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From University Hospitals of Cleveland, Case Western Reserve University, Cleveland, Ohio; Henry Ford Hospital, Detroit, Michigan; and Central Texas Veterans Health Care System, Temple, Texas.
Note: This study was orally presented at the American College of Gastroenterology Annual Meeting, 28 October–2 November 2005, Honolulu, Hawaii, and published in abstract form (Am J Gastroenterol. 2005;100:S384-S385). It was selected for the ACG/Olympus Award for the category "Colorectal Cancer Prevention."
Grant Support: Dr. Chak is supported by a K24 Midcareer Award in Patient Oriented Research (DK002800). Dr. Cooper is an Established Investigator in Cancer Prevention, Control and Population Science from the National Cancer Institute (K05 CA90677).
Potential Financial Conflicts of Interest: None disclosed.
Requests for Single Reprints: Vikram Boolchand, MD, Division of Gastroenterology, Department of Medicine, University of Arizona, 1501 North Campbell Avenue, PO Box 245028, Tucson, AZ 85724; e-mail, firstname.lastname@example.com.
Current Author Addresses: Drs. Boolchand and J. Singh: Department of Medicine, University Hospitals of Cleveland, Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH 44106.
Dr. Olds: Department of Gastroenterology, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202.
Dr. P. Singh: Division of Gastroenterology and Hepatology, Department of Medicine, Central Texas Veterans Health Care System, 1901 South 1st Street, Temple, TX 76504.
Drs. Chak and Cooper: Division of Gastroenterology, Department of Medicine, University Hospitals of Cleveland, Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH 44106.
Author Contributions: Conception and design: V. Boolchand, G. Olds, P. Singh, A. Chak, G.S. Cooper.
Analysis and interpretation of the data: V. Boolchand, A. Chak, G.S. Cooper.
Drafting of the article: V. Boolchand, J. Singh, A. Chak, G.S. Cooper.
Critical revision of the article for important intellectual content: V. Boolchand, G. Olds, P. Singh, A. Chak, G.S. Cooper.
Final approval of the article: V. Boolchand, G. Olds, P. Singh, A. Chak, G.S. Cooper.
Provision of study materials or patients: V. Boolchand, G. Olds, P. Singh.
Statistical expertise: G.S. Cooper.
Obtaining of funding: A. Chak.
Administrative, technical, or logistic support: V. Boolchand, G.S. Cooper.
Collection and assembly of data: V. Boolchand, J. Singh.
A growing body of evidence indicates that physicians recommend surveillance of polyps in excess of guidelines (4, 11, 17, 21). Compared with a study by Mysliwiec and colleagues (17) in which 24% of gastroenterologists and 54% of general surgeons recommended surveillance of a hyperplastic polyp, of which the majority would perform colonoscopy in 5 years or less, we found that 61% of primary care physicians recommend surveillance of a hyperplastic polyp in 5 years or less. In that study, 97% of gastroenterologists and 89% of general surgeons recommended surveillance of small adenomas, and the majority would perform colonoscopy in 3 years or less (17). We found that 71% of primary care physicians recommend surveillance of a small adenoma in 3 years or less. Whereas Mysliwiec and colleagues surveyed gastroenterologists and surgeons (17), we examined the recommendations of primary care physicians in surveillance of polyps after an index colonoscopy. This group may be a more relevant one to survey in the era of open-access endoscopy, in which primary care practitioners make decisions about surveillance. We found that primary care physicians frequently recommended relatively close follow-up for lesions at low risk for subsequent cancer, including hyperplastic polyps and 1 or 2 small tubular adenomas. These surveillance recommendations are concerning and, if they truly reflect actual practice, represent a potential overutilization of limited colonoscopy resources in low-risk patients.
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I am a General Internist who has now served in three major commands (the USA, the Pacific and the European commands). Colorectal cancer (CRC) screening has been a frequently under-recognized and under-optimized surveillance measure at the Primary Care level. This has been due to operations tempo with active duty, mission requirements, obstacles to retiree health and access to useable interventions for screening, especially overseas. In the USAF we have limited resources, facilities and physicians for CRC screening but I have never had insurmountable problems obtaining the interventions needed for initial or status-post polypectomy evaluation.
However, I have learned that Primary Care clinics must work hand-in- hand with our gastroenterologists and/or surgical colleagues. As the Boolchard et al article highlights, some of us are missing that opportunity (1). In this current day, when we (civilian and military physicians alike), our patients or their insurance providers have very limited resources, we need to ensure that we are referring patients appropriately for surveillance colonoscopy. Over-referring patients creates a many problems, especially a delay in the evaluation of those patients who are high-risk. As this article highlights, many in primary care are unaware of the most recent guidelines. It is admittedly challenging when new/better data continues to be sought, such as the most recent NEJM article describing differences in colorectal neoplasia between the genders (2), but our responsibility nonetheless.
As "Guardians of the Gateway" to referral care, we have a responsibility to keep current on the most recent guidelines as well as the evidence behind those recommendations. I have had to hold lectures within my respective Primary Care clinics updating the staff on the guidelines and the impact on our local resources and referral processes. This continuous professional education and process improvement has improved our local population metrics for colorectal cancer from some of the worst to one of the best in USAF Europe. The staff as well as the surgeons performing colonoscopies have universally been appreciative. But, as always, it is the patients have benefited from our continued dedication to excellence in their care, even if they are largely unaware of local efforts.
The take home point from this article is that we as Primary Care physicians have the opportunity and responsibility to evaluate and appropriately refer our patients for CRC screening. We must do this while simultaneously balancing our clinical assessment, understanding that rather civilian or military, our quality or care given is constantly being measured, if not by insurance or chain of command than by the patients themselves.
1. Boolchand V, Olds G, Singh J, Singh P, Chak A, Cooper GS. Colorectal Screening after Polypectomy: A National Survey Study of Primary Care Physicians. Annaals of Internal Medicine. 2006;145:654-659.
2. Regula J, Rupinski M, Kraszewska E, Polkowski M, Pachlewski J, Orlowska J, Nowacki MP, Butruk E. Colonoscopy in Colorectal-Cancer Screening for Detection of Advanced Neoplasia. New England Journal of Medicine. 2006;355:1863-1872.
None declared
We read with great interest this excellent study which confirms a trend we have all seen in our day-to-day Gastroenterology practice.
However, to be fair to our colleagues, it is important to mention that the old American Cancer Society (ACS) guidelines (published in 2003) recommended a surveillance colonoscopy in 3-6 years for patients with "single small adenomas" and "within 3 years from initial polypectomy" for patients with multiple adenomas. These were different from the 2003 recommendations by the U.S. Multisociety Task Force on Colorectal Cancer which recommended a 5-year interval for low-risk patients with 1-2 small adenomas. Therefore, some confusion among doctors should have been expected when professional societies issued different guidelines.
We welcome the revised, combined, guidelines issued by the ACS and USMTF hoping that having one set of guidelines endorsed by all these societies will lead to a better utilization of scarce resources and a more appropriate suveillance interval for all patients, no matter which doctor is making the recommendation.
1- Vikram Boolchand, Gregory Olds, Joseph Singh, Pankaj Singh, Amitabh Chak, and Gregory S. Cooper Colorectal Screening after Polypectomy: A National Survey Study of Primary Care Physicians Ann Intern Med 2006; 145: 654-659
2- Smith RA, Cokkinides V, Eyre HJ. American Cancer Society guidelines for the early detection of cancer, 2003. CA Cancer J Clin 2003 Jan-Feb;53(1):27-43
3-Winawer S, Fletcher R, Rex D, Bond J, Burt R, Ferrucci J, Ganiats T, Levin T, Woolf S, Johnson D, Kirk L, Litin S, Simmang C, Gastrointestinal Consortium Panel. Colorectal cancer screening and surveillance: clinical guidelines and rationale. Update based on new evidence. Gastroenterology 2003 Feb;124(2):544-60
4-Winawer SJ, Zauber AG, Fletcher RH, Stillman JS, O'Brien MJ, Levin B, et al. Guidelines for colonoscopy surveillance after polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer and the American Cancer Society. Gastroenterology. 2006;130:1872-85.
Boolchand et al (1) found that clinicians who perform colonoscopy recommend follow-up more appropriately than those who do not. This should surprise no one. Two questions follow from their article: who is best suited to manage abnormalities found at colonoscopy and, in a manpower shortage, who can be trained to perform colonoscopy?
From a systems perspective, clinicians who perform a procedure are in the best position to keep up-to-date on relevant recommendations and to establish the office systems needed to assure appropriate follow-up; it is an invitation for error to divert these responsibilities to others.
Rather than wish that 200,000 primary care physicians would keep track of the "ever-changing guidelines" it is more efficient to unambiguously assign this responsibility to the much smaller pool of colonoscopists. It is a cumbersome and misdirected approach that requires every primary care physician to remember that patients with a 6 mm tubular adenoma should have a 5 year follow-up colonoscopy, those with a 12 mm tubulovillous adenoma should have one in 3 years, those with a 12 mm tubular adenoma 3 years earlier need a 5 year follow-up, those with two 6 mm tubular adenomas need 5 year follow-up, but those with 3 or more adenomas, regardless of size, require a 3 year follow-up, and that for those with a 12 mm tubular adenoma with high-grade dysplasia there are no specific recommendations. It is better to concentrate the effort at the level of the provider of the procedure. In addition, from a business perspective, the organizational costs of managing the follow-up of patients with abnormalities are bundled into the payment for the colonoscopy, which currently flows to the proceduralist, not to the primary care physician.
Boolchand also raises the issue of a manpower shortage for colonoscopy. It is time to reassess the skill set required for this procedure and develop more efficient systems of care. In one model nurse practitioners would be taught the technical and cognitive skills associated with screening colonoscopy. Groups of primary care physicians would then hire such colonoscopists to provide screening for their patients. This model would allow the volume and the reimbursement to justify developing integrated systems for appropriate follow-up. Protocols for management of polyps would be instituted through collaboration between the colonoscopist and a member of the primary care physician staff. Procedures for follow-up would be implemented from a systems perspective.
When Pap smear screening became more common, the pathology workforce could not meet the demand, and cytotechnologists were trained in this narrow scope of practice. A similar restructuring and retraining of the colonoscopy workforce to match capacity with demand, and provider skill set with the technical skill requirements, will help improve the availability, efficiency and accuracy of colon cancer prevention.
1. Boolchand V. et al. Colorectal screening after polypectomy: a national survey of primary care physicians. Ann Intern Med 2006;145:654- 659.
Letter to the Editor
Comment on a national survey study on recommendations of colorectal screening after polypectomy Boolchand et al. reported a national survey study on recommendations of colorectal screening after polypectomy (1). The present study showed that colonoscopic surveillance was conducted as scheduled by guidelines only in 15-57% of the patients and with widely varied frequencies. While the authors noted the difference by physician type (internists vs. family practitioners), it would solely be insufficient to explain the results. Most clinicians would like to know other factors such as the effects of popularity of the latest guidelines, physicians' age, medical career, numbers of referrals to colonoscopy, and medical insurance system. It is appreciated if the authors can share such information with the readers. (106 words)
1. Boolchand V, Olds G, Singh J, Singh P, Chak A, Cooper GS. Colorectal screening after polypectomy: a national survey study of primary care physicians. Ann Intern Med. 2006;145(9):654-9.
May it please all refering sources to remember that the CRC SCREENING/COLON POLYP patient is about to undergo a surgical proceedure with risks to include, but not exclusive of, dehdration, electrolyte abnormality induction, cardiopulmonary arrest, and/or bleeding to open surgery with general anesthesia, transfusion risks, and death.
A pre-op evaluation is always appropriate using your institution's adopted Anesthesia Score in order to avoid character building experiences. If the refering source cannot or does not want to preform a pre-op evaluation, then a Consultation with the proceeduralist is in order before any proceedual encounter. The cursory pre-op check on the day of the C- Scope will not suffice!
When bad outcomes occur in an otherwise healthy patient per the familiy's viewpoint, the referring souce and proceeduralist will all get sued!
We are pleased to see the interest of Dr. Antaki and Dr. Otto in our survey study of primary care physicians regarding post-polypectomy surveillance. (1)
As we report, constantly changing guidelines from various societies remain an issue for the primary care physician. In 2003, the guidelines for colorectal cancer screening and surveillance from the U.S. Multi- society Task Force (USMSTF) on Colorectal Cancer were developed by a panel of both gastroenterology and primary care societies (2). The guidelines in 2003 from the American Cancer Society (ACS) were from a single society and included recommendations for the early detection of several types of cancers (3). As Dr. Antaki pointed out, there was an inconsistency between the ACS and USMSTF guidelines regarding surveillance for small adenomas, less than a 1 cm (3-6 years vs. 5 years, respectively). Although we did not ask our respondents the reasoning for their recommendations, it is unlikely the primary care practitioner weighed these two different sets of guidelines when deciding surveillance intervals. If respondents based their answer on the ACS guidelines, then an equal amount of the respondents would have chosen 3 years and 5 years for follow-up of a small tubular adenoma. In our survey almost the same number (25%) of respondents chose to survey a small tubular adenoma in 1 year or less as 5 years and 46% choose a 3 year surveillance interval. This suggests that when given a range of guideline based intervals, most respondents would tend to recommend surveillance at or before the earliest interval. We agree that the combined ACS and USMSTF guidelines from 2006 will hopefully decrease confusion over surveillance guidelines from multiple societies (4).
We appreciate the comments from Dr. Otto regarding the need for communication between endoscopists and primary care physicians. As we mentioned, it remains clear that one conclusion from our study is that further educational efforts are necessary to change current inappropriate referral patterns. An important part of this change may include recommendations to the primary care physician for the next surveillance colonoscopy based upon the findings of the index colonoscopy after the pathology of polyps has been read. The excessive use of more frequent colonoscopy than necessary may need to be stressed to overcome current fears over small missed polyps and the development of colorectal neoplasia in very low risk patients.
Vikram Boolchand, MD Gregory S. Cooper, MD
1. Boolchand V, Olds G, Singh J, Singh P, Chak A, Cooper GS. Colorectal Screening after Polypectomy: A National Survey Study of Primary Care Physicians. Annals of Internal Medicine. 2006;145:654-659.
2. Winawer S, Fletcher R, Rex D, Bond J, Burt R, Ferrucci J, Ganiats T, Levin T, Woolf S, Johnson D, Kirk L, Litin S, Simmang C, Gastrointestinal Consortium Panel. Colorectal cancer screening and surveillance: clinical guidelines and rationale. Update based on new evidence. Gastroenterology 2003 Feb;124(2):544-60.
3. Smith RA, Cokkinides V, Eyre HJ. American Cancer Society guidelines for the early detection of cancer, 2003. CA Cancer J Clin 2003 Jan-Feb;53(1):27-43.
4. Winawer SJ, Zauber AG, Fletcher RH, Stillman JS, O'Brien MJ, Levin B, et al. Guidelines for colonoscopy surveillance after polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer and the American Cancer Society. Gastroenterology. 2006;130:1872-85.
Colorectal Cancer Screening in Patients after Polyp Removal: A Survey of Primary Care Physicians
The summary below is from the full report titled "Colorectal Screening after Polypectomy: A National Survey Study of Primary Care Physicians." It is in the 7 November 2006 issue of Annals of Internal Medicine (volume 145, pages 654-659). The authors are V. Boolchand, G. Olds, J. Singh, P. Singh, A. Chak, and G.S. Cooper.
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Healthier Fudgy Nutella Mug Cake
I've become obsessed with using nonfat Greek yogurt in recipes. I made the healthy three ingredient chocolate cake and then the three ingredient fudgy chocolate cookies. After that I decided to go over some of my previous recipes and healthify some of them by using Greek strained yogurt in place of eggs and oil.
First up in my experimenting was this Nutella mug cake. Without the egg, the cake loses its binding agent, so it didn't puff up all round and pretty like a normal cake. But even though it appeared a little bit crumbly when cooked, the yogurt gives the cake a fudgy texture to it, much like the effect of the yogurt on the chocolate cake and chocolate cookies.
Since you're making it in a mug, the looser crumbs isn't as big of a deal. You just scoop it up with a spoon. This was really really tasty. In fact, I like it better than the original and I'm a pretty big fan of the original. The cake had a fudgy, brownie-like texture.
The original Nutella mug cake recipe can be found here. If you eat the entire cake it's 1,008 calories and 62.9g of fat. (I'm consoling myself with the fact that I usually only eat half of it and split it with FH. Analyzing the nutrition facts of my recipes is definitely making them less desirable to eat.)
The new healthified version: 604 calories and 16.9g of fat. Tada! You cut out a whopping 404 calories and 46 grams of a fat. And if you split the recipe in half, which I usually do, you're only eating about 300 calories and 8.5 grams of fat.
Though the best part is, it doesn't taste like a healthified recipe. It tastes just as yummy as a regular cake. You can check out my full mug cake collection here.
Healthier Fudgy Nutella Mug Cake
4 tablespoons all purpose flour
3 tablespoons white granulated sugar
1/4 tsp baking powder
3 tablespoons Nutella
3 tablespoons nonfat milk
3 tablespoons nonfat plain Greek strained yogurt
Combine all ingredients in an oversized coffee mug. Whisk well with a small whisk until smooth (make sure you get the flour hiding at the bottom of of the mug). Microwave on high for 1 1/2 minutes and then take it out to check to see if it is done. Cake may be crumbly, but should be fully cooked. If not done, microwave for another 30 seconds. Careful not to overcook it or it gets hard. You can also make this into two smaller-sized mugs. You can mix the batter all in one mug and then pour half into another mug. Make sure you cook each one individually.
4 Responses to "Healthier Fudgy Nutella Mug Cake"
I would like to say that i love love love this mug cake. Better than the original! Do you by any chance have a recipe for a chocolate chip cookie dough mug cake? You have given me incentive to try to substitute greek yogurt in a bunch of recipes.
I just tried this recipe this morning and I absolutely love it! It's amazing! I didn't have Greek yogurt, so I used plain yogurt, and I halved the amount of sugar. It still turned out amazing! Best breakfast in quite a while


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Kihei man charged on drug, gun counts
A Kihei man was arrested after officers found a rifle and drugs during a traffic stop Friday night in Kihei, police said.
Manuel Menendez, 32, was released after posting $4,500 bail. He was charged with keeping a firearm in an improper place, failing to register a firearm, third-degree promotion of a detrimental drug, third-degree promotion of a dangerous drug, driving under the influence of an intoxicant, possessing drug paraphernalia and driving without a license.
Police said the vehicle Menendez was driving was stopped at 7:40 p.m. on Piilani Highway for having expired registration. When a Kihei patrol officer made contact with Menendez, the smell of burned marijuana was coming from the vehicle and Menendez admitted to having just recently smoked the drug, police said.
A DUI Task Force officer was called to assist in the arrest. After Menendez agreed to a search of the vehicle, police reported finding a .22-caliber rifle that wasn't in a gun case, as well as marijuana and crystal methamphetamine.
Lahaina DMVL office's opening delayed
The Lahaina satellite office of the Division of Motor Vehicle and Licensing is expected to open two hours late at 10 a.m. Wednesday due to the installation of technical upgrades.
The normal opening time is 8 a.m.
The office's data transmission capabilities will be improved with the installation of high-speed fiber optic connectivity. This system will replace the temporary Internet connection that had a data transmission limit of 15 megabytes per second. The new data transmission rate will be 1 gigabyte per second.
The office is located at Lahaina Gateway Center, 335 Keawe St, Suite 209.
Repairs will disrupt pool operations
Emergency repairs to the hot water line at the Lahaina Aquatics Center will close the facility for part of today.
A suspected leak in the hot water line that feeds the center's showers is the cause of the closure, a county news release said.
The water will be shut off at the facility until noon.
The 50-meter pool is expected to reopen at noon, when water service returns.
The keiki pool will remain closed until repairs are completed because it is near to the repair work site.
An update will be provided once a completion date for the repairs has been determined.
For more information on the repairs, call Fran Yamamoto at 270-6138.
For recorded pool information, which is updated at 9 a.m. daily, call 270-8208.


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Outstanding performance and value
Crutchfield Customer Review (What's this?)
This Nikon speedlight is perfect for professional or amateur photographers. It does everything well. It recycles very quickly, has lots of power, and will work for many years. Also can be used for triggering other speedlights, or used in remote mode, and the flash head swivels and tilts in all directions. There really is no better value. Buy this and greatly improve your photos.
Pros: reliable, powerful, amazing battery life, includes flash gels and diffuser
Cons: none


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Affordable old school atmosphere in a historic downtown building.
Just two blocks from Pike Place Market, this historic hotel dates back to 1907. It is celebrated for more than just its status as a landmark lodge. The building also houses the Moore Theatre, Seattles oldest existing entertainment venue, which today hosts concerts and stage productions. The hotels WiFi-equipped lobby features restored original decorative molding, marble and tile; the on-site NiteLite Lounge is old school at its finest, with wooden booths and a local vibe. Guest rooms are simple but serviceable, and amenities are few: this is not the place to stay if you want in-room coffee makers, safes and air-conditioning (fans are available from the front desk). Keep in mind that some rooms share a bathroom. Guests staying here can easily walk to the Belltown neighborhood, Seattle Center and the Washington State Convention Center. Reduced rates are offered at a nearby garage.


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Ziad H. Hamzeh's "The Letter" is an especially dramatic work of polemical reportage on racism in America. The entry of a few hundred Somali refugees in the nearly all-Anglo Maine burg of Lewiston becomes the flashpoint for locals having to deal with diverse, non-Euro cultures for the first time. Pic's commercial hopes are limited.
Ziad H. Hamzeh's "The Letter" is an especially dramatic, if needlessly frantic, work of polemical reportage on racism in America. The entry of a few hundred Somali refugees in the nearly all-Anglo Maine burg of Lewiston becomes the flashpoint for locals having to deal with diverse, non-Euro cultures for the first time, sparking an inevitable round of bigotry and pleas for tolerance. A sure conversation-starter at festivals, pic's commercial hopes are limited to specialized video and venues where the choir will be preached to.
A too-rapid 10-minute montage of talking heads imparts the feeling of a town hit by a social and political tornado, beginning with the aftermath of the disastrous U.N. and U.S. involvement in 1993 to calm civil war in Somalia. The human result was a U.S.-sponsored move of Somali refugees, first to crime-ridden 'hoods in Atlanta, and then (on the initiative of Somali families) to safer communities such as Lewiston.
Lewiston is a study in the American Dream in collapse, as residents describe how this once-thriving Franco-American textile center declined with the closure of Bates Mill, once Maine's biggest employer. Despite early acceptance of the suddenly arriving Somalis, much of it facilitated by local churches, a terrible combination of old-timer resentment along with the distinctively foreign look of the African residents creates an ideal brew for racism.
A crucial turn for the town, in retrospect, was voters' failure to re-elect progressive mayor Kaleigh A. Tara (who supports the refugees staying and thriving in Lewiston). Instead, they pick her conservative opponent, Larry Raymond, whose open letter –referred to in the pic's title — states in effect, that additional Somalis weren't welcome. Hamzeh splices together participants' comments as a substitute for conventional narration– an interesting approach to non-fiction narrative. But his hyperactive style has the tendency of opting for effect over substance — until it serves as the dramatic build to neo-Nazi outsiders barnstorming the town to exploit local hatred — and a group of citizens organizing a far larger counter-rally.Some chilling characters are on display, including David Stearns (credited as a "brother" of the World Church of the Creator) who extols complete separation of the races, and white separatist John Fox, who looks like he expected a bigger turnout of bigots in Lewiston than he got.


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When we first arrived at the Hotel Del Coronado, we found the soon-to-be Mrs. Caruthers relaxing with her mother and bridesmaids. The lucky groom and his wolfpack were also kicking back watching golf and telling stories. Both signs of a great day to come.
We surprised John early in the day with, what he thought was a gift from the bridal party. But instead, the stunning and glowing Aura appeared before him, catching him off guard. From that moment on, we could not help but tear up at all the warm and fuzzy feelings in the air. I'm not gonna lie, Aura and John's personally written vows choked me up. Thank goodness Uncle Rockstar got up on stage and got us riled up again. I miss you Aura and John!
Hotel: Hotel Del Coronado
Ceremony and Reception Location: The Thursday Club
Hair by: Cheri Joyner, Hair Artist
Makeup by: Chandra Campos, Makeup Artistry
Catered by: Coast Catering
Music by: Violin Studio of James Zagami
If i can have those when i am in your years…


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Corporate documents filed with the Texas Secretary of State show David Neal Shepard as a director of Physician Ancillary Services Inc. in Amarillo. The business was formed in April 2011.
He formerly owned Hot Tubs To Go. The Texas Secretary of State forfeited that business' charter in 2000 due to the company's failure to file a franchise tax report with the state.
The state uses the reports to establish assets for franchise tax assessments, according to the document. Shepard and his then wife, Laurie Dayle Shepard, filed for Chapter 13 bankruptcy protection in 2004, claiming $142,797 in assets and $165,165 in liabilities, the largest being a $120,025 home mortgage.
The couple followed a schedule for paying a portion of the debts, $38,229.
The bankruptcy case was closed in July 2008. Randall County court filings show the Shepards divorced in November 2010.


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Interim storage of spent nuclear fuel typically consists moving fuel rods to cooling pools followed by transfer to casks for longterm storage. Recently, dry cask storage has become the most widely used method. Technically, interim storage is quite simple; however, difficulties concerning political acceptance often arise.
Civilian Nuclear Waste Disposal
Overview of Uranium Production
Nuclear Forces Guide


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can anyone explain why this is happening?
i have made a simple C program to copy 1 file to another file...using fgetc and fputc...
the code is working fine except 1 problem is that ÿ is appearing at the end of the destination file...can some1 please tell me why this is coming?..
by the way i am using Turbo C
thank you
Re: can anyone explain why this is happening?
Are you fputc'ing the EOF?
|All times are GMT +5.5. The time now is 03:39.


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Factory Warszawa Annopol, an outlet center under construction in Białołęka, Warsaw, will be opened on March 13 at 10 a.m. This is the second Factory outlet in the capital. With a GLA of nearly 20 thousand sqm, clients will have access to brand name products, a children's playground and a parking lot for 800 vehicles.
For the past 10 years, the residents of Warsaw have been shopping at the Factory in Ursus, which was the first outlet center in the country.
From March 13, the clients will be able to access cheap, brand-name products in the first outlet center on the right side of the Vistula river. Factory Warszawa Annopol was built in Białołęka, right next to the intersection of Trasa Toruńska, and Łabiszyńska street.
"Factory Annopol Warszawa is the largest outlet center in the Masovia region, at the same time, it is the second of its kind in Warsaw. The Factory Outlet in Warsaw has gained the recognition of millions of clients. We are therefore delivering another center, which will be easy for suburban residents and for those who live on the right side of Warsaw to access," said Agata Brzezińska, country manager of Neinver Polska, which manages the Factory outlet chain.
Three million potential clients live within the range of the Factory in Białołęka, including residents of districts such as Białołęka, Tarchomin, Marki, Ząbki, Wołomin, Radzymin and Wyszków.
The new outlet is dominated by international and Polish brands selling products 30-70 percent cheaper than in traditional retail facilities. The retail scheme includes the first Smyk outlet in the capital, sports stores such as Nike and Adidas, a Rossmann pharmacy and a long list of fashion brands including Guess, Tommy Hilfiger, Reserved, Mohito, Cropp, House, Kazar, Lee Cooper, Levi's, Mustang, Big Star, Tom Tailor, Vero Moda and Digel.
The new Factory will be the only shopping center in the capital with a playground open for the public, where children can plan on swings and slides. Clients will also be able to access wireless Internet, free of charge, on the premises of the outlet.
Factory Warszawa Annopol was built in accordance with ecological building regulations. This is the first commercial facility, which has been awarded a BREEAM certificate during the design stage. The certificate confirms that the building is environmentally friendly.
Neinver is one of the leading companies on the European real estate market. The company is an investor, developer and real-estate manager. It has experience in the most important sectors of the real estate market and currently functions in six countries: Spain, Germany, Italy, Poland, France and Portugal.
Neinver introduced the concept of outlet centers to Spain and Poland under the Factory name, and has remained the leader on both markets for many years. The company is also the second, with regards to size, operator of outlet centers in Europe. In 2009, Neinver consolidated its outlet centers in Portugal, Germany and Italy by introducing a new brand, The Style Outlets.
In Poland, Neinver has been present since the year 2000. Up until now, the company has built 158.5 sqm of commercial space and their portfolio of planned investments includes around 250 thousand sqm of commercial, office and public space.
Since 2009, Neinver has been realizing its largest project, the revitalization of the Katowice city center. The investment includes the construction of a new railway station and the infrastructure around it, Galeria Katowicka, an office building and an underground bus station.


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New Hampshire is a race-happy state this weekend as there are 10 road races from the Seacoast to the White Mountains.
On Saturday, it's the Adoption 5K in Alton along with the 12th Girls Inc. of NH 5K, in Concord, while in Portsmouth it is the Out of Hibernation 5K.
Also on Saturday, in Dover is the SMA 5K Run/Walk and the Run of the Savages Race in Plaistow.
On Sunday in Merrimack it is the Race to Renu 5K for Easter Seals while in Hollis, the Beaver Brook Spring 5K is held.
Also on Sunday are the seventh Jay O'Halloran Memorial Scholarship 3K/5K in Hudson, the fourth SRS Bow Lake 5K in Strafford and in Litchfield, the seventh 5K Raider Run.
You can get more information on races at www.coolrunning.com.


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Conference Overview
For the past six years, doctoral students in the International History Department of the London School of
Economics have convened a conference to welcome new students to the programme. We are happy to
announce that the tradition will continue this year, with a PhD workshop scheduled for the 28th and 29th
of September. It combines academic training in areas such as archival research, methodology and
publishing with academic presentations.
We are all aware that PhD life is somewhat unique, and that new doctoral students experience significant lifestyle changes. Our purpose is to help new students prepare for the next three to four years so that these changes are as smooth as possible for them. With this in mind, the theme of this year's conference is 'transitions'.
'Transitions' are critical to the endeavours of the historian. Historiography is never static. Historians constantly introduce new perspectives, research methodologies, and subfields to the discipline.Moreover, transitions are very often the subject of our study. They are particularly relevant at present with revolution and regime change in the Middle East, crises in the Eurozone and the upcoming 2012 US Presidential election.
Guidelines for papers and proposals
Inspired by contemporary events, the conference is historical in focus. We welcome proposals for papers
on political, economic and cultural transitions in history such as those related to:
· Revolution and war
· Elections or regime change
· The formation or end of empires
· Nation-building
· Military occupation
· Power shifts
· Neoliberalism
· Cultural imperialism or transmission
· Cultural diplomacy
Proposals may also relate to historiographical trends or methodological transition, particularly those of
special relevance to current historiography, such as:
· Multi-archival research
· Interdisciplinarity
· The cultural turn
· Transnational history
This is a non-exhaustive list, however, and we encourage applicants to submit proposals on other subjects
related to the central theme of 'transitions'.
Panellists will be asked to deliver a 15-minute presentation on a paper of around 3000 words. Presentations will be followed by a 20-minute questions and answers session, which panellists will be asked to contribute to. Proposals should be approximately 300 words, and should be submitted by email to Simon Toner(email@example.com) or Yu Suzuki (email@example.com) by the 31st July 2012. Proposals should
include a working title. Participants will be notified of our decision by the middle of August 2012, and will be asked to submit their paper before the 10th September 2012. As the conference is being organised by students for students, we regret that we will be unable to contribute to travel and other costs incurred in attending the conference. However, we feel that this is an excellent opportunity for students to present and think critically about their research in an informal and relaxed forum, and hope that this will be adequate remuneration!


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HARRISBURG - Four gun-related bills are on their way to the floor of the state House of Representatives after a Tuesday morning meeting of the House Judiciary Committee.
Of the four bills, the one that generated the most debate, and which won committee approval on a 20-5 vote, would give legal standing to individuals and member organizations to legally challenge local gun ordinances.
"When you're going from community to community, how can you possibly know what the law is and how they've changed? You have to have some kind of remedy. These bills have to be done by the state so the people of the commonwealth understand that there's uniformity," said Rep. Dom Costa, D-Allegheny.
"We can't have local municipalities going out and making their own laws," said Costa.
Bill supporters said current state law, backed up by both the Pennsylvania Constitution and U.S. Constitution, places the ability to regulate firearms solely in the hands of the state, thereby preempting any ordinances imposed by local municipalities.
However, that has not prevented several Pennsylvania municipalities from enacting their own gun-related ordinances, which, under current law, cannot be challenged by residents or organizations within those municipalities.
House Bill 2011's supporters say the legislation seeks to address that situation by giving individuals and member organizations legal standing in court to challenge those ordinances, even if no criminal charges have been filed, due to the local ordinance, against the individual or anyone else in the municipality.
"The reason the standing change has to occur is because no municipality is using it [their ordinance]," said Rep. Todd Stephens, R-Montgomery, regarding some specific ordinances - called "lost or stolen" ordinances - that have been enacted by local municipalities. A "lost or stolen" ordinance requires gun owners to report, within a time frame specified in the ordinance, when a gun they own has been lost or stolen, with the primary purpose of the ordinance to combat straw purchasers, who legally buy firearms and then provide them to individuals who cannot legally own such weapons.
"I'm not aware of any municipality that has ever actually enforced it, and that's part of the problem: If it were enforced, ever, then someone could raise the issue of whether it's constitutional," said Stephens.
HB 2011 would also allow any party who successfully challenges a local firearm ordinance to seek reimbursement from the local municipality for "reasonable" attorneys fees and costs to bring the lawsuit and any loss of income suffered because of the ordinance.
Opponents of the legislation argue some local gun ordinances, such as the popular "lost or stolen" ordinances approved by several Pennsylvania municipalities, are not necessarily pre-empted by state law.
And they claim this legislation would give those who oppose "gun safety" measures an opportunity to target municipalities that pass their own ordinances.
"I have concerns the first piece of legislation today gave Philadelphia tools that it needs to deal with its gun violence epidemic, and a lot of municipalities in the [Philadelphia] suburbs have taken action on their own to start bringing some sanity to our lost or stolen situation with straw weapons and guns that are floating [around] out there," said Rep. Matt Bradford, D-Montgomery. "And the idea that we would give Philadelphia these tools and take them away or, frankly, make our local municipalities a target of potentially frivolous lawsuits from groups like the NRA [National Rifle Association] it's logically inconsistent and probably abhorrent to a lot of us.
"I think this is bad legislation and should be rejected," he said.
Referencing the first bill approved during the meeting, House Bill 1091, which created tougher penalties for people illegally in possession of a firearm in Philadelphia, Stephens, the bill's sponsor, said HB 2011 was not inconsistent with HB 1091.
"We do have the ability to bring up these other potential regulations in the General Assembly as we did with Philadelphia," said Stephens. "So the General Assembly provided that remedy for Philadelphia, and the General Assembly could provide remedies to other municipalities, so you can offer those suggestions."
HB 1091, which the committee approved on a vote of 23-2, would establish a new mandatory minimum sentence of two years for any person who is not licensed or authorized to carry a firearm and who is found to be in possession of a firearm in Philadelphia.
The bill's sponsor, Rep. John Taylor, R-Philadelphia, said his legislation "targets criminals and criminal activity, specifically, in the City of Philadelphia."
"These are the folks who are putting a gun in their waistband and going out on the streets of Philadelphia with a gun that is not theirs and they don't have the legal permit to carry," said Taylor of those who are the focus of the legislation.
He said his bill is similar to a law passed for New York City that appears to have had a positive impact on violent crime in that city. Many within Pennsylvania law enforcement have expressed a hope this legislation could be a major tool to attack violent crime in Philadelphia, said Taylor.
The committee also voted 23-2 to report out another bill containing a mandatory minimum provision, House Bill 1498.
The legislation would impose a five-year mandatory minimum sentence for felons who illegally possess firearms.
Additionally, HB 1498 would designate the crime of a felon illegally possessing a gun as a "crime of violence" that would trigger the state's second strike (10-year mandatory minimum) and third strike (25-year mandatory minimum) provisions. Currently Pennsylvania has no mandatory minimum sentence for felons who illegally possess firearms.
The bill is similar to one approved by the House during the last legislative session on a 190-7 vote. A fiscal note prepared for that legislation indicated an additional 203 individuals would be incarcerated in Pennsylvania state prisons due to the statutory change.
The committee also unanimously approved legislation, House Bill 1243, that would require the Pennsylvania State Police to send all of the agency's existing mental health data within 90 days to the National Instant Criminal Background Check System, which is utilized to check the background of individuals attempting to acquire a firearm nationwide. The bill would additionally require ongoing submissions to the national database within 48 hours of the state police receiving mental health data.
The bill was also amended to included provisions regarding the restoration of the right to own a firearm for those prevented from doing so because of a mental condition.
Some concerns were raised regarding the bill's provision that a person would have to wait at least two years before making application to a Pennsylvania Court of Common Pleas for the restoration of their right to own a firearm.
"I certainly agree with the underlying purpose of the bill, the part that gives me a little bit of pause is the two-year requirement," said Rep. Jesse White, D-Washington. "It appears that we're telling a Pennsylvania resident they are barred from access to the courts for a period of two years, which, to me, is a little bit troubling."
Stephens, the bill's sponsor, said the restoration provisions were requested by the state police, but "they are willing to discuss" the issue regarding an appropriate amount of time "for an individual to accumulate the record necessary to convince the court that they are now of sound mind and capable of safely possessing a firearm."


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Reports on work sessions of committees are notorious for difficult reading since they are apt to repeat the meandering ways of clarifying observations, concepts, and thoughts. These publications often read like preliminary drafts, and this book is no exception.
The two studies on identity and value systems are the outcome of meetings of a small group of scientists, drawn from a number of countries and from several disciplines, held under the auspices of the World Federation for Mental Health. Among the many names represented are the chairman, H. C. Rumke, from Utrecht; the secretary, Kenneth Soddy, from London; Daniel Lagache, from Paris; and David M. Levy and Margaret Mead, from New York.
The main objectives of this study were to seek clarification in an inter-cultural and interprofessional sense of current concepts in the field of mental health, to review these concepts which seem to be emerging and gaining in importance,
Thank you for submitting a comment on this article. It will be reviewed by JAMA Internal Medicine editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
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WASHINGTON — Organized retail theft should be a federal felony for all members of the groups involved in these crimes, Food Marketing Institute argued at a House Judiciary subcommittee hearing yesterday. "Organized retail crime is one of the most serious threats we face today," said Tim Hammonds, president and chief executive officer, FMI. "These gangs of thieves steal up to $30 billion in merchandise a year." He said the gangs also pose a public threat because they sometimes adulterate ...
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'Gathering' hurling tournament
Published 09/10/2012 | 12:40
AER LINGUS will play its part in next year's 'Gathering' not only by flying the diaspora back into Dublin Airport but by sponsoring a very special hurling tournament on the western sea-board.
The airline, in support of The Gathering, will host, ' The Aer Lingus Gathering Hurling Tournament' which promises to be a significant sporting event on the Irish calendar, in 2013. Aer Lingus has teamed up with Leinster Hurling champions, Galway, and the Galway Hurling Supporters Club, to make the event an even greater success. Through the airline's strong link with Galway GAA, they intend to reach out to the Irish Diaspora all over the world and encourage players and fans of our national game to visit their ancestral home for this exciting event.
The competition will take place in Galway in September 2013 and will involve sixteen teams from around the world including teams from North America, The UK, Continental Europe, Asia, Australia and of course, the four provinces of Ireland. The tournament will involve fifteen a-side teams competing in four separate groups of four. Each team will play a minimum of three games. Aer Lingus is working closely with Tourism Ireland to help promote the Gathering initiative and to encourage the global Irish community to return to Ireland for many of the planned events. The airline will offer special promotional fares to and from Ireland for those travelling to the series of events in 2013. CEO Christoph Mueller said: ' We are very proud to support ' The Gathering' initiative. We are confident that the Aer Lingus hurling tournament will help to foster an interest in one of our most loved national sports, which is an integral part of our rich Irish heritage. This is just one of a number of initiatives and events that Aer Lingus will be involved with in 2013. We look forward to welcoming many of the Irish Diaspora home to Ireland for what promises to be an exciting year.'


text: OCEANetwork is delighted to be able to offer some scholarships to conference attendees thanks to generous donations from Home School Legal Defense Association (HSLDA) and various individuals. It is our hope that no family that desires to attend the conference would be prevented from attending due to financial constraints. For the 2016 Oregon Christian Home Education Conference we are offering the following scholarships:


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San Antonio Spurs 93, Memphis Grizzlies 87: Don't sweat the technique
Luckily, after 48 minutes of game action on Wednesday night, the return of Manu Ginobili to San Antonio's lineup was enough to help the Spurs even the series with the Memphis Grizzlies in a 93-87 win, and keep a playoff run alive.
Ginobili brings the edge to this Spurs team that no other player does. It should be enough that Manu is arguably the best player on the roster, and yet he brings the ruthlessness like no other. DeJuan Blair has hustle and motor, and Neal oozes a quiet fearlessness, but no one brings the edge to the Spurs like Manu.
"Everyone knows what kind of competitor Manu is," Spurs Head Coach Gregg Popovich said after the game. "Just to have him on the floor is a plus for the psyche of the whole team, without a doubt.
"And, on top of that, he played pretty well."
In Sunday's Game 1 loss, the Spurs managed just 13 assists on 28 field goals, and Tony Parker mentioned after morning shootaround that not having Manu in the lineup meant that Parker would be running the bulk of the pick-and-rolls during the game. Normally, he said, it was closer to a 50-50 split. With Ginobili back in for Game 2, the Spurs assists on 21 out of their 32 field goals.
Having both players in the lineup allows the Spurs to attack at different angles and with different styles, and allow both players to attack pick-and-rolls with slightly fresher legs than they would with the other.
Parker and Ginobili combined for 11 of the Spurs' 21 assists, though the pair also contributed seven turnovers. Five of those miscues from Ginobili.
"I felt a little rusty on the pick-and-rolls," Ginobili said postgame. "I wasn't very sharp on finding my teammates on the rolls or the shooters in the corners."
On the defensive end, the Spurs were able to hold Memphis below 40% shooting on the game and limited Zach Randolph and Marc Gasol, who gave the Spurs fits on Sunday, to a combined 23 points.
The Spurs did it by swarming down low, sending help defense from many different angles. One play it would be Manu flying down the baseline to try and block a shot, the next George Hill would drop down from the top of the key to swipe at the ball.
"They were very physical and they attacked [Randolph] every time he put the ball on the floor," Grizzlies Head Coach Lionel Hollins said. "They did what they set out to do, they took the ball out of his hands."
A bulk of the defense played on Randolph was by Antonio McDyess who battled hard in the lane. Tim Duncan also spent some time on Randolph, which was a bit of a change from Game 1. But at this point in his career, Duncan isn't quick enough to keep up with Randolph for long stretches, especially when Z-Bo faces up and looks to put the ball on the floor.
San Antonio was able to survive, holding Randolph and Gasol to a combined 7-of-23 from the floor and outrebounding Memphis 48-47. Gasol did grab 17 of the Grizzlies' 47 boards, though.
It wasn't a pretty game, as it's hard for two teams shooting sub-45% to produce one, but it was the kind of result that the Spurs will need to be able to recreate on the regular. Like Saturday night, for instance.


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The Greater Aiken Chamber of Commerce is laying the groundwork for future economic growth.
The establishment of an urban ecology center, a recently announced collaboration between the Chamber, Clemson University and a number of local organizations, should hopefully help to put Aiken on the center stage in our state and produce local manufacturing and tech jobs in the future.
According to local Chamber President and CEO J. David Jameson, no public money was given to attract the university. However, because there was the possibility of competition for the site, the Chamber offered available office space for up to two years. Such inducements are what Chambers are supposed to do – help generate the right economic environment to get businesses off the ground.
This collaboration is one of several projects the Chamber has helped to give legs to over the course of the second half of this year. In August, the organization announced The Mill on Park – a new office community intended to help startup companies. It also announced a collaboration between Aiken Technical College and nearby Midland Valley Preparatory Charter School to help eighth-graders explore science, technology, engineering and mathematics.
Such projects help to show that, through collaboration, different community resources can come together and create benefits that likely wouldn't be produced by a single entity.
The urban ecology center, designed around producing state-of-the-art technology for sustainability-based research and real-world application, can attract officials from the state and federal government as well as private investors. Those individuals will stay in our hotels during meetings and conferences, eat at our restaurants and spend money at our shops.
Those are benefits that ripple throughout a community and help to ensure our city stays viable. These kinds of initiatives should be viewed as local seeds that can develop into long-term, global projects capable of putting a significant spotlight on Aiken.


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All photos/art by Erick Ingraham
Best Use of Local Flavors
BELTED COW BISTRO, Essex Junction
Try the two-bite "sliders," made with local pork and served with spicy kimchee slaw and ginger- and-scallion relish. Another seasonal highlight: butternut-squash soup, enhanced with a whisper of maple syrup. 4 Park St. 802-316-3883; beltedcowvt.com
Best Community-Owned Restaurant
THE BEE'S KNEES, Morristown
When this hippie-ish eatery almost went under, townspeople purchased thousands of dollars in meal vouchers to keep it alive. Now they sup on organic beer, mac-and-cheese ($8.95), and other comfort foods, listen to local folkies, and entertain their kids with shelves of toys and books. 82 Lower Main St. 802-888-7889; thebeesknees-vt.com
Best New Restaurant
THE RED ROOSTER AT THE WOODSTOCK INN, Woodstock
Despite a century of superior service, no one would ever accuse The Woodstock Inn of being hip–until now. A long blond wood bar leads into an airy space bubbling with a minimalist fountain. Fresh New England cuisine is similarly au courant. 14 The Green. 800-448-7900; woodstockinn.com
Best Diner-Car Dinners
T. J. BUCKLEY'S UPTOWN DINING, Brattleboro
Creased cloths on five tables, a polished wood-and-chrome interior, and chef Michael Fuller chopping and sizzling in an open kitchen mere feet away: These elements transform a 1927 Worcester dining car into a nightly stage for intimacy. But it's the artistry of Fuller's meals–such as seared venison with eggplant caponata–that makes dining here memorable. 132 Elliot St. 802-257-4922
Best Local Gathering
WAITSFIELD FARMERS' MARKET, Waitsfield
"Market" is a misnomer for the weekly produce carnival staged in the Mad River Valley every summer Saturday–with jam bands, raffles, artisanal pottery, and neighbors of all stripes. 100 Mad River Green. 802-472-8027; waitsfieldfarmersmarket.com
Best Dinner With a View
NORMA'S AT TOPNOTCH, Stowe
Sunset over the mountains never looked as good as from behind a wall of picture windows, with a perfectly pink steak on the table. 4000 Mountain Road. 800-451-8686; topnotchresort.com/dining-normas.php
Best Cult Brunch Spot
PENNY CLUSE, Burlington
Not much gets a college kid out of bed before noon, but this brunch mecca has drawn generations of UVM students, who dig into fish tacos, peanut-ginger tofu scram, and gingerbread pancakes. 169 Cherry St. 802-651-8834; pennycluse.com
Best Szechuan Dining
A SINGLE PEBBLE, Burlington
A simple storefront serves traditional Szechuan recipes that are about as different from deep-fried Americanized Chinese food as Vermont is from China. 133 Bank St. 802-865-5200; asinglepebble.com
Best Bakery
RED HEN BAKING CO., Middlesex
The gorgeous artisanal breads are fresh and certified organic, and you can see the wonderful creations being made right in front of you, thanks to the large window that separates the cafe from the bakery. 961B U.S. Route 2. 802-223-5200; redhenbaking.com


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Wednesday's District 10 softball highlights, May 14
- Corry 9, Union City 0: At Corry, Garrett Zajac tossed a complete-game two-hitter with 10 strikeouts and went 2-for-4 with an RBI to lead the Beavers (10-5) to an easy non-region victiory over the Bears (7-7).
Andrew Silvis was 2-for-4 with two runs scored and three RBIs.
-- from staff reports


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Michelle O'Neill and Simon Hamilton's agriculture feud only harms our farmers
Published 21/01/2014
Many people will have been bemused by the recent court case between two Executive ministers, Michelle O'Neill and Simon Hamilton, over how much funding from the Common Agricultural Policy (CAP) will be given directly to farmers and how much will be spent on rural development.
It is worrying that they could not resolve this issue within the confines of the Executive, rather than show a complete lack of joined-up government. This is not the image of a stable Executive that we are trying to show to the outside world.
However, I am more concerned with the fact that many worthwhile environmental and rural development projects will not receive any European funding as a result of this court case.
Some environmental groups have even warned that this could result in certain farmland species disappearing from Northern Ireland.
The Agriculture Minister, Michelle O'Neill, had proposed that 7% of CAP funding would be transferred to a pot for rural development, in spite of rules allowing for up to 15% to be moved.
England, Scotland and Wales all transfer between 9.5% and 15% of their budgets, so by UK standards, the minister was actually looking to transfer a below-average amount.
If there was anything to complain about, it should have been that not enough money was going to be spent on these projects.
The deadline for the transfer of money has now passed, which means that funding for these projects will have to come from the Executive and other sources. I hope that the Agriculture Minister will work hard to ensure that these projects receive the money that they deserve.
The DUP, which backed the legal action, have acted in the interests of big farmers instead of rural communities and small farms. It was more to do with electioneering than Executive procedure.
Rural communities and the environment will lose out as a result of this fight between Executive ministers.
Belfast Telegraph


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Monica Lewinsky Felt Abandoned by Feminists During Clinton Scandal
She felt like everyone's scapegoat during the Clinton scandal.By Kat Ward
She felt like everyone's scapegoat during the Clinton scandal.By Kat Ward
The gun-obsessed right tried to blur the truth about the president's emotion and his modest executive action. It didn't work.By Frank Rich
Plus Martha Stewart, Isabel Marant, Hilary Swank, and more highlights from the week's best parties.By Erica Schwiegershausen
She's a metaphor for power imbalances, fellatio, and more.By Allison P. Davis
She gave a TED Talk yesterday about her experience.By Alex Ronan
It's a reminder of America's original blue-dress-related trauma.By Margaret Hartmann
So many fish-eye lenses.By Dave Holmes
"I was Patient Zero: The first person to have their reputation completely destroyed, wordwide, via the internet."
Monica Lewinsky. And Elena Kagan's girlish print.By Katie Zavadski
"I think everybody needs to look to the future."By Joe Coscarelli
The exhaustive and ominous new White House report won't break the political gridlock.By Frank Rich
Her reinvention is well timed. By modern standards, Monica is downright prude.By Maureen O'Connor
Checking in on Linda Tripp, Paula Jones, Ken Starr, and the rest.By Margaret Hartmann
She's back with darts for the Clintons, capital-F feminists, and internet culture.By Joe Coscarelli
Watch him scream and convulse.By Kat Stoeffel
It involves a collusion between Hillary Clinton, Monica Lewinsky, Graydon Carter, and possibly some vampires.By Jonathan Chait
A walk down memory lane.By Allison P. Davis
It's time to stop "tiptoeing around my past — and other people's futures."By Caroline Bankoff
Yesterday's truce was a temporary victory for what remains of the Republican Establishment — and that's about it.By Frank Rich
Everything except the one she's famous for.By Margaret Hartmann


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Fantasy Injuries with Stephania Bell
Welcome to SportsNation! On Tuesday afternoon, fantasy injury expert Stephania Bell will stop by to discuss all things injury related. If you have a question on any athletes' sprains, breaks, tears, any injury related question, ask Stephania!
Send your questions now and join Bell Tuesday at 3 p.m. ET!
Need an in-depth answer to your question? Want your roster or trade offers reviewed? Get a personalized response from an ESPN expert with The Answer Guys. All questions answered within 24 hours, guaranteed. Ask your question .
More Fantasy: Fantasy Home Page
Stephania Bell (3:06 PM)
Hi gang: Getting up and running here- see many of you already in queue with your questions. Welcome!
Mark (Denver)
Hi Stephania...seems like I ask this question every week and I know you have him too...ANDRE JOHNSON?Thanks!
Stephania Bell (3:08 PM)
Mark: Well, I HAD him...but was beat in my fantasy playoffs by a handful of points this week, largely due to his injury-related absence. Texans won't commit to him being back yet - understandable b/c a lot can happen in a week, but they want him on the field and he says he's working his you-know-what off to get back. Given that they've clinched though, makes me think unless they're feeling really, really good about his recovery, they'll be supremely cautious.
Dan (NYC)
TRUE OR FALSE: There is absolutely no way Greg Jennings plays the next 2 weeks, so it is safe fro me to drop him from my team.
Stephania Bell (3:09 PM)
Dan: I refrain from absolutes. Injuries don't adhere to definite timelines. That said, McCarthy gave us a nice clue saying Jennings would be back for the playoffs. As in the reality kind. And they have a bye until 1/14. So yes, I'd drop him.
Mark (San Jose)
Stephania, these two guys played sunday, but Im still interested in their health when deciding to start them in the playoffs. Dallas Clark and McGahee, were they playing with pain or should they both be a sure start next week?
Stephania Bell (3:11 PM)
Mark: Haven't heard that they were playing with pain per se, but also didn't hear anything negative on them coming out of this week (the biggest clue). So as of now, I see no reason they wouldn't be starting this week.
Drew ((NY))
Are you worried about Maclin's health this week? I want to start him but i dont know if i could play him instead of Lloyd or AJ Green. (At least they are giving me consistent numbers)
Stephania Bell (3:12 PM)
Drew: I would not play Maclin over Green for sure. And probably not over Lloyd. Mostly b/c I'm not convinced (and won't be frankly until he gets through an entire game without a setback) that he'll be 100 percent this week. Sat out the bulk of the second half when hamstring tightened up so he's not past this thing.
Steve (Sacramento)
Is Harvin a safe start with A.P. coming back???
Stephania Bell (3:15 PM)
Steve: Think so. First, we're not sure - although it looks promising - that AP is back. Second, think they're going to be looking for him more now as he's factored into recent games much more. Yes, I know it's been with AP out, but find it hard to imagine they ignore him now that he's gotten himself more involved.
Michael (Pittsburgh)
Stephania I look forward to this chat all week. Can you tell me if Kevin Smith will play this week? I am out of RB's with Murray going down for the year!
Stephania Bell (3:17 PM)
Michael: Why thank you - wish I had more definitive news for you. While the Lions say they're optimistic about getting some of their injured guys back, they don't attach any names to that and we won't see any activity until Weds practice. Better pick up someone as insurance.
pj (richmond)
talk about Graham back spasms and dumb it down for us to understand how it affects his performance - thanks
Stephania Bell (3:20 PM)
PJ: Imagine your back tightening up, seizing up - so hard that every time you try to twist or bend you get a stabbing pain somewhere through your back. It literally makes it almost impossible to move. Spasm is a protective thing - body does it to try to help prevent further injury when something is inflamed or irritated. Hence the MRI. We don't know anything about results yet but my guess is the early part of this week is focused on rest and calming down his pain-related symptoms. He may practice very little in advance of Sunday and he hopes he plays.
Matt (NYC)
Will Hass be beck or is it time for Locker to start vs. Indy?
Stephania Bell (3:21 PM)
Matt: I anticipate Locker starting. They're calling this day to day, but the reality is that these calf strains in an athlete of this, ahem, age, are slow to recover and it makes it tough to push off at all. Can't imagine he's ready to play in a week. Then if he doesn't play, do they keep moving forward with Locker?
Andrew (WI)
Congratulations on the steak dinner tonight! Any updates on Matt Forte? Any chance he's a viable play in week 17?
Stephania Bell (3:24 PM)
Andrew: Thanks! I am saving up my appetite - hungry right now. Not much to say about Forte because the focus is rest and recovery right now. Once he's running again we get a better idea and the issue after MCL sprain is can the athlete get full, pain-free range back to start doing more vigorous work. Until then you have to make a guess. If I've got room, I stash him. Why not?
Zach (Chicago)
Stephania, I got both Run DMC and Denarius Moore on my bench and I am hoping for a return this week for if not both atleast one. Do you think I can get one of them?
Stephania Bell (3:27 PM)
Zach: I count on nothing with McFadden now. Tricky semantics going on over in Oakland around the nature of his injury. Very murky. And he won't need surgery but he's clearly either worse than projected or had a setback. Even if he returns - which now looks iffy but Hue Jackson still maintains he expects him to come back - he won't get the full workload out of the gate. Imagine they'd test him - and I don't want that in my playoffs. Moore however seems to have a shot since he was feeling better last week.
Brandon (Maryland)
Stephania, After back-to-back season ending injuries, is Jim Leonhard's career potentially over?
Stephania Bell (3:28 PM)
Brandon: Just taped a video hit for that which will be on ESPNNewYork.com later (shameless plug) - but essentially, this could be career-threatening. Tough injury on same leg he broke last year which ended his season then. Sad for him.
Jeff (IL)
After three years of fantasy football and three years of playoff appearances I finally won my first playoff game. 78-78 match that I won the tiebreaker on. Lynch and Seahawks D/ST same my season. Looking for a good luck and congrats if possible! Thanks
Stephania Bell (3:29 PM)
Jeff: good luck/congrats - and I'd be looking for Seattle D folks if still available.
Craig (NY)
What is the status of Big Ben for this week?
Stephania Bell (3:32 PM)
Craig: Officially, questionable. But that can't be a surprise. Tomlin says he needs to practice to play. But that won't have to happen until much later in the week. Even then, he can become a gtd. I would normally say I expect a player out. Bradford had same injury to same ankle and look at how it's gone for him, even after sitting out a couple games. But frankly, I'm surprised Ben only suffered a Grade 1 and if that's the case, then I lean a little more towards him playing...because that's just what he does.
Greg (College Station, TX)
How did Ahmad Bradshaw look to you in his limited touches this weekend? Unsure if the limited production was due to the disciplinary action, or if he's healthy enough to risk starting this week. Thanks
Stephania Bell (3:33 PM)
Greg: As long as there's no setback, I think he'll play each week. And as long as he doesn't miss any more curfews, we hopefully get a full game out of him. I'd start him - don't think he'll be late again after getting embarrassed on Sunday night.
Keith (Chicago)
Manningham good to go from here on out?
Stephania Bell (3:35 PM)
Keith: His is a situation that could be in flux weekly b/c it's all dependent on how his knee responds to the activity of the week before. Unfortunately you can't assume that since he played he's fine; it's not that kind of injury. His really comes down to the wire week to week.
Kyle (Dallas)
Heard anything about Mark Ingram's toe? Is he practicing?
Stephania Bell (3:37 PM)
Kyle: No practice yet for Saints so we won't know until Weds. He made it sound like the toe was minor but the Saints, for once, have more healthy backs than not. If he's limited, they'll go with Ivory again.
Nick (Canada)
Is AP gonna be suiting up this week?Really could've used his points in the first week of a 2 week semi final
Stephania Bell (3:39 PM)
Nick: This is the first week I feel like AP has a good chance of playing. Based on the fact he increased his activity last week and was lobbying to play. Glad they did not play him since he could not run without limping. Better to protect him. But the additional rest may have helped him turn the corner. Assuming he can run normally and get through several days of work, I think he will play.
Bruce (NH)
How do you think it will affect Antonio Brown's performance if Big Ben can't go?
Stephania Bell (3:40 PM)
Bruce: Still like Antonio Brown. Batch was ok last year when Ben was out - Brown has proven to be such a target that he'd be impossible to ignore.
Adam (Pittsburgh)
Murray's injury ruined my chances at a title this year. How do you think he projects as my keeper next year? Thanks and keep up the great work!
Stephania Bell (3:41 PM)
Adam: Think of how much it ruined his year! But I am sorry for your loss...I think he'll be ready by the time next season rolls around. I'd be willing to keep him in my league.
Dave (Boston)
Would you take any other WR over Hakeem Nicks for your team at this point?
Stephania Bell (3:42 PM)
Dave: No.
Kathy (PA)
Any news on Matt Moore? I have to decide between Marshall (vs. Buff), VJax (vs. Balt) or Bowe (vs. GB) this week
Stephania Bell (3:43 PM)
Kathy: Just that the team is saying all the right things and they expect him to be back. But when dealing with a head injury, the athlete has to go through all the necessary steps to be cleared to return - and that takes time. Should know more by Thursday.
Bryce (TX)
Sorry just joined the chat - gotta pay the bills. Any Stevie updates - hand issues? Thanks much
Stephania Bell (3:45 PM)
Bryce: I get it - we're all working for a living. And we haven't talked Stevie yet. Apparently he was having some issues - including numbness in his hand. Per SJ, he said they explained the injury to him but he didn't understand it. Classic. Does sound like he thinks he will play.
Steve (Pittsburgh)
Gore has me worried. Limited touches, tough matchup, and a coach saying "he has some stuff". Crazy to consider benching him for Barber or Stewart this week?
Stephania Bell (3:47 PM)
Steve: I agree that this would worry me - as a fantasy owner. No idea what the Niners will do right now. They want that first round bye. But they also need Gore for playoffs and don't want to risk a setback. My guess is they won't totally keep him down but they will keep him off the field to some degree. Last time they planned to limit his touches he had a hundred yard game. So it's hard tot ake this at face value. And yet, I'm still not sure I bench him for either of those two.
john (mass)
Stephania does Megatron have somethin' wrong we just haven't heard about? or is it just double & triple teams? thx!
Stephania Bell (3:49 PM)
John: He's OK healthwise - they're admittedly struggling with getting the ball to him. He took a crushing hit to the chest last week but was not on any postgame injury report.
Mike (KY)
Dez Bryant - only 2 targets for 1 reception (glad it was a good one). Please tell me he had a phantom injury and is over it and ready for next game. How's Austin holding up?
Stephania Bell (3:50 PM)
Mike: I think Austin is ok - occasionally looked rusty. Perhaps a little gunshy although we won't hear that. I think RObinson is the clear fave - and showed the shoulder is not going to slow him down. Then Austin, and I think he'll be better this week. Then Bryant who is totally inconsistent - could have a nothing day or a huge day.
Hey Starphania! is "Beanie" good to go? but still just an injury waitin' to happen? thanks
Stephania Bell (3:52 PM)
JW: Yep - and that's pretty much how it's been for weeks. No reason to think he won't play but expect he won't practice fully and then we'll see him Sunday.
Matt (Orlando)
Nate Washington... toughed it out on Sunday and he exploded. With the bum ankle (and back spasms?), would be gutsy to plug him in this week I know, but nothing a few painkillers can't fix *right*?
Stephania Bell (3:55 PM)
Matt: He's definitely hurting. Last week he didn't practice a single day but then managed to play - and played pretty darn well - but may ahve paid a price. Not sure I'm comfortable saying this early that he's a lock to go - I didn't think he was a lock last week.
Karl Welzein (Grand Blanc, MI)
How impressed are you with the way Antonio Gates has held up considering his setbacks early in the year?
Stephania Bell (3:57 PM)
Karl: Very. It's been somewhat of a surprise. And I think he's hurting - but he is performing well despite that. Still has me concerned about what's in store for him next year - but so far, doing pretty well this season - and looks (so far) like he'll make it the rest of the way.
Brandon (Seattle, WA)
I understand you have a lot of questions - but the fact I never see mine posted, is that the only reason, or is it because you don't know the answer to them? Thanks for the clarification... I must ask good questions, cause I NEVER see mine posted or answered...
Stephania Bell (3:58 PM)
And since you told me you're not coming back, the reason theJimmy Graham question you sent wasn't posted was b/c it was already answered. I try to spread it around folks to get issues on a lot of players answered. Sorry I can't post every single question but there are several hundred.
Joe (Bronx, NY)
Was BJGE hurt this weekend? Saw far too much of Danny Woodhead for my liking. Or is it just Bellichek being his old self
Stephania Bell (4:00 PM)
Joe: No new BJGE injury - at least not that anyone has reported - but we know he has had some issues with the toe across the season. So whether it was specifically related to him or whether it was just tactical on the part of the Patriots is a guess.
Bar Y (NY, NY)
San Francisco D Question. Any news on Willis?
Stephania Bell (4:02 PM)
The 49ers have hinted all along at Willis missing one game. Assuming he can get back into practice and run without any issues, I think they will let him play Monday night.
Joe (Pittsburgh)
MoJo Drew on a short week vs. Falcons or Reggie Bush vs. Buffalo?
Stephania Bell (4:03 PM)
Joe: I've been high on MJD all year and won't stop now. If anything, think he's amped after last week and I like him against the Falcons. Panthers ran on them last week...
Stephania Bell (4:04 PM)
OK gang- -time for me to go. Have to wrap up the blog for today and get it posted! There will be updates throughout the week including on Twitter if news breaks. Good luck to those who are still in the mix!!
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What is a whiplash trauma?
If the head, following a shock, – most often during an accident – swings forward and back like a whip, ligaments connecting cervical vertebrae stretch suddenly. When cervical ligaments stretch significantly, there is also a sudden stretching of the nerves and blood vessels. This phenomenon is the so-called "lash". All injuries on the ligaments, blood vessels and muscles of the neck are included in the theme of this trauma.
Emergence of a whiplash trauma
This injury is most common to car accidents, when a sudden impact comes from behind, forcing the head back, then immediately swings to the front. Even if able to brace for impact, there can still be significant strain on the neck, but when caught off guard, there can be more serious injury.
Whiplash Symptoms
- Neck pain and limited mobility of the head
- Often reduced sensitivity and pain that radiates to the arms
- Dizziness
- Headache
- Ringing in ears
Treatment of trauma
The main task is to immobilize the neck. Healing and strengthening stabilizer muscles can be helped through rehabilitation and physiotherapy, both of which Dr. Mohr, your Tampa chiropractor, can help walk you through. After trauma, the neck is very sensitive and should be treated carefully. Signs and symptoms can begin as soon as hours later, or even days later, so it's always best to consult with an experienced doctor as soon as possible following a potential whiplash situation.
First, the doctor will learn more about the exact circumstances of the accident. Then, through a detailed examination will exclude the possibility of a fracture of the cervical vertebrae. By assessing your specific case, you and the doctor can work together to come up with a plan to not only relive pain and symptoms as soon as possible, but also strengthen the neck and surrounding areas to help with recovery. As with similar injuries, surgery is only needed in rare cases and should only be considered as a last resort in how to treat whiplash.


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Daily Prep
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Eatontown NJ Real Estate & Homes for Sale
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Approximately 50.65% of Eatontown homes are owned,
compared to 42.06% rented, while
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Marines return home from deployment
Photo: Louis DeLuca/Staff Photographer
Children sprinted toward a C-130 to greet their dads at Naval Air Station Joint Reserve Base Fort Worth on Thursday as the 29 members of U.S. Marine squadron VMGR 234 returned from a deployment to the Middle East.
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Baby Proofing Your GadgetsMolly Thornberg
I've made a career out of talking about kids and technology. The ever-changing landscape of how our children are learning and how we adults are adapting to the constant stream of new digital gadgets is something that fascinates me. I know some of you are leery of babys and gadgets, and that's fine. To each their own. For you parents of tech-savvy babies, this post is for you.
Since purchasing my iPhone a few years ago, it became quickly apparent that it wasn't just a phone. It was a camera, a camcorder, a miniature computer, a game console and well a constant source of entertainment for my kids. That being said, we all know what happens when you give a kid something that can break.
More and more companies are seeing and realizing this trend of parents wanting to protect their devices from their children. Truth be told, us parents can be clumsy ourselves. One company that is latching on to the kid angle is Fisher Price. They are now making iPad and iPhone cases for kids!
If you are looking to baby proof your gadgets, check out these links:
How Do You Baby Proof Your Gadgets?
More from Digital Mom on Baby's First Year:
- 20 Things We Have Learned About Having a Large Family
- 100 Things I Want My Baby to Know About Life
- 20 More Things to Not Do With Your Baby #Parenting FAIL
Molly blogs about technology, mom style and Draw Something at Digital Mom Blog. Follow: Twitter, Facebook, Pinterest, Google+