text:
Even before the bombs started dropping, it was apparent that the confrontation over Kuwait was an international crisis that was, to an unprecedented degree, a television event. The last-ditch meeting in Geneva between Secretary of State James Baker and Iraqi Foreign Minister Tariq Aziz was largely pro forma, both sides having already transmitted their positions via satellite uplink over CNN. Egyptian President Hosni Mubarak's eloquent final plea for peace came in a televised address. Who needs diplomatic channels when you have international cable TV?
Once the military campaign began, the networks' role became even more prominent. Advances in broadcast technology made this the first time that a war had been carried live on television. Again and again, principals on both sides stated that they were getting their most up-to-date information by watching the tube.
Yet, for all its immediacy, the coverage was extremely limited. The flow of information was restricted not only by Iraqi and Israeli censors, but by a Pentagon grown excessively camera shy in the post-Vietnam era and an administration grown photo-op-wise during the Reagan years. (Rarely has the medium seemed so vulnerable to exploitation; even Saddam Hussein got footage of himself praying and greeting adoring Iraqi citizens onto the evening news in America.)
Deprived of the kinetic images that are television's lifeblood, the networks resorted to maps, charts, talking heads and stock footage. Bound but not gagged, many usually judicious reporters passed along unconfirmed rumors. During a live transmission, Tom Fenton, a CBS correspondent in Tel Aviv, announced that he had been told by a cameraman that seven Iraqi missiles had just fallen on Jerusalem. Later he acknowledged that there was no validity to his report.
The instant reactions demanded by live television frequently led to misleading speculation. Every time the air-raid sirens went off in Israel or Saudi Arabia—a regular occurrence that was never less than nerve-wracking—the specter of chemical warheads was raised by on-the-scene reporters. The network anchors tended to be more circumspect, conceding that there was not much they could tell us with any real certainty. This caution eventually filtered down to their staffs overseas.
Still, the desperate enterprise of trying to cover the war without adequate access imbued the entire exercise with a grasping-at-straws air (for print as well as video journalists), and the straw most often grasped at was CNN. On the first night of hostilities, NBC's Tom Brokaw even interviewed the cable network's anchor Bernard Shaw, and as ABC's Dean Reynolds reported live from Jerusalem, CNN's feed on a television monitor was visible over his shoulder. Ted Koppel remarked on the "weirdness" of talking to U.S. troops near the Saudi border as they watch TV for news: "They are listening to us, and we are listening to them listening to us. The whole world is listening to each other and trying to analyze what is going on." Marshall McLuhan's global village suddenly seemed more like a hall of mirrors.
Highlights and sidelights of the early stages of the television war:
The network's Gary Shepard was the first of the big three to report the bombing of Baghdad on Jan. 16, and from then on NBC and CBS were playing catch-up. ABC was also the first to show the extraordinary footage (shot with a nightscope by cameraman Fabrice Moussus) of the aerial assault on Baghdad. The sight of those tracer rounds from the antiaircraft guns drifting up in sheets into the sky was an unforgettable tableau.
While the other networks used their morning-show staffs to kick off the first broadcasts of the day (not bad for NBC but another disaster for CBS), ABC brought on big gun Peter Jennings right away, giving it a considerable advantage. It also had the most informative, if colorless, military analyst in the sepulchral Anthony Cordesman.
Koppel was crisp and in control in his usual late-night role, but when he brought his debate-club style to an afternoon shift, he seemed stuffy and supercilious. It was one of the few times that ABC lost its news edge to CBS. Jennings was, far and away, the class act among the anchors. Cool, assured and composed, he provided excellent summations of new developments and placed them in perspective. He also exhibited (as did the other anchors) sincere concern for his overseas correspondents when the air-raid sirens started going off. His performance during the conflict will probably ensure the ratings dominance of ABC News for some time to come.
The whole news division showed obvious signs of wear and tear—quite often CBS appeared unsure where the action was. Many of the network's so-called experts didn't display much expertise. The CBS This Morning crew (Paula Zahn and Harry Smith) often looked ill at ease; instead of reporting from their cozy normal digs, they were sent to a larger, more forbidding set constructed specially for Showdown in the Gulf broadcasts. With his articulate air of sangfroid, Smith has always suggested a hard-news guy sitting politely but uncomfortably through a fluffy breakfast party. But presented with a big story, he became inexplicably tongue-tied. The usually unflappable Zahn got flustered at one point when, after referring to a woman as a man, she admitted she couldn't see the guest she was interviewing. And after a couple of on-air miscues, Zahn said with a weary sigh, "We've been on a long time this morning."
Early on, CBS looked too concerned with graphics and a sometimes-too-dramatic reading of simple headlines by Dan Rather, who later (thankfully) tuned down the theatrics a notch or two. He did get a little carried away again on Sunday, breaking into the Giants-49ers football game. But it may have just been the pressure of following flamboyant sportscaster John "Boom-Boom" Madden onto the air.
We could have also done without Rather alternately pledging "steady, reliable and dependable coverage" and admitting "we really know very little that is going on...we know a smidgeon."
Later in the conflict, CBS was aggressively playing catch-up with CNN (you can almost picture the meeting in which someone must have rallied the news troops). But the network had to retract its biggest scoop—a premature report that Israel had retaliated against Iraqi missile strikes.
Early on, Ted Turner's cable outlet had the most dramatic, celebrated coverage as Shaw, John Holliman and Peter Arnett (see page 42) stayed on the phone to Atlanta for 16 hours from their vantage point at Baghdad's Al Rasheed hotel, describing the scene as the Allied attack began. Courageous and coherent (except for Shaw's lapse into muddled free-associating early Thursday morning), CNN's coverage combined cool professionalism with an obvious enthusiasm for the story. But CNN also underscored how self-reflective this war had become. Its trio of reporters and their peril appeared at times to have become the story, not what was transpiring outside their hotel window. Who wants to bet that by next season the ordeal of the three CNN newsmen won't get turned into a TV movie?
Yes, the network had the perfectly named military affairs reporter: Wolf Blitzer. But it also made the best use of the pool footage provided by the military, giving a superb sense of the sights and sounds of war. For the most part, CNN also had the best film editing and better-paced broadcasts. Over on the Big Three, everything had to be funneled through an anchor-monster, resulting in more segmented and plodding programming. CNN's unimposing teams of coanchors spread the coverage around to their legions of competent correspondents. CNN maintained its war coverage as the days went by, and the majors reverted more and more to conventional commercial programming. (They all returned to their regular programming less than two days into the conflict.)
The only problem was the undigested nature of the news the network fed us, including the clearly coerced statements of the battered coalition airmen captured by Iraq. CNN presented this horror show in its entirety; the other networks exercised more discretion, editing out the more degrading moments.
Flipping around the dial for war news, you may have noticed that CNN broadcast a few decibels lower than its older rivals, as if it didn't need mere volume. In its quiet fashion, the channel has become a major player, the first place to turn for news.
If all the networks occasionally treated the war as a combination miniseries and sporting event, NBC was the worst offender. Tom Brokaw got embarrassingly effusive in the early hours over the capabilities of American air power, referring on more than one occasion to, gee whiz, the fact that he had actually ridden in the back seat of a fighter plane once. "This guy talks tough and swings back very slowly indeed," he said cryptically in one of a number of gratuitous sneers at Saddam Hussein.
The network's female correspondents and commentators often seemed wildly overdressed—Middle East analyst Joyce Starr, for instance, showed up in a glamorous ensemble topped off with a multicolored scarf, while Deborah Norville appeared during Today show coverage wearing a garish tiger-striped blouse. And NBC even stooped to playing the theme from Born on the Fourth of July behind one montage sequence that showed Persian Gulf footage.
Things did get better, with such more-to-the-point coverage as Bryant Gumbel's to-day interview with correspondent Rick Davis and New York Times science writer Malcolm Browne about Pentagon manipulation of news during the war's early days.
Picks and Pans Main: Tube
updated 02/04/1991 AT 01:00 AM EST
•originally published 02/04/1991 AT 01:00 AM EST
The Latest
Only on People.com


text:
La Salle's women's lacrosse team tied the program record with its 10th win this season by beating St. Joseph's, 11-3, on Sunday in steady rain at McCarthy Stadium.
La Salle raised its record to 10-6 overall and 3-4 in the Atlantic Ten. The 2005 and 2010 teams also won 10 games.
Lauren McDermott (North Penn High School), Jackie Roebuck (Marple Newtown), Melanie Sarcinello (Marple Newtown), and Kelly Furman (Boyertown) each scored two goals.

subset: commoncrawl


text:
Because of the possibility that some may not be familiar with this method, I consider it worth while to describe a simple yet effective way to deal with burned hands. My colleagues and I have employed this treatment in a considerable number of cases and have been impressed by the good results obtained. It is applicable to nearly all burned hands, regardless of the degree of the burn, inasmuch as the same surgical principles are involved in each instance.
Since all thermal burns should be sterile by the very nature of the injury, they should remain so until contaminated by droplet infection (commonest1) or by contact with clothing, hands, nonsterile dressings, etc. No attempt is made to "clean up" the injured part unless it has been covered with butter or otherwise grossly contaminated. In this event, under general anesthesia, the hand is soaked in an isotonic sodium chloride solution
Thank you for submitting a comment on this article. It will be reviewed by JAMA Surgery editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers' bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Need assistance?
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.


text:
All Posts In » 2010 » November » 01
Canaan Complete Collection now available on Blu-Ray
Section23 Films is proud to announce the release of Canaan, the Complete Collection now available on DVD and Blu-Ray. Colors have scent. Sounds possess images. In this future world, where biochemical weapons have changed the game, an unlucky few have their senses blended. They are gifted with abilities beyond what normal humans feel. They possess synesthesia. The series takes place two years after a video game in the same universe; 428: Fūsa Sareta Shibuya de. Canaan tells the story of a group of individuals and their connections surrounding an anti-terrorism summit. For more information, check out Section23Films.com. FollowRead more →By Vanessa in Turning Japanese No comments yet
Two Words. Bejeweled 3.
Okay so that's a letter and a number, but it's true. It's coming. Bejeweled 3 will be the first real sequel to PopCap's Flagship genre-pioneering superstar Bejeweled in over 6 years. Not that there hasn't been anything newly Bejeweled since then with Bejeweled Twist and the many incarnations of Bejeweled Blitz still holding a place on many a Bejeweleder's monitor screen. I would imagine there to be a lot of pressure to reach farther should PopCap put forth a new installment of the original. "The challenge in creating a new version of Bejeweled is to innovate and keep it fresh and exciting without losing touch with the game-play that millions of people love. So we're very careful when we make changes to the core game, which is why it can take so long!" said Jason Kapalka, co-founder and chief creative officer at PopCap and co-creator of Bejeweled. "We've worked hardRead more →
DRIFT CITY NOW LIVE ON GAMESCAMPUS.COM; SERVERS OPEN AT 1PM PST TODAY Players Can Now Take The Wheel Of The New And Improved Drift City athttp://driftcity.gamescampus.com Sunnyvale, Calif. (November 1, 2010) – Leading online game publisher, GamesCampus.com (www.GamesCampus.com), announced today that it has taken over service of and officially launched the popular racing MMORPG, Drift City, on its GamesCampus servers. The servers that Drift Citywas previously hosted on have now closed so the only place the new version of the popular racing MMORPG can be downloaded and played is athttp://driftcity.gamescampus.com Drift City is the unique driving game that is part role-playing game and part racing game. It offers both mission modes and multi-player racing modes incorporated with cell-shaded style graphics for a unique racing experience. Players can choose their vehicles, modify and customize the design, and upgrade the performance of their vehicles. Now that the game is available on GamesCampus.com,Read more →By geekwoman in News No comments yet
2010 Golden Joystick Awards
The 2010 Golden Joystick Awards show was held today, and it was hosted by Rich Hall.Winners included Mass Effect 2, Assassin's Creed II, Plans vs Zombies, and quite a few others.Did you vote? Did your favorite game win for it's respective category? Total votes received were 1,543,309. Hopefully you threw one in there.The Golden Joystick Awards include games released from August 2009 – August 2010, which is why you may be scratching your head at a few of the nominations.Mass Effect 2 got the Ultimate Game of the Year award. Congrats to BioWare on that, and winning RPG of the year with it as well.You can view the ceremony's Twitter feed here.Full list of winners and nominees are below.Winners: Action/Adventure Game Of The Year – Assassin's Creed II Download Game Of The Year – Plants Vs Zombies Fighting Game Of The Year – Super Street Fighter IV Music Game OfRead more →By geekwoman in News 1 Comment »
3DS Coming to North America in March 2011
3DS Coming to North America in March 2011 The Nintendo 3DS will be released in Japan during the last week of February. Then it is expected to be selling in the West sometime in March. Nintendo of America has not yet confirmed 3DS launch date. A report that the latest financial supplement page pointed to the Nintendo 3DS for a March launch in North America and Europe. FollowRead more →By geekwoman in News No comments yet
XBL Dashboard Update Today
Microsoft has released details on the dashboard update for Xbox 360.The update brings a new improvements to the voice chat quality, easier accessibility to wireless, and improvements on ther UI. The design matches more with Kinect, which will be out later this week. Here's the complete list of changes: Improved voice quality – the audio codec is being updated to improve Xbox LIVE Party chat audio quality. So grab your friends and jump into a multiplayer game, catch a big sports event, watch a movie or do all three. Improved experience for changing your Gamertag – choosing a new Gamertag? If the Gamertag you're looking for is already taken, your Avatar will spin a wheel and we will provide five other Gamertag suggestions at a time for you to choose from. Streamlined in-dashboard virtual keyboard – we've taken the existing QWERTY keyboard in-dash and made it easier to use forRead more →By geekwoman in News 1 Comment »


text:
The 5 Best Things Your Baby Can Do For Your BirthdayAlice Gomstyn
Having now spent two birthdays with a baby on my hip, I've come to realize that infants aren't great gift givers. Unlike toddlers, they can't make anything for you except full diapers and I somehow doubt that the message "Happy birthday, mommy — have some poop!" will make its way into a Hallmark card anytime soon.
That said, there are plenty of things babies can do — or, at least, avoid doing — to help brighten your birthday. They can:
* Avoid spitting up on porous surfaces, such as blankets, rugs and the first new sweater mommy bought herself in over a year. Anything wipeable — wooden floors, tiles, Daddy's golf clubs — are A-okay!
* Not claw at their own faces with the fingernails you keep forgetting to trim.
* Play quietly when you're trying to get chores or work done. As you can see, Scrunchy Face is actually doing that right now or else this blog post wouldn't have a prayer of being finis—wait, baby, shhhhh shhhh, Mommy's almost done!
* Sleep through the night.
* Sleep through the night.
* Smile!
* Sleep through the night.
Did I forget any? Oh yeah — Sleep through the night.
What would you add to this list?
Don't miss a post! Follow Alice on Twitter and as "Mildly Inappropriate Mommy" on Facebook
More from Alice:
7 Reasons My Baby Would Be an Awesome Baby DJ
7 Everyday Kitchen Items to Distract Your Baby
The Top 20 Baby Photo Blogs of 2013


text:
Gators Stand By Will Muschamp
Source: Jesse Simonton, Miami Herald
Despite growing frustration by Florida fans with the football program, Gators players are standing by coach Will Muschamp.
Team leaders ? senior safety Jaylen Watkins, redshirt junior quarterback Tyler Murphy and junior linebacker Michael Taylor ? all expressed adulation for Muschamp, who is 22-12 in three seasons at Florida.
?To see somebody who really has our backs means a lot,? Murphy said. ?We try to put it all on the field for a coach like that.?
Said Watkins: ?He fights for us, no matter what. He takes all the blame, and we?re the ones out there playing. A lot of times, he puts us in the right position, we know he?s got the right scheme for us. We?re just, a lot of times, out of place or something. We definitely love the support he gives us, and we?re gonna support him right back.?


text: The unfailingly risqué VICE magazine recently published an editorial appropriately titled "Babes On Wheels." Skimpily garbed females partaking in an assortment of wheeled activities are the focal point of this editorial. Alongside Harley Davidson and Kona bikes, labels such as Stussy, Emerica and DC also make an appearance for those that noticed. What more is there to say – take a peek.


text:
THE prom queen is the (snow)boarder who prom queens above all others the most, or most, spectacularly.
We've all had a few prom queens, but Jeff you are without a doubt the prom queen.
লিখেছেন- Rak-takahh 8 de জুন de 2004
Trending Now
Can you define these popular missing words?
Top Definition
The female senior at a high school prom who was voted for by her fellow classmates. While every female has a chance of winning, the Prom Queen is usually the prettiest and most social among the others. (See: Queen Bee).
Not Another Teen Movie was complete BS; Priscilla was suppose to be the Prom Queen.
লিখেছেন- Jon Ace 17 de মার্চ de 2007
1. A girl who makes the wrong, sketch decisions and regrets it in the end.
2. A cute girl who makes bad choices at a young age (sometimes to impress boys) who ultimately is remorseful of those decisions as she grows up.
2. A cute girl who makes bad choices at a young age (sometimes to impress boys) who ultimately is remorseful of those decisions as she grows up.
"That girl Miranda smokes and drinks everyday after school with all the skaters and her boyfriend is a senior. What a Prom Queen, she's going to regret those choices when she grows up."
লিখেছেন- andrewandmark 19 de ডিসেম্বার de 2009
Term used when Snowboarding when the boarder and the snow collide at high velocity, as Wipeout is to a Surfer and Bail is to a Skateboarder.
"Awwwwwww shit, that mother Prom Queened real bad, that gonna hurt!"
লিখেছেন- Jack Nicholson 8 de জুন de 2004
A white girl who competes in a black beauty pagent and ends up being the cutest one there.
Gina is going to be the prom queen of Dillard High School
লিখেছেন- Christy T. 11 de মে de 2005


text:
Civil War Trading Cards
Contact: Gloria Lee, (912) 786-5787
Trading cards have been popular with kids for generations, from images of sports figures to movie stars. Now, Fort Pulaski National Monument is offering free trading cards. There are 10 cards in the Fort Pulaski collection:
. Fort Pulaski: Protecting the Port City
The cards available at Fort Pulaski National Monument are part of a series of 550 cards available at participating national parks throughout the United States. To "earn" a trading card, kids may participate in a ranger-led tour or answer a question about their visit to the park.
"The trading cards are vehicles for telling some 'lesser-known' stories - including the stories of civilians, women, African-Americans and American Indians," said Superintendent Randy Wester. The trading cards are a great way to engage kids with our history as a nation, both here at Fort Pulaski National Monument and throughout the United States. According to Wester, the cards also provide an incentive to families with children to visit all parks which offer the cards.
Each trading card tells a little-known story but collectively the cards describe the struggles we have endured as a nation to strive for freedom and equality. The Civil War Sesquicentennial and the 50th Anniversary of the Civil Rights Movement provide opportunities for us to reflect upon our past, celebrate the strides we have made and look forward with commitment to achieve a more perfect union


text:
Part 24: Lifetime Management - Saving and Restoring State
- Posted: Oct 26, 2012 at 9:31AM
- 2 comments
Loading user information from Channel 9
Something went wrong getting user information from Channel 9
Loading user information from MSDN
Something went wrong getting user information from MSDN
Loading Visual Studio Achievements
Something went wrong getting the Visual Studio Achievements
Right click "Save as…"
Oops, something didn't work.
Thanks @Bob_Tabor This video helped me out to understanding the Saving and restoring life cycle.
Opening comments
Comments have been closed since this content was published more than 30 days ago, but if you'd like to continue the conversation, please create a new thread in our Forums, or Contact Us and let us know.


text:
And what is the rate at which they should be gaining weight?
My LO was born on the 5th and was 7 lb 7 oz. When we were discharged two days later, she was 7 lb 2 oz. Another two days later at her first doctor appointment, she was 6 lb 14 oz. I took her to the doctor yesterday (24 days old) and she was 8 lb 13 oz! The nurse said, "Wow! I thought she'd be 7 - something." She is EBF.
The doctor didn't say anything and I didn't ask, but is that a normal rate of weight gain? 2 lbs in 3 weeks? What should I expect? I'm obviously not going to limit her food intake or anything, I'm just wondering.
I'll admit, I was relieved. I was worried she wasn't eating enough because she is fed on-demand and only demands every 4 hours or so. And I use a nipple shield, and I know milk transfer can be an issue when shields are used. So I'm happy to know my baby is gaining weight =).


text:
Fans of Paul McDonald may be upset that the singer was booted off American Idol on Thursday's elimination but actress Nikki Reed – whom he says he is "officially dating" – is not.
"She is actually pumped," he said. "She said, 'Dude, you finally get to do your thing and be yourself and be the artist you are.' She is happy about the whole situation. She has been nothing but cool to me."
McDonald, 26, is also pumped because, he says, he really wanted to play the piano and show off his other talents.
"I have this other side that I didn't even start to show," he says. "I play keys. It's hard to do in a minute and a half of a cover song so I'm looking forward to doing my own thing and getting creative again."
Though he's been writing songs about "stuff going on in this whole L.A. scene," and sending them back to his band Grand Magnolias, McDonald says he doesn't know when they'll be able to cut more tracks and perform together again.
"I might have to release a solo album first," says the singer, who became good friends with fellow season 10 contestants Stefano Langone, James Durbin and roommate Jacob Lusk and was like a big brother to Lauren Alaina. "But I'd like to have the guys play on the record."
Though he flashed his pearly whites last night after getting the boot, McDonald says he does have one regret: "I probably shouldn't have been writing songs while I was out here," he says. "I should have been focusing more on learning [songs for Idol]."
But, he says, "I'm really, really happy about the way that I went out."
Paul McDonald: Nikki Reed Is 'Pumped' About American Idol Elimination
Frank Micelotta/FOX/PictureGroup;


text:
The latest version of Adobe Flash Player is required to watch this video.
Please click on the link below to download the latest version. Thanks!
President Barack Obama's six-month ban on deepwater oil drilling has been blocked by a federal judge.
U.S. District Court Judge Martin Feldman agreed with drilling companies who claimed the moratorium would negatively affect thousands of industry jobs.
"What seems clear is that the federal government has been pressed by what happened on the Deepwater Horizon into an otherwise sweeping confirmation that all Gulf deepwater drilling activities put us all in a universal threat of irreparable harm," Feldman wrote Tuesday in his ruling.
The administration planned to use the six-month ban to check safety standard and hopefully prevent another crisis like that along the Gulf Coast.
Oil industry advocates also feared the ban would force companies to leave the Gulf and move overseas.
"[The ban was put in place] without any sense of a foundation for the reasoning behind it, except it's a knee-jerk reaction of the government," said plaintiff and shipyard owner Boysie Bollinger.
The Interior Department had halted all drilling in more than 500 feet of water, suspended drilling of 33 wells in the Gulf and prevented new permits from being issued.
"There are things the administration could implement today that would allow the industry to go back to work tomorrow without an arbitrary six-month time limit," Transocean Ltd. President and CEO Steven Newman told reporters on the sidelines of the World National Oil Companies Congress.
Gulf Coast workers, whose jobs have been affected by the spill, have another issue to deal with -- a tax issue.
People receiving money from British Petroleum to compensate them for the loss of work said they're surprised to learn they may have to pay taxes on it.
An amount of $100 million has been set aside to help people who lost their jobs, because of the moratorium. Gulf oil workers so far have received only about a few thousand dollars each.
Oil Spill Prayer Chain Stretches Across Miss. Beach
BP Chief 'Devastated' over Gulf Oil Spill
BP Agrees to Set Aside Billions in Oil Spill Aid
Log in or create an account to post a comment.
Are you seeking answers in life? Are you hurting? Are you facing a difficult situation?
Find peace with God, discover more about God or send us your prayer request.
Call The 700 Club Prayer Center at 1 (800) 823-6053, 24 hours a day.
A caring friend will be there to pray with you in your time of need.
CBN News is a national/international, nonprofit news organization that provides programming by cable, satellite, and the Internet, 24-hours a day. Follow us on Facebook, Twitter, and Google+.
More Info


text:
Commerce Reporter
United Airways (BD) Limited, the country's leading private airline, will start Dhaka-Karachi-Dhaka flight from September 27.
The one way special fare for Dhaka-Karachi is starting from Tk 22,882 and return is Tk 39,888 (inclusive of all taxes and surcharges).
Weekly, two flights will be operating from Dhaka to Karachi on Saturday and Tuesday. The flight will depart from Dhaka at 8pm and reach Karachi at 10.30pm.
The return flights will be operating from Karachi to Dhaka on Sunday and Wednesday with the departure time 9:15am and the arrival at Dhaka 1:40pm.
United Airways, the first ever public limited company in aviation sector of Bangladesh, is now operating more international routes from Dhaka to Jeddah, Dubai, Muscat, Doha, Kuala Lumpur, Singapore, Kathmandu and Kolkata and also from Chittagong to Kolkata. The airline is operating flights to all major domestic sectors from Dhaka.
Now United Airways (BD) Ltd. has total 11 aircraft which are one DASH 8-100, three ATR-72, five MD-83 and two Airbus-310.
On 10 July 2007, United Airways first took to the skies with a slogan "Fly your own Airline" and has been providing committed services ever since. In a span of just seven years of operation, United received positive market response and presently holds a major share of the domestic, regional and international market.
United Airways to start Dhaka-Karachi flight Sep 27
Commerce Reporter


text:
Famous Mormon Writers and Authors
Janette Rallison
Janette grew up in Pullman, WashingtonJanette has written six books for
teens. She currently lives in Chandler, Arizona, with her husband and
Kristen Randle
Kristen D. Randle writing has been called "gritty, smart, and realistic" (ALA Booklist) and "compelling" and "powerful" (School Library Journal). She is the author of several novels, including the highly praised Breaking Rank, an ALA Best Book for Young Adults and a New York Public Library Book for the Teen Age, and The Only Alien on the Planet, an ALA Best Book for Young Adults, the Michigan Library Association Book of the Year, and winner of the California Young Readers' Medal. Ms. Randle and her husband have four children, two dogs, and three horses. They live in a little wood on the banks of a Utah river. www.authortracker.com
David Ridges
David J. Ridges has been teaching in the Church Educational
System for 30 years and has been associate director and instructor at Orem
Institute of Religion adjacent to Utah Valley State College. He has taught
for several years at BYU Campus Education Week and Know Your Religion
programs. He has also served as a curriculum writer for Sunday School and
Seminary manuals. www.cedarfort.com
Lori Ries
"Kids can't be dogs, but Ben and Aggie let them know they can be readers."
(Horn Book Starred review.) ' Punk Wig discusses cancer while managing to be
realistic, touching and humorous.' (Cancer Care Connection) "A loving tribute to brothers everywhere; may Sam's stories continue. '(Kirkus Reviews)
A literacy advocate, Lori creates fun to read books for children.
Lori's career began through Highlights Foundation with a scholarship to their Annual Chautauqua Writing Workshop in 2002. She wrote her first book right there that week under Chautauqua's spell. "Super Sam" was taken by her reader, an editor at Charlesbridge, and was published in 2004. Currently, Lori has six books. She lives in Oregon with her husband
and children.
Tom Roulstone
Tom was first published in 1981 with an article in the Pacific Northwest Quarterly. In December 2000 he retired from college history teaching to pursue writing full- time. He is the author of six LDS historical fiction novels and two Western novellas. All three of his Passage of Promise series are still available. His first novel One Against the Wilderness (1996) is now back in print. Tom's latest novel Reluctant Soldier, Reluctant Saint (2010) is now in LDS bookstores. Tom and his wife Serenity live on Vancouver Island, where he is the president of the Qualicum Beach LDS branch.
Brandon Sanderson
|He is a
fantasy author. A
Nebraska native, he currently resides in
Utah, while he finishes up his
Master's degree in
Creative Writing from
Brigham Young University. Sanderson's writing
is noteworthy for its
epic fantasy tone, unique settings, precision
magic systems, and variety of
Candace E. Salima
Candace E. Salima, the author of Forged in the Refiner's Fire, 13 & 0: Reflections of Champions and Out of the Shadows . . . Into the Light, has her fingers in many pies. With a book in the works with Merrill Osmond, the launching of her new podcast, Imagine, and two more of her own books on the way, Candace is a busy woman and a quickly rising star in the LDS industry. She travels around the nation promoting literacy at churches, schools and organizations. In April 2009, Candace launched her own publishing house, Valor Publishing Group. Valor published its first release in November of that same year, Utah Attorney General Mark Shurtleff�s �Am I Not a Man? The Dred Scott Story.�
Obert Skye
Obert Skye was born a number of years ago in a town just about the size of the one you are living in. Those who know him are shocked that Fate has picked him of all people to tell the tale of Foo. He is, after all, incredibly uneasy around people and has never desired the spotlight. Obert was last seen, pencil in hand, standing above the mismatched intersection of Twelfth and Pine Streets. If found, please contact us at LevenThumps.com.
Samuel W. Taylor
Samuel W. Taylor was a descendant of President John Taylor. He wrote many stories and magazine articles for the Saturday Evening Post, Colliers, Adventure and Esquire. He also wrote books concerning Mormonism including The Last Pioneer: John Taylor, a Mormon Prophet (1999) and film scripts including The Absent Minded Professor (1961).
Internet Movie Database Biography (German)
Rebecca Talley
|Rebecca was born and raised in Santa
Barbara, California. She spent countless hours swimming in the ocean, collecting
shells, and building sandcastles.
She graduated from BYU with a Bachelor of Arts degree in Communications. While attending BYU, she met and married her sweetheart, Del.
Rebecca now lives in Colorado on a small ranch with horses, goats, a dog, a cat, and a llama named Tina. She and Del have been blessed with 10 creative and multi-talented children.
She has had children's stories published in online and print magazines, including the Friend, is the author of the children's picture book Grasshopper Pie and the LDS novel Heaven Scent.
Briana Walker
Briana is the author of a self published book called "Dance
Anyway". Because of the book she has become a popular public speaker in the
church and also for organizations, schools, companies, etc.
Briana tells Famous Mormons "I really enjoy it (speaking) and to be honest, I never before imagined this as a career and by accident it has turned out that way. What a great adventure it has been thus far... One of the highlights was getting invited for a private lunch with Governor Huntsman and First Lady Mary Kaye Huntsman at the Governor's mansion. Another was performing live on stage at the Vibe Music Awards along side of Ludacris and Chingy. Like I said earlier, what a great adventure."
From her website: On a bright California Sunday afternoon Briana Walker was driving on the 55 Freeway when she fainted at the wheel of her black Honda Accord, hitting the cement median at seventy-five miles per hour. A young, aspiring dancer, just 23 years old at the time of her accident, Briana was determined to create an amazing life in spite of her new circumstances.
Rick Walton
Rick Walton is the author of more than thirty books for children, including
So Many Bunnies: A Bedtime ABC and Counting Book and What to Do
When a Bug Climbs in Your Mouth and Other Poems to Drive You Buggy.
When he is not writing, he likes to read, travel, and play the guitar. Rick
lives in Provo, Utah, with his wife, Ann, and their four children.
Author Interview -- Rick Walton
Terry Tempest Williams
She says, "I write through my biases of gender, geography, and culture.
I am a woman whose ideas have been shaped by the Great Basin and Colorado Plateau,
these ideas are then filtered through the prism of my culture and my culture is Mormon.
The tenets of family and community which I see at the heart of that culture are then articulated through story."
She is best known for her book Refuge: An Unnatural History of Family and Place ,
a chronicle of the rise of Great Salt Lake and the flooding of the Bear River Migratory Bird Refuge in 1983,
alongside her mother's ovarian cancer,
caused by radioactive fallout from the nuclear tests in the Nevada desert in the 1950's and 60's.
It is regarded as a classic in American Nature Writing,
a testament to loss and the earth's healing grace.
Source: Coyote Clan
Julie Wright
Julie is an award winning author of To
Catch a Falling Star,
Loved Like That, and My
Not So Fairy Tale Life. In the
national market, I have recently completed the first of a fantasy series for
young adults titled The Thirteenth
Month. She is developing an adult fantasy
trilogy called The Triad
with its first book called
Dave Wolverton
aka David Farland
He has published ten novels in the fields of fantasy and science fiction, and has been nominated for the Nebula and Hugo awards.
Many new writers know him as a judge for the L. Ron Hubbard "Writers of the Future" contest.
He won the top award in the contest in 1987, an event which effectively sparked his career.
Last summer, he broke the Guinness Book world record for most book signings at one sitting for A Very Strange Trip,
which he adapted from an L. Ron Hubbard short story.
|Writers and Authors page 1
|Writers and Authors page 2
|Writers and Authors page 3
Provident Living
Family Search
Disclaimer: The views and opinions expressed here are those of the webmaster. Although I consider myself a faithful member of The Church of Jesus Christ of Latter-day Saints (nicknamed The Mormon Church) and this site is designed to interest members of the before mentioned church, it is in no way an official affiliate of The Church, and no content within this site should be taken as official church policy or doctrine. � � Ron Johnston � Webmaster Ron Johnston � All rights reserved.


text:
Dear Readers: Black extension cords on white appliances — what are manufacturers thinking? A while back, a reader questioned why manufacturers insist on placing black cords on their appliances.
What do you do to hide an ugly cord?
Here are some of the many reader responses to this common complaint:
■ Take a white or light-colored extension cord, plug the dark appliance cord into the extension cord and run the light-colored cord to the electrical outlet. — E.A. Smith from Missouri
■ At home-improvement stores, they have covers in different sizes made just for hiding cords and cables. — Carol D. from Florida
■ Take the lamp (or other appliance) to an electrician and have the cord replaced. — Jim G. from Louisiana
So creative and helpful. My friends at Underwriters Laboratories (www.ul.com) said the above hints meet their standards and are considered safe solutions to hiding unsightly cords.
Hint: Don't bunch electrical cords, because it can cause internal damage to the wiring and is a fire hazard.
Hiding electrical cords can make your house more appealing. Just make sure to do it in a safe way. — Heloise
Dear Heloise: Like many moms and grandmothers, I have a wonderful collection of "refrigerator art."
I solved the display problem by scanning the artwork and displaying it in my digital camera frame.
Hand-drawn cards, artwork, sports and academic letters and even some flat fiber art items can be displayed and enjoyed this way. It adds to the feeling of family and history to see the artwork interspersed with family photos. — Dennise R., Springfield, Mo.
Send a money-saving or timesaving hint to Heloise, P.O. Box 795000, San Antonio, TX 78279-5000, or you can fax it to 1-210-
HELOISE or email it to email@example.com.


text:
Once again, I'm on the road visiting and teaching at guilds and seminars across the country! And, of course, I'll be teaching quilters how to use reproduction fabrics to make reproduction quilts and we'll be using 21st century techniques to make 19th century quilts.
Here's the class descriptions and supply lists for a couple of these very popular classes -- Making Reproduction Quilts and Lizzie's Quilt. Other popular classes are Wool Applique and Embroidery Stitches for Quilters. Please call or email -- I'd love to come to your area to teach these or other classes! View descriptions for other possibilities under Classes & Lectures.
Have you noticed? The hottest new trend in the quilting industry is wool applique!
Wool -- hand dyed and wonderful textures -- combined with the great hand dyed threads that are available for embellishment is a winning combination!
To enjoy the adventure of wool applique and thread embellishment, we have a wonderful new Block of the Month project. Each block features luscious wools combined with delightful embroidery. Nothing is quite as nice as knowing that EVERY MONTH there will a package in the mail -- filled with wonderful fabrics and a beautiful pattern! Even though life often gets hectic, it's great having a quilting project to look forward to-- it makes each day a little brighter! And as we enjoy the sunny days of spring and summer, a wool applique Block of the Month quilt is the perfect take-along project for day trips and vacations!
This new quilt is a wonderful potpourri of flowers and traditional images set on a gorgeous textured black wool with a textured red wool providing the perfect separation between the blocks.
Join us for 12 months and make a 12 block quilt with four rows of three blocks. With borders, that will finish at 41" X 52". Extend the fun and join us for 25 months and make the larger design that is five rows of five blocks and with borders finishes at 68" X 68.
I've been having so much fun adding extra embroidery to the blocks -- click on each image to see for yourself!
The program will include patterns, plastic overlays for applique placement, all wools for background, borders, sashing, binding, applique, and instructions for completing the project. We require a $50.00 deposit for the one year program and $100.00 deposit for the 25 block quilt. Each month we will charge your credit card $27.95, which includes all these supplies and shipping to anywhere in continental US. You can join anytime during the year. We ship the middle of each month and there are no hidden finishing costs! We'd love to have you join us in making this heirloom quilt!
In addition, we're extending our other wool BOM projects for another year. Look under Wool Applique (Link of the left side of the Home Page) for details on the Folk Art Album Quilt and Life's Journey quilt.Karen


text:
There was hardly need to recount her singing, acting and song-writing accomplishments when some 2,000 country stars, friends and fans turned out at the First Baptist Church in Hendersonville, Tenn., on May 18 to commemorate June Carter Cash. For country's royalty—among them Trisha Yearwood, Emmylou Harris and Ricky Skaggs—Cash simply reigned as queen beside her husband of 35 years, Johnny Cash. So instead, as a frail Johnny, 71, listened from a pew, daughter Rosanne Cash, 48, recalled how her stepmother once answered the phone, spoke for 20 minutes, then hung up and said, "I just had the nicest conversation." "Who was it?" Rosanne asked. "She said, 'It was a wrong number.' That was June."
The memorial service was more an upbeat celebration of Cash's 73 years, honoring the three-time Grammy winner who once shopped for clothes with Elvis when they toured the South together in the '50s. A performer since childhood with the celebrated Carter Family, she allowed her career to take a backseat for decades to attend to Johnny as he battled amphetamine addiction and, in recent years, serious illness. "Absolutely nobody ever imagined she would die before Johnny," says artist manager Merle Kilgore, with whom she cowrote Johnny's hit about forbidden love, "Ring of Fire," when both singers were married to other people.
"We're soulmates, friends and lovers and everything else that makes a happy marriage," Johnny once told PEOPLE. "It would be awfully hard to try to live without her." Her death on May 15, following complications from heart-valve surgery two years after receiving a pacemaker, marked both the passing of a legend and the end of a fabled romance. Says Kris Kristofferson: "They were a true love story."
Johnny's Angel
updated 06/02/2003 AT 01:00 AM EDT
•originally published 06/02/2003 AT 01:00 AM EDT


text:
Dr. Lewak has properly raised a question concerning the comparison of hospital utilization data from the Oregon Kaiser Health Plan, which represents the practice of pediatricians, with hospital utilization data from the Kansas Blue Cross and Professional Activities Study, which reflects the practices of general practitioners and pediatricians. He cites two studies of lower respiratory infection which suggest to him that hospitalization of children is lower in a private pediatric group than in a prepaid health practice. Finally, he questions the use of provider record data for comparative utilization studies.
It is perhaps most useful to consider the question of utilization in different forms of medical practice from the viewpoint of the consumer. Recent regional data from the National Center for Health Statistics confirms that tonsillectomy rates as well as primary appendectomy rates are approximately 25% lower in the Oregon Kaiser Health Plan than in the more traditional forms of
Thank you for submitting a comment on this article. It will be reviewed by JAMA Pediatrics editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers' bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Need assistance?
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.


text:
Hotels in Briarcliff Manor
Nearby hotels
Comfort Inn Suites
3 Stars
20 Saw Mill River Rd. (to 5.87 km)
Perfect for leisure and business travelers alike, the Comfort Inn and Suites of Hawthorne features an indoor pool, fitness center, free wireless (and wired) high speed internet service, business center, free breakfast, meeting rooms, self-service laundry...Search
Hotel La Quinta Inn Suites Elmsford
3 Stars
540 Saw Mill River Rd (to 8.04 km)
Giving guests a taste of home, the La Quinta Inn and Suites Elmsford makes for an excellent staySearch
Hotel Courtyard Tarrytown Greenburgh
3 Stars
475 White Plains Road (to 9.00 km)
The new state-of-the-art lobby at the Courtyard Tarrytown Greenburgh hotel provides greater flexibility and choices for our guests. Our Greenburgh NY hotel features a new lobby with inviting, flexible spaces to work or relax in, free Wi-Fi throughout and access to the latest news, weather and airport updates via our GoBoard. The highlight of our new Tarrytown NY lobby is The Bistro - Eat. Drink. Connect. which offers healthy food beverages in the morning and evening dinner service with cocktails. With 1,300 sq ft of meeting space our Greenburgh New York hotel is the ideal choice for small events wedding guest rooms. Our hotel in Tarrytown NY is ideal for business and leisure.Search
Sheraton Tarrytown Hotel
3 Stars
600 White Plains Road (to 9.46 km)Search
Westchester Marriott
4 Stars
670 White Plains Road (to 9.60 km)
Westchester Marriott Tarrytown, a Hudson Valley hotel near White Plains, NY, boasts a brand new lobby, completely renovated meeting space and spacious guest rooms. Enjoy premier Tarrytown lodging with 439 hotel rooms and five suites, all of which are equipped with high-speed Internet and other convenient amenities. With a variety of attractions nearby, including the Rockefeller Estate, Vanderbilt Mansion and Culinary Institute of America, this Westchester County hotel is the ideal lodging choice for a vacation in NY. Relax at the hotel's indoor swimming pool before dining at the hotel's two onsite restaurants, Harvest Grille and Ruth's Chris Steakhouse. With 26,000 square feet of meeting and event space, this Hudson Valley lodging option is the perfect choice for meetings and wedding receptions in Tarrytown, NY.Search
Offers by email
Would you like to receive offers by email?
Receive information about our hotel deals, exclusive prices, discounts and competitions
Nearby places
2968 metres
3697 metres
3797 metres
4487 metres
4856 metres


text:
The Stevensville Town Council is bogged down by so many problems it's hard to know where to start the digging out.
Last Monday, a roomful of citizens turned out in the wake of former Mayor Lew Barnett's resignation to gather information on the current quest for a new mayor, as well as to weigh in on the situation.
Several of the problems that have plagued the council for quite some time stood out to most observers:
The town attorney appears not to have a firm grasp of the law and so isn't able to offer sound advice, yet in spite of this the council directs her to deal with numerous items, many of which could be easily handled by the town clerk, the mayor or a council member. The council doesn't seem to understand how much money is being wasted on unnecessary legal fees.
The town clerk is apparently being given free rein to express her opinion as though she is a member of the council. At Monday's meeting, she referred collectively to the many public comments that were expressed as "all this crap." This was inappropriate to say the least and definitely outside the parameters of her job duties and responsibilities, as she is a paid employee of the town, not an elected official.
Council member Dan Mullan lectured the audience at length about "bullying, harassment and intimidation," and expressed his displeasure that one council member had, after voicing her intention to resign, told the local newspaper about her experiences trying to work with council member Pat Groninger. Mullan never looked at Desera Towle, the obvious target of his diatribe, and never mentioned her name. Mullan attempted to deflect blame away from Groninger and back onto Towle, but failed miserably. Unfortunately, former teacher Mullan hasn't yet learned the lesson that the citizens he serves are his constituents, not his students, and don't appreciate his arrogance and his inability to actually hear any voice but his own.
The pattern of problems will most certainly continue if Acting Mayor Pat Groninger continues as Council President. He bears at least some responsibility for the previous resignations of two clerks, a council member, and a mayor. He's had problems on every board and committee he's served on. He's attempted to interfere in the supervision of town employees. The scariest thing is that he is unable to see his own shortcomings. As far as he's concerned, he's perfectly innocent, and everyone else is lying.
This situation can be corrected if the council steps up and makes a responsible appointment of a new mayor, and then replaces the Council President. Then in November, there's a chance to elect two new members to the council.
Council member Mullan commented that it was disappointing that, like sharks, the public only turns out "when there's blood in the water." In this case, the public is ready for some new blood.


text:
The FBI and local authorities in Aruba are both investigating the policy, which names Giordano as the beneficiary, as a possible motive in 35-year-old Gardner's presumed death, ABC News reports.
"We are investigating travel insurance taken out by Gary Giordano," Aruba's Solicitor General Taco Stein tells PEOPLE. "We asked the American authorities to look into it. We do not have the ability to look into an American insurance policy from here."
Although ABC News has reported the policy is for $1.5 million, Stein says he has heard varying amounts, ranging from $500,000 to $1 million to $1.5 million. "The report by ABC is too loud, too soon," Stein says, adding investigators have yet to determine the significance of the insurance.
Gardner went missing on Aug. 2 when Giordano, 50, says they went snorkeling together but she never returned.
Stein has not wavered from his position that he believes Gardner is dead.
Asked whether insurance would be a motive for murder, he tells PEOPLE: "[It's] hard to say. If [Giordano] is on the insurance policy, if this is the first time he took out insurance and he upped the benefits, it might be interesting."
Giordano was arrested on Aug. 5 when he attempted to leave the country. Although no charges have been filed, he has been locked up since that time. He was ordered this week to remain in an Aruban jail for 16 more days as authorities look into the case further, including what they have said are inconsistencies in his story.
Reporting by Siobhan Morrissey
Courtesy Andrew Colson


text:
Mar 17, 2004, 12:00 PM
Hello, I am trying to find out how to remove saved games from the list of games saved. Anyone know how to do that?
View Full Version : saved games
Mar 17, 2004, 12:00 PM
Hello, I am trying to find out how to remove saved games from the list of games saved. Anyone know how to do that?
Mar 17, 2004, 12:15 PM
go to start, run, browse, c:/program files/infrogrames interactive/civilization iii/saves, delete them in there
Mar 17, 2004, 12:17 PM
Just go to your save directory and delete it. Btw, the save directory can be locate where your installed your vanilla Civ3 in the first place. The save folder for PTW is inside the PTW directory and so on.
Mar 17, 2004, 12:22 PM
1) you have to do it from the operating system
open windows explorer (press the windows key together with e), navigate your way to the correct folder, for example, double clicking on c:, then program files, then infrogames (or atari or infrogames interactive), then civilization, then either
a) saves
b) ptw and then saves
c) conquests and then saves
then just select the files you no longer need and press delete
2) in Conquests and probably PTW add WindowsFileBox=1 to the appropriate initialization file (conquests.ini etc) and delete them before loading a game in.
be careful it's really hard to describe something like this in words
edit and of course 2 other people reply while i'm typing this :rolleyes:
Mar 17, 2004, 04:44 PM
Or, you could just go to My computer, Hard drive (whatever your's is called), Program Files, Infogrames Interactive, Civilization III, and finally Saves. The just right click the one you want and press delete on the menu that comes up.
vBulletin® v3.8.2, Copyright ©2000-2016, Jelsoft Enterprises Ltd.


text:
Important Global Message
The Miami-Dade County Emergency Operations Center has been activated and is closely monitoring Erika. For any updates about County facilities and services, please visit: http://www.miamidade.gov/emergency
95 Express
The I-95 Express Lanes take the gridlock out of South Floridians' commute. Enjoy the benefits of reliable travel in the express lanes without the tolls by taking advantage of the new 95 Express premium bus routes for just $2.65 per trip.
95 Express bus service offers direct express service to downtown Miami, Miami's Civic Center/Health District and Doral from convenient locations in Broward County and the Golden Glades Interchange.
For more information, call 1-877-959-3368 or visit 95Express.com.
- Route 95 Golden Glades
- Route 95 Express Broward Blvd
- 95 Express Broward Blvd - Civic Center
- 95 Express Sheridan St
- 95 Express Sheridan St - Civic Center
You are now leaving the official website of Miami-Dade County government. Please be aware that when you exit this site, you are no longer protected by our privacy or security policies. Miami-Dade County is not responsible for the content provided on linked sites. The provision of links to these external sites does not constitute an endorsement.
Please click 'OK' to be sent to the new site, or Click 'Cancel' to go back.


text:
hello fellow anglers, my name is Pete Dow. I live in Winterpark Florida I have a serious addiction. So I have been told by my wife, three beautiful daughters and fellow employees.I fish every second that I get and now a member of team TAIL CHASER
terrible fishing conditions thanks mother nature
Sep 26,2016
Small school on my 360
Point with Boulders
7 pounder
Aug 25,2016
Gord's Hog Smallie


text:
Aliens: Colonial Marines Download for Xbox 360On: Xbox 360, PS3, PC, Wii U
FPS from SEGA and Gearbox Software using the hugely popular Aliens licence.
Review Verdict Read Review
3Out of 10Back to game info
Download courtesy of:
Download: Aliens: Colonial Marines: What the hell happened to Aliens: Colonial Marines?
Category: HD Video
The version of the game that just came out doesn't look much like the demo we all saw last year. What the hell happened?
Download File
File Size: 155.22 MB


text:
This just in: winter is over. Spring is here and it's time to get social, people.
Winter was a delightful reader hibernation period comprised of a mass consumption of cozy fiction and boxes of cookies in your favorite old sweater. But alas, book club season is upon us, and we've got things to talk about.
It's hard to find the […] Read MoreRead More
The club chats with the bestselling author on February 16th at 1:30 p.m. PST.
Fast-paced, shocking and superbly written, The Black Box is the perfect pick for our Sony Readers to come together and chat with the long-time favorite author.
Join the chat!
Submit your questions ahead of time for a chance at having your question answered by Michael Connelly […] Read MoreRead More


text:
Wages, Hours, and Overtime Premia: Evidence from the British Labor Market
David N.F. Bell
University of Stirling - Department of Economics; Institute for the Study of Labor (IZA)
Robert A. Hart
University of Stirling - Department of Economics; Institute for the Study of Labor (IZA)
Industrial & Labor Relations Review, Vol. 56, No. 3, April 2003
Unlike the United States, Britain has no national laws regulating overtime hour assignment or compensation. Using individual-level data on male non-managerial workers from the 1998 British New Earnings Survey, the authors investigate relationships among the standard hourly wage rate, hourly earnings (including overtime), the overtime premium, and the length of overtime hours. They find that when overtime is accounted for, average hourly wage earnings are fairly uniform across firms in a given industry, because firms paying below-market-level straight-time wages tend to award above-market-level overtime premiums, and, conversely, firms paying above-market-level straight-time wages provide below-market-level overtime premiums.
JEL Classification: J22, J23
Date posted: July 23, 2003
Suggested Citation
Contact Information
© 2016 Social Science Electronic Publishing, Inc. All Rights Reserved.
Terms of Use
Privacy Policy
Contact Us
This page was processed by apollobot1 in 0.188 seconds


text:
No Heat Treats: Nanaimo BarsJulieVR
Nanaimo bars are hands-down one of my favorite things to eat. A Canadian classic, the layered no-bake bar is made with a chocolate crumb and coconut-based layer, topped by a layer of light vanilla or custard flavored butter icing, which is covered in chocolate and chilled. They apparently originated in Ladysmith, on Vancouver Island, in the early 1950s; it was the contribution of housewife Mabel Jenkins to the annual Ladysmith and Cowichan Women's Institute Cookbook.
But in Nanaimo, British Columbia, also on Vancouver Island, if you ask the locals to recount the history of the bar that bears the city's name, the answer may vary. Some will say that 35 years ago a Nanaimo homemaker whipped up the recipe, sweeping a national magazine contest with her chocolate-custard-graham wafer squares. Others claim that the bar actually made its first appearance long before that, namely in the lunch pails of local miners. Either way, this tasty bar has been captivating crowds for years, drawing sweet-tooth aficionados to the city where it all began.
If you're ever visiting Vancouver Island, you can visit the Nanaimo Bar Trail: hit the Nanaimo Museum for background on the bar's history and a sample before pounding the pavement throughout the city for a mix of classic and contemporary bites. You could, for example, nibble on all-natural, French-influenced morsels at Mon Petit Choux; tuck into a delightfully stackable ice-cream sundae variation at Jakeob's ice cream parlour; dig into a deep-fried version at Pirate Chips; or savour a sweet sip of a Nanaimo Bar Martini at Modern Café. Should classic flavours be more to your liking, Serious Coffee and Bocca Cafe serves them up sweet and simple. To map out your self-guided, edible exploration, the city of Nanaimo has put together a Nanaimo Bar Trail brochure and map to guide you to all the locations and varieties of Nanaimo Bar available – for true fans. Warning: do not try to eat one from every source on the same day – may lead to overbliss.
Oh, and don't forget to score the city's "official" Nanaimo Bar recipe here.


text:
Friday, April 28, 2000, 9:00 a.m-5:00 p.m.
Richard J. Ogilvie Auditorium, Chicago-Kent College of Law, 565 West Adams Street, Chicago, Illinois
Major funding provided by the Joyce Foundation.
This program is free and open to the public. Please register by April 14, 2000 (see below).
"A well regulated militia, being necessary to the security of a free State, the right of the people to keep and bear arms, shall not be infringed."
—Second Amendment to the Constitution of the United States
The federal courts have long accepted a "collective rights" interpretation of the Second Amendment, which holds that citizens have a right to bear arms only within the context of state-regulated militias. Last April, however, in a highly controversial case that may soon reach the Supreme Court, a federal district court declared in United States v. Emerson that the Amendment protects an individual right to possess firearms. Two weeks later, the shootings at Columbine High School returned the issue of gun violence to the center of the nation's political agenda.
In this symposium, ten leading historians and constitutional scholars will explore what the Second Amendment meant at the time it was adopted, and what it should mean today. Proceedings of the conference will be published this fall in the Chicago-Kent Law Review.
Conference Program
9:00-9:15 Opening Remarks
9:15-9:45 To Hold and Bear Arms: The English Perspective
Lois G. Schwoerer, George Washington University
9:45-10:15 The Second Amendment in Action
Michael A. Bellesiles, Emory University
10:15-10:30 Break
10:30-11:00 The Second Amendment: The Highest Stage of Originalism
Jack N. Rakove, Stanford University
11:00-11:30 The Second Amendment and the Failure of Originalism
Daniel A. Farber, University of Minnesota
11:30-12:00 Questions for Morning Speakers
12:00-1:30 Lunch (on your own)
1:30-2:00 The Second Amendment: A Study in Obsolescence
H. Richard Uviller, Columbia University, and
William G. Merkel, University of Oxford
2:00-2:30 A Well Regulated Militia: The Original
Understanding of the Second Amendment
Paul Finkelman, University of Tulsa
2:30-2:45 Break
2:45-3:15 Natural Rights and the Second Amendment
Steven J. Heyman, Chicago-Kent College of Law
3:15-3:45 What, if Anything, Does the Second Amendment Mean
Michael C. Dorf, Columbia University
3:45-4:00 Break
4:00-4:30 Lost and Found: Researching the Second Amendment
Robert J. Spitzer, SUNY-Cortland
4:30-5:00 Questions for Afternoon Speakers
5:00 Reception
For more information, to register for the conference on-line, or to request that you be informed when the symposium is published in the Chicago-Kent Law Review, please visit the conference website at the link provided below, or call or email Anna Fulkerson at the address or phone number below.


text:
This event has expired. This may be a recurring event, so please check the calendar in the future for updated occurrences.
Summer Ballroom Dance Party
Lose yourself in a fox-trot, swing, salsa, tango, and waltz. Meet new people, watch dance demonstrations and exhibitions, and mix it up with other dancers. Admission: $10 ($8 member/student through age 21)
Performing Arts Type
- Dance
- Disabled Access


text:
Out of the box -- Readers share their favorite recipes
Sandra LaCross of Ripley, N.Y., says, "We have been using this recipe since we found it in Taste of Home in 1993. No need for a meat meal. It is delicious in itself and filling and nourishing."
1/2 cup finely chopped onions
1/4 cup finely chopped green pepper
1/4 cup finely chopped celery
1/4 cup butter or margarine
1 bay leaf
1 (28-ounce) can tomatoes with liquid, cut up, see note
1 tablespoon brown sugar
1/2 teaspoon dried basil, see note
1/2 teaspoon salt
1/4 teaspoon pepper
1 cup all-purpose flour
1 1/2 teaspoons baking powder
1/2 teaspoon salt
1 tablespoon cold butter or margarine
1 tablespoon snipped fresh parsley, see note
2/3 cup milk
1. In a medium skillet, saute onion, green pepper and celery in butter until tender. Add bay leaf, tomatoes, brown sugar, basil, salt and pepper. Cover and simmer 5 to 10 minutes.
2. Meanwhile, for dumplings, combine flour, baking powder and salt in a bowl. Cut in butter. Add parsley and milk. Stir just until mixed.
3. Drop by tablespoonfuls into 6 mounds onto bubbling tomato mixture. Cover tightly and simmer 12 to 15 minutes or until a toothpick inserted into dumpling comes out clean. Remove and discard bay leaf.
Serve immediately.
Makes 6 servings
Notes: I have also used 1 quart home canned tomatoes, fresh basil and dried parsley.


text:
By Richard C. Dreyfuss
As Gov. Corbett's fiscal year 2013-14 state budget proposal is finalized, the familiar challenge of balancing finite resources against ever-increasing spending requests begins. This year, expect debates over special initiatives ranging from liquor privatization to transportation funding.
But there is one recurring and unresolved challenge that only seems to become worse with each passing year - public pensions costs, specifically those of two statewide plans, the Public School Employees' Retirement System (PSERS) and the State Employees' Retirement System (SERS). It is a good sign that the governor and other elected officials seem interested in making sustainable pension reform a policy priority in 2013.


text:
Department Newsletters
The Department of Otolaryngology - Head & Neck Surgery at MUSC produces a variety of publications, within both the academic and general public arenas.
MUSC ENT E-Update Newsletters are designed to provide brief, practical, clinical updates in areas where we all struggle in managing our patients. Follow this link to view our ENT E-Update archive:
Join our mailing list to have the latest ENT E-Update emailed directly to you every month!
The Scope is the MUSC Otolaryngology - Head & Neck Surgery department newsletter that features current issues of interest to physicians, reserchers, residents, and fellows.
2016 Fall
MUSC Rhinology Upddate
CI News is the publication of the MUSC Cochlear Implant Program.


text:
When you grow up surrounded by animals, you learn important life lessons, says folk singer Jewel.
"I think animals teach you about love," she tells PEOPLE. "I think it's great to have chores and it's great to take care of something. It's an easy way to teach somebody to not be selfish."
The singer, her husband Ty Murray and their toddler son have learned so much from the 200 cows, 10 horses, two donkeys and five dogs they keep at the 2,400-acre Texas ranch. While little Kase has just learned all the funny sounds the animals make, he's well on his way to understanding what ranch life is all about.
"He's only 14 months old, but we're grooming him for the chores," she says. "I grew up on a ranch so we've always really loved our animals."
That passion is the reason Jewel took the stage at Saturday's Hero Dog Awards, where she performed three songs in honor of the country's most courageous canines.
It was important for her to be involved in the event, which airs Nov. 8 on the Hallmark Channel. "I think that dogs deserve to be honored for the roles that they play in our lives," she says.
There's definitely a canine hero among the five dogs that reside at her rural ranch: shih tzu Georgia, the couple's smallest pup.
"He has been really great with Kase, surprisingly, because he always hated kids," she says. "Kase loves him, he goes up and give him kisses all the time."
Jewel: Ranch Life Will Teach My Son About Love
Courtesy Jewel


text:
Your Tax Return as a Subtle Financial Planner
|Email Print
I forget what show I was watching, but it was one of those shows where you have all that Bloomberg ticker crap taking up 75% of the screen and little faces jibber jabbering in the leftover space, but the guy talked briefly about how your IRS 1040 (the full incarnation of the form everyone fills out for taxes) gives you subtle reminders of the things you should do to help plan your financial future. I didn't watch the whole thing but I thought it'd be fun to go through each relevant line (yeah, I'm a sadist) and see how it could be used as a subtle yearly financial plan reminder.
Line 8a – Taxable Interest
Line 8b – Tax-exempt Interest
There are investment vehicles out there that are tax exempt at certain government levels. For example, an EE/E bond is exempt from State and local income taxes but not from federal taxes. This is a reminder that sometimes your most conservative assets may be better placed in a tax-exempt bond than in a savings account bearing 3.0%. Of course, you sacrifice flexibility but you should know tax-exempt investments are out there but you do keep Uncle Sam's grubby little paws off your loot.
Line 13 – Capital gain or (loss)
This is something you can only capitalize on if you remember it before December 31st. If you have a loss and want to write it off, sell it to offset a gain you may have had. Just remember not to repurchase shares in the same company within 31 days or the "wash" rule will bite you (and you won't be able to write off the loss). Did you buy shares of JDS Uniphase and got burned badly in the bubble? Yeah, me too, write it off now because they're never going to break even for you.
Line 15a – IRA distributions
Line 25 – IRA deduction
Contribute to a Roth or any other type of IRA? These lines are a reminder that perhaps you should be planning for your retirement because Social Security won't be enough to sustain a lavish retirement lifestyle! 🙂 Retirement planning, especially for young workers, is critical because it is something that benefits with the passage of time. The more you sow now, the greater the benefits you will reap in the future. You want to be living in luxury when you're retired, not a cardboard box. (You cannot deduct Roth contributions on your return, I just intended for that line to serve as a reminder to plan for retirement)
Line 33 – Penalty on early withdrawal of savings
Tsk tsk! That IRA or 401k isn't a slush fund you can withdraw on to buy that shiny [whatever]. Let line 33 be a reminder that you will be penalized for mortgaging a portion of your retirement for gratification now. Alright, I'm just kidding about the severity but you should be readily dipping into your retirement for every thing. Sometimes it makes financial sense, but most (90%) of the time it's a bad idea. (Example of good ideas? In times of hardship, dipping into the retirement savings may be unavoidable)
Line 49 – Education credits
The government will help you educate yourself, even if your employer will not. Learn about Hope Credit and Lifetime Learning Credits and see how you or your dependents may benefit from them.
Unless I've missed anything glaring, those 5 "lines" cover a lot of the basic financial planning advice given out these days. Consider all investment opportunities with respect to the tax advantages, plan for your future, don't mess up your future by needlessly borrowing from it, and always educate yourself. I'm not saying that the dreaded tax form should be your financial advisor, a human being almost always beats a piece of paper, but it gives you a couple subtle reminders for things you may have forgotten or conveniently ignored. Take a look at your return and see if you've taken advantage of everything you could've.{ 0 comments, please add your thoughts now! }


text:
City Council wrapped up 2008 yesterday with one piece of legislation sure to make the building-trades unions happy and another bill that's already raising concerns.
Council unanimously approved zoning changes needed to build the American Commerce Center, a 1,510-foot tower planned for 18th and Arch streets. The $1.1 billion skyscraper is expected to generate $15 million for the city in taxes on construction work.
Councilman Darrell Clarke also introduced legislation that would allow builders to use PVC pipe in all construction. The plastic pipe, which is cheaper in material and labor to install than metal pipe, can now only be used in new residential construction of buildings with three stories or less.


text:
July has ended - Finish him!
Welcome the king of the summer - August!
Typically August makes all of us feel overwhelmed by the summer holidays mood.
Most of you are probably having fun with family and friends or just relaxing alongside the beach.
I just had to share it with you .
Enough with the random talk.
Our deals wont let you rest during August because they are getting so HOT in here ...
Alright, alright no more music hits, I promise.
Let`s go through our August offers and check out the new promotions.Now we check out the hottest deals in August!
We are starting an Endurance race from 1st of August!
You can put your grind to an endurance test at Tigergaming, Fulpot and LocaCasino!
Here are the requirements:
Simply generate $10 or more rake every day in 24 days during August at either one of those three rooms from above and you will receive $15 prize.
If you manage to fulfill the requirement in all three rooms, then you will receive an extra bonus of $30!
As you probably already know, Tigergaming has changed their software entirely.
The new software is much, much superior compared to the old and outdated version which was a real pain in the rear!
Finally there is an auto time-bank to help you deal better with the tough decisions or just to give you time to run back and forth to the restroom .
Tigergaming`s new software is looking really nice.
Lobby view
View attachment View attachment
Actually the animation sounds and the chips movement across the table reminds a bit for FullTiltPoker.
Grinders.org promotions at Tigergaming:
Tigergaming central promotions:
- $8 000 Rake race, Up to 25% rakeback
- €10 000 Grind Prix, Up to 10% - 12% rakeback
- Grinders Rake chase, Up to 20% rakeback
- MGU - our progressive hands race, which could bring to smaller stakes players ENORMOUS value
- Endurance race
All those promos combined with the new software at Tiger definitely worth your try.
- $20 000 Cash race leaderboard
- $5 000 Sit and Go weekly leaderboard
- $20 000 MMT leaderboard challenge
- $20 000 GTD from the $40+$4 Sunday tournament (Every Sunday)
- $50 000 GTD from the $90+$9 Sunday (Every last Sunday of the month)
Those who are playing at LocaCasino continue profiting good, no matter of the the new adopted policy and the anti-bumhunting restrictions that Klas brought not long time ago.
The reality is that the games indeed got softer than a month or two back.
Our deal at LocaCasino:
Don't hesitate to sign up at LocaCasino!
- VIP deal
- €10 000 Grind Prix, Up to 10% - 12% rakeback
- Free hand history grabber
- Endurance race
The number of the regulars at Fulpot is plummeting while we can see an opposite trend with the recreational players.
Fulpot is still a great room for the lower stakes players who wish to build their bankroll at a site with soft games and decent rakeback.
Grinders promotions at Fulpot:
- VIP program up to 40% (All Grinders.org players start from 15% straight away)
- Grinders rake chase, from 8% to 15% depending on your monthly rake
- $500 Rake race exclusively for Grinders players
- Endurance race
Where should I start from ...
Betsson announced the next stop for their Cash Game Festival.
The cash game festival will be held in Sunny Beach, Bulgaria between 31st August and 4th September.
The host is Platinum Casino Sunny Beach.
If you want to win a package for the event you simply need to play and qualify for a package!
The qualification period is: 1st of August until 14th of August
Betsson Cash Game Festival race packages:
The package includes:
- €1,750 Cash Game Festival package in Platinum Casino
- €1,250 Cash Game Festival package in Platinum Casino
- €1,250 Cash Game Festival package in Platinum Casino
- €135 Masters ticket
- €135 Masters ticket
- €135 Masters ticket
- €135 Masters ticket
- 3x €5 Mini Master tickets
- 3x €5 Mini Master tickets
- 3x €5 Mini Master tickets
The last stop of the Cash Game Festival - Malta
- 5 nights at Evrika Beach Club Hotel for two person from 31st of August until 4th September
- €1000/€500 poker bankroll for the cash games during the festival
- €200 travel expenses
- Entry to the all tournament events during the Cash Game Festival Sunny Beach
- Item prizes from Betsson
If you wish to participate at the promotion, please conatct us at: firstname.lastname@example.com
In the meantime Microgaming has finally launched their variation of the popular Spin & Go.
The SnG format in Microgaming is called Fish Party and it quickly becomes a preferred game for the most of the recreational players.
So you should not loose any more time and just plunge in to the Fish Party!
Shall we check the deal?
Phew, that's one massive deal!
- 30% Rakeback
- €1 000 First deposit bonus, 20% cashback
- €20 000 Rake race, Up to 15% rakeback
- €10 000 Grind Prix, Up to 10% - 12% rakeback
- Grinders rake chase, from 6% to 15% rakeback
- €500 Hands race (only for our Microgaming players
- MGU - our progressive hands race, which could bring to smaller stakes players ENORMOUS
- €10 000 SNG Challenge (leaderboard)
- €25 000 Guaranteed from the Sunday big tournament
- Bad Beat Jackpot
Not long ago we restarted promoting Bwin & PartyPoker and within just a few months we can proudly offer you a Top-Notch deal!
Exclusive Grinders.org promotions:
Bwin`s major promotions:
- $4 000 Bwin & Party exclusive rake race, Up to 40% rakeback!
- €10 000 Grind Prix, Up to 10% - 12% rakeback
PartyPoker major promotions:
- 100% Up to $100 Deposit bonus
- Summer of Grind
- Grand Prix Poker Tour
- Caribbean Poker Party
- WPTN Ireland
- Sit & Go Challenge
- FastForward Challenge
- Casual Cash Games Challenge
- Mission Rewards
- Bwin Loyalty Program
- 100% Up to $500 Deposit bonus
- Up to 30% Loyaly Program cash reward
- Summer of Grind
- Sub 55 Summer Leaderboards
- $1 Million Summer Giveaway Leaderboard
- Caribbean Poker Party
- Canadian Grind Prix
- Sit & Go Hero
- Sit & Go Mission
- Cash Game Missions
And you thought that you can have holidays in August ...
There is no time for rest when you wanna make money.
One last hit
Betsafe30% VIP • €20,000 Rake RaceTigergamingTeam Tiger • $8,000 Rake RacePokerHost27% rb • VIP • The BeatdownBetsson30% VIP • €20,000 Rake Race
Betfair€1,500 Bonus • 35% VIP clubPKRPlay in 3d • Weak playersPlanetWin365VIP program • VIP dealsbwin40% VIP program • Bonus builder
Triobet30% • Bonus • €20,000 Rake RaceUnibet50% VIP • €500 BonusPokerStarsBonus • FPPPartyPoker$20 Free • Up to 30% VIP
FulPot PokerUp to 40% Rakeback • Grind PrixLocaCasinoVIP Deal • Grind Prix
If you are an English speaking user of Grinders.org and you need any assistance from us - please add us on skype: grinders.org.vip !Dismiss Notice
Table mod TigerGaming (Chico) and Equity ModTigerGaming and FullFlush can look good for a grinder too, for free!
Mod loader Ongame Mod - Main (bat files and instructions)Ongame Mod - Main (bat files and instructions)
Card mod 888 poker - Arial cards mod888 poker - Arial cards mod
Full Mod 888 poker - Main mod888 poker - Main mod
Full Mod Boss Media Gray Mod - Cards and Table ModBoss Media Gray Mod - Cards and Table Mod
Full Mod Boss Media Black Mod - Cards and Table ModBoss Media Black Mod - Cards and Table Mod
Full Mod Ongame - Gray mod with Arial cardsOngame - Gray mod with Arial cards
Full Mod Ongame - Black mod with Arial cardsOngame - Black mod with Arial cards
Full Mod Ongame - Gray mod with Clean cardsOngame - Gray mod with Clean cards
Full Mod Ongame - Black mod with Clean cardsOngame - Black mod with Clean cards
Full Mod Ongame - Gray mod with Pro2type cardsOngame - Gray mod with Pro2type cards
Full Mod Ongame - Black mod with Pro2type cardsBlack mod with Pro2type cards


text:
Buy Item $4.49 Retail:
Save 10% ($0.50)
Add To Cart
Add To Wishlist
|Format: Paperback
Number of Pages: 24
Vendor: ZonderKidz
Publication Date: 2013
Dimensions: 1.10 X 6.10 X 8.10 (inches)
Availability: In Stock
Ages: 4-7
Series: Berenstain Bears
Ride along with the Bear family on Thanksgiving Day as Brother and Sister learn about all the things they- and YOU-can be thankful for…including faith, family, and the huge feast waiting for them at the end of their journey to Gramps and Grans.
Mike Berenstain grew up watching his parents, Stan and Jan, working together to write and draw these lovable bears. Eventually he started drawing and writing about them too.


text:
Enter your Email address:
Wolters Kluwer Health may email you for journal alerts and information, but is committed
to maintaining your privacy and will not share your personal information without
your express consent. For more information, please refer to our Privacy Policy.
Hoffe, Sarah E. MD
Pancreatic cancer remains a difficult oncologic challenge, with the majority of patients presenting with locally advanced or metastatic tumors. A minority of patients present with tumors amenable to either upfront surgical resection or potential resection following neoadjuvant therapy. Although no universal criteria for borderline resectable pancreatic cancer (BRPC) exist, many institutions, like ours, follow the NCCN criteria.
When patients present to our multidisciplinary pancreatic team with a pancreatic mass, we advise endoscopic ultrasound to further characterize the lesion and perform fine needle aspiration (FNA) for diagnosis. Our workup includes a thin cut pancreatic protocol CT scan with both arterial and venous phases to assess the degree of vascular abutment and length of involvement.
PET/CT imaging ensures no evidence of occult metastasis, which we note can change management 11 to 22 percent of the time.1,2 All our patients are presented to our weekly multidisciplinary tumor board run by Dr. Mokenge Malafa, vice chair of the NCCN pancreas group.
Once the tumor board has agreed that the patient has a BRPC, we proceed with our institutional neoadjuvant approach. Nationally, there is no uniform standard of care approach in this setting.3 Our approach to facilitate margin negative resection was designed by medical oncologist Dr. Gregory Springett, and begins with three cycles of GTX (gemcitabine, docetaxel, and capecitabine) chemotherapy.
When I joined the faculty at Moffitt in 2006, I instituted intensity-modulated radiation therapy (IMRT) delivery concurrently with infusional fluorouracil (5-FU). Initially, I delivered 45 Gy in 25 fractions to the gross tumor volume (GTV) delineated by 4D CT scan and a clinical target volume (CTV) including the regional nodes at risk. A cone down boost to 5.4 Gy in three fractions to the GTV ensured a total dose of 50.4 Gy. The IMRT strategy then expanded to a dose painted simultaneous integrated boost (SIB) technique over five weeks to deliver 45 Gy to the CTV and 50 Gy to the GTV.
During this time, the Stanford series reported by Koong et al was available and discussed delivery of a single fraction of stereotactic body radiation therapy (SBRT) for patients with locally advanced tumors.4 At our tumor board, my surgical colleagues were intrigued by this concept and wanted to know if we could do the same but focus more dose on the tumor/vessel abutment.
This collaboration led to an investigator-initiated prospective protocol with GTX and five-fraction SBRT to 25 Gy. Our experience with this early trial showed good toleration with an acceptably low toxicity profile and encouraged us that the five-fraction SBRT technique was feasible.
By 2009, we recruited Ravi Shridhar, MD, PhD, to our practice. Together, we have continued our work in the five-fraction SBRT model for BRPC. Our institution has now been employing this approach for more than five years with the support of our GI surgical oncology colleagues on our agreed-upon institutional pathway.
Our typical practice is to consult with the patient at initial diagnosis as part of the multidisciplinary team. We then arrange to see the patient again during the third cycle of GTX to coordinate endoscopic ultrasound evaluation and implantation of two to three fiducial markers into the pancreatic primary tumor.
Following implantation, the patient undergoes a conventional simulation so we can assess the degree of respiratory-associated tumor motion. If the motion is more than 5 mm, we assess the patient for a technique to decrease such motion. Our preferred techniques are either respiratory gating or abdominal compression.
The patient next undergoes 4D CT simulation. A full-body immobilization device is customized to patients with their arms over their head. An initial scan is done to visualize the fiducial markers and place isocenter. A second scan is done using 4D technique with IV/oral contrast.
We time image acquisition to start 60 to 90 seconds after contrast injection to capture the venous phase. After the images are processed, we review the 4D data. If we are gating, we determine the phase at which the tumor is at maximum expiration. We then choose that scan as the primary data set and fuse the phases at which the patient begins and exits exhalation. If available, we will fuse a 3D PET using soft tissue deformation or fuse a 4D PET to the appropriate phase.
If we are not gating, we would simulate the patient with abdominal compression and delineate the GTV in all phases as our internal target volume (ITV).
The radiotherapy technique varies depending on the clinical situation. We often use a 3D conformal multileaf collimator (MLC) delivery technique for our gated SBRT patients. For set up, we have patients fast three hours prior to treatment, and we do a cone beam CT (CBCT) on the day of preports to ensure no changes in the patient's weight or fiducial marker position since the time of simulation.
We then proceed using kilovoltage (kv) imaging in the ap and lateral directions, matching the position of the fiducial marker in maximum exhalation phase on the machine to the position on the digitally reconstructed radiograph (DRR) from simulation. If there are significant shifts of more than 1 cm, we re-4D CT the patient. We fuse the dosimetry and contours from the initial plan to the updated CT to ensure that we do not need to adjust the plan.
In the setting where we choose an IMRT technique for SBRT delivery, we often use VMAT. Initially, we were concerned about potential dose degradation with a moving target and sliding MLC leaves; however, our physics colleagues have reported no such dose degradation up to 3 cm of motion.5
SBRT dosing is dependent on normal tissue constraints. Our philosophy is to deliver 30 Gy in five fractions to the planning volume encompassing the GTV and up to 40 Gy in five fractions to the GTV/vessel abutment. We have published our results and note a nearly 10 percent complete pathologic response (pCR) rate with this approach.6 In our report of 32 patients with BRPC, 31 (96.9%) underwent R0 resection with a median overall survival of 16.4 months and a one-year overall survival of 72.2 percent—encouraging results in such a difficult disease.
Add your comments in the blog version of this article—http://bit.ly/OT-TREAT-Hoffe—or email email@example.com.
© 2014 by Lippincott Williams & Wilkins, Inc.
Friend's E-mail is Invalid
Your Name: (optional)
Your Email:
Friend's Email:
Separate multiple e-mails with a (;).
Thought you might appreciate this item(s) I saw at Oncology Times.
Send a copy to your email
Your message has been successfully sent to your friend.
Some error has occurred while processing your request. Please try after some time.
An Existing Folder
A New Folder
Folder Name:
The item(s) has been successfully added to "".
Login with your LWW Journals username and password.
Username or Email:
Forgot Password?
Enter and submit the email address you registered with. An email with instructions to reset your password will be sent to that address.
Link to reset your password has been sent to specified email address.
What does "Remember me" mean?
By checking this box, you'll stay logged in until you logout. You'll get easier access to your articles, collections,
media, and all your other content, even if you close your browser or shut down your
To protect your most sensitive data and activities (like changing your password),
we'll ask you to re-enter your password when you access these services.
What if I'm on a computer that I share with others?
If you're using a public computer or you share this computer with others, we recommend
that you uncheck the "Remember me" box.
Save my selection
Article Level Metrics
View All
Pamela Tarapchak
Online ISSN: 1548-4688
Connect with us...


text:
What's the Buzz About?
Social Impact Bonds are the #1 philanthropy buzzword of 2011 according to the Chronicle of Philanthropy. So what's all the fuss about? And how can the concept help the nonprofit sector?
In essence, Social Impact Bonds are an arrangement between government and an outside organization in which the government defines one or more outcomes and promises to pay a sum of money if they are achieved. The government commits to cooperate with the outside organization's efforts to achieve the outcome, and also promises to leave it free to devise and implement its strategy.
Outcomes that might be suitable for Social Impact Bonds would include reducing re-offending, helping the unemployed secure work, helping children transition from foster care into adoption, or reducing drug dependency. In short, SIBs are potentially applicable to a large number of areas where nonprofits already work.
So what's in it for nonprofits?
Read more here.
This article was originally published in Independent Sector.
To speak with our experts on this topic, please contact:
Print: Liz Bartolomeo (poverty, health care)
202.481.8151 or firstname.lastname@example.com
Print: Tom Caiazza (foreign policy, energy and environment, LGBT issues, gun-violence prevention)
202.481.7141 or firstname.lastname@example.com
Print: Allison Preiss (economy, education)
202.478.6331 or firstname.lastname@example.com
Print: Tanya Arditi (immigration, Progress 2050, race issues, demographics, criminal justice, Legal Progress)
202.741.6258 or firstname.lastname@example.com
Print: Chelsea Kiene (women's issues, TalkPoverty.org, faith)
202.478.5328 or email@example.com
Print: Beatriz Lopez (Center for American Progress Action Fund)
202.741.6255 or firstname.lastname@example.com
Spanish-language and ethnic media: Rafael Medina
202.478.5313 or email@example.com
TV: Rachel Rosen
202.483.2675 or firstname.lastname@example.com
Radio: Sally Tucker
202.481.8103 or email@example.com


text:
New subscription
Renew my subscription
Give a gift
Pay my bill
Change my address
In Loving Memory of Tiny R.I.P
Active within 2608 Days
Hi! My name is In Loving Memory of Tiny R.I.P
I am Domestic Shorthair from Elizabeth City, NC
Nicknames: I have so many nicknames that I hardly know my real name. My favorite is T-Ty.
Age: 12 years old
Gender: M
Coat: short haired
My favorite tricks and treats are: I do like playing with strings, but that's not really a trick. and I have no intrest in cat treats, however i love wet food.
Where I hang out: My favorive spot is a box that is way too small for me.
My favorite grubs: I will eat nearly anything.
My pet peeves: People scratching my belly. I hate it.
What I love about my owners: They pet me and cuddle with me.
My cat hobbies: I love to sleep. I also like attention.
Pet motto: Eat, sleep, and be happy!!
See all awards »
My mom was a feral cat that my humans started taking care of. She soon awarded them with me, my brother, and my sister.
I've had 844 friends visit me.
I'm the 13,835th member on CatChannel.com.
18 friends have voted for me since I joined Club Cat!
Come visit me, Team RAGDOLL PAWesome PURRsonality #235194, :¦:Chloe:•:(¯`v´¯):•- :208036:¦: & Team CHLOE, a PAWSitively PURRfect NAME #234964.
Come visit me, Joe & Belle.
Come visit me, Fancy, Chloe & Lucy.
Come visit me, Onyx.
Come visit me, Little Man.
Come visit me, Sushi.
Come visit me, Mikey.
Come visit me, Izzie (A.K.A Booschka), Midnight & Oreo *COTD 1-11-09*.
Come visit me, Stormie, Spot, In Loving Memory of Tiny R.I.P, Moppet & Annabelle.
Tell a Friend |
Report inappropriate content on this page.
Hi, my name is
Reddie of the Az. Sunclowder.
Visit the photo gallery to cast your vote »
Get quick tips for happy cats, food recall info, news alerts and best behavior advice.
Sign up to get updates delivered straight to your inbox.
CatChannel takes your privacy seriously. To learn more, please read our privacy policy.