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For sports fans, when your team wins a championship, it means the whole world.
For San Antonio Spurs fans, that feeling of elation, pride, gratification, and pure happiness has occurred on five separate occasions. No matter what those feelings have occurred, but sometimes it just means a little bit more when the Larry O'Brien is hoisted.
Which championships meant just a little bit more? There seems to be a tie at the top.
1999: The first championship a team, or entire city for that matter, wins is truly something special. The city hadn't felt that special kind of feeling, so feeling it for that first time ranks the 1999 title pretty high on a meaningful level. The season was shortened due to lockout, but the rest was magical.
The Moment: The magic reached its peak during the Memorial Day Miracle, one of the greatest moments in playoff history. Sean Elliott, soon to undergo a kidney transplant, snatched the inbound pass from Mario Elie, after nearly being stolen, and arched a three over Rasheed Wallace's outstretched arms, with his heels on tip-toeing over the sideline, and buried the Trail Blazer's spirits and 18 point third quarter lead. This led to a 4-0 Western Conference Finals' sweep.
The Storyline: More than anything, Tim Duncan emerged as a dominant force in the association. For years to come, Duncan would put a scare in opponent's eyes. His 21 points and 11 rebounds per game (great numbers) weren't even close to the pinnacle of his career.
The Team: The 1999 Championship team was littered with names that the entire community of San Antonio still knows. Avery Johnson, Sean Elliott, and David Robinson all have their numbers in the rafters of the AT&T Center. Malik Rose goes down as one of the all-time fan favorites. Antonio Daniels, another beloved character, is currently on the airwaves in San Antonio. Mario Elie was a playoff hero, an offseason signing that turned the tides for the Spurs. Steve Kerr later became famous for some playoff heroics. Jerome Kersey and Jaren Jackson provided veteran leadership and depth. And lastly, Tim Duncan helped David Robinson form the twin towers, one of the more dominant frontcourt duos in NBA history.
2014: The fifth title was all about redemption. After a heartbreaking defeat in 2013, which consisted of a dagger three-pointer by Ray Allen in Game 6 and a missed "bunny" as Mr. Duncan himself would describe it, in Game 7, the Spurs faced the same Miami Heat team that took away their undefeated Finals record. Redemption just made this title that much more special.
The Moment: The key moment in the 2014 NBA Playoffs came when, as funny as it sounds, the air conditioning broke. With LeBron James cramping and unable to play, the Spurs stormed to an 18-2 run en route to a 15-point victory. It's one of those moments fans will remember for years due to its unique situation. Once the team rattled off one 15 point win, they were comfortable enough winning all their games by at least nine points.
The Team: There may not be a deeper and more team-oriented squad in the history of the NBA. While redemption was a storyline, the longevity of Tim Duncan was another huge storyline. No longer the dominant force he was back in the days, Duncan still contributed to the organization as a solid defender, scorer, and rebounder. The argument could be made that no player on the roster should have been an All-Star. However, Tony Parker did receiver the nod, and became the de facto leader of the team. After struggling the year before, Manu Ginobili returned to the Finals with a newfound youthfulness and played tremendously. While those guys were dubbed the "Big Three", arguably the most important player on the team was the young gun Kawhi Leonard. After a sizzling performance in the Finals, Leonard became the third youngest Finals MVP of all time. Rounding out the true team atmosphere, Patty Mills, Tiago Splitter, Boris Diaw, Marco Belinelli, and Danny Green all played gigantic roles in receiving a new banner in the rafters.
2003: The Spurs second championship was the third most meaningful title. Winning his second title vaulted David Robinson into legendary status, and Tim Duncan was hitting his peak, which would last for the next few seasons
The Moment: The best moment in the Spurs title came during Game 6 of the Western Conference Finals against the arch-nemesis Dallas Mavericks. Down big and facing a return to San Antonio for Game 7, Gregg Popovich looked down his bench. Enter Steve Kerr. The 37-year old veteran came in and knocked down three ball after three ball. Couple with Stephen Jackson, the Spurs rattled off 23 straight points to bury the Mavericks and return to the NBA Finals.
The Storyline: By far this biggest storyline of the 2003 title run was the retirement of David Robinson. Prior to the beginning of the season, Robinson declared that this season would be his last. The team seemed to rally behind him and send him off into the sunset with Mr. Larry. Danny Ferry and Steve Kerr would also follow Robinson into retirement. This season also marked the opening of the SBC (now AT&T) Center.
The Team: 2003 featured the first title of the "Big 3 Era" with Tony Parker and Manu Ginobili joining MVP Tim Duncan and David Robinson. Fan-favorite Malik Rose was still on the roster, and he was joined by veterans Steve Kerr, Danny Ferry, Kevin Willis, and Steve Smith. Bruce Bowen emerged as the defensive specialist we all know him as today, and his number currently hangs in the rafters of the AT&T Center. Stephen Jackson brought timely threes and grit to the table before departing the next offseason.
2007: 2007 gets ranked before 2005 for one reason. As the next couple seasons after 2007 unfolded, it really seemed like the Spurs championship window had closed. For Spurs fans, it seemed that 2007 was the end of the dominant Tim Duncan-era.
The Moment: The hip check. All of the title runs seem to have one defining moment that nobody forgets. As controversial as it was, it really did have a gigantic impact on the series. As Steve Nash came dribbling down the court in the waning moments of Game 4, a frustrated Robert Horry sent Nash spiraling into the scorer's table. Horry was consequently suspended two games, but Amare Stoudemire and Boris Diaw also got suspended for leaving the bench area. Without them, the Suns didn't have enough firepower to claim control of the series.
The Storyline: LeBron James had become the face of the NBA. With his stardom quickly rising, LeBron's first trip to the NBA Finals had fans a buzz. However, after Tim Duncan and Co. dismantled and swept the Cavaliers, Duncan had one of the best quotes to cross the media world, thanking LeBron for letting the Spurs have this one and telling LeBron "this is going to be your league for a little while." Of course, James has since won two NBA titles and four MVP awards.
The Team: Gone from the 2005 title team were Rasho and Nazr. Replacing them next to Duncan were Francisco Elson and Argentinian Fabricio Oberto. Brent Barry was knocked down the pecking order a bit for Michael Finley. Udrih was also knocked down the lineup for veteran Jacque Vaughn. Bruce Bowen remained a defensive stalwart. Obviously Tim Duncan was still around and Manu Ginobili's efforts were rewarded with a Sixth Man of the Year Award. Tony Parker's outstanding performance earned him Finals MVP.
2005: The middle title seemed to be one of the tougher treks to the gold. With a tough, hot Denver team, a veteran-led Seattle Sonics team, and the run-n-gun Phoenix Suns in their path, the Spurs were battle tested by the time they met their finals foe, defending champion Detroit Pistons.
The Moment: Big Shot Rob. As vital as Robert Horry had been in the Spurs finals runs, his biggest impact was felt when he single handedly took over Game 5 in Detroit. After four straight Finals blowouts, the pivotal Game 5 came down to the wire. Not scoring until the final play of the third quarter, Horry ended with 21 points, none bigger than a game-winning three in overtime. After inbounding the ball himself, Rasheed Wallace left him in an attempt to trap Manu Ginobili in the corner. Ginobili swung the ball back to the hottest player on the court and the rest is history. Rasheed Wallace, being involved in both, must have nightmares of the two biggest shots in Spurs history.
The Storyline: After suffering through .4 the year before, the Spurs were on a mission to return to glory. Manu Ginobili had emerged as a superstar in the NBA, resulting in his first All-Star appearance. After the Pistons had exploded the Lakers' roster the year before, they were no longer a factor or roadblock in the Spurs' path to greatness.
The Team: The trek continued for the Big 3. Joining Tony Parker, Tim Duncan, and Manu Ginobili on the roster was All-NBA Defensive First Team member Bruce Bowen. Robert Horry would provide veteran leadership and late game heroics. Malik Rose became Nazr Mohammed, and he joined Rasho Nesterovic as running mates of Tim Duncan's frontcourt. Beno Udrih backed up Tony Parker, and Brent Barry shot just as good as anybody in the league. Devin Brown, Tony Massenburg, and late season addition Glenn Robinson rounded out the roster.
Again, this is not a ranking of how good the title teams were. It's simply how meaningful every championship run was.

subset: commoncrawl


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A prescription medication originally developed to treat epilepsy may help obese adults shed weight when combined with routine nutritional counseling, researchers say.
Epilepsy Drug Shows Promise as Weight-Loss Aid, Study Says
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Put your feet up and relax! Hosting a Temple Spa class is so easy. It's as simple as inviting six to eight friends, family, colleagues and neighbours around for an evening of fun and pampering. Turn your home into a SPA BOUTIQUE
You'll enjoy…
The Temple Spa York Consultant does all the work so that you can sit back and relax, all you have to do is invite your friends around for a wonderful relaxing social evening, the consultant will send you all the information that you need, plus invitations, and a confirmation letter.
The consultant will set up the products on arrival and talk through all the products and hand around for the guests to use and give themselves a wonderful facial, she will then give the guests the opportunity to purchase the products and show everyone what beautiful products and gifts you can get your hands on for free!
Temple Spa products are a mix of botanicals meets derma science, made of natural ingredients that are results driven. The products include live ingredients that work on the skin, so as well as instant results your skin will experience long term benefits too!
Our aim is to provide products that you will instantly fall in love with.
Temple Spa products are a premium skincare and spa range that only retails at Harrods and Selfridges in London, they are also available through a handful of outlets including P&O Cruises, first class on Emirate Airlines, and a few boutique hotels and spas across the country. Other than that Temple Spa products are only available through Spa To Go Classes in the home, which is where Temple Spa York comes in.
At Temple Spa York we can arrange for you to hold a Spa to Go Class in your home, a fun and relaxing, pampering evening for ladies free of charge and ask you to invite 6-8 friends or family to your class, the Temple Spa York Consultant does a skin analysis for each lady and we establish a personal skin regime for everyone, according to their individual skin type.
The class is very interactive and great fun. You also learn lots of hints and tips to help you get the most out of your skincare. You receive wonderful hostess gifts from us as a thank you for hosting a class, which are all worth between £50 and £100.
We can train you to conduct our TEMPLE SPA CLASSES – teaching skincare and spa techniques and selling the products you love to others in your world.
Our self-employed consultants are warm, passionate people with energy and enthusiasm.
Temple Spa York would love to hear from anyone who is interested in getting their hands on some fabulous Temple Spa freebies, fancies a girly get together with their friends with a difference by hosting a class in your home, or if you think 'I could do that' and you are interested in becoming a Temple Spa Consultant yourself then get in touch today!
To contact Temple Spa York, email me on firstname.lastname@example.com or call me on 01759 319466 for an informal chat about Temple Spa products, hosting a class or becoming a consultant.
Everyone likes a bit of pampering now and then, and here at Temple Spa York we say you deserve it, take some time out, just for you!


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The University of Texas-Pan American was recognized as a "State Farm Priority School" for the second year in a row and received a $50,000 grant from State Farm Companies Foundation for HESTEC (Hispanic Engineering, Science and Technology) Week.
"State Farm has been a good neighbor to us," UTPA President Dr. Blandina Cárdenas said. "Time and time again this company has proven its commitment to UTPA, to the community and its residents."
For the past two academic years, State Farm Companies Foundation has recognized UTPA as a "State Farm Priority School," based on its academic performance and its community outreach to more than 50,000 students, teachers, parents, and community members during HESTEC Week.
State Farm Agent Julian Garza of Weslaco said UTPA is one of only two universities in the state to receive this honor.
"We try our best to direct our resources, both financial and through volunteer work to the areas where we think we can have the greatest impact," Garza said. "Our goal is to help raise the level of achievement for teachers and students as well."
State Farm Companies Foundation has given more than $280,000 to the University since 2002.
Florinda Gonzalez, a sophomore at the University majoring in nursing, attended HESTEC since its inception and received a GEAR UP (Gaining Early Awareness and Readiness in Undergraduate Programs) scholarship.
"As a nursing student, I am grateful for the money given by State Farm Companies Foundation. It really helps take the financial burden off of my mind and allows me to concentrate on what is really important - my education," Gonzalez said. "Because of you, you have built a road in which I will continue to succeed in my scholarly ambitions."
Founded by UTPA and Congressman Rubén Hinojosa, in partnership with the Region One Educational Service Center, HESTEC Week was created for the purpose of getting pre-K-16 students, teachers, and community interested in science, technology, engineering and math (STEM) careers by working together with corporations, federal, state, and local agencies to help meet the needs of a diverse Hispanic work force.
HESTEC Week 2007 is scheduled for Sept. 24-29. For more information about HESTEC, call 956/381-3361.


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Home > Guitars > Bass Guitars > Flea Bass > Flea bass Primed
Flea bass Primed
Ask About This Product
Product details
This is it! Your last chance to get your hands on a Fleabass… Just 150 of the basses are left in the UK and when they're gone, that's it, there will be no further production runs.
And these remaining 'Primer' models are a bit special. They're built to the same, excellent spec as the original Fleabasses (with alder body, 34″ scale, 20-fret maple neck modelled on Flea's favourite touring bass, alnico humbucker and thru-body stringing) but are completely raw, with just a white primer coat and no scratchplate, allowing players to create their own unique model with spray or handpainting technicques, stickers, marker pens, you name it.
we're having some of these professionally painted by local graffiti artists with one off designs,these will be a limited run and the possibility of custom artwork of your choice will really make these bass' one of a kind, if you are interested in custom work we'll get in touch with the creative types about your design.
These custom flea bass' will vary in price so please call us for a price on each of these unique pieces. 0116 2545456
price shown on site,represents price for primer white model,this custom hand painted beast done by two local graffiti artists will be selling for £299,snap one up ;)


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Bernice D. Tabbal, 80, of Wailuku, Maui, passed away on April 3, 2012, at Maui Memorial Medical Center. She was born on September 14, 1931 on Oahu, Hawaii.
Visitation will be held from 9:00 a.m. to 12:00 noon on Saturday, April 14, 2012, at Ballard Family Mortuary; prayer service begins at 11:00 a.m.; entombment will follow, 12:30 p.m. at Maui Memorial Park Cemetery in Wailuku. The family requests casual attire.
Bernice was a member of Kamaaina families that settled on Maui in the late 1870's and early 1880's. She was one of the first employees of the Sheraton Maui Hotel, who worked as a Telephone Operator, and later, retired as a Realtor. She was a graduate of Sacred Hearts Academy in Honolulu, a member of the Maui Portuguese Cultural Club, a folk dancer & singer on Maui, a member of the Quilters Guild, and a chaperone for her son's athletic teams. She is survived by her son, David C. Gomes Jr. (Kehau).
Condolences may be sent to: www.ballardfamilymortuaries.com


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Direct Engagement/Conference Specialist
- Employer
- Stern Strategy Group
- Location
- Cranford
- Posted
- Feb 21, 2013
- Closes
- Mar 23, 2013
- Contact
- Ms. Human Resources Recruiting Manager
- Category
- PR & Communications
- Duration
- Full Time
Are you intellectually curious? Do you easily solve problems and connect people and ideas? Do you have a deep understanding of worldly themes, news and events? Do you thrive in environments that require persistence and the ability forge relationships? If so, you could be a match for us!Award-winning, fast-paced PR, marketing and digital strategy agency seeks a Direct Engagement (DE)/Conference Specialist. Key areas of responsibility:-Break through to and develop relationships with the highest tier of conference platforms-Effectively participate in new business settings relative to selling DE capabilities-Design and pitch panel ideas and conference topics that are synergistic between and advantageous for various/multiple clients Requirements include:•1-2 years experience in public relations, speakers bureau, or conference content development function, or relevant participation in collegiate-level organizations (Note: entry level candidates with relevant internship experience may also apply) •Excellent oral and written business communication skills; can articulate client themes and goals effectively•Sound judgment when working with team members, client contacts and vendors•Strong organizational and multi-tasking skills; ability to effectively manage multiple projects/deadlines with superior time/project management skills •Highly entrepreneurial mindset•Able to work independently; self-motivated with commitment to detail and world-class service standards in a fast-paced environment•Fearless and proactive in developing relationships via phone and in person with potential key contacts•Professional demeanor and appearance•Demonstrate and apply intuitive strategic thinking to client business•Commitment and dedication to the agency's success as well as individual careerApplyVisit our Careers page and www.sternassociates.com/careers to submit your resume and a cover letter that knocks our socks off! No phone calls, please.


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Featured Golf News
USGA Announces 2013 U.S. Women's Open Section Qualifying Sites
The United States Golf Association (USGA) has announced sectional qualifying sites for the 2013 U.S. Women's Open Championship, to be held at Sebonack Golf Club in Southampton, N.Y., on June 27-30.
Sectional qualifying, conducted over 36 holes, will be held at 20 sites across the U.S. between May 7 and 30. To be eligible, a player must have a USGA Handicap Index® not exceeding 4.4, or be a professional.
"Without the vital support from our friends at state and regional golf associations, we simply could not conduct the qualifiers and, in turn, the championship," said USGA Vice President and Championship Committee Chairman Thomas J. O'Toole Jr. "We extend to them our gratitude for their critical role in conducting the U.S. Women's Open, the most prestigious championship in all of women's golf."
The Broadmoor, which has been the site of seven USGA national championships, will host U.S. Women's Open qualifying for the fourth consecutive year and 19th overall. Located in Colorado Springs, Colo., The Broadmoor first served as a qualifying site in 1978. In 2011, the resort's East Course was used for sectional qualifying just one month prior to hosting that year's U.S. Women's Open, won by So Yeon Ryu. The Broadmoor was also the site of Juli Inkster's third consecutive U.S. Women's Amateur title in 1982 and Annika Sorenstam's first U.S. Women's Open victory in 1995, as well as Jack Nicklaus' first U.S. Amateur win in 1959. Its West Course will be used for this year's qualifying.
Two of the three California sites for 2013 will hold U.S. Women's Open qualifying for the seventh time. Lake Merced Golf Club in Daly City traditionally hosts U.S. Open and U.S. Women's Open sectional qualifying in alternate years. The club hosted U.S. Open sectional qualifying in 2012, just six weeks prior to hosting the U.S. Girls' Junior, won by Minjee Lee of Australia. Lake Merced was also the site of the 1990 U.S. Junior Amateur, won by Mathew Todd.
Industry Hills Golf Club in City of Industry, near Los Angeles, has held Women's Open sectional qualifying every year since 2010. It was a local qualifying site in 2009 (the final year of local qualifying, which was conducted from 2002-09) and hosted sectional qualifying in 1980 and 1982. Industry Hills will also host U.S. Open local qualifying on its Eisenhower Course on May 14, two weeks prior to Women's Open sectional qualifying.
Heathrow (Fla.) Country Club will also serve as a U.S. Women's Open qualifying site for the seventh time. Previously known as The Country Club at Heathrow, it hosted qualifying from 2002-2007. It was at Heathrow that Lexi Thompson qualified for the 2007 U.S. Women's Open at the age of 12 years, four months and one day, making her the youngest competitor in championship history.
Waverley Country Club, located in Portland, Ore., will serve as a qualifying site for the sixth time and the first since 1990. Waverley has hosted six USGA championships, including the 1993 U.S. Junior Amateur Championship, in which 17-year-old Tiger Woods won his record third straight title.
Druid Hills Golf Club in Atlanta will host sectional qualifying for the second time in three years. Druid Hills was the site of the sixth U.S. Women's Open, conducted in 1951 by the Ladies Professional Golf Association and won by Betsy Rawls. It also served as the companion course to East Lake Golf Club for the 2001 U.S. Amateur Championship.
Three other past USGA championship sites will host U.S. Women's Open sectional qualifying. Cantigny Golf, the Wheaton, Ill., course that hosted Colt Knost's 2007 U.S. Amateur Public Links Championship victory, will be a qualifying site for the second time, having previously hosted in 2003.
The Woodlands (Texas) Country Club, site of Anne Sander's 1989 USGA Senior Women's Amateur victory, will host its second consecutive U.S. Women's Open qualifier, while Minneapolis Golf Club in St. Louis Park, Minn., host of the 1950 U.S. Amateur won by Sam Urzetta, will be a first-time qualifying site.
The 2013 U.S. Women's Open will be the first USGA championship conducted at Sebonack Golf Club, which was designed by eight-time USGA champion Jack Nicklaus, and Tom Doak, and opened in 2006. This will also be the first U.S. Women's Open held on Long Island.
Sectional qualifying sites and dates are subject to change. For the most up-to-date list, visit www.usga.org/champs/apply.
2013 U.S. Women's Open Sectional Qualifying Sites
May 7
The Elkridge Club, Baltimore, Md.
May 13
Druid Hills Golf Club, Atlanta, Ga.
Mount Pleasant Country Club, Boylston, Mass.
Butler Country Club, Butler, Pa.
May 14
Cantigny Golf, Wheaton, Ill.
May 15
Oak Valley Golf Club, Beaumont, Calif.
May 20
Arrowhead Country Club, Glendale, Ariz.
Lake Merced Golf Club, Daly City, Calif.
Waialae Country Club, Honolulu, Hawaii
Waverley Country Club, Portland, Ore.
May 21
The Woodlands Country Club (Player Course), The Woodlands, Texas
May 28
Industry Hills Golf Club (Eisenhower Course), Industry Hills, Calif.
Heathrow Country Club, Heathrow, Fla.
Minneapolis Golf Club, St. Louis Park, Minn.
May 29
The Broadmoor (West Course), Colorado Springs, Colo.
Bear Lakes Country Club (Links Course), West Palm Beach, Fla.
May 30
Algonquin Golf Club, St. Louis, Mo.
Carolina Trace Country Club (Lake Course), Sanford, N.C.
Edgewood Country Club, River Vale, N.J.
Bent Tree Country Club, Dallas, Texas
The above report is courtesy of the USGA. For more information, visit www.usga.org.
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BOCA RATON, FL (BocaNewsNow.com) — Accused perv TV weatherguy Rob Lopicola is scheduled to be arraigned Monday in Palm Beach County Criminal Court.
Apparently unable to post ten percent of $110,000 bond, Lopicola remains in the Palm Beach County Jail on four charges related to inappropriate sexual encounters and online relationships with teens. Among the allegations against the former WPTV Channel 5 weather man, providing what we will call a 'personal wind storm' to a then 15-year-old boy in Boca Raton.
Lopicola was arrested by U.S. Marshals earlier this month after an investigation that seemingly started at roughly the same time Lopicola resigned from Channel 5. He has been working as a personal trainer and bartender ever since.
BocaNewsNow.com published the affidavit of probable cause — including the very graphic text messages investigators say he sent. You can read the messages online.
If Lopicola posts bond, he will be placed under house arrest, monitored with by GPS, and banned from internet access.
-----------------RIDE UBER FOR FREE! Use Uber our promo code of 3095J for a free Uber ride up to $20 worldwide. Enter the code in your Uber app, or click here for your free Uber ride.
With millions of page views, BocaNewsNow.com is the leading site for news and information based in Boca Raton, Florida.
We remind readers that an arrest is an accusation. Guilt or innocence is determined in a court of law. Please email us at news(at)bocanewsnow.com if the facts of a news story involving you have changed. This is not a mugshot website. While under no obligation to do so, we will effort to update arrest reports when provided with official information by the arrestee.
Note that ip addresses are logged and may be shared with law enforcement in unique situations.
For advertising information or to submit news tips, please email news(at)BocaNewsNow.com. BocaNewsNow(TM) is a Trademark of MetroDesk Media, LLC. The name may not be used without written permission.


text: Larry Seltzer wrote: >>> How is this not a text book example of an ex post factor Law? > > Actually, it's the exact opposite of an ex-post facto law, which makes > an act illegal after the fact. This law makes something legal, or at > least removes civil liability, after the fact. > Uh, an amnesty[0] law of this sort is categorized as an ex-post facto law[1]: "Conversely, a form of ex post facto law commonly known as an amnesty law may decriminalize certain acts or alleviate possible punishments (for example by replacing the death sentence with life-long imprisonment) retroactively." Are you trying to say that Amnesty isn't being granted? Or are you trying to say that ex-post facto laws are only counted as such when making an act illegal? Isn't that incorrect? Isn't this both an ex-post facto law and specifically an amnesty law at that? - Jacob [0] http://en.wikipedia.org/wiki/Amnesty_law [1] http://en.wikipedia.org/wiki/Ex_post_facto_law


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With the region in chaos, all manner of readers (see: Nicole Kidman and Keith Urban) are turning to books to put the Middle East's intricate politics in perspective. PEOPLE's go-to reads:
• From Beirut to Jerusalem by Thomas L. Friedman: One-stop shopping: In a bestselling memoir about his decade in the Middle East, the New York Times columnist focuses on both people and politics. The conflict becomes an engrossing family feud writ large.
• No god but God: The Origins, Evolution and Future of Islam by Reza Aslan: A brilliant portrait of the faith by a media-friendly religious scholar with a novelist's eye.
• Myths and Facts: A Guide to the Arab-Israeli Conflict by Mitchell G. Bard: For Crossfire and debate-team types, stats and charts galore.
• Understanding the Holy Land by Mitch Frank: Written for young adults by a former TIME reporter, it's perfect for those who want to keep it short (152 pages).
• The Complete Idiot's Guide to Middle East Conflict: Clueless and crave a reader-friendly source? This info-packed tome covers the basics in quick bites.
Picks and Pans Review: BOOKS ON THE MIDDLE EAST
updated 08/07/2006 AT 01:00 AM EDT
•originally published 08/07/2006 AT 01:00 AM EDT


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Biliary Procedures
Biliary procedures are interventional radiology techniques used to visualize the liver, bile ducts, gallbladder and gallbladder ducts. Several biliary procedures are outlined below.
- What is a percutaneous cholangiogram?
- How will a percutaneous cholangiogram feel?
- Why is percutaneous cholangiography performed?
- What do abnormal percutaneous cholangiography results mean?
- What are the risks of percutaneous cholangiography?
- Biliary Drainage Catheter Placement
- Biliary Stone Removal
- Biliary Stent Placement
- Cholecystostomy Tube Placement
- Schedule an Appointment
What is a percutaneous cholangiogram?
A percutaneous cholangiogram is a type of X-ray examination of the bile ducts inside and outside the liver performed after a contrast dye is injected. Following administration of a local anesthetic, a long, thin, flexible needle is inserted through the skin into the liver. With guidance from a fluoroscope (an X-ray machine that projects images onto a TV screen), the bile duct is located and the contrast dye injected. The contrast dye then flows through the ducts and can be seen on the fluoroscopic monitor.
How will a percutaneous cholangiogram feel?
There will be a sting as the anesthetic is given and some discomfort as the needle is advanced into the liver. You may be given medication for sedation and/or pain control. Generally, an X-ray causes little or no discomfort.
Why is percutaneous cholangiography performed?
Bile is a by-product of protein metabolism that is created in the liver and excreted into the intestines through the bile ducts. If bile cannot be removed from the body, it collects in the blood and is seen as a yellow discoloration of the skin and eyes (jaundice). The pancreas creates digestive fluids that also drain through the bile ducts into the intestines. Therefore, obstruction of bile ducts can prevent the drainage of the fluids and may cause pancreatitis (inflammation of the pancreas). A percutaneous cholangiogram may distinguish between obstructive and non-obstructive causes of jaundice and pancreatitis. If there is an obstruction, it can then be located and described.
What do abnormal percutaneous cholangiography results mean?
The results may show ducts that are dilated, which may indicate there is an obstruction. The obstruction may be caused by infection, scarring, stones or cancer in the bile ducts, liver, pancreas or the region of the gallbladder.
What are the risks of percutaneous cholangiography?
There is a slight chance of an allergic reaction to the contrast dye (iodine). There is also a slight chance of excessive blood loss, blood poisoning (sepsis) and inflammation of the bile ducts.
Biliary Drainage Catheter Placement
During biliary drainage catheter placement, a tube is placed directly into the bile ducts of the liver in order to drain bile directly from the liver. Sometimes, this tube drains bile from the liver directly outside of the body (external drainage). If that is the case, the bile will drain directly into the bag that is attached to the tube. If possible, the radiologist may be able to position the tube so that it extends internally from the liver to the intestines (internal drainage). If that is the case, the bile will drain normally into the intestines. Your Emory physician or radiologist will provide you with instructions for care of the drainage tube and bandage.
Biliary Stone Removal
Biliary stone removal may be performed by the interventional radiologist via a T-tube (drainage tube) previously placed by a surgeon during removal of the gallbladder. In this circumstance, the patient retains surgically inaccessible stone(s) in the common bile duct.
Biliary stone removal is generally performed five to six weeks following surgical placement of a T-tube to allow for bile duct drainage and maturation of the drainage tract. Once the tract is matured, a guide wire is inserted into the bile duct and the T-tube is removed. A sheath is then passed over the guide wire and the guide wire is removed. A basket or snare device may be inserted through the sheath to retrieve the ductal stones. Depending on the size of the stone, other techniques for stone retrieval through a T-tube tract may be employed, to include passing the stone into the small intestine or fragmentation of the stone to enable basket retrieval.
Biliary Stent Placement
Biliary stents provide temporary relief from biliary obstruction. The length of the stent is determined by the length of the stricture and by the stricture's ability to be dilated, as well as the size of the endoscope channel. Multiple stents are sometimes used simultaneously.
Stents must be replaced every three to four months or when relevant to the patient's welfare.
Cholecystostomy Tube Placement
The preferred treatment for acute cholecystitis is laparoscopic cholecystectomy. Conversion to open surgery may be necessary in cases where the anatomy is unclear or complications are encountered. Laparoscopic tube cholecystostomy remains an alternative to open surgery in cases where the gallbladder is judged too inflamed to allow for laparoscopic removal and in cases where the patient is too sick to tolerate a more extensive procedure. It also provides access for diagnostic cholangiography. Laparoscopic tube cholecystostomy is safe and remains a useful option in select patients with complicated acute cholecystitis. Cholecystostomy tube placement is often performed in patients with limited life expectancy, but can have a significant impact on quality of life.
Schedule an Appointment
For more information, call Emory HealthConnection℠ 404-778-7777 or 1-800-75-EMORY from 7:30 a.m. to 6 p.m. EST (Monday-Friday).


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Let's catch up with some summer underwear news.
- Out for revenge? Take inspiration from Australia's 'Annastella' and sell your love rival's knickers on eBay. It's the international lingerie news story of the week.
- Skimpy underwear? Not for Eva Longoria. She regularly vetos the racy lingerie she's asked to wear for Desperate Housewives, reported The Sun this month.
- Eva Mendes might be the new face of Calvin Klein lingerie but she's happiest in her boyfriend's boxer shorts, says Now magazine.
- Not something you'll be finding on figleaves.com any time soon but a fabulous lingerie development nonetheless... German policewomen are to be issued with bullet proof bras, said the BBC.


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Police: Man arrested after hitting woman in face
Harold Kemp charged with criminal confinement, battery
Published 5:48 PM EDT Jul 18, 2013
A Scott County, Ind., man is in jail facing charges of criminal confinement and battery resulting in serious bodily injury.
Harold M. Kemp, 39, was arrested on July 14.
The Scott County Sheriff's Office said Kemp hit a woman in her face and threatened to kill her with a gun.
Investigators said Kemp would not let the victim leave his Scottsburg home.
The Sheriff's Office said the woman was eventually able to escape and call 911.
Kemp faces additional charges of intimidation, pointing a firearm at another person and criminal mischief.
Copyright 2013 by WLKY.com All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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College Files is the code word for porn, to be used when speaking to a friend about porn, but someone else is in the room and you don't wish for them to know what you are talking about.
Hey Steven, I just got some new College Files!
by Lee_B_UK May 07, 2007
Trending Now
Can you define these popular missing words?


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Rent The 826 Quarterly 1st edition today, or search our site for other textbooks by Lisa Brown. Every textbook comes with a 21-day "Any Reason" guarantee. Published by 826 Valencia.
Need help ASAP? We have you covered with 24/7 instant online tutoring. Connect with one of our Literary-Criticism tutors now.


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What is in this article?:
- Sugarcane aphids reach treatment threshold in NE Texas
- Economic thresholds
- New sorghum pest
- Keep Scouting
Kendal Wright doesn't intend to let a heavy infestation of sugarcane aphids jeopardize his chances of making an excellent grain sorghum crop this year.
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Texas AgriLife Extension IPM specialist Jim Swart, checks a grain sorghum field for sugarcane aphid infestations. Swart says treating the aphid with Transform WG insecticide has proven effective so far this summer
Kendal Wright made a good grain sorghum crop last year, one of the best ever. The 2014 crop, he says, "could be better. It looks excellent."
So he doesn't intend to let a heavy infestation of sugarcane aphids jeopardize his chances. "Aphid populations are getting pretty bad," he says. "So far, we've only had to spray 800 of the 2,500 acres of milo we plant." He farms with his father, Kenneth, in Hunt County, Texas, about 100 miles east and a bit north of Dallas.
"We're keeping a close eye on aphid numbers," Kendal says. "They can go from just a few to a whole lot in a few days. So far, we haven't had a lot of damage, but we've seen a lot of honeydew."
For the latest on southwest agriculture, please check out Southwest Farm Press Daily and receive the latest news right to your inbox.
They had that last year, too, a sticky, shiny secretion aphids leave on plant leaves. Kendal says it was so bad last year he thought he had a fluid leak from his combine. "It can be a nightmare if you don't take care of the aphids."
The potential for damage is greater this year, says Jim Swart, Texas AgriLife Extension integrated pest management specialist.
"They came in late last year," Swart says. "They didn't cause a lot of yield loss but they did create some harvest problems with the honeydew. They started about three weeks earlier this year, and we've seen a lot of honeydew. We've been watching closely since they identified infestations in South Texas and moved north."


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WASHINGTON - The largest gathering of fiscal conservatives in the country was particularly worked up at this year's Washington conference of Americans for Prosperity.
They're mad that Capitol Hill liberals are blaming the free market and capitalism for the current economic crisis.
Click play for comments from Maya MacGuineas of the Responsible Federal Budget Commission.
"Now they want to scurry away and blame an economic system, economic freedom that for over 200 years has lifted more people out of poverty and despair than in the history of the world," said Tim Phillips, president of Americans for Prosperity.
But AFP's annual gathering is as much about equipping conservatives as it is having them rally and demonstrate.
The old-style politics is do something like this: a rally where many people gather in one place to deliver a message.
But the New Politics is many people deliver many messages from every place. And that's possible through New Media.
But right now, conservatives who work in New Media worry liberals are running circles around them -- like using many more aspects of the worldwide Web for tons more fund-raising.
"Where they've raised tens of millions of dollars and our attempts at parrying that have fallen flat on their face, only raising tens of thousands," said Erik Telford, a blogger for AFP.
Telford was labelled AFP's New Media manager.
"Too many folks started asking me what happened to the old one," Telford said.
He and others trained dozens of wanna-be bloggers and New Media fans at the AFP conference.
One conservative already working at full-capacity in New Media is Maggie Thurber, a former Ohio state representative, now an active blogger and user of all the digital or computerized media she can put her fingers on.
She thinks one reason liberals may be better users of New Media is their very nature, what she calls a pack mentality.
"If some right-wing organization said 'here are the talking points, go out and do this,' you'd have all the conservative bloggers sitting there going, 'now wait a minute, what about this and what about that?' We're very independent-minded. So it's more like herding cats than it is herding sheep," Thurber said.
But Rob Bluey, the head of Heritage Foundation's blog-force, thinks conservatives are slowly but surely getting their act together, like defeating President Bush's first choice for the Supreme Court.
"I think the Harriet Miers fight was absolutely a victory for the blogosphere. I think that both the John Roberts and the Samuel Alito confirmations were as well," Bluey said.
So what goes into the category of New Media? These experts reel off names like RedState.Com, Facebook, Twitter, YouTube, Wikipedia.
Telford says when Al Gore asked everyone to bike or take public transport to a green gathering, he showed up in a whole convoy of SUVs and huge cars. Telford's group put video of the contradiction right onto YouTube.
AFP is teaching conservatives to use the mega-encyclopedia of the Web, Wikipedia, which many don't realize is written and edited by ordinary folks.
Telford points out what happened right after John McCain picked Sarah Palin as his running mate.
"2.4 million people in one day went to her Wikipedia page," he said.
A perfect example of the kind of impact those who shape the New Media can have.
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Showroom staff chat next to a Toyota Motor Corp Prius Alpha at its showroom in Tokyo yesterday.
TOKYO: Toyota has shifted into high gear, with the world's largest automaker tipping a record annual profit after more than doubling its nine-month earnings to $15bn thanks to the yen's sharp decline and surging sedan sales.
The buoyant results underscore a recovery not only for the Camry and Corolla maker but also for rival Japanese auto giants including Nissan and Honda.
The trio have been big winners over the past year as a sharp drop in the yen inflated exporters' repatriated profits, further boosted by improved overseas demand in key markets including the United States and China.
Sales in China fell off a cliff in late 2012 and into last year as a Tokyo-Beijing diplomatic row sparked a consumer boycott of Japanese brands in the world's biggest vehicle market. Relations remain tense, but Japanese manufacturers have reported sales are returning to pre-spat levels.
Yesterday, Toyota said it earned 1.52 trillion yen ($15bn) between April and December on sales of 19.12 trillion yen — propelled by a five-fold jump in third-quarter earnings.
It also boosted its fiscal year to March profit forecast to a record 1.90 trillion yen.
The automaker has ramped up drive emerging markets while key US demand has also been on the upswing.
"In addition to the positive impact of the weaker yen, our operating income increased due to marketing efforts that boosted vehicle sales, as well as cost-reduction activities," Toyota Managing Officer Takuo Sasaki told reporters in Tokyo.
He added that there "is a sense that the European market is bottoming out" as sales improve in the US and China.
Toyota last month said it had kept the title of world's biggest automaker with 2013 sales of 9.98 million vehicles, outpacing Germany's Volkswagen and General Motors, and said it expects this year to become the first to break the 10 million vehicle sales barrier.
On Friday, Volkswagen, which had been sitting in number-three spot, said it sold 9.73 million vehicles last year, ahead of US giant GM's 9.71 million.
Toyota broke GM's decades-long reign as world's top automaker in 2008 but lost the crown three years later as Japan's quake-tsunami disaster hammered production and disrupted the supply chains of the nation's automakers.
Toyota also took a heavy blow from a series of mass recalls affecting millions of cars that damaged its once-stellar reputation for quality and safety and led to US congressional hearings in 2010.
Last week, Honda said its nine-month net profit surged almost 40 percent to 403.60 billion yen, thanks to brisk global sales and a weaker yen.
Nissan reports its financial results next week.
Despite the buoyant figures so far, an April sales tax hike in Japan and possible slowdown in US and Asian markets could put the brakes on sales, said Takaki Nakanishi, analyst and chief executive at Nakanishi Research Institute in Tokyo.


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The North Face Dirt Merchant Jersey - Women's
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A highly breathable, all-around XC mountain bike jersey that's perfect for long days on the singletrack. VaporWick(R). Ultraviolet Protection Factor (UPF) 30. Sunglasses wipe sewn into hem. Back stash pocket. Elliptical hem. Reflective logos. Fabric: 150D 130 g/m2 (3.8 oz/yd2) 100% recycled polyester jersey, wicking finish, Sanitized(R) Silver treatment. Length from center of back: 24.5". Weight: 120 g (4.23 oz).
- Rocky Mountain Trail
On Sale. Free Shipping. The North Face Women's Dirt Merchant Jersey DECENT FEATURES of The North Face Women's Dirt Merchant Jersey 2 back elastic pockets stash essentials 1 pocket has media port to internally route cord Back hem is slightly longer for better coverage while riding UPF 30 protection from harmful solar rays Reflective detailing to increase your visibility in low light This product can only be shipped within the United States. Please don't hate us.
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If you're looking for a new short sleeve performance top, check out the best reviewed current models.


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Navy Downs Lehigh For Patriot League Women's Lacrosse Crown
The Lehigh women's lacrosse team fell to Navy in the Patriot League Championship Game on Sunday, 11-9 at the Ulrich Sports Complex.
The top-seeded Mountain Hawks fell behind, 5-2, before scoring four unanswered goals to take a 6-5 halftime lead.
But Lehigh couldn't hold the lead in the second half, as the second-seeded Midshipmen took home the title.
Allison Thomas scored a game-high four goals for Lehigh in the loss.
The loss ends a season in which Lehigh tied a school record for victories with 14, and won a Patriot League playoff game for the first time in school history.
Lehigh ends its season at 14-4.
Jim Vaughn has the highlights.
Copyright 2011 WFMZ. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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CLEMSON - Cole Stoudt curses himself.
No. 16 Clemson vs. No. 12 Georgia
Where: Sanford Stadium, Athens, Ga.
When: Saturday, 5:30 p.m.
LINE: Georgia by 7½
"I wound up so bad there."
"Gripping that ball way too hard."
"Oh, (expletive.)"
Not to worry: the date isn't Aug. 30, the setting isn't Sanford Stadium and there are no angry Georgia Bulldogs chasing him. It is June 24, a muggy Tuesday afternoon in Clemson's cavernous indoor facility with an attendance of three - two quarterbacks and a reporter.
The lights are on, but the air conditioning is off, making it harder for Cole Stoudt's football to hit his father's hands in stride.
Usually, Mike Williams, Jordan Leggett or one of the Tigers' other receivers will show up when Stoudt's slinging it around. Sometimes on the weekends, Cole's older brother, Zack, a former Mississippi quarterback, is in attendance.
On this day, Cole's only target is Cliff, who still has good hands and decent mobility as a former NFL quarterback and father of three in their 20s.
'Take what's there'
Cliff Stoudt, who turns 60 next spring, runs routes with yardage totals matching his age. He'll exhale with a grunt, heaving the ball back across the field, sometimes bouncing it to Cole. But he doggedly summons stamina in the Southern heat, giving Cole more reps in preparation for his moment. His senior year. His starting year.
"Know what you're doing. Do what you know. Play within yourself. Play within the system," Cliff tells Cole during breaks in the action. "In this offense, you don't have to create big plays. They happen, by design."
That's why Cole is more nitpicky with the bubble screens, the quick-hitch throws and sideline fades than fly routes. He knows he has the arm to go long, but tempo-driven offensive coordinator Chad Morris' rapid-fire playbook demands precision and quick decisions.
One of Cole's better throws of the day, he rolls to his right on a bootleg and fires across his body connecting with Cliff on a 12-yard out to the sideline. Ideal for a tight end.
"We're gonna tell Jordan you can do that pretty well," Cliff suggests.
Cliff Stoudt, who backed up Terry Bradshaw for the Steelers in the late 1970s and early 1980s, will chime in pointers from time to time.
"Don't over think it. But don't rush a throw."
"Throw with your legs. Everything else will come with it."
"Reach back, ball pointed at target, follow through."
Related to Clemson's schemes, though, the son teaches his father more than the opposite.
"Just gotta go through each read," Cole says in the middle of rehearsing a 5-step drop. "Take what's there, even if it's not an 80-yard-bomb everyone wants. Just do whatever I can to get in the end zone. Even if it's a little 5-yard route, Coach Morris always stresses, 'You can't go broke taking a profit.'"
Consistent approach
The day before this throwing session, Cliff Stoudt was having a great round on the golf course - and once he realized it, his scorecard ended up paying the price.
"All of a sudden, I think I can hit any shot," Cliff says. "Instead of playing smart, I pull out the driver when I shouldn't."
While Cole wipes his brow and fiddles with his water bottle, Cliff gets reflective. His oldest child, daughter Cydnei, will celebrate her one-year wedding anniversary with a U.S. Army captain the day of Clemson's opener at Georgia. Cydnei and Zack, and mom and dad will be in the stands in Athens for Cole's first career start.
"I don't know if it's because he's the last kid, or because I've changed a little bit," Cliff says. "But it's like having a glass of wine, or watching the sunset. I'm always relaxed when he's on the field.
"Every year, there have been doubters and everything, and all he does is keep playing football. He doesn't get upset. I don't think the crowds will affect him. Yeah, it'll be exciting, but he'll just be him."
Cliff does more talking than Cole. Nothing unusual there.
"I played a lot more like John McEnroe played tennis - I was a little fiery," Cliff says. "I got kind of emotionally, maybe too into the games sometimes."
Cole's demeanor channels more Bjorn Borg (for the older generation,) or Roger Federer (for the young fans) While Clemson waits to find out how Stoudt reacts to a college football environment under pressure, even-keel is a fair assessment for his public speaking.
Even though it's just three guys sitting at the 27-yard line of an empty practice facility - no cameras or Twitter hanging on his every word - Cole doesn't change who he is.
"I don't overthink things," Cole admits.
His own man
"He does a good job keeping the heart rate down," Cliff says. "He's almost too calm."
Cole Stoudt is not robotic. He'll goof off with his offensive teammates, and he is a competitive gamer. This summer he was a proud record-holder of the Big Buck Hunter arcade game in the Tigers' game room.
And, of course, he's a perfectionist of his craft. Any misplaced throws, he does it again until he gets it right. He even used reverse psychology to command orders to his receivers.
"In skills and drills, I asked them which side they felt comfortable with where they wanted to work," Cole says. "If they said I want the right, I'd say, well, you're going to the left."
Tajh Boyd was the same way - impossibly hard on himself and a respected leader.
Oh, and the close friends each adored superheroes. Boyd was Superman, Stoudt is Batman.
That's about where the Boyd-and-Stoudt comparison ends. That's why 2013 was last year, and 2014 is this year. A brand new year.
Follow Aaron Brenner on Twitter: @Aaron_Brenner.
Read his Tiger Tracks blog at blog.postandcourier.com/tiger-tracks.
Clemson quarterback Cole Stoudt prepares to throw a pass to his father, former NFL quarterback Cliff Stoudt, during a summer workout at Clemson's indoor practice facility. (Aaron Brenner/Staff)×
Clemson quarterback Cole Stoudt talks with his father, former NFL quarterback Cliff Stoudt, during a summer workout at Clemson's indoor practice facility. (Aaron Brenner/Staff)×
Clemson quarterback Cole Stoudt with his father, former NFL quarterback Cliff Stoudt, during a summer workout at Clemson's indoor practice facility. (Aaron Brenner/Staff)×
- Keywords


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Cardiac rhythms arising from the atrioventricular (AV) junction occur as an automatic tachycardia or as an escape mechanism during periods of significant bradycardia with rates slower than the intrinsic junctional pacemaker.
The AV node (AVN) has intrinsic automaticity that allows it to initiate and depolarize the myocardium during periods of significant sinus bradycardia or complete heart block. This escape mechanism, with a rate of 40-60 beats per minute, produces a narrow QRS complex because the ventricle is depolarized using the normal conduction pathway. An accelerated junctional rhythm (rate >60) is a narrow complex rhythm that often supersedes a clinically bradycardic sinus node rate (see images below). The QRS complexes are uniform in shape, and evidence of retrograde P wave activation may or may not be present.
View Image
Junctional bradycardia due to profound sinus node dysfunction. No atrial activity is apparent.
View Image
Note the retrograde P waves that precede each QRS complex.
Less commonly, the AV junction develops abnormal automaticity and exceeds the sinus node rate at a time when the sinus rate would be normal (see image below). These junctional tachycardias are most often observed in the setting of digitalis toxicity, recent cardiac surgery, acute myocardial infarction, or isoproterenol infusion.
View Image
Accelerated junctional rhythm is present in this patient. Note the inverted P waves that precede each QRS complex, with a rate of 115 bpm.
The junctional rhythm initiates within the AV nodal tissue. Accelerated junctional rhythm is a result of enhanced automaticity of the AVN that supersedes the sinus node rate. During this rhythm, the AVN is firing faster than the sinus node, resulting in a regular narrow complex rhythm. These rhythms may demonstrate retrograde P waves on ECG findings, and the rates can vary from 40-60 beats per minute.
Changes in autonomic tone or the presence of sinus node disease that is causing an inappropriate slowing of the sinus node may exacerbate this rhythm. Young healthy individuals, especially those with increased vagal tone during sleep, are often noted to have periods of junctional rhythm that is completely benign, not requiring any intervention.
Rarely, the AVN develops enhanced automaticity and overtakes a "normal" sinus node. This occasionally is observed in digitalis toxicity, following cardiac surgery (typically valve replacement), during acute myocardial infarction, or during isoproterenol infusion. Alteration in calcium metabolism in the sarcoplasmic reticulum causes accelerated junctional rhythm.[1]
Junctional rhythms are common in patients with sick sinus syndrome or in patients who have significant bradycardia that allows the AV nodal region to determine the heart rate.
Junctional escape rhythms, which are common in younger and/or athletic individuals during periods of increased vagal tone (eg, sleep), occur equally in males and females.
Junctional rhythms may be accompanied by symptoms or may be entirely asymptomatic.
Obtain a 2-dimensional echocardiograph in patients with suspected structural heart disease.
Obtain a stress echocardiograph or nuclear imaging test in patients with symptoms consistent with coronary ischemia.
View Image
Junctional bradycardia due to profound sinus node dysfunction. No atrial activity is apparent.
View Image
Note the retrograde P waves that precede each QRS complex.
View Image
Accelerated junctional rhythm is present in this patient. Note the inverted P waves that precede each QRS complex, with a rate of 115 bpm.
An EPS should reveal a His bundle depolarization preceding every QRS complex. The His-ventricular interval should be normal unless conduction system disease is present. AV and VA conductions often fluctuate.
The decision to treat a junctional rhythm depends on the underlying cause and the stability of the patient.[4]
Symptomatic cases may benefit from a consultation with a cardiologist and/or an electrophysiologist to better define the etiology and approach to prevention.
The goals of pharmacotherapy are to reduce morbidity and prevent complications.
Clinical Context: Used to increase heart rate through vagolytic effects, causing an increase in cardiac output.
Agents used to accelerate heart rate if symptomatic bradycardia is present.
Clinical Context: Immunoglobulin fragment with a specific and high affinity for both digoxin and digitoxin molecules. Removes digoxin or digitoxin molecules from tissue binding sites.
Each vial of Digibind contains 40 mg of purified digoxin-specific antibody fragments, which bind approximately 0.6 mg of digoxin or digitoxin. Dose of antibody depends on total body load (TBL) of digoxin; estimates of TBL can be made in 3 ways, as follows:
(1) Estimate quantity of digoxin ingested in acute ingestion and assume 80% bioavailability (amount ingested [mg] X 0.8 = TBL).
(2) Obtain a serum digoxin concentration and, using a pharmacokinetics formula, incorporate the Vd of digoxin and the patient's body weight in kg (TBL = digoxin serum level [ng/mL] X 6 L/kg X body weight in kg).
(3) Use an empiric dose based on average requirements for an acute or chronic overdose in an adult or child.
If the quantity of ingestion cannot be estimated reliably, administer empirically (safest to use the largest calculated estimate); alternatively, be prepared to increase dosing if resolution is incomplete.
Used to treat digitalis toxicity.
Clinical Context: Depresses spontaneous depolarization in ventricular tissues.
These agents alter the electrophysiologic mechanisms responsible for arrhythmia.
Most of the workup on an otherwise healthy patient can be completed in an outpatient setting. Documentation of the arrhythmia on a rhythm strip is essential to properly diagnose the rhythm and to help exclude other causes.


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NewsThe Associated Press
Officials vow to help more who face foreclosure
State leaders vow to use a state-run program to help more families facing foreclosure, but critics still worry that too few homeowners will qualify for help.
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The Wings can only build depth through the draft. We don't draft high enough to get superstars reliably, so we still need to trade for our team to have any bite to it.
Exactly the reason, why some people (like me) would love to see this team being sellers at the tradedeadline.
- WingsDC2B, Nightfall and Z Winged Dangler like this


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I nursed my daughter for 13 months, so I am pretty sure I can go the distance with this one, but I am curious who will nurse or have some of you not decided yet?
I nursed my son until he was a year. He never had a drop of formula and I am very proud of that. I plan on doing the same with this little bug.
DD born 3/22/2010. mc 12 weeks 11/12.
Hopefully adopting a CL/CP cutie from China in 2014.
Eleanor 9/3/2010 7lbs 9oz 20" 11:02 pm
Margot 6/18/2013 9lbs 7oz 20" 10:09 am
Gabriel is a big brother (born Aug 16 2011)
I have nursed my Oct 2011 baby tell now. We had some tough times in the begining but prevailed. Pumping was also a challenge but it turned out just to be that I had a cheap pump. After 3 kids the first two bottle fed and my third breast fed I can say breast feeding was way easyer on me. We bonded better in the begining and it was nice not having to make bottles in the middle of the night.
Jackie mom to DD Oksana 5/31/02, DD Pita 3/25/05 , Samantha born 10/26/11, Life partner Bryan
LO due June 16th My (0Y0) are golden
Tess (31) married DH (32) on 4.27.07
Mommy to Patrick born 5.16.10!
Expecting our baby GIRL to arrive around June 15th 2013!!
I've nursed all my kids (18 months+).... I would never have it any other way.


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Like most of the rest of the economy, the Big 4 accounting firms hit the skids in 2009, suffering an overall revenue decline in the face of difficult markets, slow global economic activity, cost-conscious customers, and stagnant merger and acquisition activity.
A social network of Big 4 professionals and alumni assembled publicly available data to assess the economic damage to the world's four largest accounting firms, Deloitte & Touche, Ernst & Young, KPMG, and PricewaterhouseCoopers. They found combined revenue for the four firms fell 7 percent from 2008 to 2009. In terms of U.S. dollars, Deloitte slipped 5 percent, E&Y and PwC 7 percent each, and KPMG by 11 percent.
PricewaterhouseCoopers retained its position as the largest of the Big 4 firms with revenues of $26.2 billion, but Deloitte was close behind in 2009 at $26.1 billion. Ernst & Young recorded $21.4 billion and KPMG followed at $20.1 billion. The overall revenue decline followed six years of rapid growth for the four firms, fueled by a global financial boom in the middle of the decade, assertive penetration into emerging economies, and the absorption of business from the collapse of Arthur Andersen.
Audit services remain the largest category of services among the Big 4, and they account for nearly 50 percent of revenues across the firms. Audit work grew substantially from 2005 to 2007, but slowed considerably in 2008 and 2009 for the Big 4, with combined revenue shrinking 6 percent in the last two years as fees came under pressure. Tax services declined 7 percent while general advisory services declined 9 percent.
Despite overall revenue declines, the Big 4 continued adding to their headcounts, albeit at a much slower rate in 2009, according to the analysis. The network report says the Big 4 cumulatively employ more than 600,000 professionals around the world, rising steadily from 435,000 in 2004. In 2009, headcount grew by some 10,000 across the Big 4, rising only 2 percent in the year compared with growth rates of 6 percent to 10 percent in the four years prior.
Given more recent overall improvements in equity values and market conditions, the network anticipates a return to revenue growth in 2010 for the Big 4, although the network remains cautious about whether revenue will grow as quickly in the coming few years as it did over the past several years.


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Been a Hot Minute
The last update was in JANUARY???
Sheesh, that's...it's been awhile. I've been stuck, unstuck, working, lots of work, been on two television shows, two movies, a slew of commercials, I... Read more
Request (and Train Window View Intoxication)
I'm on a train to Atlanta, can't stop looking out the window, even the most seemingly commonplace scenery has me captivated. Forests, small towns, the view as the track curves... Read more
Successfully raised $10,492 with 200 backers
Ah, we are nearing the end of the (hopefully) beginning!
I'm thinking (cautiously) about the book, about the kinds of folks I'd like to interview/photograph for THE BOOK.
The... Read more
Project launched


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So what if he didn't win American Idol! David Archuleta has inked a record deal with 19 Recordings/Jive Records, the same label winner David Cook is signed to.
"Signing a record contract with 19 Recordings/Jive Records is truly a dream come true," Archuleta said in a statement. "I'm really excited to start working on everything."
The 17-year-old Utah native already has three songs on the Hot 100 chart, including his memorable rendition of "Imagine" and "In This Moment," the song he performed at the Idol finale.
Simon Fuller, the mastermind behind Idol and the chief executive of 19 Entertainment Label Group, called Archuleta a "genuine pop star" and said he "has a great future ahead of him."
Still, Archuleta remains humble and cautious, telling PEOPLE last month that "school is really important, especially after all this ends. It would be nice to make a living off of it but you never know."
Fans of Archie, as Cook affectionately calls him, should expect his debut album later this year. Up first: The Idols Live Tour, which starts July 1 in Arizona. --Shari WeissSteve Granitz/WireImage
David Archuleta Gets a Record Deal
Steve Granitz/WireImage


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Like every year, Tel Aviv will host the Gay Pride Parade.
Date for upcoming Pride Parade: June 3rd 2016.
This years Pride Parade details will be posted on our Pride Week page as soon as they are available.
To get an impression of the parade, here is what Nonet (www.realtelaviv.com) wrote on her blog:
It is a well known fact that Tel Aviv has become one of the main gay metropolitans of the world. Some even say that in certain aspects (probably the craziness and loudness), Tel Aviv is even a competitor to cities like Berlin or New York.
Unfortunately, I am straight as an arrow, so my only chance to experience some real gay fun are big public events like the Tel Aviv gay pride parade, and thank goodness it is finally here, because I could use a boost of adrenalin (or any other legal substance) right about now.
This is the 10th year that the parade has been taking place - The tradition began in 1998 with just a couple of hundred partiers, and has grown rapidly into an event with over 100,000 participants that seems to get wetter and wilder every year.
This year the parade will start from Gan Meir, where a brand new and one of a kind center for the gay community of TLV was recently open. The gathering at the center will include lots of very loud music, some activity booths and even a performance by the official youth gay band of Tlv. This has just got to be a funny sight.
The actual parade will begin with a kick off from Ron Huldai's who is the mayor of Tlv (who I have kind of a soft spot for since he used to be my high school principal…).The parade will continue into Bugrashov St., turn e to Ben Yehuda St. from there, then turn to Ben Gurion Blvd. and straight to Gordon beach, where the insanity will then take over.
From my previous experiences, you should definitely bring your bathing suit (or any other kind of minimal wear you're kinky mind can think of) because once the parade hits the beach you will be in the water in no time.
As I said in the beginning, we just have to admit that us straight folk don't know how to really party and we need some help from our gay friends. The beauty of this event is that it brings together all sorts of people with only one agenda on their mind: fun!!!


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We've shot past our goal! Now we just want everyone to be part of it. So we've created a bunch of sweet $1 prizes. That's right, $1.
188 backers pledged $5,254 to help bring this project to life.
Reward #2: Miming the MAX
"We'll email you a video of Becca lip-syncing the sound a MAX train makes when it goes by."
It's been a while, and our model has changed a bit... Read more
Have a drink with us! Our app is ready
Sometimes, a lot of things happen at once.
A couple weeks before we were ready to launch our mobile app in May, we wrapped up a plan to join... Read more
Successfully raised $5,254 with 188 backers
The home stretch: Everybody's in for $1!
Wow. Thanks to your amazing (and, honestly, really moving) generosity, as we finish the final week of our campaign (it ends Saturday afternoon!), we are zooming to the target... Read more
Project launched


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The Gaels gather
Pól Ó Muirí
The Gaels gather in Galway. February's Tóstal na Gaeilge grows ever closer with the organisers, Comhdháil Náisiúnta na Gaeilge, announcing that Professor Colin Williams, Cardiff University, and Doctors Conchúr Ó Giollagáin and Brian Ó Curnáin will give the major talks during the weekend which will take the theme "Ó Aidhm go Feidhm" (From Aim to Action). Williams, a Welsh speaker, will give the keynote address on language planning, a subject on which he is an expert, having worked on the Welsh national language plan. Ó Giollagáin and Ó Curnáin have already written in this newspaper about their concern that the Government's 20 year strategy, with its emphasis on bilingualism, will have a detrimental effect on the native Irish-speaking communities in the Gaeltacht.
It will be interesting to see what mention is made of the cross-Border body, Foras na Gaeilge, in the talks, both formal and informal. It would have been too much to expect that Comhdháil (who are funded by Foras na Gaeilge) could have organised a session on Foras. However, given that FnaG reached its 10th birthday in December 2009, thus marking a decade of inertia and incoherence, it is pity that their remit will not scrutinised in a dedicated talk. FnaG is the linguistic elephant in the room. They fund virtually every aspect of the voluntary language sector outside of the Gaeltacht and their cheque book and decisions will have an impact on much of what happens in the foreseeable future in terms of both aim and action.


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We are soliciting essays for an edited collection on the history of the National Guards in the United States, 1850-1950, tentatively titled "Citizens, Men and Soldiers: Essays on the Emergence of the Modern National Guard."
America's citizen soldiers have been widely discussed in terms of the failure or success of United States military policy, viewed with contempt in relation to their military effectiveness, or examined as instruments of social control. These approaches have provided a convenient way for historians to put the "national" into the National Guard. While the new military history of the 1970s and 1980s led to a brief resurgence in interest in the Guard, studies that examine the Guard in a social and cultural context remain rare.
We seek to reposition the history of the state national guards, and the volunteers who filled their ranks, as vital actors in the fluid terrain of the late nineteenth and early twentieth century United States. We are soliciting papers on the history of state militias/national guard organizations and/or guardsmen in the United States between 1850 and 1950.
We encourage submissions from scholars across fields who have discovered in the national guards a vital topic, ripe for new exploration and attention. Topics include, but are not limited too:
Organization and Institution Building
Domestic Duty - including Strikes, Race Riots, and Natural Disasters
Race, Ethnicity and Citizenship
Manhood and Masculinity
Women and the Guard
Wartime Service and Commemoration
State similarities and differences
Guardsmen and gun culture
The Guard experience in International perspective
We encourage submissions of both new and existing work.
Please submit short cv, a 500-word abstract and selected bibliography for new work, or a copy of the already completed work, to email@example.com by January 31, 2007. Following the selection process, manuscripts of 8,000-10,000 words (text and notes) will be due by July 1, 2007.
Please address any questions to:
Eleanor Hannah
Department of History
University of Minnesota Duluth
1121 University Drive
Duluth, MN 55812
Mark A. Potter
Melbourne Research Office
University of Melbourne
Parkville, Victoria,
Australia, 3010


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Beauty & Essex
Will Arnett & Megan Fox Share Tacos, Desserts & Conversation in N.Y.C.
Originally posted 06/05/2013 06:00AM
Megan Fox and Will Arnett were spotted hanging out over the weekend at Beauty & Essex in New York City.
Joined by four other friends, Fox, who wore a distressed, cropped T-shirt over black jeans with pumps, and Arnett "seemed very engrossed in their conversation, which seemed to be a mix of both business and pleasure," an onlooker tells PEOPLE.
Fox and Arnett – who costar in the upcoming Teenage Mutant Ninja Turtles movie – indulged in tuna and lobster tacos, New York pretzels, brick-pressed chicken and burgers.
Sofia Vergara Chair Dances in Her Leopard-Print Louboutins!
Originally posted 05/18/2012 06:00AM
Letting loose on Wednesday night, newly single Sofia Vergara got the party started to Gloria Gaynor's "I Will Survive" at Beauty & Essex in New York City with a group of 16 ladies.
Casually clad in a flowy white tank and leopard-print Louboutin heels, the Modern Family star, danced on chairs at the hotspot with her fellow partygoers, when security and staff reprimanded the group for "safety reasons," an onlooker tells PEOPLE.
When the women were asked to get off the chairs, Vergara comically replied, "We are not from America. We won't sue. It's not in our vocabulary."
– Carlos Greer
Jessica Alba Sips Scotch in N.Y.C.
Originally posted 05/11/2012 05:55AM
Jessica Alba was with a big group of people on Tuesday when she came out to New York City eatery Beauty & Essex, though she mostly kept to herself.
"She only had a scotch on the rocks," an onlooker tells PEOPLE of the mom of two, who didn't order anything to eat. "She was at a table of 10, but was seen texting most of the time."
Although she kept a seemingly low profile, the actress's typically notable style didn't go unnoticed.
The source says Alba was wearing a high-waisted print skirt, espadrilles and a white Louis Vuitton bag.
– Jennifer Garcia
Karina Smirnoff Reunites with a Former DWTS Partner for Dinner
Originally posted 11/29/2011 05:55AM
She may have recently won the mirror-ball trophy with DWTS partner J.R. Martinez, but Karina Smirnoff is still close with her former partner Ralph Macchio. They enjoyed some quality time with his entire family (including wife and kids) at Beauty & Essex in New York. For her meal, Smirnoff ate salmon and also saved room for an array of ice cream for dessert, a source says. – Jennifer Garcia
Real Housewives of Beverly Hills Party in N.Y.C.!
Originally posted 09/07/2011 10:00AM
Kim Kardashian & Kris Humphries's Sweet Dinner
Originally posted 04/18/2011 04:00PM
Lindsay Lohan Kisses Her Waitress
Originally posted 04/15/2011 04:00PM
Ali Fedotowsky Flashes Her Bling
Originally posted 02/04/2011 04:00PM
The most buzzed about stars this minute!
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Christopher Price, a 2010 HCHS graduate, was named to the Pikeville College Dean's list. He is the son of Heather Stoeher of Bedford and Lyndon and Chelan Johnson of Pendleton. His spring semester GPA was 3.75.
Jessica Johnson Wilkerson, a 2001 HCHS graduate, was named to the Central Methodist College (Fayetteville, Mo.), Dean's list for the spring semester. Her parents are Lyndon and Chelan Johnson of Pendleton, and Todd and Sandy Stone of Nicholasville.
Larry and Debbie Suter of Hatton announce the engagement and forthcoming marriage of their daugther, Angela Marie Roberts of Bagdad to Brian Thompson Bohannon of Bagdad.
The bride-elect is a 2001 graduate of Shelby County High School.
The groom elect is the son of Judy Bohannon, Bagdad and the late Johnny Bohannon and a 2001 graduate of Shelby County High School.
The wedding will take place on July 2, 2011. Invitations will be sent.
At 2 p.m., Thursday, June 30, we will spend an interesting afternoon thinking about a time when the pace was slower and people actually put lace on the edges of their hankies instead of using Kleenex!
Tracie Lynn Lambert, 34, Eminence, to Justin Wayne Mertz, 27, Eminence.
Amy Michelle Lyons, 30, Pleasureville, to Christopher Glenn Bohannon, 28, Pleasureville.
Brittany Victoria Durrett, 23, Campbellsburg, to James Allen Lewellyn Jr., 23, Campbellsburg.
Tiffany Lynn Rucker, 23, Pleasureville; to Shane Charles Harris, 25, Shelbyville.
Candy Lee Congleton, 31, Pendleton, to John Joseph Drury II, 43, Pendleton.
An Eminence man was indicted last week on charges stemming from an incident in which he allegedly held his girlfriend hostage with a bow and arrow.
Marvin Dyer, 36, was indicted on four counts: first degree wanton endangerment, fourth degree assault, unlawful imprisonment, and alcohol intoxication in a public place first and second offense.
He was arraigned in Henry County Circuit Court on the same day of his indictment, June 9.
Dyer was arrested by EPD on April 16 and was taken to Carroll County Detention Center, where he remains.
A city-wide "trash day," scheduled for June 25 in Eminence has been cancelled.
Initially cancelled because of an inability to get notice of the trash day to residents in time, the Eminence City Council opted to discontinue the program.
Henry County's newest Relay for Life team is named for two very important people in Jakob Beckley's life. Beckley,13, soon will begin eighth grade at Henry County Middle School. He also is the youngest Henry County Relay for Life team organizer.
The M&M Relay for Life team is named in honor of Beckley's mother, Melodye, and grandmother, Marilyn Heightchew. He said his grandmother was instrumental in the establishment of the Henry County chapter. Melodye Beckley was just 17 when her mother died and took up the torch after she passed.
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