friends.
© Copyright 2016, NZME. Publishing Limited
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University archives contain family treasures
To a family history researcher, any archive may be a goldmine, providing information on relatives not found easily elsewhere. For those whose families have a connection to a specific organization or educational institution, the archives may hold exciting family information.
Even better is that many archives are now digitizing their holdings and making them accessible online.
As just one example, there is Johns Hopkins University (Baltimore, Maryland, US), which has now made its Alan M. Chesney Medical Archives accessible to anyone around the globe.
Chesney was dean (1929-1953) of the School of Medicine. While he was researching his history of the medical school and hospital, he found many documents which he used to write a three-volume work. Following this, he began pushing for an archival program.
Thanks to his efforts, this archive has, for 30 years, been the historical location for preserving photos, films, documents, personal papers and objects connected with the Johns Hopkins Hospital and the Schools of Medicine, Nursing and Public Health. It has preserved these materials and made them available to researchers.
Here's a photo of the 1897 graduating class - the one female member of the class is absent.
In addition to documents and some 400,000 photos (including thousands of portraits), there are more than 10,000 items in the Material Culture Collections, which include decorative and fine arts, medical illustrations and equipment and memorabilia, such as an early defibrillator. There are also more than 500 collections of personal papers of alumni, faculty and administrators.
The entire catalog will be online, including a large part of its photo collection, biographical and historical information and will also feature online exhibits. The archives staff will also be available through a service which will permit visitors to ask general questions, request assistance or permission to use materials.
Among written documents is a letter from Florence Nightingale, dated February 25, 1893 to Isabel Hampton Robb, who headed the Johns Hopkins Hospital Training School for Nurses (1889-1894).
These archives hold more than 18,000 biographical files, some dating to the late 19th-century:
The biographical files primarily include curricula vitae, press clippings, obituaries, and other documents relating to the professional contributions individuals associated with the Johns Hopkins Hospital and/or the medical divisions of the Johns Hopkins University (School of Public Health, School of Medicine, and School of Nursing.)
The files include retired or deceased faculty, staff, and alumni, individuals with current appppointments as well as individuals who have terminated their Hopkins affiliation but are still active within their profession.
In general, the content of these files is somewhat uneven in terms of quantity, and in some cases, quality of information; folders may have inclusive biographical information including curricula vita, bibliographies, biographical sketches, obituaries, and press clippings while others may contain only a scant press clipping or two. Overall the collection is a useful resource for obtaining basic biographical information. The dates of materials in these files range from the late nineteenth century to the present.
A related resource for educational institutions are alumni magazines. Johns Hopkins' publication is always fascinating. We've received this for years because our daughter went to a Hopkins' sponsored summer program in junior high and senior high school and was therefore considered an alumni. Each issue holds interesting stories on research at the university, books published by staff, news items, class notes and much more.
Class notes are a good source of information if you are looking for relatives who graduated at any point. Notes include changes of residence; news of marriage, birth and death; professional updates and more.
A call to a university alumni office about an ancestor may provide information difficult to find.
Over the years, I've contacted various alumni associations for information on deceased relatives and generally received prompt responses. Information has included copies of original applications, place of birth information, photographs, yearbook copies and other interesting and valuable bits of information.
Have you investigated an ancestor with a connection to a school or university? Have you contacted the alumni office for more information? I'm always interested in learning about readers' experiences with different resources, so do let me know.
Search for your ancestors:
- Cool site, love the info. I do a lot of research online on a daily basis and for the most part, people lack substance but, I just wanted to make a quick comment to say I'm glad I found your blog. Thanks, :)
- Hi, thank you for this fantastic article, a really great opening for the new year, keep up the excellent work, Sue.
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|Educational Videos, Lessons and Games for K-12 School Kids
An eclipse occurs when one celestial object moves into the shadow of another. It's an astronomical event that requires three or more celestial objects to get aligned in a straight line. In solar eclipses, moon passes between the Sun and the Earth casting its shadow on the Earth's surface, and partly or wholly obscuring the Sun. In lunar eclipses, the moon passes through some part of the Earth's shadow.
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Call for Essays and Case Studies on:
"Building feminist movements and organizations: learning from experience"
Send your contribution by April 30th, 2005!
AWID renews its invitation to send contributions to the Call for Essays and Case Studies "Building feminist movements and organizations: learning from experience". The deadline has been extended to April 30th, 2005. Through this Call, we are gathering insights into feminist organizational strengthening and movement building that we intend to share with AWID members and others around the world. What processes make a strong women's organization? How can we move beyond our fragmented feminist and women's movements? We propose to reflect on and share these and other questions by bringing together a collection of essays and case studies depicting our organizational experiences in our women's movements and organizations.
We wish to emphasize that we are not only looking for academic contributions. New technologies enable us to share written information at a fast pace world wide. Nevertheless, we recognize that some of us feel more at ease expressing ourselves through other means of communication, or we feel that we lack experience to translate our everyday experiences into a written contribution. If you wish to share your experiences but need assistance for writing an essay or a case study, we can help you. We can assist you by putting you in contact with people in your country who can support you. If you wish to get support or advice on how to write your contribution, or you wish to support a person/organization through this process, please contact us at email@example.com
If you have an experience or a reflection on movement building or organizational strengthening that you wish to share, get in touch with us. We want to hear from you!
Both essays and case studies should focus on one or more of the following issues:
Contributions that are selected will receive an honorarium of $1000 USD to be used towards organizational strengthening activities. Selected contributions will also be published by AWID and highlighted at the 10th International AWID Forum on Women's Rights in Development, October 27-30, 2005, in Bangkok, Thailand. For further information, please consult our web page at the web address shown below. The call is available in Arabic, English, French, Russian and Spanish.
Best regards,
Feminist Movements and Organisations Program, AWID
We have received a number of contributions that do not fulfill the Call's requirements. Thus, we invite you. We urge you to read carefully the Call for Contributions on our web page, particularly regarding the main themes that contributors can address and the number of pages for the contributions.
Visit our web page for the Call guidelines and ensure that your contribution is considered!
Association for Women's Rights in Development (AWID)
215 Spadina Ave., Suite 150, Toronto, Ontario, Canada, M5T 2C7


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AddisChamber.com Bookmark This Add Photo Post Review
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A teenage boy is dead and a girl in her teens is in serious condition after a stabbing in East El Paso.
El Paso Police told ABC-7 that the two were at a party on Tierra Cobre, when a fight broke out on the street.
No information was provided on the reason for the incident. No arrests have been made either.
ABC-7 will post any updates online as more information becomes available.


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Wednesday, 28 September, 2016
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MIAMI GARDENS, Fla. - Usually, Charlie Manuel arrives early to the ballpark, many times before noon. He'll sometimes schedule a morning walk before reporting for work, but it typically does not preclude him from spending hours upon hours at the stadium.
On Wednesday afternoon, he sat in his office before the Phillies beat the Florida Marlins, 10-5, and turned on the computer. That's how he followed the Washington Nationals' victory over Atlanta. His players, coming in and out of the clubhouse, could watch on the many TV sets.