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Liacouras, Chris A.; Wenner, William J.; Brown, Kurt; Ruchelli, Eduardo*
Division of Gastroenterology and Nutrition, and*Department of Pathology, The University of Pennsylvania School of Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, U.S.A.
Received March 18, 1997; revised July 18, 1997; accepted September 22, 1997.
Address correspondence and reprint requests to Dr. C. A. Liacouras, The Children's Hospital of Philadelphia, Division of Gastroenterology and Nutrition, 324 South 34th Street, Philadelphia, PA 19104, U.S.A.
Background: The histologic appearance of esophageal eosinophils has been correlated with esophagitis and gastroesophageal reflux disease in children. Esophageal eosinophilia that persists despite traditional antireflux therapy may not represent treatment failure, but instead may portray early eosinophilic gastroenteritis or allergic esophagitis. In this study, a series of pediatric patients with severe esophageal eosinophilia who were unresponsive to aggressive antireflux therapy were examined and their clinical and histologic response to oral corticosteroid therapy assessed.
Methods: Of 1809 patients evaluated prospectively over 2.5 years for symptoms of gastroesophageal reflux, 20 had persistent symptoms and esophageal eosinophilia, despite aggressive therapy with omeprazole and cisapride. These patients were treated with 1.5 mg/kg oral methylprednisolone per day, divided into twice-daily doses for 4 weeks. All patients underwent clinical, laboratory, and histologic evaluation before and after treatment.
Results: Histologic findings in examination of specimens obtained in pretreatment esophageal biopsies in children with primary eosinophilic esophagitis indicated significantly greater eosinophilia (34.2 ± 9.6 eosinophils/high-power field [HPF]) compared with that in children with gastroesophageal reflux disease who responded to medical therapy (2.26± 1.16 eosinophils/HPF; p < 0.001). After corticosteroid therapy, all but one patient with primary eosinophilic esophagitis had dramatic clinical improvement, supported by histologic examination (1.5± 0.9 eosinophils/HPF, p < 0.0001).
Conclusions: Pediatric patients in a series with marked esophageal eosinophilia and chronic symptoms of gastroesophageal reflux disease unresponsive to aggressive medical antire-flux therapy had both clinical and histologic improvement after oral corticosteroid therapy.
This article is accompanied by an editorial. Please see: Furuta GT. Eosinophils in the esophagus: acid is not the only cause. J Pediatr Gastroenterol Nutr 1998;26:468-471.
In 1982, Winter et al. correlated the histologic appearance of esophageal eosinophils with abnormal acid clearance (1). Since then, the presence of esophageal eosinophils without evidence of other gastrointestinal disorder has been the hallmark of gastroesophageal reflux and esophagitis in children. Although Winter et al. suggested that the number of esophageal eosinophils increases in proportion to the amount of acid emitted in the distal esophagus, in most cases of reflux esophagitis, only a small number of esophageal eosinophils are present (counted per high-power microscopic field [HPF]).
In the past, patients with chronic symptoms of gastroesophageal reflux(GER) and esophageal eosinophilia that persisted despite medical therapy were often referred to a surgeon for an antireflux procedure(2,3). Recently, several reports in the adult literature have described patients with idiopathic eosinophilic esophagitis with persistent dysphagia, esophageal spasm, or esophageal stricture, with the eosinophilic esophagitis responding to steroids(4-6). Kelly et al. have reported a series of 10 children with symptoms of GER and eosinophilic esophagitis who improved with the introduction of an amino acid-based formula (7).
We report a series of 20 children with symptoms of GER and primary eosinophilic esophagitis that were unresponsive to aggressive antireflux medical therapy but that responded both clinically and histologically to oral corticosteroids.
Between January 1, 1993, and July 1, 1995, 1809 patients were evaluated for GER disease. Each patient displayed chronic gastrointestinal symptoms (>2 months' duration) including abdominal-epigastric pain or regurgitation-vomiting, and at least one of the following: nausea, globus, water brash, chest pain, dysphagia, nighttime coughing, choking, poor appetite, weight loss, or irritability. Upper gastrointestinal series were performed in all patients. Whenever symptoms persisted or recurred despite medical management (positioning, feeding alteration, antacids, or H2 blockers) or when the symptoms were complicated by gastrointestinal bleeding, respiratory disease, or weight loss, an esophagogastroduodenoscopy (EGD) was performed by a board-certified pediatric gastroenterologist using an Olympus video endoscope (Olympus, Columbia, MD, U.S.A.) (N30, XP20, or GIF 100-depending on the patient's age). Patients with known gastrointestinal disorders (Crohn's disease, ulcerative colitis, celiac disease), anatomic abnormalities (malrotation, hiatal hernia, duplication) or systemic disease(cancer, chronic renal disease, scleroderma) were excluded.
Five hundred eighty-three patients underwent EGD for GER. Of this group, reflux esophagitis was diagnosed and treated in 418. Initial treatment consisted of ranitidine with metoclopramide or cisapride. Those patients who improved during the therapy were considered to be the reference group of children with GER. If the patients' symptoms worsened or did not show at least a 50% improvement with medication, the dose of ranitidine was increased to a maximum of 3 mg/kg twice daily, and patients were given cisapride at a maximum dose of 0.3 mg/kg four times daily. After 3 months, another EGD was performed if symptoms remained despite the therapy. Patients with continued histologic evidence of esophagitis continued receiving cisapride but with the addition of omeprazole (1 mg/kg per day; minimum, 10 mg/day; maximum, 20 mg twice daily).
Patients who remained symptomatic despite more than 3 months of omeprazole and cisapride therapy again underwent EGD (11.2 ± 3.8 months after the initial EGD). Those in whom continued severe esophageal eosinophilia was demonstrated, consisting of more than 15 eosinophils/HPF without evidence of antral or duodenal eosinophilia were defined as the study population. In patients with antral or duodenal eosinophilia, in addition to esophageal eosinophilia, eosinophilic gastroenteritis was diagnosed, and the patients were excluded from the study. Figure 1 outlines selection of the study population.
At least two random grasp biopsies were taken of the duodenum (third portion), stomach (antrum), and esophagus (3-5 cm above Z-line) in every patient. Additional biopsies were taken from any other site that was visually abnormal. The average number of biopsy specimens taken from each site was 2.3± 1.1. Each specimen was evaluated for inflammatory infiltrate(neutrophils, eosinophils) and ulceration. In addition, duodenal specimens were evaluated for villous and crypt abnormalities, antral specimens for the presence of Helicobacter pylori, and esophageal specimens for reflux esophagitis (8,9). In every esophageal specimen, the number of eosinophils per HPF (magnification, ×40) was determined by averaging the number of eosinophils in sequential HPFs over the entire area(one level) of the specimen.
All study patients underwent 24-hour pH probe testing (to determine whether acid reflux was related to esophageal eosinophilia) and laboratory evaluation, including complete blood count with differential, total serum eosinophil count, quantitative immunoglobulin (Ig) E level, chemistry panel, and sedimentation rate. Patients with severe reflux revealed by pH probe (reflux index >40%) underwent surgical evaluation for fundoplication. The remaining patients began a 4-week course of oral methylprednisolone. Before therapy, each patient and family member was interviewed and completed a questionnaire regarding the type, chronicity, and frequency of symptoms (including emesis, regurgitation, heartburn, globus, dysphagia, irritability, weight loss, anorexia, water brash). Factors that precipitated symptoms-foods, position, and exercise-were also recorded. Each week, a telephone interview was conducted by the physician to record any change in clinical symptoms. All acid-suppressing medication and prokinetic agents were continued. After 4 weeks of therapy, a second upper endoscopic study, complete blood count, total serum eosinophil count, and quantitative IgE were performed.
Comparison of esophageal eosinophilia, total eosinophil count, and quantitative IgE was performed by the Wilcoxon matched-pairs signed ranks test(SPSS for Windows, Chicago, IL, U.S.A.).
An EGD was performed in 583 patients: Findings were normal in 165, whereas 418 had histologic evidence of esophagitis. Of these, 214 had at least 1 esophageal eosinophil/HPF without evidence of gastric or duodenal disease(Figure 1). After treatment with ranitidine-omeprazole and metoclopramide-cisapride, clinical symptoms improved in 184 patients (control group). The clinical characteristics of the control group consisted of 94% with regurgitation-vomiting, 82% with abdominal-epigastric pain, 69% with nausea, 53% with chest pain-heartburn, 22% with weight loss, 17% with water brash-globus, 16% with choking, 13% with dysphagia, and 8% with bronchospasm, coughing, and eczema.
Findings in a second EGD examination showed 30 patients with continued esophageal eosinophilia (>15 eosinophils/HPF) and persistent symptoms. In 8 patients with antral or duodenal eosinophilia (in addition to their continued esophageal eosinophilia) eosinophilic gastroenteritis was diagnosed and the patients excluded from the study. The remaining 22 patients underwent a 24-hour pH probe (Synectios pH probe, Irving, TX, U.S.A.), with all acid-suppressing agents and prokinetic medications withdrawn. Two patients had severe GER according to pH probe criteria (reflux index >40%; total time and longest episodes >90 minutes) and underwent an antireflux procedure. Twenty patients demonstrated mild or no reflux in examination by pH probe but continued to have severe symptoms and eosinophilic esophagitis, despite medical therapy with omeprazole and cisapride (Table 1).Table 2 depicts the 24-hour pH probe characteristics of the study population. The average duration of symptoms in these patients was 3.2 ± 1.8 years. Results of laboratory testing revealed 1 patient with an elevated sedimentation rate and 1 with hypoalbuminemia.
The average number of esophageal eosinophils/HPF was significantly greater in those children with eosinophilic gastroenteritis and primary eosinophilic esophagitis (34.7 ± 17.3 eosinophils/HPF and 34.2 ± 9.6 eosinophils/HPF, respectively), compared with the count in children with GER that responded to antireflux therapy (2.26 ± 1.16 eosinophils/HPF;p < 0.001); however, no statistical difference was found in the average number of esophageal eosinophils/HPF between children with primary eosinophilic esophagitis and those with eosinophilic gastroenteritis.
Twenty patients entered the study and began a 4-week course of 1.5 mg/kg methylprednisolone twice daily. Thirteen of 20 patients became completely asymptomatic and 6 others had marked improvement in their clinical symptoms after 4 weeks of corticosteroid therapy. The average time for initial appearance of clinical improvement was 8 ± 4 days. One patient continued to experience abdominal pain similar to the pain described before the initiation of steroid therapy. All 20 patients demonstrated significant clinical (asymptomatic) improvement, which was supported by histologic evidence of the average number of esophageal eosinophils/HPF. In addition, a significant difference was seen in the serum eosinophil count and quantitative IgE level (Table 3). Figure 2 shows the esophageal histologic improvement after corticosteroids.
After a second EGD, each patient's corticosteroids and reflux medications were tapered and withdrawn in 6 weeks. At the 12-month follow up, 10 patients(50%) remained asymptomatic. In 9, symptoms redeveloped and dietary restrictions were imposed, as previously described (7). Of these patients, 7 (35%) responded to dietary withdrawal, whereas 2 (10%) remained symptomatic and required a second corticosteroid challenge, 6± 2.5 months after initial steroid therapy. One patient (5%) remained symptomatic despite corticosteroids and dietary restriction.
These results demonstrate that a significant number of children with characteristic symptoms of gastroesophageal reflux and predominant eosinophilic esophagitis do not have GER but instead have a unique disorder, which does not respond to antireflux therapy but does respond both clinically and histologically to oral corticosteroids. The features of this disorder, observed in the patients reported here, are significant eosinophilic infiltration only of the esophagus; minimal-to-no acid reflux detectable by 24-hour pH monitoring; and resolution of the esophageal eosinophilia, evident in histologic study, within 1 month of initiation of steroid therapy. Although not statistically significant, the clinical features of dysphagia, eczema, and bronchospasm occurred more often in the study group, compared with occurrences of those symptoms in the control group with reflux esophagitis. After administration of corticosteroids, rapid improvement in clinical symptoms was observed in 19 of the 20 patients (noted within as few as 4 days); histologic evidence of improvement was documented within 4 weeks of therapy.
The precise role of the esophageal eosinophil has not been defined. Esophageal eosinophilia was linked to pediatric reflux esophagitis in 1982 by Winter et al. (1) They correlated the observation of esophageal eosinophils with abnormal esophageal acid clearance. However, none of the 46 patients studied had more than 3 eosinophils per HPF. Since that time, in several reports adult patients with severe eosinophilic esophagitis have been identified, suggesting a cause other than acid reflux. In 1985, Lee reported on a series of 11 patients with more than 10 esophageal eosinophils per HPF who had dysphagia, heartburn, vomiting, and esophageal strictures (in 3 of 11) (10). Although he suggested that reflux occurred in the majority, reflux was not indicated by results of 24-hour pH probe. One patient was given steroids and showed clinical improvement.
In 1993, Attwood et al. described 12 patients with dysphagia who had more than 20 esophageal eosinophils/HPF (mean, 56/HPF) (11). Normal findings in pH monitoring were noted in 92%, whereas 56% had evidence of an allergic disorder. He compared results in this group with those in patients with medically responsive GER (documented by 24-hour pH probe) of whom only 45% had eosinophils in the esophagus and to a much lesser degree(mean, 3.3 eosinophils/HPF). Vitellas et al. reported 13 male patients with primary esophageal eosinophilia, dysphagia (n = 12), allergic manifestations (n = 10), peripheral eosinophilia (n = 12) and proximal esophageal strictures (n = 10)(12). None had reflux observed in barium contrast study and 85% improved with steroid therapy. In one patient, results of a second barium contrast esophagram showing resolution of the stricture.
Although all of our study patients responded rapidly to corticosteroids and 50% remained asymptomatic 12 months after therapy, allergic enteritis should always be considered in these patients. A food elimination and challenge test should be conducted when parents or physicians choose not to use corticosteroids or when symptoms recur. Kelly et al. reported on a series of children with esophageal eosinophils who did not respond to antireflux therapy but did respond to an amino acid-based formula (7). Only 1 patient underwent a 24-hour pH probe, in which the results showed no evidence of reflux. The patients were given solely an an amino-acid based formula for a median of 17 weeks. Symptomatic improvement was seen within an average of 3 weeks; subsequently, regular foods were slowly reintroduced. Kelly et al. suggested an immunologic basis secondary to delayed hypersensitivity or to a cell-mediated hypersensitivity response.
Our results demonstrate that eosinophilic esophagitis may take months to years to evolve. One fourth of our patients did not demonstrate severe esophageal eosinophilia on initial endoscopic examination. In each of these patients, pronounced and persistent esophageal eosinophilia was found in a second EGD after failure to obtain a clinical response to antireflux medication. Similarly, whereas 70% of patients demonstrated peripheral eosinophilia, 35% did not until 5 months after initial evaluation. In 26%, patients with isolated esophageal eosinophilia had evidence of antral or duodenal eosinophilia in a second endoscopic study (eosinophilic gastroenteritis).
In several reports, it has been suggested that eosinophilic gastroenteritis can involve the esophagus (13-15). Eosinophilic gastroenteritis is a poorly characterized, chronic disorder in which eosinophils infiltrate various layers of the alimentary tract, causing myriad gastrointestinal symptoms, including abdominal pain, vomiting, diarrhea, gastrointestinal bleeding, protein losing enteropathy, weight loss, and failure to thrive (16). In the past, the diagnosis of eosinophilic enteritis was not made unless eosinophils were observed in another portion of the gastrointestinal tract. Eosinophilic tissue infiltration in eosinophilic gastroenteritis can occur in all layers and in every part of the gastrointestinal tract (17). In children, findings of antral or duodenal eosinophilia, coupled with peripheral eosinophilia, suggest the diagnosis. Other gastrointestinal sites, including the esophagus and colon, have been reported to be affected in eosinophilic gastroenteritis but always in association with gastric or small bowel disease(14). The majority of patients manifest peripheral eosinophilia; an elevated IgE level; and other allergic symptoms, including asthma, rhinitis, and eczema.
Although the findings in this study do not answer the question of cause, they indicate that children with presumed severe reflux esophagitis that is unresponsive to aggressive antireflux medical therapy should not be immediately referred for antireflux surgery but instead should be evaluated for other immunologic and allergic causes of the esophageal eosinophilia. This study would have benefitted from inclusion of a placebo-controlled trial; however, the ethical considerations of using a placebo in children with severe clinical and histologic symptoms far outweighed the desirability of such a trial. Future research should be performed to determine the correlation of the number of esophageal eosinophils to specific disease (neonatal gastroesophageal reflux, recurrent reflux in infants and older children, allergic esophagitis and immunologic-based disease). In addition, research should be performed to determine the role of the enteric eosinophil and the cause of primary eosinophilic esophagitis.
We believe that children in whom gastroesophageal reflux and esophagitis are diagnosed, who do not respond to aggressive antireflux therapy, should undergo another round of testing for primary eosinophilic esophagitis and for the development of eosinophilic gastroenteritis. If significant esophageal eosinophilia is noted on histologic study of a biopsy specimen, or if peripheral eosinophilia develops, primary eosinophilic esophagitis should be considered. Steroid therapy may offer advantages as the initial therapy; our results demonstrated rapid clinical and histologic improvement while the child consumed a diet of conventional foods.
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This article has been cited 32 time(s).
Allergy; Corticosteroids; Eosinophilia; Esophagitis; Gastroesophageal reflux
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Intensive ESL (English as a Second Language) faculty Jan Peterson and Kelly Weibel led a 10-day workshop for high school English teachers in China in August. The college received the request to provide training from the Zouping School District in Shandong Province.
They presented intensive interactive sessions on ESL methods, providing six hours of instruction per day, to 60 English teachers from four local Zouping high schools.
"We've taught Chinese students at EdCC for many years, but it was our first time to visit China. This was a unique opportunity to learn more about the Chinese educational system, to exchange ideas with fellow English teachers, and to experience a bit of Chinese life and culture," Jan said.
They enjoyed more informal time with local school officials and English teachers in the evenings and were taken on a five-day tour of sites in Shandong and Beijing after the workshops.
"It was wonderful to travel with our Chinese hosts and experience Chinese cultural sites with them. We also went to several places that were off the beaten track for most American tourists—that made it quite special," said Kelly.

subset: commoncrawl


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As many of you know, if there's an opportunity for me to reference A.J. Price's ankle-breaker on Marquette's Jerel McNeal, I'll take it. So, as UConn and Marquette get set for tonight's Big East opener, here's one of my favorite UConn moments.
Another notable game from the series: Marquette's Steve Novak lit up No. 2 UConn for 41 points in a rout at the Bradley Center seven years ago. It was the 2006 Big East opener.
WHEN: Tonight, 8
WHERE: Bradley Center, Milwaukee
RECORDS: Marquette 9-3, UConn 10-2
ON THE AIR: ESPNU (Mike Corey, LaPhonso Ellis); WTIC 1080-AM (Joe D'Ambrosio, Wayne Norman)
UP NEXT: Jan. 8 vs. DePaul
Junior Cadougan G 6-1 Sr.: Shooting 16.7 percent from 3-point range
Vander Blue G 6-4 Jr.: Team-high 13.4 ppg
Todd Mayo G 6-3 So.: 12 pts, 6 rebs vs. North Carolina Central
Jamil Wilson F 6-7 Jr.: 9 ppg, 4.4 rpg
Devante Gardner F/C 6-8 Jr.: 12 ppg, 5 rpg
Trent Locket G 6-5 Sr.: Shooting higher percentage from 3 (40 %) than from field (39.5 %)
Chris O'Tule C 6-11 Sr.: 4.8 ppg, 3.2 rpg
Juan Andrson F 6-6 So.: 9 pts vs. NC Central
Derrick Wilson G 6-1 So.: 2.4 ppg, 2.1 apg
Shabazz Napier G 6-0 Jr.: Seven or more rebs in 3 of past 4 games
Ryan Boatright G 5-10 So.: Double-digit FG attempts in past 6 games
Omar Calhoun G 6-5 Fr.: 14 pts vs. Washington
DeAndre Daniels F 6-8 So.: Leading rebounder at 4.3 per game
Enosch Wolf C 7-1 Jr.: 9 rebs in 17 mins vs. Washington
Tyler Olander F 6-9 Jr: 4 pts, 2 rebs vs. Washington
Niels Giffey F 6-7 Jr.: Scoreless vs. Washington
R.J. Evans G 6-3 R-Sr.: 6-for-7 FG in past 2 games
Phil Nolan F 6-9 Fr.: 9 pts, 4 rebs in past 2 games
THE BUZZ IN MILWAUKEE: Well, there is no Buzz. Marquette coach Buzz Williams will serve a team-imposed one-game suspension due to a recruiting violation that the school reported this past summer. Williams declined to publicly name his replacement according to the Milwaukee Journal Sentinel.
MAYO RETURNS: Marquette's Todd Mayo, the brother of Dallas Mavericks guard O.J. Mayo, was academically ineligible for the entire first semester, which caused him to miss the Golden Eagles' first 10 games. He recently returned, giving Marquette another dynamic player in the backcourt.
NOLAN'S HOMECOMING: UConn freshman Phil Nolan is back in his hometown of Milwaukee. The 6-foot-9 forward expects plenty of familiar faces to come out for tonight's Big East opener.
"I know I got tickets for 15 people, but a lot of friends and family ordered tickets already, so it's going to be fun," Nolan said.


text:
Oblong Pill Identification 770 White OblongUpdated
Conversation Starter
Comments Submitted Says:
its a White oblong pill with a 770 imprint on one side and nothing on the other, someone gave my lady like 20 of them and sead it would help with any pain she has but she doesnt want to take them because she doesnt know what it is.
Showing Replies 1 - 4 of 4
1gerrie Says:
i have 2 of them someone gave me did you ever find out what they are if so email me back i havent taken it iether yet i got given my for pain
2Verwon Says:
Nothing spectacular about this one, it is Acetaminophen 500mgs, a generic or store brand of Extra Strength Tylenol.
3gerrie Says:
hey thanks i was racking by brain about this ty
4Verwon Says:
Very welcome, happy to help.
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text:
Peyton vs. Eli: Who will win Bro Bowl III?But let's get one thing straight: Peyton Manning never wants to play his bro in a game of football again, unless it happens to be the Super Bowl. "I'd take Peyton over anybody, not just Eli. But just as Peyton watched Eli play in the Super Bowl two years … (more)Source: nola.com
Peyton Manning and Broncos show Eli and NY Giants they are bigger, better teamPeyton Manning beat up on his little brother for the third time Sunday but it was hardly a fair fight. He outplayed Eli for sure but he brought a lot more friends to the brawl - and that's the way it looks like it's going to go the rest of the season.Source: nydailynews.com
Peyton Manning, Broncos blow out N.Y. Giants as big brother stellar againEAST RUTHERFORD, N.J. — Eli Manning has come along nicely. No one can deny he's been clutch a couple times.
Eli Manning sings the little brother bluesEAST RUTHERFORD, N.J. -- They spoke for about 10 minutes before the game, then they went out and went to work and big brother beat little brother again. Peyton Manning of the Denver Broncos threw two touchdown passes to push his league-leading season to…Source: ESPN.com
Kiszla: Peyton Manning's win over Giants a scouting trip to New JerseyWant to know the real purpose of Denver's visit to the stadium that Eli Manning and the New York Giants call home? Staking out the joint.
Peyton's Broncos get the best of Eli, GiantsPeyton Manning again beat younger brother Eli, throwing two touchdown passes in leading the Denver Broncos past the New York Giants 41-23 on Sunday.Source: ESPN.com
Call it the Peyton Bowl: Older brother beats Eli again, Broncos rout GiantsWell, at least Eli Manning has more Super Bowl rings. Because he's certainly not any closer to beating his big brother in anything else, and the Giants aren't much closer to solving any of their issues here in 2013.Source: nydailynews.com
Denver Broncos vs. NY Giants live: Peyton and Eli in Manning Bowl IIIThe tailgaters were out early on a perfect afternoon for football at MetLife Stadium in New Jersey. But can the Broncos and Peyton Manning earn a road win over Eli Manning and the Giants?
Eli Manning falls to brother Petyon as Broncos defense nabs four INTsFor the second consecutive week, with the weight of a game on his shoulders, Eli Manning sagged.
A tale of two Manning faces, Eli and Peyton show their frustration (GIF)We have a lot of fun with Eli and Peyton Manning and the frustration they show on the field.They rarely celebrate when they throw a touchdown, but watch out if they make a mistake, or they're frustrated with a teammate who does. There's even a site dedi…Source: yahoo.com
Peyton Manning Is From Los Angeles, According To CBSCBS's Manning Bowl graphics have played up the brothers' backgrounds, with a New York City skyline for Eli and for Peyton.. Los Angeles? Wait, why?Read more...Source: deadspin.com


text: I really like the results I've seen from natadrol. I have a 50 year old female client that just started taking it a few weeks ago. Although it's still early I've seen a noticable increase in her overall strength. Can't wait to to her in a few weeks, looking forward to some lean muscle gain.


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Today, I was forced to look on in utter horror as an old lady backed out of her parking space, kept going well past the turning point, and slammed straight into my car, putting a dent in the front and shattering the headlights. FML
by JFC! / 03/30/2011 at 9:07pm / United States (California) / Transportation
Today, my husband told me I was lucky to have someone who would love me no matter what my vagina smelled like. FML
by Anonymous / 03/06/2011 at 6:28am / Reserved / Intimacy
Today, I got my lip pierced. By the orthodontist. FML
by Anonymous / 10/19/2010 at 11:05pm / United States (California) / Health
Today, in math class, I got an answer "wrong." The teacher yelled at me, then he realized that my answer was correct. Then he yelled at me for not correcting him. FML
by jessii / 10/09/2010 at 4:22am / United States (New York) / Miscellaneous
Today, my boyfriend was going down on me. After removing my underwear, he started singing "In the jungle, the mighty jungle..." FML
by Wawawiwa / 07/21/2010 at 7:44pm / Namibia (Windhoek) / Intimacy
Today, it's my 18th birthday. I was telling my friends a story when my mom started talking. I simply said 'Mom...' so she'd realize she interrupted me. She gave me the finger and called me rude in front of all my friends. FML
by apple / 07/16/2010 at 3:38pm / Netherlands (Zuid-Holland) / Miscellaneous
Today, I realized that when my boyfriend said "I'll love you forever" what he really meant was "I'll love you until I meet your significantly more attractive sister" FML
by Crumpet / 06/25/2010 at 3:08am / Canada (British Columbia) / Love
Today, I was pulled over by a cop and was fined $210 for making an illegal u-turn. When the cop finished writing my ticket and hopped in his car, he made the same u-turn. FML
by lance / 04/10/2010 at 1:00am / Australia (New South Wales) / Money
Today, I landed in Hawaii for my vacation. I have a really bad ear infection, and to top my day off, my girlfriend blurted out mid-flight that she thinks we're not going to work out. Aloha! FML
by aloha / 03/12/2010 at 4:17pm / Love
Today, in a sporting goods store, my mom was over on the other side of the store, when a cute guy came over to talk to me. When she saw this she grabbed a bat, walked over to us and said, "If you ever even look at my daughter again, I will beat you shitless." She was serious. He ran. FML
by batter--up / 02/16/2010 at 9:54pm / United States (Georgia) / Miscellaneous
Today, I ran into my ex's family, and found out they are going to Europe. Funnily enough, so am I. Even funnier is the fact that we are going on the same date, at the same time, on the same flights, and the tour starts on the same day in the same place. FML
by jacques / 02/02/2010 at 9:08am / Australia (Queensland) / Holidays


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classification of hotels
The resort hotel is a luxury facility that is intended primarily for vacationers and is usually located near special attractions, such as beaches and seashores, scenic or historic areas, ski parks, or spas. Though some resorts operate on a seasonal basis, the majority now try to operate all year-round. The residential hotel is basically an apartment building offering maid service, a dining...


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No matter what Charlie Manuel tried having you believe at the end of the 2012 season, it was clear to Phillies analysts and fans alike that the team needed a new leadoff hitter. Jimmy Rollins was coming off one of the worst seasons of his career hitting .250 with an OBP of .316, his lowest OBP since 2009. Enter Ben Revere.
On December 6, 2012, Revere was traded to the Phillies from the Minnesota Twins in exchange for 2011 rookie sensation Vance Worley and top prospect Trevor May. After a strong spring training, Revere was officially named the opening day leadoff hitter.
Unfortunately, he started the season poorly and suffered a quadriceps injury in April that kept him out of the lineup for several games. When Revere returned in early May he saw his leadoff spot taken back by Jimmy Rollins and was demoted to the eighth spot in the lineup.
This seemed to light a fire under Revere.
By the end of May he was back at the top of the lineup as Manuel hoped to spark the offense. He did just that, and by the start of June Revere was finding his stroke. Unluckily, Revere suffered a fractured foot on July 14th after a foul ball hit him while at-bat. By this point he had raised his average to .305 on the season and his OBP to .338. He did this by hitting .407 with a .909 OPS in his final 29 games before his season-ending injury. The Phillies seemed to have finally found a worthwhile option atop their lineup. On a team that had the 7th worst OBP and 10th worst batting average in all of Major League Baseball in 2013, this was a huge loss for the Phillies and their run production.
The start of 2013 was slow for Revere, but as the days got hotter, so did he; until a broken foot ended his season prematurely. Revere will likely be the opening day center fielder for the Phillies and a crucial part of the lineup. Scoring runs has been a major problem for the Phillies the past few seasons, and they will continue to struggle without a reliable leadoff hitter to get on base. The Phillies have to hope they get the Revere they saw in June and parts of July, and not the Revere that opened the season for them in April and May.
Ben Revere could be a spark for the Phillies lineup in 2014. However, his 2013 season only lasted 88 games and was a tale of two stories. Philadelphia still isn't quite sure in what they have with the 25-year-old centerfielder.
Grade: Incomplete- Revere played in only 88 games and struggled early, however his potential was evident before he went down with an injury. I'm holding off on a grade for him until we still him play through September and hopefully October.
23 Comments
There is no discussion of his defensive skills which were adequate at best. He has exceptional speed but he doesn't seem to be able to read the ball off of the bat or take good routes to the call which result in routine plays becoming adventures.
Not only did he run bad routes, but he was constantly allowing runners to take the extra base because of his subpar arm.
Martin — congrats on your first article. Nicely done.
A couple of comments on Rollins' 2012 season, which I don't think is correct to characterize as one of the worst of his career. His hitting, summarized best by wRC+ (wOBA relative to the league) was the 6th best of his (at that point) 12-year career, and in fact only one year has been significantly better at the plate, his MVP year of 2007. And his fielding was still very good, at least according to UZR.
As for his leadoff abilities, agreed that his OBP was down, but among the 16 NL leadoff hitters in 2012, Rollins had the…
9th highest OBP
6th highest OPS
3rd highest walk rate
2nd lowest strikeout rate
In any case, while it's very unlikely he can keep up the torrid pace he was on, I look forward to what Revere can do in 2014. As DTD says his routes leave a lot to be desired, but he has enough speed and athleticism to outrun mistakes and at least be an average center fielder, and perhaps even somewhat better.
Revere will improve. He is smart, he does not try to hit the long ball and he can run. Hope his foot injury completely heals. Revere is a "Juan Pierre" type ballplayer who hustles, has a great attitude and will be an asset to the Phils for the next three years or longer , if he stays healthy.
"he does not try to hit the long ball"
In related news, Ryan Howard doesn't try to hit inside the park home runs.
Where's Big Ed Delahanty when we need him?
Oh well, I guess those days are just water under the falls.
Too soon?
It's not that he doesn't try to hit the long ball rather its that he's completely incapable of hitting a ball over the fence unless he's standing on a little league diamond. Hamlets and Lee have more pop. Frankly, given the questionable health of aging guys like Howard, Utley, Rollins, Byrd and Ruiz that leaves Dom Brown assuming he's able to stay in the lineup as the only guy who can provide any hope of driving the ball out of the park. As they're presently constituted I don't want another pitcher in the everyday lineup. He'll if the Phillies played in the AL I'd let the pitchers hit and use Reveres spot for a DH. Five years ago with everybody in their prime and Werth in RF a true optimist could look at Revere as a table-setter and an asset. But these days he's ill-suited to this team and that's assuming that his foot will be 100%.
And the Juan Pierre comparison is most appropriate when discussing his arm which would inspire just about anybody to take an extra base even guys like Pablo Sandoval, or present day Bob Hamelin or Boog Powell.
Mark my words, the Phil's won't ever make the playoffs with Revere as an everyday player.
I will mark your words. ABBR: "the Phil's won't ever make the playoffs with Revere as an everyday player"
"Mark my words, the Phil's won't ever make the playoffs with Revere as an everyday player."
Wll you can mark my words; the Cubs will never make the playoffs with Ernie Banks at short.
I'm not a big Revere fan either, but come on, now. One player does not make or break a team and the Phils could do far worse than Ben… and did.
Maybe it's meant to be hyperbole, but the last sentence is just way off. There are countless examples of bad players on postseason teams, but we don't have to look any further than the Phillies.
2011's Ibanez was certainly worse than Revere.
2009's Pedro Feliz is at best as good, and I'd say worse than Revere.
2007's Nunez/Dobbs/Helms at third were also worse.
Revere is not ill-suited to the team. If he gets on base, uses his legs, and plays decent defense, he'll provide value and help them win. Now all you need is one of those 2007-2011 teams around him.
When discussing Revere, why would you even bother to respond to someone who goes by "ABBR-Anybody But Ben Revere?" You might as well try to throw a battleship through a mountain.
Ben Revere surprised me after his slow start. I still have some doubts, but I like the guy and am hoping for the best. As far as whether or not he tries to hit home runs, he said he didn't during a booth visit one game with TMac and Wheeler. He said he hoped to "run into one" which is acceptable to me, so long as he has AB's and results like he did in the latter part of his season.
If someone would just coach him to play the outfield to the best of his strength limitations, – for instance, playing bounces off the wall instead of going for the Willie Mays style circus catch, he would limit base runners to doubles instead of triples, and singles instead of doubles. Then maybe he could at least be a league average fielder despite his routes and arm.
Amen Lefty
Ben might as well run The ball into the infield, my mom has a better throwing arm. Of corse it wouldn't hurt if jimmy or chase moves out a little farther for the cut off, but I still think Ben should run the ball in. Ben is going to be a bust. As soon as those legs get hurt his game is over. I see .220 at best without his legs.
My grades for Revere:
Note: I grade him from Opening Day until the ASG. The 2nd half is always "No Grade."
Offense: B+. He struggled from mid-Apr to early May, but really excelled in May & June. Certainly a top-of-the-order type hitter if he can walk more.
Defense: C+. While his range in CF is brilliant, he did struggle with throwing the ball into the IF after a normal catch (when he runs a bit and catches it semi-nonchalantly). Certainly a slight downgrade from a younger version of Shane Victorino.
Overall: B. He has potential, yes. Since he's only going to earn about $1.5MM in 2014, I approve of him for one of the primary OF spots next season. Let's try him in a corner spot.
By "corner spot" you must mean LF. There's no way you can have Revere's arm in right.
Maybe a corner of the dugout. He's A modern day Ricky Otero. "Slight downgrade"? He's so overmatched its ridiculous. Ask yourself how many teams would start Revere over their current players in CF or LF. Better yet ask yourself how many teams with playoff aspirations would start him. He couldn't even start for the NY Mess. I really can't fathom how anybody can rationally say he's a starting caliber ML outfielder.
ABBR: "Better yet ask yourself how many teams with playoff aspirations would start him?"
I have a suspicion the play-off contending Braves would entertain a call to Ruben.
ABBR, you will either need to find another player to bash, or make claims that are tougher to check.
Even though Revere only played a little more than half the season, he was more productive offensively than 22 starting outfielders. That's by the comprehensive advanced stat Runs Above Average, combining hitting and base running.
12 of those 22 were on playoff contenders.
Faced with such irrefutable evidence of Revere's higher worth as a center fielder, ABBR is going to have to change his initials to stand for "Anybody But Brooks Robinson."
That should serve ABBR better since at age 76 Brooks likely has a tougher time bending for ground balls.
Strictly on a talent basis I would love to see Ellsbury patrolling center but as I've come to appreciate the folly in the dollars and years his signing would tie up. In other words, I've done a 180 in my thinking. There's something to be said for examining at how successful teams in the last few years have built winners. Short-term signings and investment in the farm system is obviously the way to go. I look at the huge contracts of players like Howard, Rodriguez, Pujols and now Fielder and all I see is a boat anchor many teams are lucky to lose. The Cards and now the Tigers were smart. It will be interesting to see which team springs for Cano and if he receives anywhere close to his asking price. Even the Yankees will probably (and uncharacteristically) let him walk. I believe it's going to get a lot tougher for star players, even above-average players to secure the stratospheric contracts we've seen in the last few years as more front offices do the math.
Makes Byrd look like a better deal -but I fear the Mets did better getting Chris Young and at lower dollars.
I like the Byrd signing over Young easily..Young is a high strikeout low batting average and the money wasn't that much different. The best deal so far was probably the Cardinals getting Bourjos and Grichuk for Freese and Salas. The Cardinals with Wacha, Miller, Rosenthal, Martinez are set up to be very good for a long time.
I don't particularly care for either signing – not that I care so much about the Mets' choices but at least Chris Young has the improved defensive tools Ruben said he was looking for as well as the ability to play CF if needed. Both seem to be stop gap signings. Young is the cheaper for whatever that is worth to two teams that need a lot just to compete for third place.
As for the Cards, yep, they just keep getting better, faster and younger. The makings of a 5-year dynasty but with the addition of front office brains that could stretch it to a decade.


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This is the Losi 1/24 Scale 4WD Micro Truggy RTR with a Blue Painted Body. Take your Micro Truggy with you wherever you go, indoors or out; you'll have a blast with this easy-to-use, durable micro.
The Losi 1/24 Scale 4WD Micro Truggy comes ready-to-run; everything you need to get up and running is included in the box, even the transmitter and batteries. This Micro Truggy is based on the Losi 1/8 scale 8IGHT-T Truggy, so it comes with superstar parts, including coil-over oil-filled shocks, a powerful micro motor, a long-lasting rechargeable battery pack and much more.
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Type: 4WD Micro Truggy
Scale: 1/24
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Cringe! Minor leaguer dives head first into wall, leaves field in an ambulance (Video)Eventually, an ambulance came onto the field to cart Ford away to a local hospital. Scary. Ford, a San Francisco Giants minor leaguer who plays for the Triple-A Fresno Grizzlies, chased a foul ball Thursday night in Salt Lake City and made what can only b… (more)Source: yahoo.com
Giants Minor Leaguer Dives Head First Into Outfield WallThings got scary during a Triple-A game in Salt Lake City last night. Darren Ford, an outfielder in the San Francisco Giants' farm system, took a head-first dive into the wall while laying out for a foul ball. Read more...Source: deadspin.com


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The Heads of State and Government of the African Union (AU) in its 50th Anniversary Solemn Declaration, while acknowledging past successes and challenges, rededicated itself to the continent's development and technological transformation.
The AU Summit mandated the Chairperson of the African Union Commission (AUC) in collaboration with the UN Economic Commission for Africa (UNECA), the African Development Bank (AfDB) and the NEPAD Agency to develop Agenda 2063 through a people-driven and extensive consultation process.
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Frances A. Bisnette, age 88 of Concordia, died Thursday, Oct. 31, 2013, at Mt. Joseph Senior Village, Concordia. She was born on Dec. 23, 1924, in Northumberland, Pa., to Elmer and Willimina (Barnhart) Stahl.
Frances grew up in Pennsylvania. She married Leon I. Bisnette on Aug. 31, 1946, in Sunbury, Pa., and they moved to Kansas. He preceded her in death on Nov. 14, 1993.
Frances was a homemaker, Avon sales representative and avid volunteer at Moose Lodge #1428. She also worked as a nurse aide at St. Joseph Hospital. Frances was a member of Our Lady of Perpetual Help Catholic Church, a lifetime member of Women of the Moose Lodge #1428 and a member of the American Legion Post #76 and VFW Post #588 ladies auxiliaries.
She is survived by her son, John Bisnette and wife Tonja, Downs; brothers, Sam, George, Timothy and Eddie Stahl; 15 grandchildren and several great- and great-great-grandchildren. She was preceded in death by her husband, Leon; daughter, Alice M. Bulleigh; sons, James and Thomas Bisnette; her parents and siblings, Elmer, Calvin, Keamer, Donald, Robert, Helen and Tom.
A Mass of Christian Burial will be held at 10 a.m., Tuesday, Nov. 5, 2013, at Our Lady of Perpetual Help Catholic Church with the Rev. Brian Lager officiating. Burial at St. Concordia Cemetery will follow the services.
Visitation will be from 10 a.m,-9 p.m. with a Vigil service at 6 p.m., Monday, Nov. 4, 2013, at Chaput-Buoy Funeral Home. The family suggest memorials in care of the funeral home to the Frances Bisnette Memorial to be designated later. For online condolences, please visit www.chaputbuoy.com.


text: The Playbook: Saints (5-7) at Giants (7-5)The Saints really struggled at that position while he was hurt and he still doesn't look 100%. He has faced the Giants four times and has never lost. Brees is coming off a terrible performance last week he threw five interceptions against Atlanta but shou… (more)Sources: nydailynews.com nytimes.com


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My daughter has a love for the game of soccer. This year we decided to decorate our Christmas tree in a soccer theme! Pretty unique, but we love it!!
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Hotel Clamart Scunthorpe: Find photos, reviews, information, amenities and compare prices for 3 stars hotels in Scunthorpe, United Kingdom.
This Scunthorpe hotel is located within a 10-minute walk of Scunthorpe Railway Station. It is close to Plowright Theatre, eateries and shops.
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This 3-star hotel offers a laundry service, parking and internet. Pets are also welcome.
Rooms at Hotel Clamart Scunthorpe are comfortable and provide tea and coffee making facilities.
Hotel Clamart Scunthorpe houses both a restaurant and a bar where guests are able to unwind at the end of the day with dinner and a drink. In the evening, guests are welcome to wind down in the cosy lounge bar.
Hotel Clamart Scunthorpe is close to Scunthorpe's well-known attractions, with Baths Hall only moments on foot from the property. Brigg and Gainsborough are also a short car ride away.
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Message From The Director
For many years, the experiences of fraud and economic crime victims were not well understood by criminal justice professionals. The Office for Victims of Crime (OVC) recognized that economic crime victims had been largely neglected by many in the criminal justice system. OVC decided to increase service and support to this victim group.
The number of victims of fraud and economic crime is staggering. According to the National Institute of Justice, each year more than 24 million persons become victims of more than 38 million fraud and attempted fraud crimes. Sometimes called white-collar crime, fraud is widespread and growing. One conservative estimate indicates that fraud, in all its forms, cheats victims out of more than $40 billion each year. Advancing technology has created more opportunities for fraud. Computer use leaves everyone vulnerable to fraud, including telemarketing fraud, identity theft, and health care scams.
Over time, professionals in the criminal justice system, including OVC, realized that victims of fraud and victims of violent crime have much in common and share similar needs. Each needs protection from further harm. Each needs information about rights, remedies, the criminal justice process, and legal advocacy. Each needs practical assistance and referrals to people and agencies for help with short- and long-term problems stemming from the crime, such as mental health counseling and financial help. Most importantly, each needs to see justice done and offenders held accountable.
Like violent crime victims, fraud and economic crime victims may suffer psychological and emotional harm and stress-related physical effects in addition to financial damage. Victims may lose their entire life savings and be devastated by the psychological and social impact. In fact, many economic crime victims describe their experience as a "psychological mugging." They feel robbed of their money, their security, their self-esteem, and their dignity. They have lost their faith and trust in a system they believed would protect them and their resources. Like victims of violent crime, economic crime victims may spend years trying to recover from these crimes.
Recognizing the needs of economic crime victims, OVC and other components of the criminal justice system have made efforts to provide more services and resources to this traditionally underserved victim population. OVC's first step, in 1997, was to change the language of its funding guidelines to extend the reach of its Crime Victim Assistance Funds to provide services and support to economic crime victims through State programs. Further, OVC developed and made available Federal programs, model brochures and pamphlets, and demonstration projects designed for use by those helping fraud and economic crime victims. OVC offered these tools for replication nationwide, providing service and support to those assisting economic crime victims.
To ensure development of an effective and sensitive response to the concerns, needs, and issues of economic crime victims, OVC directed its Federal Crime Victims Division (FCVD) to focus special attention on this particular victim group. In April 1998, the Fraud Victimization Focus Group convened to study economic crime issues. This group raised questions and submitted findings that became the basis for the training ideas, promising practices, recommendations, and action plan presented in this bulletin. OVC applauds the fine efforts of this focus group and appreciates its vision and dedication. OVC believes nationwide application of measures based on these findings can help ensure the development and continuation of effective policies, programs, and services to assist economic crime victims.
OVC Bulletin, May 2000, Victims of Fraud and Economic Crime


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Thrillpeddlers Extends Hot Greeks Through May 19 - Apr 17, 2012
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It's all about margins for Wenger
Arsenal manager Arsene Wenger feels it is strange to see such a wide points gap from top to bottom in a Premier League season which has proved anyone can beat anyone.
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The Gunners host West Brom on Sunday, one of several sides who are not yet mathematically secure of their top-flight status heading into the final two matches.
The campaign has been so full of unexpected results - including a win for the Baggies at Old Trafford in September, a first for 35 years - that they can no longer be considered as genuine shocks, with Sunderland's recent win at Chelsea the latest case in point.
Considering the need for all sides to guard against complacency when coming up against teams below them, Wenger believes the fact leaders Liverpool have more than double the points amassed by 12th-placed Swansea makes no logical sense.
He said: "It is strange because it looks like every big team could lose everywhere (this season) and you would think that the difference between the teams has been much closer.
"But if you look at the points, the gap between the top teams and the bottom teams is bigger than any other year before, so there is a little bit of a contradiction between what we have observed visually and mathematically."
Wenger, though, is determined not to allow his side to fall victim to another statistical anomaly this weekend, when Arsenal could wrap up fourth place and with it a shot at Champions League qualification once again.
"One of the ingredients we have this season is a response when everybody was writing us off," said Wenger.
"We have always responded in a very strong way, which means the mentality is strong and healthy and united inside the camp.
"The challenge now is of course to beat West Brom.
"If you look at the names that they have in the team, they are a good side, so we must play with a good focus and feel that we get stronger in every game.
"Recently we have been better in every game and controlled much better the games compared to one month ago."
Arsenal's title challenge faded after the turn of the year when they were unable to overcome the loss of key men like Theo Walcott, Aaron Ramsey, Jack Wilshere and Mesut Ozil to various spells of injury.
"We have missed some vital games and that is the regret we have of the season, some turning points in the season away from home where we failed to turn up with the right performance," Wenger said.
"Overall, though, we have been remarkably consistent.
"We played in the Champions League against Bayern, we are in the final of the FA Cup, coming through having played many big teams, we are seven points off Liverpool, who only played one competition.
"But in the Premier League. yes we missed some games and we pay for it now."
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With the 2011 NFL Combine set to begin on Feb. 24, it's time to look into which players the Atlanta Falcons should have on their radar.
While there are certainly some spots on the offense that could use some work, the Falcons primarily need to improve their defense this offseason, particularly the defensive end and cornerback positions.
Over 300 players will be participating in the Combine this year, and there are a number of top-notch defensive prospects the Falcons should be taking a look at.
The athletes you'll find listed here are not necesarilly the absolute best at their respective positions, rather they are player who could be available to Atlanta, based on a few mock drafts I've looked at.
Player's stocks rise and fall based on how they perform during this event, so it's not completely clear as to where they will be taken, but based on the information that is available now, the Falcons should be able to get one of these players in the first round, and possibly more in later rounds.


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|Title: ●Small Vessel Reporting System
|Abstract: As part of CBP's comprehensive effort to improve the security of our nation's borders while enhancing legitimate travel, specifically for boaters, CBP is proposing to implement the Small Vessel Reporting System (SVRS) as a regulatory program. SVRS is a web-based automated reporting system pilot for participant operators of small boats to expeditiously report their arrival in the United States from foreign places. SVRS enables participants to satisfy certain arrival reporting requirements by filing a float plan containing information about their voyage in advance of arrival, and then placing a telephone call to CBP upon arrival in the United States. This process will, in most cases, make it unnecessary for SVRS participants to also report for an in-person inspection upon arrival in the United States.
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...and research positions, began the affiliation with the U.S. Weather Bureau that lasted until his death. Much of his work, and indeed most of classical physical meteorology, is summarized in his Physics of the Air (1920).


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Rivera, Rey MD*; Cheema, Asima MD†; Mai, Jane MD*; Oehler, Richard L. MD, FACP‡; Sandin, Ramon L. MD, MS, FCAP§; Greene, John N. MD, FACP∥
Abstract: Curtobacteria are beaded, filamentous, gram-positive rods found in the environment. Based on detailed phenotypic and chemotaxonomic investigations, there are 7 recognized Curtobacterium species with only one documented report involving their isolation from humans. Furthermore, there have been no previous publications showing definitive identification of a specific Curtobacterium species in blood cultures or other normally sterile body sites. We report a rare and unique case of a brain abscess caused by 2 Curtobacterium species: C citreum and C flaccumfaciens. To the best of our knowledge, this is the first case of Curtobacterium brain abscess reported in the literature.
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Mid Ulster Limos
Mid-Ulster Limousines is a limousine hire specialist, based on the shores of Lough Neagh, in Ballyronan, close to Magherafelt, Northern Ireland. Long established, our fleet includes Chrysler, Lincoln and Excalibur stetch limos, all of which can be viewed in the gallery page on this web site.
Mid-Ulster Limousine's primary aim is to provide quality service at competitive rates to customers all over Northern Ireland, whether they are brides, grooms, executive clientele, or the casual user wishing to arrive in style at that special one-off event.
Owner and Director Frank McVeigh's very simple ethos is that Mid-Ulster Limousine's product is actually service, rather than vehicle hire, specifically.
From the way our drivers are attired, to the way they meet and greet our customers is extremely important to us, just as we know it is to our customers. We want the people of Northern Ireland and Ireland in general to be able to hire premium stretch limousines at competitive rates, safe in the knowledge that our service and organisation matches the quality of the limo they hire, and that is exactly what Mid-Ulster Limousines has to offer.
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It's one of the most debated topics in the NBA, yet it's also something you'll probably never see on national TV.
When you see two players who are at the top of their game and play the same position, you want to see them take it out in a playground style one-on-one game in order to decide who's better once and for all.
While being the better one-on-one player hardly means anything in a team setting like basketball, it still gives bragging rights to the winner, as both players need the perfect blend of offense and defense to come out victorious.
Seeing two players at the top of their game in a one-on-one competition would be excellent for All-Star weekend. Replace the shooting stars competition with a few one-on-one games and you have a national spectacle that's going to draw heavy ratings.
The NBA could even make it similar to the card for a title fight, featuring several lower-tier players going at it and then having a main event to cap it off.
Of course, this is something we won't see. It's difficult enough to get superstars involved in something like the dunk contest, so it would be doubtful to see the likes of LeBron James or Kobe Bryant put their egos on the line for such an event.
It's too risky of a career and legacy move, and it's basically a waste of energy and preparation for a game that's going to last five minutes.
Still, we can dream. These seven matchups between some of the league's best players are exactly what dreams are made of.


text: These embroidered handbags and clutches will add a little dazzle and flash to your prom, black tie event, or formal. Satin bags with subtle beadwork or all over sequin hand bags that are edgy and fun. Fabulous handbags for prom, homecoming, or holiday parties that give your look the perfect touch of sparkle.


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Is your help desk slammed by
password reset calls?
Read more about Password Manager.
Still waiting for a new account?
Does it
take too long to provision new users
with accounts? Are your systems cluttered with
orphan accounts?
Read more about Identity Manager.
Users may be unique, or have extraordinary requirements. It is normally impractical to develop a Privilege model that is so fine-grained and precise that it predicts every Resource that every user should have. As a result, there is always a variance between the user-to-resource assignments predicted by the privilege model and the actual user-to-role assignments, as found on target systems.
Exceptions are added to the Privilege model, to indicate that certain deviations from the predicted user-to-resource assignments are acceptable, and should not be treated as policy violations.


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Iowa is 7-4. Nebraska is 8-3.
Iowa fans wanted more for their team, but they can hardly complain given that it is a rebuilding year, and the Hawks are now in a position to win eight games.
Meanwhile, Nebraska fans wanted to come into the Big Ten and dominate. It has hardly worked out that way, as the Cornhusker defense—or Blackshirts—have been worse than Iowa's D, which has been the worst Hawkeye defense since Kirk Ferentz took over in 1999.
Still, the Huskers sit at eight wins with a chance to win nine and go to a respectable New Year's Day bowl game. If the Hawks were sitting in Nebraska's position, I suspect Iowa fans would be ecstatic.
Nevertheless, this game has turned out to have all the makings of what a rivalry game should have.
There are no conference or divisional championships on the line, but the Hawks could go 8-4 and have a good shot at the Outback Bowl if they win. It may not seem like much, but it is a world away from 7-5 and the Meineke Car Care of Texas Bowl.
On the other hand, Nebraska could finish 9-3 and wind up in the Capital One Bowl, despite a down defensive year.
Speaking as an Iowa fan, a win in Lincoln could go a long way towards washing away the failures of the last two years.


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Ronnie Foster
Ronnie Foster - keyboards, Hammond organ
Ronnie Foster began playing piano at the age of 4. By age 12 he had switched to Hammond organ and became a student of the jazz great Jimmy Smith. At age 15, Ronnie started playing with George Benson on weekends, while still in school. After graduating from high school Ronnie began a two-year stint with The Billy Wooten Trio. Eventually, Ronnie began playing New York clubs. At 20 he got a call from New York that Saxophonist great Stanley Turrentine was looking for a new organist. He did one gig with Stanley. Word of Ronnie was traveling fast.
While he waited for the call about the next Turrentine gig, guitar legend Grant Green heard that Ronnie was in New York. Green hired Ronnie to go on the road. This event would prove to be a turning point for Ronnie as it offered him his first recording session experience; "Grant Green Alive." This important session led Ronnie to a recording contract of his own with Blue Note Records.Read more
Jazz From The Vinyl Junkyard
CD/LP/Track Review
- Two-Headed Freep by AAJ Staff
Ronnie Foster Trio
Yoshi's Oakland
Oakland, CA
|6:00 pm


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Kapathos, Rashida work well
Outer Sand
Artisan (Sammer) in
Guided Missile (M. Rajesh) in 46.5s. They were level.
Wychhael (J. Paswan) in 48s. Was handy.
Blues And Royals (A. Asbar) in 47s. Worked well.
Missiszippy (Rb) in 43s. Worked well.
Braave Assault (Rb) in 48s. Was handy.
Best Move (S. Ali Khan) in 47.5s. Worked well.
Preset (S. Ramesh) in 46.5s. Freely.
Formidable (Rb) and
Noughtsandcrosses (Mohit Singh) in 46s. They were level.
Gambit (S. Ramesh) in 48s. Was handy.
Little Athena (Rb) and
Galaxy (S. R. Santhosh) in 48s. They were level.
Prince Of Argyle (Rb) and
Heart Of Success (Afsar Khan) in 1-16s; (800m) 57s; (600m) 42s. Former was 2 ls better.
Caterina (Milan) in 1-15s; (800m) 1-1s; (600m) 42s. Fit.
Bahman (P. Shivanth) in 1-12.5s; (800m) 59s; (600m) 43s. Fit.
Samrat (Rb) in 1-36s; (1,000m) 1-18s; (800m) 1-1s; (600m) 45s. Worked well.
Kapathos (Afsar Khan) in 1-31s; (1,000m) 1-16s; (800m) 58s; (600m) 41s.Pleased.
Rashida (P. Shivanth) in 1-30.5s; (1,000m) 1-10s; (800m) 56.5s; (600m) 41s. Pleased.
Jazzbythebay (Milan) in 1-32s; (1,000m) 1-16s; (800m) 1-1s; (600m) 45s. Fit.
Ashkan (Rb) in 1-51s; (600m) 1-1s. Easy..


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- G Living | Dark Twisted Space Monkies Go Green - http://gliving.com -
Media Watch | Discovering The Canadian Coastal Wolves
Posted By G Monkie On January 27, 2010 @ 6:00 am In G/Videos,Nature / Non Human Stories | No Comments
Another enlightening documentary about Wolves. In the towering rain forests along the northern shores of the Pacific, scientists recently discovered a new subspecies of the gray wolf. Unlike its genetic kin anywhere else in the world, this wolf swims, fishes for salmon and roams great distances from island to inlet across both water and rough terrain. Secrets of the Coast Wolf blends modern science and traditional knowledge to create a fascinating portrait of a unique wolf subspecies and the pristine, fragile world they inhabit.
Article printed from G Living | Dark Twisted Space Monkies Go Green: http://gliving.com
URL to article: http://gliving.com/media-watch-discovering-the-canadian-coastal-wolves/
Click here to print.
Copyright © 2010 G Living | Modern Green Lifestyle Blog (Darker Side Of Green). All rights reserved.


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To apply for any of these areas below, please email the contact person.
*Please note: Employment is contingent upon a successful background check*
Supervisors: Supervisors serve as on-site administrators for team sports. Duties include supervision of officials, coordinating events, facility preparation, and equipment supply/distribution. Interested persons should be familiar with one or more intramural team sports with officiating experience required.
Officials: Officials are needed for the team sports of Flag Football, Basketball, Softball, Soccer, Volleyball, and Innertube Water Polo. Previous officiating experience and knowledge of one of these sports is preferred, but not necessary. Officials meetings and clinics are scheduled by the OCR to offer beginning and veteran officials the necessary knowledge and skill required to officiate.
Tournament Coordinators: Coordinators are needed to ensure that individual and group sports tournaments run in an organized fashion. Duties include recording scores, checking-in participants, updating tournament brackets and monitoring rule compliance. No previous experience is required.
Contact: Lynn Smith or Calvin Diggs
Membership /Member Relations Student Assistants
Provides enjoyable and safe services to telephone & walk up patrons. Facilitate membership sales, guest passes, and equipment services including locker/towel rentals. Enforces facility policies, event setups, and first aid/risk management needs.
Contact: Kenny Moore
Lifeguards: Lifeguards are needed year round for recreational swimming, lap swimming and OCR programs. Duties include opening and closing pool, enforcing pool rules and swimmer safety. Each lifeguard must possess a current lifeguard and CPR-professional rescurer certifications.
Swim Instructors: Swim Instructors are needed for both private and group lessons. Previous experience required.
Contact: Jessica Doughtie
Aerobics / Fitness
Group Fitness Instructors: Instructor and CPR certification is required of all instructors. Indoor cycling, yoga, aqua aerobics, and other specialty classes must have additional certifications. No instructor certification is required for yoga, pilates, martial arts and Tai Chi classes only although CPR and specialty certification is still required. All group fitness instructors must have a minimum of one year teaching experience in a fitness environment.
Applicants will be auditioned. Instructors must be enthusiastic about fitness and have a motivating personality. Instructors are responsible for their own shifts and must attend staff meetings.
Contact: Lori Cowan
Fitness Center Attendants: No previous experience necessary. Responsibilities include to assist in the cleaning, maintenance and operation of the fitness and cardiovasular equipment. Also, provide instruction on proper use of the equipment and patron safety.
Contact: Wade Evans
Wellness Resource Center
Will assist WRC supervisor in providing resources and wellness services to members of the Vanderbilt Recreation and Wellness Center. Includes checking in / out resources, assisting with the computer programs, promotions, light office work (filing, appointment book) and assisting in some health screening. Should be responsible, dependable, mature, and interested in helping people improve their wellness and health. Employee must be reponsible for his/her own shift and attend staff meetings.
Contact: Jennifer Ray
Youth Programs
Counselors are needed for holiday camps as well as summer day camps. The summer day camp program could provide counselors with up to 40 hour per week. These counselors assist the assistant director in supervision and interaction with children ranging from 4 – 15 years of age. Another primary responsibility is to ensure the safety and security of the children.
Contact: Lynn Smith
Outdoor Recreation Staff
Paid positions include Equipment Rental Specialists, Climbing Wall Instructors, and Kayaking Instructors. Trip Coordinators serve on a volunteer basis. Written applications are available for all applicants.
Contact: Linda Rosenkranz or Sean Wilkinson


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HIV Prevention and Testing > Am I Infected?
HIV and Pus infection
(1/2) > >>
To make a long story short, I have horrible anxiety and I've been reading your forums to assess my risk (or maybe lack thereof?). Back in May, my (now ex) boyfriend had sex with a male who is very known to be premiscuious. I was panic'd when I discovered this because I had feelings for him (and all that other blah blah), but he tried to reassure me that they used a condom and he promised to get tested when the time came. Well (and please I know this was foolish, I was very naive), we were having protected sex for the most part, but there was two incidences where he put it inside me without a condom on, and it only lasted for a minute at most and he never ejaculated. I was DUMB I know, it was stupid and its never happened again since, we got tested in July, and we both came back negative (I was so releived). But was that long enough for him to get tested, from May to July? I dont talk to him anymore, I told him before our results came back, that I was a virgin and he got angry and couldnt understand my anxiety (I have OCD), I cant talk to him about my fears because he gets offended by them, when its not that im trying to be offensive, im just very scared, I dont have parents to talk to, I dont want to die young, I've made mistakes and I learned so many lessons when i was with him for the few months I was, I live with other people now and havent had sex since him, im very afraid of sex and I've become very depressed, I so afraid of HIV. They had sex in mid May, we Got tested in later July
Andy Velez:
Geo, as long as you tested negative at 3 months past the time of unprotected intercourse then yes, you have reliably tested negative and you are HIV negative. Period. No further testing is needed.Just remember for the future that the only confirmed risks for the sexual transmission of HIV are unprotected vaginal and anal intercourse. As long as condoms are always used for those activities you will be well protected.You have nothing to worry about now in relation to HIV. Get on with your life.
Additional details I failed to mention; I had been sexually active with him after testing and we used comdoms', but it was very short, lasting 15 minutes at most, and this wouldn't be a concern to me if I didn't have to factor in that he was also having sex wit someone (who he claims was always protected sex), and that person was having sex with someone else who is HIV+. Mist of my sexual experiences with my partner was mutual masturbation, and giving and receiving unprotected oral sex (and during this my gums had cuts from vigorious teeth brushing, when he'd ejaculate it would get on razor bumps I had on my legs from shaving right before in the shower. I had a small cut inbetween my anus and rectum from him being rough, and after he'd ejaculate, he would insert semen into my anus with his finger, does that pose as a risk? Would I know if the condom broke in the few times we had sex? Am I doomed? I've been waiting months to get tested again
If you ARE doomed, and I am not convinced that you are not, it has nothing to do with HIV.You have tested reliably negative. You then had PROTECTED sex. You won't get HIV from getting your penis sucked or mutual masturbation or giving oral sex.Also, cut the drama. I have had HIV for twenty years this April. I am hardly doomed.You don't have HIV
I have two questions, One, I got tested after four months of abstinence, and my results were negative, am I hiv negative? And secondly, a couple weeks ago, I accidently cut my hand from a screw sticking out of a table, and my friend was sitting next to me, his arm had a healing infection that had pus and a bit of blood draining from it down his arm, I (without thinking), hit his arm with my hand, and I felt the draining pus and blood on my hand, and I think it might of got into my cut, am I at risk? please help
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How to engage students is a question often asked by online instructors. Blackboard Collaborate has the answer. You can provide your students an exciting learning environment through Collaborate. The media interface gives you exceptional two-way communication, rich media resources, whiteboard, application and desktop sharing, breakout rooms, and session recording.
To find out more about the Moderator User Interface, please visit the Collaborate Resource Guide on the Blackboard "Help" tab and select "Overview for Moderators" or view the quick reference guide below for a refresher.
In this week's Learning Shorts, we learn more about presenting in Collaborate. We'll discuss how to upload content, navigate pages and use the Whiteboard. Participants will have a chance to practice with the whiteboard and gain a better understanding of moderating in Collaborate.
If you missed last week's session, get caught-up by watching the video tutorial on how to create a Collaborate session.
Join us this Friday at 10:00 am to learn more about presenting in Collaborate. Click on the Collaborate Guest Link to access the session. To prepare for the session, visit the Bb Collaborate setup page. There you can verify your computer is configured correctly for accessing and interacting in a Collaborate session.


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<–Love this cover!! Forever Dusk by Lisa Worrall I purchased this novella on Amazon [box] Jonah reluctantly agrees to go to Forever Dusk, a theme club for wannabe vampires. Five minutes is long enough until he catches the violet gaze of the mysterious owner, Sebastian. Inexplicably drawn to the mysterious stranger, Jonah makes a decision that could change his life forever. Self-confessed horror fan Jonah reluctantly agrees to accompany best friend Theo and his latest squeeze to a new club downtown. Dressing up like an Anne Rice reject was not part of the deal, but that's exactly how [ Read More of this Review ]
Nov 122011


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Two Maui High School students took fifth place in the 65th annual Ford/AA Student Auto Skills competition Tuesday at Ford World Headquarters in Dearborn, Mich.
Click here to watch the report.
Chayce Mimura and Devin Vea took fifth place in a competition that began with more than 13,000 entrants nationwide earlier this year.
Mimura and Vea's instructor, Neill Nakamura, was also there for the competition.
With more than $10 million in scholarship prizes in the balance, state winners gathered in Dearborn to solve "real world" automotive challenges – both digital and mechanical – in a timed competition.
A quick mind and steady hands were required as top auto students worked with wrenches and computers alike. With automotive sales up across the board, and new and innovative technologies becoming a bigger part of the manufacturing process, the Ford/AAA Student Auto Skills competition is shaping the next generation of auto technicians who will work on these vehicles.
Beginning with a shotgun start, the student competitors raced to their vehicles to review a work order that challenged them to diagnose and repair a number of purposefully placed "bugs" ranging from digital to mechanical and electrical.
Once the repairs were completed, it was a race to shut the hood, fire up the engine and steer the vehicle across the finish line – where a scrutinizing judging team awaited.
Students are graded on quality repair workmanship and safety combined with the results of a written examination taken on June 9.
This was at least the second year in a row a team from Maui High took fifth place in the national competition.


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UPDATED Aug. 19, 2014
We're changing reader comments on our site to try to create a more immediate, free-flowing debate on our site.
Only subscribers can see or post comments on stories or other content. If you're not a current print or digital subscriber, you will have to subscribe and log in to participate in our online discussions.
We are still using the Disqus commenting system, so if you're already a subscriber and contributor, you will log in in the same way.
Another big change to our policy is that your comments will now be posted immediately, without being moderated in advance. We hope that this will encourage a freer debate.
A few things, however, won't change.
Crime and court stories generally will not be open to comments. Our editors will still control which stories are open for comments and which are not.
Other users can still flag your posts if they think you've crossed the line. If a comment is flagged, our editors will take a look and decide whether it stays or goes.
Our editors reserve the right at any time for any reason to edit or delete a post. We also reserve the right to block a user or remove him or her from our system entirely.
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Karen Desaiplayed by Denise Richards
Denise Richards is an accomplished actress, businesswoman, philanthropist and New York Times best-selling author (of the memoir The Real Girl Next Door).
Richards recently filmed a supporting role in Lifetime's television film Blue Lagoon, a remake of the 1980 film. She can also be seen in Madea's Witness Protection, Tyler Perry's latest addition to the Madea franchise. Other recent projects include a small screen appearance as Lori on FX's Anger Management, a notable guest appearance on NBC's 30 Rock, and a recurring role as Debra, the contentious ex-wife of the BMS football coach (Ed Marinaro) on Spike TV's Blue Mountain State.
Richards made her big screen debut in the cult classic Starship Troopers. She garnered international recognition for her leading Bond Girl role as Dr. Christmas Jones, opposite Pierce Brosnan. Additional film credits include her memorable performance in the Universal film Wild Things and a cameo in the hit romantic comedy Love Actually.
Along with standing out on screen, Richards has advanced her professional career to develop prime business partnerships and to support causes close to her heart. Her recent collaboration with Shoedazzle to design the "Eloise" heel raised over $15,000 for the Kidney Cancer Association. Teaming up with world-renowned hair stylist Christophe, Richards helped develop Volume Extend, an integrated hair care system. As an animal rights advocate, she commits her ambitious nature and her love of animals to Best Friends Animal Society as Ambassador. Since her involvement, Richards has furthered the cause, saved lives, raised awareness and fostered her own rescues.


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(HER Realtors)
Comments 2
Rush Creek Village in Worthington is part of Ohio Modern... The Ohio Historical Society has been working on a project about our recent history... A lot of the report about Ohio Modern focuses on Dayton, Ohio and it's suburbs... The "Ohio Historical Society" project defines the Ohio Modern peri...
(HER Realtors)
Comments 3
Theodore van Fossen, the architect who designed Rush Creek Village passed away earlier this month. I saw it on the PrairieMod site first, In Memoriam Theodore van Fossen on PrarieMod has a link to the article today by Jim Weiker in The Columbus Dispatch: Theodore van Fossen | 1919-2010 Arch...
(HER Realtors)
Comments 2
When you think of historic Worthington you think of colonial revival architecture or I do.... but Rush Creek Village in Worthington is on the National Register of Historic Places. Worthington Ohio modern! The community of Usonian style homes are historic. Did you see the article in last Sundays ...
(HER Realtors)
Comments 0
View Larger Map The historic style brought to mind by Worthington is usually "colonial" or "colonial revival." Yet Worthington home to Rush Creek Village has a large neighborhood of mid-century modern homes. The homes in Rush Creek Village were built in the Usonian style reminiscent of Frank Llo...
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