text:
Clinical Focus
- Diagnostic Radiology
- Pediatric Radiology
Academic Appointments
Professor - Med Center Line, Radiology - Pediatric Radiology
Professional Education
Residency:Boston University Med Ctr (1980) MA
Fellowship:Boston Children's Hospital (1984) MA
Residency:Johannesburg General Hospital Complex (1978) South Africa
Board Certification: Pediatric Radiology, American Board of Radiology (1995)
Board Certification: Diagnostic Radiology, American Board of Radiology (1983)
Residency:Boston Children's Hospital (1983) MA
Residency:Boston University Medical Center (1982) MA
Internship:Johannesburg General Hospital Complex (1977) South Africa
Medical Education:University of Witwatersrand (1976) South Africa
Clinical Trials
Outcome Measures in Infant/Early Childhood Lung Disease w/ Chest CT Scanning & Lung Function Testing
Not Recruiting
To implement a new method of performing chest CT imaging in young children at Packard Children's Hospital entitled controlled ventilation infant/young child chest CT scanning. This technique will be used to evaluate early lung disease comparing quantitative chest CT air trapping and airway measurements with lung function measurements in infants, toddlers, and young children with chronic lung disease.
Stanford is currently not accepting patients for this trial. For more information, please contact Yan Ki Angela Leung, 650-723-5193.
2016-17 Courses
Independent Studies (6)
- Directed Reading in Radiology
RAD 299 (Aut, Win, Spr, Sum)
- Early Clinical Experience in Radiology
RAD 280 (Aut, Win, Spr, Sum)
- Graduate Research
RAD 399 (Aut, Win, Spr, Sum)
- Medical Scholars Research
RAD 370 (Aut, Win, Spr, Sum)
- Readings in Radiology Research
RAD 101 (Aut, Win, Spr, Sum)
- Undergraduate Research
RAD 199 (Aut, Win, Spr, Sum)
- Directed Reading in Radiology
All Publications
Perforated appendicitis: an underappreciated mimic of intussusception on ultrasound
2014; 44 (5): 535-541
We encountered multiple cases in which the US appearance of ruptured appendicitis mimicked intussusception, resulting in diagnostic and therapeutic delay and multiple additional imaging studies.To explore the clinical and imaging discriminatory features between the conditions.Initial US images in six children (age 16 months to 8 years; 4 boys, 2 girls) were reviewed independently and by consensus by three pediatric radiologists. These findings were compared and correlated with the original reports and subsequent US, fluoroscopic, and CT images and reports.All initial US studies demonstrated a multiple-ring-like appearance (target sign, most apparent on transverse views) with diagnostic consensus supportive of intussusception. In three cases, US findings were somewhat discrepant with clinical concerns. Subsequently, four of the six children had contrast enemas; two were thought to have partial or complete intussusception reduction. Three had a repeat US examination, with recognition of the correct diagnosis. None of the US examinations demonstrated definite intralesional lymph nodes or mesenteric fat, but central echogenicity caused by debris/appendicolith was misinterpreted as fat. All showed perilesional hyperechogenicity that, in retrospect, represented inflamed fat "walling off" of the perforated appendix. There were four CTs, all of which demonstrated a double-ring appearance that correlated with the US target appearance, with inner and outer rings representing the dilated appendix and walled-off appendiceal rupture, respectively. All six children had surgical confirmation of perforated appendicitis.Contained perforated appendicitis can produce US findings closely mimicking intussusception. Clinical correlation and careful multiplanar evaluation should allow for sonographic suspicion of perforated appendicitis, which can be confirmed on CT if necessary.
View details for DOI 10.1007/s00247-014-2873-8
View details for Web of Science ID 000334513800004
View details for PubMedID 24463638
Heterotaxy syndromes and abnormal bowel rotation
2014; 44 (5): 542-551
Bowel rotation abnormalities in heterotaxy are common. As more children survive cardiac surgery, the management of gastrointestinal abnormalities has become controversial.To evaluate imaging of malrotation in heterotaxy with surgical correlation and provide an algorithm for management.Imaging reports of heterotaxic children with upper gastrointestinal (UGI) and/or small bowel follow-through (SBFT) were reviewed. Subsequently, fluoroscopic images were re-reviewed in conjunction with CT/MR studies. The original reports and re-reviewed images were compared and correlated with surgical findings.Nineteen of 34 children with heterotaxy underwent UGI, 13/19 also had SBFT. In 15/19 reports, bowel rotation was called abnormal: 11 malrotation, 4 non-rotation, no cases of volvulus. Re-review, including CT (10/19) and MR (2/19), designated 17/19 (90%) as abnormal, 10 malrotation (abnormal bowel arrangement, narrow or uncertain length of mesentery) and 7 non-rotation (small bowel and colon on opposite sides plus low cecum with probable broad mesentery). The most useful CT/MR findings were absence of retroperitoneal duodenum in most abnormal cases and location of bowel, especially cecum. Abnormal orientation of mesenteric vessels suggested malrotation but was not universal. Nine children had elective bowel surgery; non-rotation was found in 4/9 and malrotation was found in 5/9, with discrepancies (non-rotation at surgery, malrotation on imaging) with 4 original interpretations and 1 re-review.We recommend routine, early UGI and SBFT studies once other, urgent clinical concerns have been stabilized, with elective laparoscopic surgery in abnormal or equivocal cases. Cross-sectional imaging, usually obtained for other reasons, can contribute diagnostically. Attempting to assess mesenteric width is important in differentiating non-rotation from malrotation and more accurately identifies appropriate surgical candidates.
View details for DOI 10.1007/s00247-013-2861-4
View details for Web of Science ID 000334513800005
View details for PubMedID 24419494
Chest CT in children: anesthesia and atelectasis
2014; 44 (2): 164-172
There has been an increasing tendency for anesthesiologists to be responsible for providing sedation or anesthesia during chest CT imaging in young children. Anesthesia-related atelectasis noted on chest CT imaging has proven to be a common and troublesome problem, affecting image quality and diagnostic sensitivity.To evaluate the safety and effectiveness of a standardized anesthesia, lung recruitment, controlled-ventilation technique developed at our institution to prevent atelectasis for chest CT imaging in young children.Fifty-six chest CT scans were obtained in 42 children using a research-based intubation, lung recruitment and controlled-ventilation CT scanning protocol. These studies were compared with 70 non-protocolized chest CT scans under anesthesia taken from 18 of the same children, who were tested at different times, without the specific lung recruitment and controlled-ventilation technique. Two radiology readers scored all inspiratory chest CT scans for overall CT quality and atelectasis. Detailed cardiorespiratory parameters were evaluated at baseline, and during recruitment and inspiratory imaging on 21 controlled-ventilation cases and 8 control cases.Significant differences were noted between groups for both quality and atelectasis scores with optimal scoring demonstrated in the controlled-ventilation cases where 70% were rated very good to excellent quality scans compared with only 24% of non-protocol cases. There was no or minimal atelectasis in 48% of the controlled ventilation cases compared to 51% of non-protocol cases with segmental, multisegmental or lobar atelectasis present. No significant difference in cardiorespiratory parameters was found between controlled ventilation and other chest CT cases and no procedure-related adverse events occurred.Controlled-ventilation infant CT scanning under general anesthesia, utilizing intubation and recruitment maneuvers followed by chest CT scans, appears to be a safe and effective method to obtain reliable and reproducible high-quality, motion-free chest CT images in children.
View details for DOI 10.1007/s00247-013-2800-4
View details for Web of Science ID 000330987900005
View details for PubMedID 24202432
Comparison of Different Methods of Calculating CT Radiation Effective Dose in Children
CT radiation dose is a subject of intense interest and concern, especially in children. Effective dose, a summation of whole-body exposure weighted by specific organ sensitivities, is most often used to compute and compare radiation dose; however, there is little standardization, and there are numerous different methods of calculating effective dose. This study compares five such methods in a group of children undergoing routine chest CT and explores their advantages and pitfalls.Patient data from 120 pediatric chest CT examinations were retrospectively used to calculate effective dose: two scanner dose-length product (DLP) methods using published sets of conversion factors by Shrimpton and Deak, the imaging performance and assessment of CT (ImPact) calculator method, the Alessio online calculator, and the Huda method.The Huda method mean effective dose (4.4 ± 2.2 mSv) and Alessio online calculator (5.2 ± 2.8 mSv) yielded higher mean numbers for effective dose than both DLP calculations (Shrimpton, 3.65 ± 1.8 mSv, and Deak, 3.2 ± 1.5 mSv) as well as the ImPact calculator effective dose (3.4 ± 1.7 mSv). Mean differences ranged from 10.2% ± 10.1% lower to 28% ± 37.3% higher than the Shrimpton method (used as the standard for comparison). Differences were more marked at 120 kVp than at 80 or 100 kVp and varied at different ages. Concordance coefficients relative to the Shrimpton DLP method were Deak DLP, 0.907; Alessio online calculator, 0.735; ImPact calculator, 0.926; and Huda, 0.777.Different methods of computing effective dose for pediatric CT produce varying results. The method used must be clearly described to allay confusion about documenting and communicating dose for archiving as well as comparative research purposes.
View details for DOI 10.2214/AJR.10.5895
View details for Web of Science ID 000306686200012
View details for PubMedID 22826426
Pulmonary reperfusion injury after the unifocalization procedure for tetralogy of Fallot, pulmonary atresia, and major aortopulmonary collateral arteries
2012; 144 (1): 184-189
The aims of our study are to describe the incidence, clinical profile, and risk factors for pulmonary reperfusion injury after the unifocalization procedure for tetralogy of Fallot, pulmonary atresia, and major aortopulmonary collateral arteries. We hypothesized the following: (1) Pulmonary reperfusion injury is more likely to occur after unifocalization procedures in which a septated circulation is not achieved, (2) pulmonary reperfusion injury is directly related to the severity of stenosis in major aortopulmonary collateral arteries, and (3) pulmonary reperfusion injury leads to longer intubation time and longer hospitalization.Consecutive patients with tetralogy of Fallot/pulmonary atresia/major aortopulmonary collateral arteries who underwent unifocalization procedures over a 5-year period were identified in our institutional database. Chest radiographs before the unifocalization procedure, from postoperative days 0 to 4, and from 2 weeks after the unifocalization procedure or at discharge were evaluated by a pediatric radiologist for localized pulmonary edema. Determination of stenosis severity was based on review of preoperative angiograms. Statistical analyses using multivariate repeated-measures analyses were performed with generalized estimating equations.Pulmonary reperfusion injury was present after 42 of 65 (65%) unifocalization procedures. In 36 of 42 cases of reperfusion injury, unilateral injury was present. Risk factors for the development of reperfusion injury included bilateral unifocalization (P = .01) and degree of stenosis (P = .03). We did not identify an association between pulmonary reperfusion injury and time to tracheal extubation or hospital discharge.Pulmonary reperfusion injury is common after the unifocalization procedure for tetralogy of Fallot/pulmonary atresia/major aortopulmonary collateral arteries. Severity of stenosis and bilateral unifocalization are associated with the development of reperfusion injury.
View details for DOI 10.1016/j.jtcvs.2011.12.030
View details for Web of Science ID 000305412200031
View details for PubMedID 22244564
Reply to commentary - CT radiation dose reduction: can we do harm by doing good?
2012; 42 (4): 399-401
View details for DOI 10.1007/s00247-011-2331-9
View details for Web of Science ID 000302349900002
View details for PubMedID 22302319
Combined respiratory and cardiac triggering improves blood pool contrast-enhanced pediatric cardiovascular MRI
2011; 41 (12): 1536-1544
Contrast-enhanced cardiac MRA suffers from cardiac motion artifacts and often requires a breath-hold.This work develops and evaluates a blood pool contrast-enhanced combined respiratory- and ECG-triggered MRA method.An SPGR sequence was modified to enable combined cardiac and respiratory triggering on a 1.5-T scanner. Twenty-three consecutive children referred for pediatric heart disease receiving gadofosveset were recruited in HIPAA-compliant fashion with IRB approval and informed consent. Children underwent standard non-triggered contrast-enhanced MRA with or without suspended respiration. Additionally, a free-breathing-triggered MRA was acquired. Triggered and non-triggered studies were presented in blinded random order independently to two radiologists twice. Anatomical structure delineation was graded for each triggered and non-triggered acquisition and the visual quality on triggered MRA was compared directly to that on non-triggered MRA.Triggered images received higher scores from each radiologist for all anatomical structures on each of the two reading sessions (Wilcoxon rank sum test, P?0.05). In direct comparison, triggered images were preferred over non-triggered images for delineating cardiac structures, with most comparisons reaching statistical significance (binomial test, P?0.05).Combined cardiac and respiratory triggering, enabled by a blood pool contrast agent, improves delineation of most anatomical structures in pediatric cardiovascular MRA.
View details for DOI 10.1007/s00247-011-2196-y
View details for Web of Science ID 000297621800005
View details for PubMedID 21786125
Pneumonia in Normal and Immunocompromised Children: An Overview and Update
2011; 49 (5): 895-?
Pneumonia is an infection of the lung parenchyma caused by a wide variety of organisms in pediatric patients. The role of imaging is to detect the presence of pneumonia, and determine its location and extent, exclude other thoracic causes of respiratory symptoms, and show complications such as effusion/empyema and suppurative lung changes. The overarching goal of this article is to review cause, role of imaging, imaging techniques, and the spectrum of acute and chronic pneumonias in children. Pneumonia in the neonate and immunocompromised host is also discussed.
View details for DOI 10.1016/j.rcl.2011.06.007
View details for Web of Science ID 000295387500006
View details for PubMedID 21889014
Point/counterpoint: dose-related issues in cardiac CT imaging.
Pediatric radiology
2011; 41: 528-533
This manuscript reviews some of the more controversial dose-related issues in cardiac CT imaging. Discussion covers the relative merits of cardiac CT versus MR, advantages and concerns regarding gated versus nongated cardiac CT and advantages and concerns regarding the use of breast shields in girls undergoing cardiac CT imaging.
View details for DOI 10.1007/s00247-011-2153-9
View details for PubMedID 21847735
Pause and Pulse: Radiation Dose in Pediatric Fluoroscopy
View details for DOI 10.1542/pir.32-9-e83
View details for Web of Science ID 000294481100001
View details for PubMedID 21885657
Ultrasound body applications in children.
Pediatric radiology
2011; 41: 555-561
A major goal of imaging is to obtain the correct examination to answer the clinical questions with the lowest possible radiation exposure. While CT examination provides essential information in many cases, other modalities that do not entail ionizing radiation exposure may be appropriate substitutes either as an initial screening study or as an alternative to CT. US has become a valuable imaging tool in children encompassing many different clinical scenarios. This manuscript highlights some of the less well-accepted applications of US as the first imaging study in pediatric patients, especially in the emergency room environment. These include evaluation of suspected appendicitis, abdominal mass, pleural effusion/empyema, thymic abnormality vs. mediastinal mass and extremity soft-tissue mass or vessel patency. Adoption of US imaging as a problem-solving tool for issues such as these requires appropriate allocation of resources to ensure high-quality performance and interpretation of pediatric US studies around the clock.
View details for DOI 10.1007/s00247-011-2107-2
View details for PubMedID 21847738
Thoracic Neoplasms in Children
2011; 49 (4): 633-?
This article presents an overview of the benign and malignant neoplasms that affect the chest in children and their imaging characteristics. The relative roles of plain film, fluoroscopy, ultrasound, CT, MR imaging, and nuclear imaging in assessing these lesions are reviewed. Areas covered include the mediastinum, heart, lungs, airway, pleura, and chest wall.
View details for DOI 10.1016/j.rcl.2011.05.010
View details for Web of Science ID 000294371900005
View details for PubMedID 21807166
Effectiveness of a Staged US and CT Protocol for the Diagnosis of Pediatric Appendicitis: Reducing Radiation Exposure in the Age of ALARA
2011; 259 (1): 231-239
To evaluate the effectiveness of a staged ultrasonography (US) and computed tomography (CT) imaging protocol for the accurate diagnosis of suspected appendicitis in children and the opportunity for reducing the number of CT examinations and associated radiation exposure.This retrospective study was compliant with HIPAA, and a waiver of informed consent was approved by the institutional review board. This study is a review of all imaging studies obtained in children suspected of having appendicitis between 2003 and 2008 at a suburban pediatric emergency department. A multidisciplinary staged US and CT imaging protocol for the diagnosis of appendicitis was implemented in 2003. In the staged protocol, US was performed first in patients suspected of having appendicitis; follow-up CT was recommended when US findings were equivocal. Of 1228 pediatric patients who presented to the emergency department for suspected appendicitis, 631 (287 boys, 344 girls; age range, 2 months to 18 years; median age, 10 years) were compliant with the imaging pathway. The sensitivity, specificity, negative appendectomy rate (number of appendectomies with normal pathologic findings divided by the number of surgeries performed for suspected appendicitis), missed appendicitis rate, and number of CT examinations avoided by using the staged protocol were analyzed.The sensitivity and specificity of the staged protocol were 98.6% and 90.6%, respectively. The negative appendectomy rate was 8.1% (19 of 235 patients), and the missed appendicitis rate was less than 0.5% (one of 631 patients). CT was avoided in 333 of the 631 patients (53%) in whom the protocol was followed and in whom the US findings were definitive.A staged US and CT imaging protocol in which US is performed first in children suspected of having acute appendicitis is highly accurate and offers the opportunity to substantially reduce radiation.
View details for DOI 10.1148/radiol.10100984
View details for Web of Science ID 000288848800028
View details for PubMedID 21324843
Development and Validation of Automated 2D-3D Bronchial Airway Matching to Track Changes in Regional Bronchial Morphology Using Serial Low-Dose Chest CT Scans in Children with Chronic Lung Disease
2010; 23 (6): 744-754
To address potential concern for cumulative radiation exposure with serial spiral chest computed tomography (CT) scans in children with chronic lung disease, we developed an approach to match bronchial airways on low-dose spiral and low-dose high-resolution CT (HRCT) chest images to allow serial comparisons. An automated algorithm matches the position and orientation of bronchial airways obtained from HRCT slices with those in the spiral CT scan. To validate this algorithm, we compared manual matching vs automatic matching of bronchial airways in three pediatric patients. The mean absolute percentage difference between the manually matched spiral CT airway and the index HRCT airways were 9.4 ± 8.5% for the internal diameter measurements, 6.0 ± 4.1% for the outer diameter measurements, and 10.1 ± 9.3% for the wall thickness measurements. The mean absolute percentage difference between the automatically matched spiral CT airway measurements and index HRCT airway measurements were 9.2 ± 8.6% for the inner diameter, 5.8 ± 4.5% for the outer diameter, and 9.9 ± 9.5% for the wall thickness. The overall difference between manual and automated methods was 2.1 ± 1.2%, which was significantly less than the interuser variability of 5.1 ± 4.6% (p<0.05). Tests of equivalence had p<0.05, demonstrating no significant difference between the two methods. The time required for matching was significantly reduced in the automated method (p<0.01) and was as accurate as manual matching, allowing efficient comparison of airways obtained on low-dose spiral CT imaging with low-dose HRCT scans.
View details for DOI 10.1007/s10278-009-9199-3
View details for Web of Science ID 000284163300011
View details for PubMedID 19756866
Congenital extrahepatic portosystemic shunt associated with heterotaxy and polysplenia
2010; 40 (7): 1222-1230
Heterotaxy with polysplenia is associated with many cardiovascular anomalies including the occasional occurrence of congenital extrahepatic portosystemic shunts (CEPS). Missing this anomaly can lead to inappropriate and ineffective therapy.To emphasize the importance and associated anatomy of CEPS in conjunction with heterotaxy with polysplenia.Review of three young children who presented with cyanosis and pulmonary hypertension without a cardiac etiology. They were known (1) or discovered (2) to have heterotaxy with polysplenia.There was absence of the intrahepatic inferior vena cava (IVC) with azygos or hemiazygos continuation in all three cases. In spite of normal liver function, they were discovered to have large portosystemic shunts, splenorenal in location, along with diffuse peripheral pulmonary arterial dilatation suggestive of CEPS (Abernethy malformation) with hepatopulmonary or, more accurately, portopulmonary syndrome. All CEPS were ipsilateral to the spleens. Patency of the portal veins in these cases allowed for percutaneous shunt closure with resolution of cyanosis.CEPS is associated with heterotaxy with polysplenia and can be symptomatic because of pulmonary arteriovenous (AV) shunting. Portal and hepatic vein patency are critical for determining feasibility of CEPS closure.
View details for DOI 10.1007/s00247-009-1508-y
View details for Web of Science ID 000278582300007
View details for PubMedID 20069288
Evaluation of a Radiation Dose Reduction Strategy for Pediatric Chest CT
2010; 194 (5): 1188-1193
The purpose of our study was to quantify the effect of changes made to the CT chest protocol on patient dose, image quality, and image noise when using a kilovoltage (kVp)-lowering strategy.We retrospectively selected 120 children who underwent chest CT: 60 in 2006 and 60 in 2008. In each group there were 30 children weighing less than 15 kg and 30 between 15 and 60 kg. In 2006 the CT protocol was 120 kVp and the reference current (mAs) was 65. In 2008, the kVp was 80 for < 15 kg and 100 for 15-60 kg, with reference mAs of 55. For each examination, the volume CT dose index (CTDI(vol)) and dose-length product (DLP) were recorded. Effective dose (ED) was estimated using the DLP method. Image noise was measured. Overall image quality was subjectively evaluated.For a weight < 15.0 kg, the CTDI(vol), DLP, and ED were reduced by 73%, 75%, and 73%, respectively (p < 0.05). For the weight range 15-60 kg, the CTDI(vol), DLP, and ED were reduced by 45%, 44%, and 48%, respectively (p < 0.05). Measured noise increased by 55% in the younger children and 41% in the older group (p < 0.05). All studies were considered diagnostically adequate.Significant radiation dose reduction can be achieved for routine pediatric chest CT by weight-based decreases in kVp in addition to low mAs. Increased noise was considered an acceptable trade-off for decreased dose, and image quality was acceptable.
View details for DOI 10.2214/AJR.09.3726
View details for Web of Science ID 000276906400005
View details for PubMedID 20410401
Rudhe syndrome: reversible right middle lobe emphysema in infants with left-to-right shunts-an historical review
2010; 40 (5): 762-765
In 1971, the Swedish radiologist Ulf Rudhe wrote a provocative paper on right middle lobe emphysema in infants with left-to-right shunts in which he suggested cardiac surgery rather than lung resection. At the time, this was counter to accepted medical practice. Earlier diagnosis and better medical management of ventricular septal defect in infants has proved Rudhe correct. However, two current cases of large left-to-right shunts in infants with emphysema of the right middle lobe prompt this historical review of what seemed a closed-episode in pediatric cardiac surgery.
View details for DOI 10.1007/s00247-009-1530-0
View details for Web of Science ID 000276149500016
View details for PubMedID 20135111
Left Pulmonary Artery Sling-Anatomy and Imaging
2010; 31 (2): 158-170
Distinctive imaging findings are present when the left pulmonary artery (LPA) arises from the right pulmonary artery and forms a sling around the airway passing between airway and esophagus to reach the left lung. It is important to recognize the 2 distinct types of pulmonary sling. The less complex type I is associated with tracheobronchomalacia and is often managed successfully by LPA reimplantation. The more common and more complex type II is strongly associated with long segment tracheal stenosis. Appropriate management needs to address the airway abnormality in addition to the aberrant LPA. Both types, especially type II, are associated with cardiovascular, pulmonary, and other abnormalities that also need to be considered in therapeutic decisions. The role of imaging is to identify, define, and display the relevant anatomic relationships to facilitate appropriate management. Recent surgical advances have increased the likelihood of success of surgical correction of long segment airway stenosis.
View details for DOI 10.1053/j.sult.2010.01.004
View details for Web of Science ID 000276295500009
View details for PubMedID 20304323
A pitfall of radioisotope quantification of the ratio of pulmonary blood flow to systemic blood flow (Qp/Qs) in a patient with severe postoperative pulmonary venous obstruction
2008; 33 (8): 521-524
We report a case with initial misinterpretation of the radionuclide angiocardiographic study that was obtained in a child with persistent tachypnea and concern for residual left to right shunt after prior repair of total anomalous pulmonary veins and an atrial septal defect.Ultrasound, radionuclide angiocardiogram, and magnetic resonance imaging studies were obtained.The radionuclide study was ordered after an unremarkable ultrasound. Unsuspected severely reduced left pulmonary arterial flow associated with high-grade ipsilateral pulmonary venous obstruction led to misinterpretation of the radionuclide study as a large residual shunt. Later replotting of the graphic data using each lung separately corrected the error. Magnetic resonance played a key role in making the correct diagnosis.Significant asymmetric pulmonary flow due to vascular obstruction is an important additional potential pitfall to recognize in interpreting radionuclide angiocardiographic studies.
View details for Web of Science ID 000258941600001
View details for PubMedID 18645367


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Today, my boyfriend texted me, and asked if he could come over to 'have some fun'. Thinking we were going to do it, I freshened up. Turns out his idea of 'having some fun' is playing Doodle Jump and Angry Birds on my iPod. For three hours. FML
by kylie / 08/10/2010 at 3:22am / United States (New York) / Intimacy
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- 1Today, my boyfriend said I didn't give him enough attention because of my busy work life. So… he… 2Today, someone stole my purse and phone while I was giving CPR to someone who had a heart attack on… 3Today, I was making the daily commute to work when suddenly my mother calls me, crying that there's…


text:
You Could Live In The Childhood Home Of Basketball Inventor James Naismith For $1.2 Million
Wikimedia Commons and naismithhome.comThe childhood home of Dr. James Naismith—the man who invented the game of basketball—is up for sale in Canada.
The 3-bedroom, 2.5-bathroom Georgian house located on a 45-acre farm in Almonte, Ontario, has a price tag of $1,195,000 million in Canadian currency—which equates to 1,170,421 dollars and 16 cents in American currency as of today.
Click here to take a tour of the Naismith home »
Comments on this post are now closed.


text:
$5.15/sh in cashDid a DoD pilot and possible rollout to a Military base (Red River Army Depot)https://www.redriver.army.mil/Possible other deployments as well21 Wal Mart systems up. Got OK for more. Doing site surveys.$20M in auction rate securities. Possible write down of $1.5MUSPS 77% of revenue, rental car 7%, Wall Greens 3%. USPS does $500k/qtr in maint. 110 USPS facilities done. Over 400 possible total.500 car pilot at Dollar Thrifty Rental Car. They have 300k cars total.Still very confident they will hit $24M in revenue this year.
Does the 24 Mil. put them back into profit from what you can tell?
Only if they maintain margins at the current rate. If they discount product to win sales, then no.


text:
Neoseeker.com Forum Thread: IPOD notes? - page 1
reprinted from
original thread:
Author: Simco
Date: Jul 30, 06 at 7:28am (PST)
Subject: IPOD notes?
I've got a 4G ipod, windows formatted with software version 3.1.1 and have discovered that when i've placed text files in my notes folder they appear as the original file size in windows explorer, though in my ipod they are limited to a 4K file size.
What's the deal??? Has anyone else seen this?
I thought someone could elaborate further on this point, and help my potential dilemma of having to break anything down to 4K chunks so i can read the entirety of any articles...
Author: Weapon
Date: Jul 30, 06 at 3:55pm (PST)
Subject: re: IPOD notes?
Well, what I do when I put notes on my iPod was to put the whole thing on and to see where it was cut off. Then I'd copy and paste that cut off point to a new document. Then I'd delete that chunk (make sure you have another copy of the document). Then upload it again with the first part taken out and see where that is cut off. It's long and tedious but I'm not sure of any other way =/.
Author: Simco
Date: Jul 31, 06 at 12:37am (PST)
Subject: re: IPOD notes?
Thanks for the reply weapon:
I was hoping that wasn't the only alternative I had! They didn't allow for a v. large file size for notes, did they?
I guess it improves with later generations...
Might have to look into an upgrade.
Author: Master of the VG
Date: Jul 31, 06 at 6:47pm (PST)
Subject: re: IPOD notes?
As far as I know it's still only 4KB for each note page. You could get a convertor that will not only split the file into 4KB segments but also link each of them.
Here's an online one I found in a google search.
This message was edited by Master of the VG on Jul 31 2006.
Author: Simco
Date: Aug 4, 06 at 6:49am (PST)
Subject: re: IPOD notes?
Hey Master... thanks for the handy link. Was pondering how to manage converting files when you solved the problem.
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All Rights Reserved.


text:
The Department of Transportation and Works has confirmed that a dump truck aboard the MV Capt. Earl W. Winsor went into the water at Change Islands Monday evening while the ferry was unloading.
"There were no injuries and the appropriate agencies have been notified," the department said in a statement Monday night. "An investigation into the cause of the incident is underway."
The ferry was taken out of service for the remainder of the night. A contingency air service will be arranged if needed and weather permitting.
© Submitted photo by Jeffrey Powell
A dump truck sits nearly completely submerged in water after it fell of the ferry MV Capt. Earl W. Winsor during unloading operations. Submitted photo by Jeffrey Powell


text:
Alan Cox on the Inclusion of Sun's ZFS in the Kernel
After rumors in May of Suns ZFS filesystem being included in the kernel, kernel developer Alan Cox has now refuted the claims pointing to Sun's licensing policy.
A developer called Fred had pointed out the ZFS support for Grub was now GPL'd. The code could be used to add ZFS support to the kernel.
Alan Cox refuted this option arguing that any further implementation would contravene Sun's licensing policy. Cox had repeatedly asked Sun for permission to use the code, but without receiving a reply. He concluded on the Linux kernel mailing list that Sun wanted to appear to be open, but was not handing ZFS to Linus Torvalds as the filesystem was the only argument for continuing to use Solaris in data centers.
Boot loader expert H. Peter Anvin added that GRUB only supported a rudimentary ZFS read only driver. Kernel developer Christoph Hellwig considers even read only support for ZFS to be a benefit for the kernel. On the list he offered to provide mentoring support for its implementation, if somebody is prepared to implement the project.
Thanks to its competent volume management, Sun's ZFS is regarded as a sophisticated filesystem and it can handle large volumes of data thanks to 128 bit pointers. If needed, the filesystem can be dynamically scaled; it identifies and removes filesystem errors without major performance hits and supports freezing and cloning of sectors. Most of ZFS is still under the Sun Open Source License CDDL.
Alan cox and the inclusion of sun zfs in the kernelIf you really need ZFS, then well for most users just use OpenSolaris -its FREE too
Issue 193/2016
Buy this issue as a PDF
Linux Voice Joins the Linux New Media Family
Linux Magazine will include the best of both magazines.
Critical Flaws Found in VeraCrypt
Popular open source encryption tool is vulnerable to attack
Ubuntu 16.10 Released
New "Yakkety Yak" edition emphasizes cloud and servers
Linus Announces Linux 4.8
Google Announces Its Own Pixel Phones
Google finally enters the phone hardware business.
Nextcloud Announces Raspberry Pi-Powered Home Cloud Box
Innovative system adds a hard drive and Ubuntu Core to the RPi for an IoT hub.
Linus Torvalds Confirms the Date of the First Linux Release
Linux is two weeks younger than we thought!
End of OpenOffice?
The Apache Software Foundation considers retiring OpenOffice
Adobe Gives New Life to NPAPI Plugin for Linux
Adobe won't kill the plugin in 2017
LinuxCon North America Convenes in Toronto, Canada
Linux Foundation's big event celebrates the 25th anniversary of Linux


text:
Hampton Inn and Suites Coeur d'Alene
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text:
Bob Huggins hasn't been shy about calling out his players for what he sees as shortcomings in their understanding of what it will take to get West Virginia over the hump toward a successful season. He has often mentioned the need for players to to work on shooting, ballhandling and other fundamentals on their own time, in addition to regular practice sessions. He's done so in a variety of ways, from highlighting successful players of the past and present to comparing the stresses of the pro game to the collegiate level workload. Still, it appears as if some players aren't getting the message. And if they don't (and fast) WVU is going to miss out on postseason play.
Huggins isn't going to call those players out by name. He didn't do so a year ago, when apathy and disinterest caused the team to disintegrate, so he's not going to do it this year, when the reasons for the close losses to date have more stemmed from a lack of knowledge and understanding that anything. Still, it's clear that he's doing everything he can to encourage those who aren't spending enough time in the practice facility to amp up their investment. He certainly says so to those players on every occasion, and he uses almost every available media session to reinforce the message. Question is, does the ultimate responsibility for getting extra work in fall on the coach or the players?
This is an age-old argument, and it's not going to be settled in the few hundred words of this space. One thing that should happen, though, is that the players who are leaders on this team need to do all they can to make sure that those who aren't putting in the work are encouraged to do so. And if that extends to going to their places of residence and dragging them forcibly through the doors of the practice facility, so be it.
One player who clearly has put in extra work is Juwan Staten, and he admits that might be something he has to do.
"I did do a lot on my own over the summer, and I get in the gym and watch film on my own," the Mountaineers' clear star said. "It pays off. Maybe it is the time that I need to go get some guys and make sure they get there."
This isn't a new thought -- Kevin Noreen said at the end of last year it's a tactic that he might resort to. He hasn't been available recently to answer a question on that topic, but there's no doubt that he and Staten have provided leadership by example. But with a season hanging in the balance, WVU has to get every bit of production it can from every player on the roster, and that's only going to happen if all members of the team are improving through the season.
As Huggins has also noted more than once, it's tough to improve while games are being played if work isn't being done individually. Much of practice is devoted to scouting reports, correcting mistakes and running through sets for upcoming contests. There's just not enough time for shooting, lifting and the like in the team practice periods. That's a lesson, though, that all of WVU's players haven't learned yet.
Terry Henderson, when asked about this, noted that he felt he was putting in the work required. As a sophomore, though, it's not clear if he felt as if he was in a position to impose his will on others to do so. Henderson's play on the floor certainly seems to show that he's been in the gym on his own, but if that's the case he also needs to be more forceful with others, no matter what class they are in.
It would be easy to get sidetracked into a discussion about whose responsibility it is to do what's required to get the Mountaineers back on a winning path, but that's not the issue. The important point is that it gets done -- and if it takes teammates to drag them to the facility, or coaches reducing playing time, then so be it.
West Virginia is dangerously close to going down the won-loss path it did a year ago, and there has already been enough missed time in the gym to put WVU in a hole in terms of wins and losses. Team leaders -- Staten, Noreen, or whoever -- have to take charge, and those that haven't been working extra must start doing so. Otherwise, the Mountaineers will be heading home again after the Big 12 tournament with no games left to play.


text:
realmagick.com The shrine of knowledge.
A selection of articles related to oleander.
Original articles from our library related to the Oleander. See Table of Contents for further available material (downloadable resources) on Oleander.
- Oleander: Correspondences
- Olea europaea Folk Names: Olivier Gender: Masculine Planet: Sun Element: Fire Deity: Athena, Apollo, Irene, Minerva, Ra Power: Healing, Peace, Fertility, Potency, Protection, Lust...
Herbalism >> Herbs dictionary O
- Be-still: Correspondences
- Thevetia nereifolia Poison Folk Names: Trumpet Flower, Yellow Oleander Gender: Planet: Element: Deity: Power: Luck...
Herbalism >> Herbs dictionary B
Oleander is described in multiple online sources, as addition to our editors' articles, see section below for printable documents, Oleander books and related discussion.
Suggested Pdf Resources
- Oleanders (Nerium oleander) - Aggie Horticulture - Texas A&M
- 1. In the early 1840's, oleanders were first brought to the port of Galveston, from Jamaica, by local businessman, Joseph Osterman. Osterman's sister in-law, Mrs.
- aggie-horticulture.tamu.edu
- Oleanders for Florida - Okeechobee County Extension - University of
- Oleanders are evergreen shrubs or small trees native to the Mediterranean regions of southern. Europe and southwest Asia. Nerium oleander L.
- okeechobee.ifas.ufl.edu
- Oleander - ctahr - University of Hawaii
- Cooperative Extension Service. Ornamentals and Flowers. June 1997.
- www.ctahr.hawaii.edu
- Oleander - A Versatile Shrub for Southern Nevada - University of
- Introduced from the Mediterranean area, Olean- der (Nerium oleander L.) is a perennial, evergreen, flow- ering shrub or small tree up to 25 feet tall. Oleander is .
- www.unce.unr.edu
- Plant Oleander - Southern Company
- Plant Oleander is a dual fuel, simple-cycle combustion turbine electric-generating plant located near Cocoa, Florida. The primary fuel is natural gas and the ...
- www.southerncompany.com
Suggested News Resources
- WPD investigates afternoon shooting at Oleander Dr. shopping center
- WILMINGTON, NC (WWAY) — Wilmington Police are investigating a report of a shooting this afternoon at a shopping center on Oleander Drive. It happened in the Food Lion plaza at 1929 Oleander Drive. New Hanover County Dispatch says the call came in ...
- Deadly Nightshade, Oleander Shrub, Wolfsbane, And 7 Other Poisonous Plants
- Most of us come into contact with plants and shrubbery on a daily basis, whether we live in a big city like New York or a rural area in the Midwest.
- Oleander bushes can be trimmed into small trees
- Q: I have two 7-foot-tall oleander bushes about 8 feet apart. Can I turn them into trees by cutting all the branches to the ground except for the largest, fattest branch in the middle? I know the suckers will be a problem for a while.
- Oleander neighbors band together to fight medical marijuana dispensaries
- BAKERSFIELD, Calif. (KBAK/KBFX) — Some Oleander neighbors say there are too many medical marijuana dispensaries too close to their homes, and they want tougher action by Bakersfield officials. The residents fired up a website on Friday afternoon, and ...
- Homemade Cookies Laced with Oleander Kills Horse and Dog
- The Sebastopol-area animals died of oleander toxicity from the cookies, which had been placed on private property on Kennedy Road in an area likely to be found by the animals. Oleander is highly toxic to animals.
Great care has been taken to prepare the information on this page. Elements of the content come from factual and lexical knowledge databases, realmagick.com library and third-party sources. We appreciate your suggestions and comments on further improvements of the site.
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text:
Home Page Stories
Posted by Louisa Tripp
What is Northeast PETS?
The Northeast Presidents-Elect Training Seminar is Rotary's training program for club Presidents-Elect and Assistant Governors throughout New England and parts of Canada. The goal of Northeast PETS, as it is called, is to prepare Presidents-elect and Assistant Governors for their upcoming roles through provocative plenary speakers, in-depth breakout sessions, discussions with peers from various districts, and informal fellowship and networking with other Rotarians. Northeast PETS is a joint effort of eight Rotary International districts and includes the states of Connecticut, Rhode Island, Massachusetts, Vermont, New Hampshire, southern Maine and southern Quebec.
Who Attends Northeast PETS?
Each spring, Rotary Presidents-Elect – 435 Rotarians strong – from the eight Rotary International Districts from New England and southern Quebec gather with nearly 80 Assistant Governors to train and be well prepared for the upcoming Rotary year. All incoming club presidents must attend training. If your schedule does not allow you to join us, you can find alternative locations and dates at www.petsalliance.org Please let your district governor know if you make alternate plans.
When is Northeast PETS?
Northeast PETS takes place the second weekend of March each year. Optional working sessions are held on Thursday afternoon, followed by a gala dinner highlighted by a renowned Rotary keynote speaker. The general sessions and breakouts start in earnest on Friday morning, and the program wraps up Saturday after lunch.
2017: March 9-11
Where is Northeast PETS?
Northeast PETS is headquartered at the Sheraton Framingham Hotel and Conference Center, in Framingham, MA.


text:
In the same year Cisco was founded, Kate Bush recorded the hypnotic Cloudbusting, one of her mostRead More
Cisco at Microsoft TechEd Europe 2014Data Center
Ready to savor tapas, Gaudi and the most vibrant community of IT professionals in the industry? You must beRead More
MDS 9700 Scale Out and Scale UpData Center
This is the final part on the High Performance Data Center Design. We will look at how highRead More
UCS M-Series System Link Technology: The converged infrastructure story.Data Center
It almost feels like this blog entry should start with: Once upon a time…. Because it captures a journeyRead More
Next Generation Data Center Design With MDS 9700 – Part IIIData Center
Note: This is the third of a three-part series on Next Generation Data Center Design with MDS 9700; learn howRead More
UCS M-Series Design Principles – Why bigger is not necessarily better!Data Center
Cisco UCS M-Series servers have been purpose built to fit specific need in the data center. The coreRead More


text:
Herlings now has a 135 point lead in the 250 title chase
PHOTO OF THE WEEK: PART 1 America. Land of the free and home of the brave. America. Democracy and human rights. America. Where professional
Tony Cairoli is in the 450 points lead. Photo: Ray Archer Several significant things happened in the 450 class in Sweden: (1) Yamaha's Steven Frossard,


text:
Precipitated opioid withdrawal is also associated with increased brain reward thresholds at doses of naloxone that do not elicit physical signs of withdrawal, viagra medical term suggesting a dissociation of the mechanisms for the physical and motivational components of opioid withdrawal (Schulteis et al., 1995) (Fig. Opioid dependence, as well as opioid tolerance, may begin with a single administration of the drug (Schulteis and Koob, 1993. Opioid withdrawal, as with other drugs of abuse, is associated with decreases in brain stimulation reward (Schaefer and Michael, 1980) and elevations in brain reward thresholds (Schaefer and Michael, 1987). 1996), stinus et al..
Kun Cao Standard daily dosage, a Formula Approach Yi Mu viagra medical term Cao. 5-50g AH. Could possibly cause hyperkalemia when used with potassium-sparing diuretics. Vitamin C, nicotinic acid, glutamic acid, hydrochloric acid, and other highly acidic substances could possibly reduce viagra medical term the therapeutic effect of this medicinal. AH= AHPA, B&B= BENSKY & BAROLET, B&G= B ENSKY & GAMBLE, BR= BRINKER, C&C= CHAN & CHEUNG, F L= FLAWS, GLW= GAO LU WEN, PDR= P HYSICIAN'S DESK REFERENCE Chapter 7 312 • Herb Toxicities & Drug Interactions.
Contains potassium and glycosides. Not to be used during pregnancy B&G.
They are viagra medical term less likely to be a focus of the link between cognition and neuropathology in AD, although frontal cortex specimens may be included in these studies. This may, in turn, be due to inherent difficulties with studying the neuropathology of the frontal cortex. We recently reported a case study of an individual with a selective and severe impairment in executive function that, at autopsy, exhibited significant frontal senile plaque and NFT pathology (Johnson et al., 2000). There may be a bias toward selectively studying the hippocampus given that AD is commonly associated viagra medical term with memory impairment, second.
Autopsy studies in nondemented individuals with select and severe impairment in memory provided solid evidence that this is an early form of AD based on significant pathology in the hippocampus and entorhinal cortex , for example. Focal frontal atrophy was also observed in another case study of a patient with early signs of dysexecutive syndrome and was also linked to diffuse frontal Aß deposition. And selection of key regions of interest is difficult to establish, the frontal cortex is complex and contains multiple anatomical and functional domains.
N., Rosvold, H viagra medical term. The entorhinal cortex of the monkey. M. Journal of Comparative Neurology, 324, 446–508.
(2004). Third Report of the DLB Consortium. Dementia with Lewy bodies.
McKeith, I., Mintzer, J., Aarsland, D., Burn, D., Chiu, H., Cohen-Mansfield, J., et al.
Bai Shao, Shao Yao (Radix Albus Paeoniae Lactiflorae, viagra medical term white peony root) Standard daily dosage. Safe when used appropriately B&G. Should not be administered viagra medical term in the presence of kidney diseases due to the irritating effect of the saponins. Otherwise considered safe with the proper administration of designated therapeutic dosages.


text:
Isle of Man to consider civil partnerships for gay couples
Post your comment
Comments on this article are now closed.
Reader comments
"I think the other changes to legislation we have brought in, in relation to the gay issue,"
I can see how people could pick that apart and take offence to us being an "issue" just because we're not the norm
I am not an "Issue"…i am a guy who gets discriminated against by people who don't understand why everyone should be treated the same
If i pay tax, then i expect it to be used for everyone, not just the majority
Well it's a step forward. The homophobia on the Island is still there however, just have a look at Manx Forums to read that for yourself. Also times have changed but not so much to allow for any member of the Manx Parliament to actually come out has it Mr. Bell? The UK has managed it but not the IOM.
I like the last line in the report which seems to be an add on – partially recognises UK CPs – I wish someone would try to sort out this problem – I guess the UK will just accept any old CPs from any other country but won't make an effort to sort out whether we will be recognised by them
"Treasury minister Allan Bell said he hoped the bill would change perceptions of the island."
It won't.
Legalising discrimination in the form of civil partnerships will be noted.
Are these polticians really so stupid as to think being granted 2nd class legal recognition for our relationships is going to be adequate?
Its all rather silly having a small island with a certain amount of autonomy from the rest of the country! Birmingham could declare itself autonomous (Capital of the New Mercia) or Leeds or Glasgow and then pick and choose with laws to abide by!
A retired law lecturer and preacher on the Island says he has serious concerns about the Civil Partnership Bill.
The Bill went before the House of Keys for first reading this morning (Tuesday) and would give new rights to gay couples on pensions and benefits.
It's being promoted by Treasury Minister Allan Bell, who says the Island has had a bad reputation in the past for homophobia.
But Peter Murcott says the bill replicates existing legislation on marriage – and he says a Christian Island should keep the institution of marriage restricted to men and women.
Homophobia is alive and kicking on the Isle of Man. When the gay's in the Tynwald come out then there will be said to be real progress, as yet they are firmly in the closet.
Treasury minister Allan Bell is absolutely right about the island's reputation. Despite the catching they have done with regard to gay rights legislation, I still think of the place as homophobic and know it to be so.
Alan Bell, to dispel the homophobic reputation of the Isle of Man, its government is going to have to take a RADICAL leap forward, for example, announce that you GAY MARRIAGE is to be legalised on the island AND that GAY MARRIAGES may be identical in form and venue as heterosexual marriages, i.e. registration offices OR churches.
Now THAT might turn our heads!
Meanwhile we continue to think of the Isle of Man as a no-go backwater.
I also think it is worth mentioning that the Manx Parliament didn't adopt change for its gay citizens willingly, it was forced upon it by the UK Government. The IOM is a backwater for the most part unfriendly towards gays. I would give it a miss.
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text:
Best Git Body Movin' to Body World
My father stands at a glass case admiring a human body. The hand has been reduced to muscle and bone, and you can see the intricate weave of ligaments and nerves that run down the arm to control each finger.
"Look at the complexity," my father, a doctor for the past 40 years, says, his voice full of wonder. "There must be a God." This is his second tour of Body Worlds. The show he saw in Phoenix didn't include the enormous and ambitious plastinate of a horse and rider, so he came to Dallas, before the exhibit packs it up and ships out on May 28.
As we walk through rooms of meticulously arranged bodies that reveal the worlds beneath our skin, my father explains the power of the quadriceps, the gift of a pair of lungs, the feat of a four-chambered heart that somehow continuously and rhythmically pumps blood for an average of 76 years.
I'd already been to Body Worlds, and I wasn't particularly thrilled about a second visit. But seeing it through my father's eyes is an entirely new experience -- an understanding of what German anatomist Gunther von Hagens is aiming to communicate with his show, which is nothing less than the miracle of human life.
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"As a plastinator, death is very close," von Hagens says in an audio-tour interview. You come to understand that "death is normal; life is the exception." He says he wants to increase people's awareness of their own health, inspire them to take better care of their bodies. Amid the cadavers set in various poses are cases of organs beset by diseases that are easily preventable. Black lungs doomed by smoking, enlarged hearts ruined by high blood pressure and hardened arteries. On a screen by the lung display, Yul Brenner implores people to stop smoking just months before his own death from lung cancer. People declaring their intention to quit have half filled a glass box with abandoned packs of Camels and Marlboros.
We walk up to two bodies frozen in a figure skating pose, the man lifting the woman up over his head. It reminds me of the sculptures at the Dallas Museum of Art's Matisse, Painter as Sculptor exhibit -- the parallel lines of arms and legs, the use of negative space to balance the figures, the sense of movement reminiscent of Degas' famous ballet dancers. My father is thinking the same thing.
"What a work of art," he says. Indeed, when I press the button to listen to the audio tour, Hagens says that after his first plastinate exhibit in Tokyo, people complained that the bodies' stiff standing positions were disturbingly ghostly. So he began making them more lifelike. "A scientist who embraces art," he calls himself.
Body Worlds has been controversial in some circles, and there's definitely something a little eerie about looking at dead people. But those who complain miss the point. What makes the show remarkable is that it manages to transcend death and leave you present to the wonder of life. As von Hagens says, it's about our physical being, not individual tragedies.
"The presentation of the pure physical reminds visitors to Body Worlds of the intangible and the unfathomable," reads Hagens' explanation at the exhibit's end. "The plastinated post-mortal body illuminates the soul by its very absence. Plastination transforms the body, an object of individual mourning, into an object of reverence, learning, enlightenment and appreciation. I hope for Body Worlds to be a place of enlightenment and contemplation, even of philosophical and religious self-recognition, regarldess of the background and philosophy of the viewer." --Megan Feldman
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Image of the Day: Eau Palm Beach
Eau Palm Beach is situated on a private beach on seven acres of oceanfront with lush tropical gardens. Guests are welcomed with champagne, breathtaking ocean views, and cooling tropical breezes.
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Author Comments
Rated 5 / 5 stars
Watch out.
When enemies attack you,they seem like f*cking you,lol.
Rated 5 / 5 stars
it's hard just like the original,anyway awesome 8-bit song remix.
Rated 3.5 / 5 stars
a great game but ..............
the games is great the idea of choose a music is great the bad are three Reason Number 1 the difficult is very annoying and the Gameplay is repetitive 2 The Song Choose is great idea but the melody is very repetitive and Become annoying As The Hell not Offence Mockery , Poxpower RainbowCementery Number 3 The Game Over screen Is Creppy and Cruel i can say dont hate the black humor Like The humor but Is kinda Creppy i watch shows whit blood and gore whit black humor like Madness Combat,South park . Happy Tree Friends ,Saland fingers and any Death scene make my to change my pants but the game Still good is Master piece the sprites are made on 8 bit that make nostalgia to Retro player the Controlls are great and the Animation is very great
Rated 5 / 5 stars
This was very fun
Even though I suck at this, I cant even beat the first boss, but this game is just fun! Good job
Rated 5 / 5 stars
That was awesome
Took me awhile to get the hang of it but after a few play throughs I blazed through the game with all three characters. Stage 2 gave me the most problems, those damn falling egg things and the boss can actually fight back. The rest of the bosses are pretty simple though very nicely designed. Anyway it's a great remake with a very cool Christmas theme.


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The 2014 Fort Jackson Junior Golf Camp is designed for juniors are 6-9 of all skill levels. Instruction will be provided by PGA Professionals who will strive to increase your junior's enjoyment of the game of golf. July 14-18 & August 4-8
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Industry giants launch financial services processing outsourcer
Three IT companies, a bank and a global consultancy organisation have joined forces to provide Internet-based...
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Business applications
How businesses can win talent war with mobile apps, HR data analytics and cloud technology
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Accenture, Compaq, Microsoft, Advent Software and the Bank of New York have teamed up and created Encompys. The firm will offer a portal-based end-to-end STP outsourcing solution to asset managers as they prepare to move from three-day trade settlement (T+3) to one-day (T+1) trade settlement.
According to Michael Lane, chief marketing officer at Encompys, outsourcing offers companies an opportunity to comply with new settlement standards without heavy capital expenditure.
"The US securities industry believes that it is going to cost US business $8bn (£5.6bn) to get to T+1," said Lane. "Asset managers have just spent a lot of money on Y2K. Here comes another major industry spend that is not really helping them or the way they do business. It's another non-revenue spend."
Lane said that when the securities market moved from five-day trade settlement to three-day settlement in 1995, the infrastructure to support transactions was hardly altered. Now that infrastructure is finding it difficult to cope with the volume of transactions resulting from the e-business boom.
Encompys believes it will be able to offer asset managers a single point of entry for all pre-trade, trade and post-trade activities.
Advent will build the core applications and Microsoft will supply the portal applications and system software. Compaq will provide the hardware, Accenture will offer consulting services and the Bank of New York will deliver the trade execution and securities servicing.
Encompys has already signed up international fund manager PIMCO as its first customer.
Emma Nash
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European IT buyers prioritise BI and data management over ERP and CRM


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Ellery Queen Mystery Magazine
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The only thing I can say about this magazine, honestly, is how interesting it is. I have been a loyal reader of this magazine all my life and I would not trade it for anything. I cut my investigative eye teeth on this magazine and others like it, so I am loyal to the mystery magazine field. I intend to ask my younger brother for help in getting a subcription to this wonderful magazine.
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I enjoy reading Ellery Queen's Mystery Magazine because it has top-notch stories and it's very entertaining especially on a cold winter's day when
I can't get out and do things.
Established by Ellery Queen, this went on to win more mystery Awards than any other magazine. Consistently good. I like that the stories can be read in the same span as a TV episode (45-60 minutes) and cover a wide range of topics. If you love who-fun-its, this is the magazine for you!
We have been reading this magazine for years and really enjoy the stories. I really like it when you have an off the wall story, The last issue we just receaved has smaller print making it harder for us to read.


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Meet The Girls Who Code In A Roxbury Basement
Volunteer Charity Leschinski, left, helps student Janae Bush-de la Cruz debug a program during a Girls Who Code meeting sponsored by Brookview House in Roxbury. (Jesse Costa/WBUR)
"Brookview helped me learn to communicate in English and recognized and nurtured my love of art. At first, I didn't know how to speak English, and it was a big obstacle at school and in the community, so I needed to attend bilingual classes for two years. Now I go to regular classes; I have learned how to communicate in English very well. I joined the Teen Visionaries where I learned about domestic violence and tried photography for the first time. I also attended sculpture classes on Saturday mornings." –Tania
Brookview House is an independent, non-profit organization founded in 1990. Our mission is to help homeless and at risk families learn the skills necessary to break the cycle of homelessness and poverty…
Damage from homelessness spreads outward, destroying lives, creating tragedies never imagined. School-age children and youth personify such a tragedy. The issue – homelessness – gets the attention, the children's emotional needs are ignored…
Brookview has an impressive record of success. The agency has helped 92% of families in our program to leave the ranks of homelessness permanently. These numbers only tell part of the story….
Brookview House is a 501(c) nonprofit organization. Your donation is tax-deductible to the extent allowable by law. Contact the Development office at (617) 265-2965 x 208.


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Artist: Simon And Garfunkel
Album: Concert In Central Park
Genre: Rock
Simon And Garfunkel
Concert In Central Park
The 59th Street Bride Song (Feeling Groovy)
Slow down, you move too fast, you've got to make the morning last
Just kickin' down the cobble-stones, lookin' for fun and feelin' groovy
Feeling groovy
Hello lamp-post, what's you knowin', I come to watch the flowers growin'
Ain't you got no rhymes for me, do-it-do-do-do, feelin' groovy
Feeling groovy
I got no deeds to do, no promises to keep
I'm dabbled and drowsy and ready to sleep
Let the morning time drop all its pebbles on me
Life I love you, all is groovy
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Doctoral dissertations in music.
One way that you will have complete information on exposure is performed by the Arts and Humanities Research Association system and perfect your current proposal • Feasibility studies of the key doctoral dissertations in music assessment tools were validated. On such days there may be included as part of the project effectively.
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Doctoral dissertations in music
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Who Isn't?
'Playboy' Hot For Bubba
Playboy magazine wants its readers weigh in: is former president Bill Clinton sexier than potential Republican first lady Ann Romney?
As you can see, even (presumably) straight men can't resist that Clinton charm. Or maybe it's because Ann Romney looks like Linda Tripp's slightly more attractive sister.
1 Comment


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Publisher's Description+
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Maryland's 2012 season will be remembered for the incredibly odd and unfortunate luck with injuries. The loss of four quarterbacks to season-ending knee/foot injuries has been the most noticeable inconvenience for Randy Edsall and the Terps' coaching staff, but the weekly injury report has been flooded with "questionable" and "doubtful" player statuses for most of the season.
Terps Unveil 'Black Ops' Uniforms for FSU
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Whoopi Goldberg Breaks Broadway Record
When it was announced that Ghost the musical would come to Broadway, hot on the heels of the current Sister Act, I realized, "That's two musicals based on Whoopi Goldberg movies!"
Then I murmured to myself, "They should do a musical of The Color Purple, too."
And then I brilliantly realized, "They did!"
So that makes three Broadway musicals based on Whoopi flicks. (And yes, I know Purple was a book first.)
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That has to be a record.
The only one I can think of who comes close is Julie Andrews, with two toe-tapping adaptations of films she starred in (Victor/Victoria and Thoroughly Modern Millie).
Oh, wait -- I forgot Mary Poppins!
So Whoopi and Julie are in a dead heat for the top slot of this queen-of-the-adaptations battle.
To jump ahead, Whoopi obviously needs to launch even more musicals based on stuff.
How about singing and dancing versions of Boys on the Side, the Friars roast, and The View?
I'd so be there.
But hold on to your Playbills.
Someone's just reminded me that Whoopi's voice was in The Lion King. Even in 3-D.
That's four for Whoopi. We have a winner!
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Guide to the 2010 ADA Standards
The ADA Standards have changed… is your building compliant? BOMA's Guide to the 2010 ADA Standards specifically addresses the next generation of accessibility rules and regulations.
A follow-up to BOMA's groundbreaking 1991 publication, ADA Compliance Guidebook, A Checklist for Your Building, the guidebook helps property professionals understand and implement the revised Americans with Disabilities Act (ADA) design standards implementing Title III of the ADA, adopted by the U.S. Department of Justice in 2010, which took effect on March 15, 2012.
The guidebook includes updated requirements for accessible routes and a variety of building elements, including employee work spaces, restrooms, reach ranges, sales and service counters, stairways, telephones, special rooms and spaces, recreation facilities and much more.
The Guide to the 2010 ADA Standards is authored by Lawrence G. Perry, AIA.
Copyright 2011


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