text:
Magnificent Villa in the heart of the Aravaca, with excellent qualities and excellent access in all directions. The House has a surface of 600 m² on a plot of 1.027 square meters. On the ground floor, we have a spacious entrance hall double height with marble floors, which leads us to the living/dining room with exit to the beautiful porch, office, living room, guest toilet and a large kitchen fully furnished and equipped office and laundry area. On the same floor, we have the bright and spacious master bedroom with a dressing consisting of 11 bodies of wardrobes and en suite bathroom complete with bathtub and shower. Through the beautiful wood staircase located in the entrance hall access to the first floor where we have 3 large suites, all with walk-in closets and integrated bathrooms, which share a bright and comfortable sitting room with beautiful views. The basement has a large hall for parties and entertainment with direct access to another porch on the outside of the House with views of the pool, fitted kitchen to service this area of the House, pantry, cleaning, full bathroom, garage and storeroom. The housing offers all kind of comfort and space for a family who wants to take up residence in the best area of the Aravaca.
This design of newly-built housing is located on the golden mile of the Aravaca, with all shops and street communication services. Aravaca is a barrio of the municipality of Madrid, capital of Spain, which belongs to the District of Moncloa-Aravaca, adjacent to the neighborhoods of Valdemarín and El Plantío and at the same time with Pozuelo de Alarcón, whose level per capita income experienced the highest levels of the municipality of Madrid, this district has become one of the most demanded with regard to housing of high standing by its scenic beauty, quality of construction, exclusivity, privacy and security. As well as its proximity to the Centre of Madrid with comfortable access via the inter-urban motorways A-6, M-500 and M-40. Among the most outstanding places that are part of this district: la Casa de Campo and the Moncloa Palace, as well as the powers of one of the most important universities of the country and private and international schools with more prestige in the city of Madrid. Health it boasts one of the hospitals with better quality of Spain, clinical Zarzuela. Without a doubt we can say that it is the perfect enclave to live with a great quality of life, with all services around and surrounded by nature.
Availability upon agreement. This material is based upon information, which we consider reliable, but because third parties have supplied it, we cannot represent that it is accurate or complete, and it should not be relied upon as such. This offering is subject to errors, omissions, and change of price or withdrawal without notice. Taxes, notary and register fees must be paid by purchaser, the commission by the seller as stipulated by Spanish regulations.


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Did you know that according the the US Census Bureau, there are 85.4 million mothers in the USA. Most of those mothers are busy and stressed, in fact according to today.com the average mom in our survey puts herself at 8.5 out of 10 for stress. That's a lot of moms and a lot of stress! And when mom is stressed it has a big impact on their children.
Before I wrote my book Beyond Soccer Mom, strategies for a fabulous balanced life, I decided to do my own research to find out what moms wanted more of and less of in their lives. The results from 72 mothers is very revealing.
Talking to and coaching women I became aware that they are seeking advice on how to achieve all of this from a wide variety of sources. But many are so busy that they find it hard to find reliable sources. So an idea came to me and this idea has become The Busy Mom Show!
The Busy Mom show is designed just for…yes, you guessed it busy moms! And the great news is that the shows will provide great content for this blog.
The Busy Mom Show will be a weekly show, designed around the lives of busy moms. I will interview experts on topics which will help moms thrive: health, happiness, performance, relationships, business, beauty, fashion, finances, relationships, parenting and much more. The show will be recorded live, online with a live audience to ask questions, it will be posted on youtube, The Busy Mom Show Website www.thebusymomshow.com and be available as a podcast, so moms can watch or listen when it's convenient for you.
The first show was April 23rd, I will be interviewed Bill Poett, Founder of the True North Academy and author of ABC of Peak Performance and Live and Love Fearlessly. Bill and I discussed recovering from adversity, his Warrior Heart Project, the True North Compass Tool and the power of forgiveness. Click http://thebusymomshow.com/the-
For more information on increasing your levels of health, happiness and success, please subscribe to my blog: http://blog.ctnews.com/drrhodes/

subset: commoncrawl


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The stock of KBR, Inc. (NYSE:KBR) is a huge mover today! About 516,021 shares traded hands. KBR, Inc. (NYSE:KBR) has declined 1.93% since March 11, 2016 and is downtrending. It has underperformed by 7.38% the S&P500.
The move comes after 6 months negative chart setup for the $2.06B company. It was reported on Oct, 14 by Barchart.com. We have $13.65 PT which if reached, will make NYSE:KBR worth $123.60M less.
Analysts await KBR, Inc. (NYSE:KBR) to report earnings on November, 7. They expect $0.32 earnings per share, down 20.00% or $0.08 from last year's $0.4 per share. KBR's profit will be $45.40M for 11.34 P/E if the $0.32 EPS becomes a reality. After $0.32 actual earnings per share reported by KBR, Inc. for the previous quarter, Wall Street now forecasts 0.00% EPS growth.
KBR, Inc. (NYSE:KBR) Ratings Coverage
Out of 8 analysts covering KBR Inc (NYSE:KBR), 3 rate it a "Buy", 2 "Sell", while 3 "Hold". This means 38% are positive. KBR Inc has been the topic of 15 analyst reports since August 6, 2015 according to StockzIntelligence Inc. Goldman Sachs upgraded KBR, Inc. (NYSE:KBR) on Monday, March 28 to "Neutral" rating. The firm has "Sell" rating given on Tuesday, October 11 by Goldman Sachs. As per Wednesday, August 5, the company rating was maintained by UBS. The stock has "Sell" rating given by Goldman Sachs on Monday, December 7. The stock of KBR, Inc. (NYSE:KBR) has "Sell" rating given on Friday, November 13 by Citigroup. The company was upgraded on Tuesday, October 4 by Deutsche Bank. The firm has "Accumulate" rating given on Wednesday, October 5 by Johnson Rice. The firm has "Neutral" rating given on Thursday, August 6 by Bank of America. M Partners maintained the stock with "Neutral" rating in Tuesday, September 13 report. The firm has "Neutral" rating by M Partners given on Wednesday, June 29.
According to Zacks Investment Research, "KBR, Inc. is a leading global engineering, construction and services company supporting the energy, hydrocarbon, government services, minerals, civil infrastructure, power and industrial markets. The company is a leader in many of the growing end-markets it serves, particularly gas monetization, having designed and constructed, alone or with joint venture partners, more than half of the world's operating liquefied natural gas (LNG) production capacity. KBR offers a wide range of services through its Upstream, Downstream, Technology, Services, Government and Infrastructure, and Ventures business segments."
Insitutional Activity: The institutional sentiment increased to 1.42 in 2016 Q2. Its up 0.36, from 1.06 in 2016Q1. The ratio is positive, as 31 funds sold all KBR, Inc. shares owned while 59 reduced positions. 28 funds bought stakes while 100 increased positions. They now own 136.05 million shares or 4.84% more from 129.78 million shares in 2016Q1.
Rhumbline Advisers reported 221,051 shares or 0.01% of all its holdings. Deutsche Bank Ag holds 2.47M shares or 0.02% of its portfolio. The California-based California Employees Retirement System has invested 0.01% in KBR, Inc. (NYSE:KBR). Moreover, Wfg Advsr L P has 0% invested in KBR, Inc. (NYSE:KBR) for 14 shares. Huntington Fincl Bank last reported 1,000 shares in the company. The British Columbia – Canada-based Pacad Invest Ltd has invested 0.02% in KBR, Inc. (NYSE:KBR). State Street Corporation last reported 4.11 million shares in the company. Cantab Cap Partners Llp holds 45,960 shares or 0% of its portfolio. Moreover, Ameritas Inv Prtn has 0.02% invested in KBR, Inc. (NYSE:KBR) for 22,519 shares. Amalgamated Savings Bank has 19,376 shares for 0.02% of their US portfolio. Allianz Asset Management Ag accumulated 3.27M shares or 0.02% of the stock. Hbk Ltd Partnership accumulated 0.07% or 620,840 shares. Kanaly has invested 0% of its portfolio in KBR, Inc. (NYSE:KBR). Peak6 Invs Limited Partnership has 10,985 shares for 0% of their US portfolio. Millennium Ltd Liability Com holds 1.92 million shares or 0.06% of its portfolio.
More news for KBR, Inc. (NYSE:KBR) were recently published by: Fool.com, which released: "Shares of KBR, Inc. Jump 11% After Analyst Upgrades" on October 05, 2016. Twst.com's article titled: "KBR Inc.: KBR Joint Venture Wins Significant Kuwait Base Operations and …" and published on October 13, 2016 is yet another important article.
KBR Company Profile
KBR, Inc. (KBR), incorporated on March 21, 2006, is an engineering, procurement, construction and services company. The Firm supports global hydrocarbons and international Government services market sectors. The Firm offers a portfolio of technology and consulting services; engineering, construction, procurement and asset maintenance services, and base operational, logistics, life support and asset management services. The Firm operates through three business divisions: Technology & Consulting (T&C), Engineering & Construction (E&C), and Government Services (GS). The Firm provides services to a customer base, including international and national gas and oil companies, independent refiners, petrochemical producers, fertilizer producers, manufacturers and domestic and foreign Governments.
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text:
sallye bates
Compliments of Chinese Village Cookbook, which has many wonderful Asian dishes listed. All are easy and tasty.
Featured Pinch Tips Video
Yields about 24
20 Min
10 Min
Deep Fry
- 1 pkg
- egg roll skins
- 2 c
- cooked pork, ham or peeled, deveined shrimp
- 5 medium
- shitake. portabello or other mushrooms
- 2 c
- bamboo shoots , fresh or canned
- 1/2 lb
- bean sprouts, fresh or canned
- 3
- ribs celery
- 2
- green onions
- 2 Tbsp
- oyster sauce or chicken broth
- 1 tsp
- salt
- 1 tsp
- sugar
- 4-5 c
- oil for deep frying
- 1 large
- egg, beaten
Directions Step-By-Step
1. Slice ham or pork or shrimp, mushrooms, bamboo shoots and onions to the size of a match stick
2. Slice celery on the diagonal into matchstick size
3. Rinse beans sprouts in cold water and drain well
Note: The cutting is tedious but worth it.
Heat wok or heavy skillet over medium high heat, add 1 tablespoon oil. Stir fry separately as follows:
Bean sprouts = 1 minute
Mushrooms with bamboo shoots seasoned with sugar = 2 minutes
Set aside
Add more oil as needed
Ham, pork or shrimp = 2 minutes
3Pour oyster sauce (or chicken broth) over meat and mix well
Add back in other ingredients plus green onions and salt
Remove from heat and cool
Position wrapper like a diamond with the corners at top, bottom, right and left.
Place 1/2 cup of filling on lower section of wrapper
Tuck bottom corner around filling and firmly roll about halfway up the sheet
Moisten the remaining three corners with beaten egg
Fold left and right corners toward the center and then firmly roll all the way up including top corner
Heat oil in wok or deep heavy saucepan to 350º F
NOTE: You will have to fry in batches so as not to overcrowd the pan or wok.
Deep fry egg rolls on both sides, turning once, until golden brown.
Drain on peper towels.
Serve hot with my recipe posted here entitled SWEET & SOUR SAUCE (SALLYE)
About this Recipe
Course/Dish: Other Appetizers, Other Snacks, Meat Appetizers
Main Ingredient: Vegetable
Regional Style: Chinese
Other Tags: Quick & Easy, For Kids, Healthy


text:
Product Information
Sebastian Color Ignite Shampoo and Conditioner 2-piece Set
Give your hair the care it deserves with this two-piece Sebastian Professional hair care set, which features a color-locking seal design to keep your color-treated hair just the way you want it. This shampoo and conditioner set provides an easy way to bring a smooth texture and a glowing shine to your hair. Size: 8.4-ounce shampoo, 6.66-ounce conditioner Quantity: One (1) shampoo, one (1) conditioner Targeted area: Hair Hair type: Color-treated hair We cannot accept returns on this product. Due to manufacturer packaging changes, product packaging may vary from image shown.
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text:
How to Fix a Laptop If It Gets Wet
Even though you may take every possible step to protect your beloved computer, accidents sometimes happen. You may be sitting down to work with a glass of water nearby, and one false step may leave your computer soaked. But not all hope is lost: You can take a few steps to save your computer from a spill fairly quickly.
Step 1
Take out the battery and set it aside.
Step 2
Flip over your laptop and shake out any excess water onto a towel.
Step 3
Gently blot the wet areas on your laptop with a dry towel.
Step 4
Let the battery and the laptop air-dry overnight.
Step 5
If the liquid is thicker than water--like coffee, wine or juice--and it fell onto the keyboard, shake off any excess liquid.
Step 6
Pop off any affected keys and blot the area with a paper towel.
Step 7
Once you've blotted and the keyboard is dry, put the keys back where they belong.
Tips & Warnings
- If the liquid you dropped is thicker than water, try to get the computer to a professional who can help clean it off. Otherwise, the liquid can continue seeping into the laptop and do more damage.


text:
24 February 2015, Tuesday, 15:36
UFA, 24 February 2015. /Bashinform News Agency, Alim Faizov/. The Federal Children's Centre "Smena" in the city of Anapa on the initiative of the Russian Geographical Society (RGS), where the Chairman of the Board of Trustees is the President of the Russian Federation Vladimir Putin and the President — Russian Defense Minister Sergey Shoigu, will organize the All-Russian session of young geographers "Landmarks of Discoveries" from February 24 to March 16.
Bashkortostan formed a group of 33 pupils who are fond of geography and won prizes at republican and All-Russian competitions. Among them there are pupils of 8-10th form from different regions and cities of the republic. The trip is paid by the RGS. During the session the children will be engaged in field research, mapping and orienteering, the regional office of the Russian Geographical Society in Bashkortostan reports.


text:
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July 13, 2010
INDIA.COM, INC., PLAINTIFF,v.SANDEEP DALAL, DEFENDANT.SANDEEP DALAL, COUNTERCLAIM-PLAINTIFF,v.INDIA.COM, INC., EASYLINK SERVICES CORPORATION, AND INDIA HOLDINGS, INC., COUNTERCLAIM-DEFENDANTS.
On December 31, 2009, judgment was entered in favor of defendant and counterclaim plaintiff Sandeep Dalal ("Dalal"). On January 19, 2010, Dalal timely sought to recover $38,469.77 in costs from plaintiff and counterclaim-defendants India.com, Inc., EasyLink Services Corp., and India Holdings, Inc. (collectively, "EasyLink"). On January 28, EasyLink served and filed its objections to Dalal's request for a bill of costs. On January 29, EasyLink filed a notice of appeal from the December 31, 2009 judgment. Also on January 29, the Clerk of Court granted Dalal's request in part, and entered a bill of costs for $21,749.72, comprised of $10,591.55 for trial and deposition transcripts and $11,158.17 for exemplification and copies of papers.*fn1 As explained in the Order dated February 9, 2010, the entry of the bill of costs (Docket No. 117) was a clerical error since EasyLink's notice of appeal (Docket No. 116) had been filed and docketed, and under Local Civil R. 54.1, costs are not to be taxed while a case is on appeal.
On February 5, EasyLink moved to vacate the bill of costs, pointing out the clerical error and arguing more substantively that the Clerk of Court erred in not reducing the amounts allowed for the costs of transcripts and copies. By letter dated February 5, Dalal opposed the motion to vacate.*fn2 As the filing of the notice of appeal on January 29 also divested this Court of jurisdiction over the matter, this Court was without jurisdiction to either correct the clerical error or to address EasyLink's substantive objections to the bill of costs. Accordingly, the February 9 Order denied EasyLink's motion to vacate the bill of costs for lack of jurisdiction.*fn3
On June 15, the Court of Appeals entered a limited remand "for consideration of whether to correct any clerical errors pursuant to Rule 60(a) of the Federal Rules of Civil Procedure, as well as for consideration of EasyLink's substantive objections to Dalal's bill of costs." Because the parties already had the opportunity to brief the issues raised in EasyLink's motion to vacate the bill of costs, no additional briefing was ordered.*fn4 Accordingly, the original bill of costs entered by the Clerk of Court shall be vacated, and EasyLink's substantive objections to the bill of costs shall be addressed.
"A district court reviews the clerk's taxation of costs by exercising its own discretion to decide the cost question itself." Whitfield v. Scully, 241 F.3d 264, 269 (2d Cir. 2001); see also LoSacco v. City of Middletown, 71 F.3d 88, 92 (2d Cir. 1995) ("The decision to award costs to a prevailing party under Fed. R. Civ. P. 54(d) rests within the sound discretion of the district court." (citation omitted)).
Rule 54(d)(1), Fed. R. Civ. P., provides that "[u]nless a federal statute, these rules, or a court order provides otherwise, costs -- other than attorney's fees -- should be allowed to the prevailing party." By its terms, Rule 54(d)(1) awards to the prevailing party costs "as of course," so "[f]or this reason, the losing party has the burden to show that costs should not be imposed." Whitfield, 241 F.3d at 270. The term "costs" in Rule 54(d)(1) refers to the items enumerated in 28 U.S.C. § 1920. Id. at 269. Such costs include "[f]ees for printed or electronically recorded transcripts" and "[f]ees for exemplification and the costs of making copies of any materials," where such transcripts and copies are "necessarily obtained for use in the case." 28 U.S.C. § 1920(2),(4).
1. Trial Transcripts
Dalal sought, and the Clerk of Court allowed, $639.00 in trial transcript costs. EasyLink objects to the portion of these costs allowed for transcripts of post-trial proceedings. The Local Rules of this Court provide that "[t]he cost of any part of the original trial transcript that was necessarily obtained for use in this court or on appeal is taxable." Local Civil R. 54.1(c)(1). "The cost of a transcript of court proceedings prior to or subsequent to trial is taxable only when authorized in advance or ordered by the court." Id. (emphasis added).
The Clerk of Court properly allowed Dalal $147.00 for the cost of the trial transcript and decision. The Clerk erred, however, in allowing $492.00 for the cost of transcripts of what Dalal describes as "post-trial proceedings." Dalal has not shown that transcript costs for post-trial proceedings were authorized in advance or ordered by the Court. Nor has Dalal submitted invoices detailing which transcripts were ordered, or any documentation to show how such transcripts were used in the case.*fn5 As such, Dalal may recover only $147.00 from EasyLink for trial transcript costs.
2. Deposition Transcripts
The Clerk of Court granted Dalal's request for $9,952.55 in deposition transcript costs. EasyLink objects to the portion of these costs allowed for: (1) the use of more expensive court reporting services for the first two days of the deposition of Gerald Gorman ("Gorman")*fn6 ; (2) daily transcript and expedited service fees; (3) delivery fees; (4) minuscripts and ASCII discs; (5) court reporters' appearance fees; and (6) additional copies of transcripts in excess of those permitted under Local Rule 54.1. EasyLink further objects to the costs allowed for copies of Dalal's own deposition transcript and for the transcript of Debra McClister's deposition, which was taken post-trial.
With respect to costs for deposition transcripts, the Local Rules provide, in pertinent part:
Unless otherwise ordered by the court, the original transcript of a deposition, plus one copy, is taxable if the deposition was used or received in evidence at the trial, whether or not it was read in its entirety. Costs for depositions are also taxable if they were used by the court in ruling on a motion for summary judgment or other dispositive substantive motion.
Costs for depositions taken solely for discovery are not taxable.
Local Civil R. 54.1(c)(2). "Even where the cost of a deposition transcript itself will be taxable under these standards, certain associated fees that are not necessary generally may not be taxed -- for example, expedited service, delivery costs, appearance fees, and rough diskettes and/or ASCII disks." Farberware Licensing Co. LLC v. Meyer Marketing Co., Ltd., No. 09 Civ. 2570(HB), 2009 WL 5173787, at *5 (S.D.N.Y. Dec. 30, 2009) (citation omitted). Awarding the cost of an expedited transcript requires a heightened showing of the unique circumstances that demanded it. See, e.g., Ferrostaal v. M/V Tupungato, Nos. 03 Civ. 4885, 03 Civ. 6236(MGC), 2008 WL 2796644, at *2 (S.D.N.Y. July 17, 2008).
With certain exceptions, the Clerk of Court properly awarded the deposition transcript costs sought by Dalal. First, EasyLink's objection to the rates charged by the court reporting services for the first two days of Gorman's deposition is disingenuous. EasyLink itself sought reimbursement for the fees charged by these same reporting services in its November 1, 2006 proposed bill of costs. Thus, the Clerk did not err in allowing Dalal to recover these costs from EasyLink.
The Clerk did err, however, in allowing Dalal to recover the costs for the transcript of the second day of Gorman's deposition twice. In his request for a bill of costs, Dalal claimed that $844.20 represented half of the transcript costs for the second day of Gorman's deposition, and therefore requested $1,688.40. In support of this request, Dalal submitted a single invoice showing a charge for $844.20 and copies of two checks made out to the court reporting service for $844.20 each. Each of these checks, however, reference the same invoice submitted by Dalal. Because Dalal did not submit a separate invoice to support the additional $844.20 he seeks, the amount allowed for deposition transcript costs shall be reduced by $844.20.
Second, the Clerk of Court should not have taxed the additional costs for delivery fees, minuscripts, ASCII discs, appearance fees, or additional copies of transcripts beyond the original plus one copy permitted by Local Civil R. 54.1. Further, Dalal has not shown that it was necessary to expedite the transcripts of the pre-trial depositions, the latest of which was taken on October 21, 2002, approximately seven weeks before the December 9, 2002 bench trial. Accordingly, the costs allowed for deposition transcripts shall be further reduced by $2,139.00.*fn7
Third, the Clerk properly allowed Dalal to recover the costs of copies of his own deposition transcripts. EasyLink's arguments that Dalal could have obtained a complimentary copy of the transcripts as a party deponent, or could have copied the transcripts that EasyLink sent to Dalal for his review, are irrelevant. Local Civil R. 54.1(c)(2) permits the prevailing party to recover the cost of the "original transcript of a deposition, plus one copy," as long as the deposition was used; EasyLink does not argue that Dalal's deposition was not used. Accordingly, Dalal may recover the costs for his own deposition transcripts.*fn8
Fourth, the Clerk of Court also properly allowed costs for the transcript of the deposition of Debra McClister, which was taken post-trial. As EasyLink acknowledged in its November 1, 2006 proposed bill of costs, this deposition was used by Dalal in his post-trial motions. Further, given the tight post-trial briefing schedule, it was appropriate for Dalal to obtain an expedited copy of this transcript. Accordingly, Dalal may recover the costs for the expedited transcript of the deposition of Debra McClister.
In sum, the $9,952.55 in costs for deposition transcripts taxed by the Clerk of Court shall be reduced by a total of $2,983.20. Thus, Dalal shall be allowed to recover $6,969.35 from EasyLink for deposition transcript costs.
3. Exemplification and Copies of Papers
The Clerk of Court granted Dalal's request for $11,158.17 in costs for exemplification*fn9 and copies of papers. EasyLink argues that none of these costs should have been taxed. The Local Rules provide: "A copy of an exhibit is taxable if the original was not available and the copy was used or received in evidence. The cost of copies used for the convenience of counsel or the court are not taxable." Local Civil R. 54.1(c)(5). "Photocopying costs may be recovered even though the underlying document was not admitted at trial." United States ex rel. Evergreen Pipeline Constr. Co. v. Merritt Meridian Constr. Corp., 95 F.3d 153, 173 (2d Cir. 1996) (citation omitted). In seeking reimbursement for such copies, however, a prevailing party must "itemize those costs" and "explain why all th[e] copies were necessary." Id.
The Clerk of Court erred in allowing the costs of the copies sought by Dalal. Dalal has not itemized the costs of the copies for which he seeks reimbursement, or shown that the copies were necessary. The invoices submitted by Dalal show that multiple copies of originals were made, but do not indicate which documents were being copied, or differentiate between copies made for the convenience of counsel and those used or received in evidence at trial. In fact, Dalal has not explained why the originals used to make the copies could not have themselves been used at trial or moved into evidence. In addition, many of the invoices include additional charges for items such as three-ring binders, tabs, and binding which are not taxable under Local Civil R. 54(c)(5). Lastly, some of the invoices post-date the trial and Dalal has not shown how these copies were used, or explained why they were necessary. Accordingly, Dalal shall not be allowed to recover any costs for copying of papers.
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text:
Mango Ice Cream
Total Time
Prep 20 mins
Cook 1 hr
I was looking for this to make with my Iced Mango Soup, and came across this recipe on ochef.com. Haven't tried it yet, let me know what you think!
Ingredients Nutrition
- 6 -8 tablespoons sugar
- 1 large mango, very fragrant
- 2 cups half-and-half
- 3 -4 teaspoons fresh lime juice
- 1 teaspoon dark rum (optional)
- Place sugar in the bowl of a large food processor.
- Holding mango over the bowl to catch all juice, peel and pit the fruit, and place pieces into bowl with sugar.
- Puree sugar and mango.
- Add half and half and blend.
- Taste and add additional sugar as needed. (The mixture should taste a bit too sweet at room temp to taste perfect frozen.).
- Be sure to blend in extra sugar well.
- Add lime juice 1 teaspoon at a time until the flavor deepens. Add rum if desired.
- Freeze in your ice cream maker according to manufacture's instructions.
- Store sealed tightly with plastic wrap pressed directly on the ice cream.
- Let soften slightly before serving.
Most Helpful
Can we say tropical heaven? I didn't have 1/2 and 1/2 but I did (past tense) have some whipping cream hanging out in the fridge that jumped up and volunteered for the job. The mango came out in a perfectly smooth puree in the food processor and made a wonderfully mango flavored, creamy ice cream that was a real hit with the folks here. This is purrrrefect goodness.
Oooooh - heaven on earth! Made this with whipping cream (half n half is expensive and hard to find in Costa Rica) and it was creamy deliciousness... Waited till last few minutes of freezing time in my Cuisinart to add the rum. What a hit on a hot and steamy afternoon!


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October 14, 2009
GIANNA MARTORANO, PLAINTIFF,v.CITY OF PHILADELPHIA, ET AL., DEFENDANTS.
This case is now before the Court for the resolution of Defendants City of Philadelphia, Philadelphia Police Department, and the Fairmount Park Commission's Motion to Dismiss Plaintiff's Complaint. For the reasons that follow, the Motion is GRANTED.
Factual Background*fn1
This dispute arises out of a car accident that occurred on May 18, 2007, in a portion of Fairmount Park known as FDR Park. Plaintiff was a passenger in Defendant Bundouk Somaulai's car while he was "joy riding," and his reckless driving resulted in the car crashing into a tree. Plaintiff suffered severe injuries to her head, neck, back, arms, and legs. These injuries are alleged to be permanent, and continue to cause her pain and suffering.
Plaintiff filed this case in the Philadelphia County Court of Common Pleas on August 11, 2009. In Count I of her Complaint, she asserts state law tort claims against Bundouk Somaulai. In Counts II and III, Plaintiff seeks damages against the City of Philadelphia, the Fairmount Park Commission, and the Philadelphia Police Department for violations of her constitutional rights. Specifically, Plaintiff alleges that the City has violated her Substantive Due Process rights contained in the Fourteenth Amendment of the U.S. Constitution.
The City of Philadelphia, the Fairmount Park Commission, and the Philadelphia Police Department removed the case to this Court on September 1, 2009.*fn2 This case is now before us on Defendants' Motion to Dismiss, filed on September 16, 2009.
Under Federal Rule of Civil Procedure 12(b)(6), a complaint should be dismissed if the plaintiff has failed to "state a claim on which relief can be granted." In evaluating a motion to dismiss, the court must take all well-pleaded factual allegations as true, but it is not required to blindly accept "a legal conclusion couched as a factual allegation." Papasan v. Allain, 478 U.S. 265, 283, 286 (1986). Although a plaintiff is not required to plead detailed factual allegations, the complaint must include enough facts to "raise a right to relief above the speculative level." Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007).
As an initial matter, Plaintiff has not stated a claim on which relief can be granted against the City of Philadelphia Police Department and the Fairmount Park Commission, as these are entities that are not amenable to suit.*fn3 All suits against a department of the City of Philadelphia must be filed against the City, and not against the individual department. 53 Pa. Cons. Stat. Ann. § 16257 (West 2009). Both the Philadelphia Police Department and the Fairmount Park Commission are departments of the City of Philadelphia, and, therefore, cannot be sued. All allegations against each of these must be levied against the City of Philadelphia, and must be dismissed as against the Philadelphia Police Department and the Fairmount Park Commission. City of Philadelphia v. Glim, 613 A.2d 613, 616 (Pa. Commw. Ct. 1992).
Turning to the merits of Plaintiff's Substantive Due Process claim against the City of Philadelphia, this also fails to state a claim on which relief can be granted, and must be dismissed.*fn4
42 U.S.C. § 1983 provides a federal cause of action for plaintiffs whose constitutional rights have been violated by a person acting under color of state law. Natale v. Camden County Corr. Facility, 318 F.3d 575, 580-81 (3d Cir. 2003). Although municipalities can be sued under § 1983, this liability cannot rest solely on the basis of respondeat superior. Monell v. Department of Social Services, 436 U.S. 658, 690 (1978).
Instead, if the plaintiff chooses to sue the overarching entity rather than the individuals directly responsible for her harm, she must show that the defendant had a policy or custom that caused the constitutional violation. Natale, 318 F.3d at 583-84.
Plaintiff brings the present action against three municipal entities, and not against any individual state actors. Because of this decision, Plaintiff cannot succeed in alleging that the Defendants in this action directly violated her constitutional rights. Instead, Plaintiff is limited to establishing a violation based on the municipality's policy or custom. Due to the limitations of the cause of action provided by 42 U.S.C. § 1983, Plaintiff's claims in Count II that the City of Philadelphia directly violated her Substantive Due Process rights must be dismissed.
Plaintiff does, however, appear to allege a Monell violation in Count III of her Complaint. In Monell v. Department of Social Services, the Supreme Court held that 42 U.S.C. § 1983 can be used to bring suits against municipalities where "the action alleged to be unconstitutional implements or executes a policy statement, ordinance, regulation, or decision officially adopted and promulgated by that body's officers." 436 U.S. 658, 690 (1978). At its core, however, a Monell claim requires some sort of constitutional violation. As a general matter, the Fourteenth Amendment's Due Process Clause does not require states to take affirmative action to safeguard its citizens' life, liberty, or property. Deshaney v. Winnebago County Dep't of Soc. Servs., 489 U.S. 189, 195-96 (1989). In addition, the Due Process Clause "does not transform every tort committed by a state actor into a constitutional violation." Id. at 202. Instead, the focus of Substantive Due Process is on preventing arbitrary government action. County of Sacramento v. Lewis, 523 U.S. 833, 845 (1998). When looking specifically at action taken by the executive branch, it must "shock the conscience" in order to violate the Substantive Due Process Clause. Id. at 846.
The Third Circuit, however, has recognized the "state-created danger" theory of a Substantive Due Process violation.
E.g., Kneipp v. Tedder, 95 F.3d 1199, 1211 (3d Cir. 1996). In order to establish a claim under this theory, the plaintiff must show the following: 1. that the harm ultimately caused was foreseeable and direct; 2. that the state actor wilfully disregarded the safety of the plaintiff; 3. that there is a relationship between the state and the plaintiff that either made the plaintiff a foreseeable victim or made the plaintiff a member of a discrete class of potential victims rather than a member of the public in general; and 4. that the state actor used his authority to create an opportunity for the third party's actions to occur that otherwise would not have existed. Bright v. Westmoreland County, 443 F.3d 276, 281 (3d Cir. 2006). Importantly, in order for the fourth prong to be met, the state actor must undertake some sort of affirmative action; a failure to act will not be sufficient. Id. at 282. If all four of these elements are met, the state is under an affirmative duty to act to protect the plaintiff's Due Process rights. Cannon v. City of Phila., 86 F. Supp. 2d 460, 465 (E.D. Pa. 2000).
Although Plaintiff successfully establishes the first requirement of a state-created danger claim, and arguably establishes the second, her pleadings do not meet the requirements for the last two elements. Starting with the requirement that the harm be foreseeable and direct, Plaintiff alleges that the City of Philadelphia knew that joy riding frequently occurred in FDR Park, and knew that this was likely to cause harm to citizens. In addition, the harm that Plaintiff alleges was a direct and foreseeable effect of the dangerous activity. Plaintiff, therefore, has met the first element of a state-created danger claim.
Plaintiff must also plead that the state actor wilfully disregarded her safety, and that this deliberate disregard "shocks the conscience." In the present case, Plaintiff has pled that the City was deliberately indifferent in failing to enforce its policies. Although Plaintiff claims that this disregard for her safety shocks the conscience, these are not magic words that allow her Complaint to survive a motion to dismiss. At the same time, however, Plaintiff is not required to plead detailed facts in her Complaint. There are circumstances in which a disregard for the safety of citizens could shock the conscience. Plaintiff has not provided detailed facts about the threat to safety that was allegedly ignored here, but she has claimed that it was a deliberate disregard that shocks the conscience. Given the stage of the case, and the low threshold required of the Complaint, the allegations made by Plaintiff allow her to meet the second element of the state-created danger theory as well.
Turning to the third element of a state-created danger claim, Plaintiff fails to even allege that there is a relationship between she and the state that takes her out the general public or makes her a foreseeable victim. Plaintiff's only claim of any relationship with the City of Philadelphia is that she is a citizen of the City. This is precisely the type of relationship that is insufficient to give rise to a state-created danger claim under the Substantive Due Process Clause. In cases where courts have found that such a relationship does exist, it is much more immediate than what Plaintiff alleges here. In Kneipp v. Tedder, for example, the plaintiff had a relationship with a police officer by virtue of his stopping her before her injury occurred. 95 F.3d at 1209. Another illustration of the relationship required to support a state-created danger claim is found in Ye v. United States, 484 F.3d 634 (3d Cir. 2007), where the plaintiff was a patient of a doctor at a state-run medical clinic. 484 F.3d at 638-39 & n.2. In the instant case, Plaintiff makes no allegations that are even remotely similar to such individualized relationships involving personal contact in close temporal proximity to the injury suffered. She does not allege that she had any contact with any state actor on the night of her accident, or that there was any connection between she and the state. Plaintiff only claims that she had a relationship with the City of Philadelphia as a citizen, and this is legally insufficient to establish a state-created danger violation of the Substantive Due Process Clause.
Finally, Plaintiff has not satisfactorily pled that there was any action on the part of a state actor that created an opportunity for the harm to occur. As noted above, the key to this prong is showing some sort of action, as inaction alone is not sufficient to establish a state-created danger claim. The Third Circuit has stated that "[w]hile we have acknowledged that the line between action and inaction may not always be clear, we have never found a state-created danger claim to be meritorious without an allegation and subsequent showing that state authority was affirmatively exercised." Bright, 443 F.3d at 282. Plaintiff's own phrasing of this issue provides insight. She states, "Defendants... acted with reckless disregard and deliberate indifference... when they failed to enforce the laws." (Compl. ¶28.) Plaintiff later claims that "[b]y failing to take action to stop or limit the policy, custom and/or practice," defendants violated her Fourteenth Amendment rights. (Id. ¶39.) The only action that Plaintiff alleges is a failure to act, and this is not sufficient to support a state-created danger claim.
In sum, Plaintiff's pleadings are sufficient on the first two prongs of the state-created danger theory, but fail to allege a relationship between Plaintiff and the state actor, and fail to allege any action on the part of the state actor. As Plaintiff has failed to plead a constitutional violation, we need not address whether the City of Philadelphia had a policy or custom in place that led to any alleged violation. A policy or custom cannot lead to a constitutional violation if there is no underlying violation. Plaintiff's failure on the third and fourth prongs of the state-created danger claim therefore requires this Court to dismiss her Substantive Due Process claim under Federal Rule of Civil Procedure 12(b)(6).
Finally this Court has jurisdiction over the state law tort claims in Count I of Plaintiff's Complaint pursuant to 28 U.S.C. § 1367(a), but will decline to exercise supplemental jurisdiction as permitted by § 1367(c). As this Court is dismissing all federal claims asserted against all Defendants, we believe that it is best to allow any remaining litigation regarding this controversy to occur in state court.
Defendants' Motion to Dismiss is GRANTED for the reasons set forth above. An appropriate order follows.
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Having undesirable fat in different locations of your body can have a substantial influence on your health and self-esteem. While conventional weight loss through exercise and diet plan is a great method to reduce weight in general, even the very best workouts can't target problem locations like the belly, inner thighs, arms, and buttocks. Liposuction is a time checked treatment that is used to remove excess fat from particular areas of the body, allowing an individual to form and contour their body to their liking. Is liposuction right for you? Learn now.
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Pakistan, Business News : Governor Punjab, Chaudhry Muhammad Sarwar has said that protest demonstrations and sit-ins launched by Pakistan Tehrik e Insaf (PTI) and Pakistan Awami Tehrik (PAT), had badly hit the economy of the country.
He said that leaders of China, Sri Lanka and Qatar could not visit Pakistan due to these protests and sit-ins.
Governor Punjab said that the leaders of PTI and PAT should start dialogue and resolve the issues in the larger interest of the public. He said that both the leaders should show political maturity in resolving the matter.
He said that PAT and PTI should work for enhancing education, resolving the issues of clean drinking water and strengthening the economy of the country. (APP)


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BROOKLYN - The brother of a slain councilman will go on a 10-day hunger strike on the steps of City Hall in an effort to bring an end to gun violence in New York City.
City Councilman James Davis was shot and killed by a political rival in 2003. Geoffrey Davis is using the anniversary of his brother's shooting to bring attention to his untimely death and to take a stand against gun violence. Together, the brothers had formed the nonprofit group "Love Yourself" Stop the Violence, dedicated to stopping violence in urban America.
Geoffrey Davis says that gun violence must be a priority in the upcoming elections.
A special memorial service for James Davis will be held at City Hall on July 23. A "Love Yourself" Stop the Violence peace walk will take place to honor Davis in August.


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Quick & Economical green beans, ham, potatoes
Priscilla Smith
I have made this many times the original way, with fresh green beans and potatoes. I came up with this method for a quick and delicious meal. It's as good as the original recipe.
Featured Pinch Tips Video
15 Min
30 Min
Stove Top
- 1 Tbsp
- butter
- 1
- large ham steak, precooked
- 2
- 32 oz. cans of cut green beans (undrained)
- 2 can(s)
- whole potatoes, drained
- 1 large
- onion, chopped
- pepper to taste
- 3
- cubes of chicken bouillion
- 1 c
- water
- 1 Tbsp
- butter, optional
Directions Step-By-Step
1In skillet melt a tablespoon of butter and brown the hamsteak on both sides. Cut in cubes.
2In a large pot, put undrained cans of green beans, canned potatoes (drained), onion, and ham cubes. Add chicken bouillion cubes and pepper. Cover pot and simmer at least 30 minutes.
3Note: Don't add salt until you taste, since the bouillion cubes are salty. I also add a tablespoon of butter to the pot while it simmers. Let simmer as long as possible, so that the beans get more tender and consume the flavor of the ham.
About this Recipe
Course/Dish: Other Main Dishes
Main Ingredient: Beans/Legumes
Regional Style: American
Other Tag: Quick & Easy


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Airtime Player
Global Eagle Entertainment
- October 25, 2016
( 1,949)
Airtime Player is a video player application that allows passengers to watch digitally-protected videos during their flight.
The application is required to watch content streamed from the airline's Entertainment Portal.
The application is required to watch content streamed from the airline's Entertainment Portal.
Don't spend money before checking it. Too bad they don't make a way to test it before getting on the flight. My Samsung Tab isn't compatible. Luckily it's borrowed, but lots of reviews where people spend money on movies only to find it doesn't work. I almost purchased this tab just to watch movies. I got lucky. Someone should find a real solution. This is worse than nothing at all.
Worst $8 ever spent. Make that $16 because I tried it first on my smartphone, than on my surface. Shame. 4+ hr flight. Thanks SW. I hope your get your WiFi act together. And since the bandwidth is so limited, I cannot use it to access other internet based library's I own either.
Works great! Download BEFORE getting on your next Southwest flight. This is a free app. The negative reviews being posted are by those who didn't read about the app prior to flying and downloaded after take off. The $8 is the In-Air WiFi connection fee to be able to browse the internet in addition to download the app.
Sad Sad Sad Downloaded it on two devices, Apple and Android. I have the latest version and it wouldn't load. You would think that someone would 1) Read the reviews to see that their App wasn't functioning properly and 2) Fix it. I find it a sad state of affairs that a corporation would allow something this poorly put,together to remain unfixed. Simply sad.
Must have a short compatibility list My Samsung Galaxy S6 is not supported. But, like others have said, you can't find out whether your device is supported or not until you test it on a flight. Poor design.
When I tried to watch a movie on my Galaxy S5, it said my phone wasn't compatible. It also said I needed some older version of the Airtime Player. Southwest really needs to work on how they interface with this app.
What's New
* Improved video playback on some devices
* Fixed minor bugs
AirVideo Player is a free video player that support all types of Video formats.
Design a fake conversations with anyone you would like.
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Inflight entertainment on your own device from Myanmar National Airlines.
Get access to your favorite movies and TV shows in-flight with Skyscreener.


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Lu, Chia-Wen MD, MSc; Chang, Yu-Kang PhD; Chang, Hao-Hsiang MD, MSc; Kuo, Chia-Sheng MD; Huang, Chi-Ting MS; Hsu, Chih-Cheng MD, PhD; Huang, Kuo-Chin MD, PhD
Section Editor(s): Alves., Marco
From the Department of Family Medicine, National Taiwan University Hospital, Taipei (C-WL, H-HC, C-SK, K-CH); Institute of Population Health Sciences, National Health Research Institutes, Zhunan, Miaoli County (Y-KC, C-TH, C-CH, K-CH); Department of Family Medicine, College of Medicine, National Taiwan University, Taipei (K-CH); Department of Health Services Administration, China Medical University, Taichung City (C-CH); and Institute of Clinical Medicine, National Yang Ming University, Taipei, Taiwan (C-CH).
Correspondence: Kuo-Chin Huang, MD, PhD, Department of Family Medicine, National Taiwan University Hospital, Taipei, Taiwan; 7 Chung-Shan South Road, Taipei, Taiwan 100 (e-mail: email@example.com).
Abbreviations: aHRs = adjusted hazard ratios, BMD = bone mineral density, BMI = body mass index, CIs = confidence intervals, ICD-9-CM = International Classification of Diseases, Ninth Revision, Clinical Modification, CCI = Charlson Comorbidity Index, NHI = National Health Insurance, NHIRD = National Health Insurance Research Database.
Chih-Cheng Hsu, MD, DrPH, Institute of Population Health Sciences, National Health Research Institutes, 35, Keyan Road, Zhunan Town, Miaoli County 350, Taiwan (e-mail: email@example.com).
C-CH and K-CH contributed equally to this work.
The authors have no conflicts of interest to disclose.
This is an open access article distributed under the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
Received August 6, 2015
Received in revised form October 22, 2015
Accepted October 26, 2015
Abstract: Bariatric surgery has been shown to impair bone health. This study aimed to investigate the fracture risk in patients after bariatric surgery versus propensity score-matched controls. The authors used the National Health Insurance Research Database of Taiwan and identified 2064 patients who underwent bariatric surgery during 2001 to 2009. These patients were matched to 5027 obese patients who did not receive bariatric surgery, using propensity score matching accounting for age, sex, Charlson Comorbidity Index, diabetes, hypertension, hyperlipidemia and the year morbid obesity was diagnosed. The authors followed the surgical and control cohorts to death, any diagnosis of fracture, or December 31, 2012, whichever occurred first. Cox proportional hazard regression models were used to calculate relative rates of fractures in the surgical group and control group. At the end of the 12-year study period, there were 183 fractures in the surgical group (mean follow-up 4.8 years) and 374 fractures in the matched control group (mean follow-up 4.9 years). Overall, there was a 1.21-fold [95% confidence interval (CI): 1.02–1.43] significantly increased risk of fracture in the surgical group compared with the control group. Stratified by surgical procedures, malabsorptive procedures showed a significantly higher fracture risk (1.47, 95% CI: 1.01–2.15). The Kaplan-Meier estimated fracture rates were 1.60% at 1 year, 2.37% at 2 years, 1.69% at 5 years, and 2.06% after 5 years for the surgical patients, compared with 1.51%, 1.65%, 1.53%, and 1.42%, respectively, for the matched controls. Adjusted analysis showed a trend towards an increased fracture risk, 1 to 2 years after bariatric surgery. (1.42, 95% CI: 0.99–2.05). Bariatric surgery was significantly associated with an increased risk of fractures, mainly with malabsorptive procedures, with a trend of an increased fracture risk 1 to 2 years after surgery. These results provide further evidence for the adverse effects of bariatric surgery on the risk of fractures.
Obesity is an important and increasing public health issue worldwide. The prevalence of morbid obesity in the United States is more than 5% of the population,1 and the estimated prevalence of obesity in Europe is 15% to 20% among the middle-aged.2 As the most effective treatment for obesity in achieving significant and durable weight loss, the use of bariatric surgery has increased at least 7-fold worldwide in the last decade.3 The long-term survival and potential effects on health after bariatric surgery, however, are not clearly understood.4 There is accumulating observational evidence that bariatric surgery is associated with a negative effect on bone health, such as elevated bone turnover markers and reduced bone mineral density (BMD), thereby accelerating bone loss and increasing skeletal fragility.5–8
Several prospective studies have explored the relationship between bariatric surgery (grouped as restrictive or malabsorptive types) and changes in BMD, and reported that patients who undergo bariatric surgery suffer a decrease in BMD, and that this effect is more significant with malabsorptive procedures.8–10 The results, however, have been inconsistent with regards to the affected bone regions11,12 and time course.13–16 In addition, little is known about the incidence of osteoporosis after bariatric surgery.17 To date, only 2 large retrospective studies have reported an association between bariatric surgery and fracture risk. In Olmsted County in the United States, patients receiving bariatric surgery seemed to be associated with an increased fracture risk18 whereas a retrospective study conducted in England showed no association between bariatric surgery and the risk of fractures.19
In light of these controversial findings, we conducted this nationwide 12-year follow-up cohort study with the hypothesis that bariatric surgery would increase the fracture risk. We also aimed to determine the relationship between bariatric surgery and the risk of fractures among different observation periods, surgical types, and bone regions.
The data source of this study was based on the National Health Insurance Research Database (NHIRD) which is derived from the reimbursement claim records of the National Health Insurance (NHI) program, a universal single-payer health insurance program implemented in Taiwan in 1995. The NHI Administration has contracts with more than 95% of healthcare facilities, and over 99% of the 23 million Taiwanese population has now registered in the NHI program,20 indicating that the NHI program is the most important component of the healthcare system in Taiwan. The National Health Insurance Research Database includes detailed information about the medical utilization of NHI beneficiaries, including date of birth, sex, residential area, medical diagnostic codes based on the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), drug prescriptions and medical procedures. The study has been approved by the institutional review board of National Health Research Institutes in Taiwan (EC1030701-E).
The patients with prevalent morbid obesity (ICD-9-CM 278.01, n = 21,179) diagnosed between 2001 and 2009 were divided into 2 groups based on whether or not they received bariatric surgery after the first diagnosis of morbid obesity during the follow-up period. For the recipients who underwent bariatric surgery (n = 2707), we excluded those who had a prior diagnosis of a fracture (ICD-9-CM 800–829) or osteoporosis (ICD-9-CM 733.0) before surgery (n = 471) and those with missing data (n = 1), and the remaining 2064 subjects were designated as the surgical group for further analysis. The date of bariatric surgery was defined as the index date. The principal ICD-9-CM procedure codes for bariatric surgery were 43.82 (laparoscopic sleeve gastrectomy), 43.89 (open and other partial gastrectomy), 44.31 (high gastric bypass), 44.38 (laproscopic gastroenterostomy), 44.39 (other gastroenterostomy without gastrectomy, 44.68 (laparoscopic gastroplasty), 44.69 (other repair of stomach), 44.95 (laparoscopic gastric restrictive procedure), and 44.99 (other operations on stomach). The surgical cohort was further classified into malabsorptive procedures (ICD-9-CM 44.31, 44.38, and 44.39) and restrictive procedures (ICD-9-CM 43.82, 43.89, 44.68, 44.69, 44.95, and 44.99).
For those who did not receive bariatric surgery (n = 18,472), we used propensity score matching to increase their comparability to the surgical group.21 We estimated the propensity score for each obese patient using nonparsimonious multivariate logistic regression, with undergoing bariatric surgery as the dependent variable. We incorporated clinically important covariates, including age, sex, Charlson Comorbidity Index (CCI), diabetes, hypertension, hyperlipidemia, and the year that morbid obesity was diagnosed as independent variables. We defined the first record of morbid obesity in the database as the year of diagnosis for patients who had longstanding obesity. The nearest neighbor algorithm was applied to construct the surgical and nonsurgical matched pairs at a 1:3 ratio, assuming that a proportion of 0.995 to 1.0 was perfect.22 We then assigned the corresponding index date of each individual in the surgical group to their respective nonsurgical matched counterparts (n = 6192). Those who withdrew from the NHI program (n = 109) or had diagnosis of fracture or osteoporosis before the assigned index date (n = 1056) were also excluded. The remaining 5027 propensity score-matched subjects were designated as the control group for further analysis. We followed both the surgical and control cohorts to death, any diagnosis of fracture, or December 31, 2012, whichever occurred first.
The main outcome of the current study was the occurrence of any fracture, defined as the main admission diagnosis during the follow-up period. We further classified the types of fracture according to the following sites: skull/face (ICD-9-CM 800–804), hands/fingers (ICD-9-CM 815–817), distal forearm (ICD-9-CM 813–814), proximal humerus (ICD-9-CM 812), clavicle/scapula/sternum (ICD-9-CM 807.2–807.3, and 810–811), ribs (ICD-9-CM 807.0–807.1), thoracic/lumbar vertebrae (ICD-9-CM 805.2–805.5 and 806.2–806.5), cervical vertebrae (ICD-9-CM 805.0–805.1 and 806.0–806.1), pelvis (ICD-9-CM 808), proximal leg (ICD-9-CM 820–821), distal leg (ICD-9-CM 822–824), and feet/toes (ICD-9-CM 825–826).
A history of diabetes (ICD-9-CM code 250), hypertension (ICD-9-CM code 401), or hyperlipidemia (ICD-9-CM code 272) was defined as when the study subjects had at least 1 hospitalization or 2 ambulatory visits with the respective diagnosis within 3 years before the first diagnosis of obesity. We also estimated the CCI score as the comorbid condition of each study subject.23
The baseline characteristics of the study population are presented as the frequency with percentage for categorical variables and the mean with standard deviation for continuous variables. Differences between the surgical and control groups were compared by t tests and χ2 tests where appropriate. The incidence rate of fractures was calculated as the number of events (fractures) divided by the number of person-years in the observation period. For each study subject, person-years were calculated as the time elapsed from the assigned index date until the individual died, had a fracture, or reached the end of follow-up (December 31, 2012). Cox proportional hazards regression was used to estimate the adjusted hazard ratios (aHRs) and 95% confidence intervals (CIs) of fractures in the surgical group compared with the controls. Proportional hazards assumption was assessed using the Schoenfeld residuals test and complementary log–log plots. For the multivariate analyses, we adjusted for all covariates listed in Table 1. To compare the effects of different surgical procedures, we conducted subgroup analysis by dividing the surgical group into 2 subgroups: those who received malabsorptive procedures and those with restrictive procedures. To observe changes in fracture risk across the follow-up period, we also assessed the HRs of fracture in the following time periods: ≤3, 4–12, 13–24, 25–60, and >60 months after the index date.
In all analyses, a 2-sided P value of less than 0.05 was considered to indicate statistical significance. All analyses were performed using SAS software version 9.3 (SAS Institute Inc., Cary, NC).
Table 1 shows the baseline characteristics of the surgical and control groups. The surgical patients had a mean age of 31.8 years and 63.7% were women. The matched control patients had a mean age of 31.9 years and 64.4% were women. The 2 groups were similar in most of the baseline characteristics on which they were matched.
Comparisons of the overall risk of fractures between the 2 groups are shown in Table 2. At the end of the 12-year study period, there were a total of 183 fractures in the surgical group (mean follow-up 4.8 years, 1.84 cases per 1000 person years) and 374 fractures in the matched control group (mean follow-up 4.9 years, 1.50 cases per 1000 person years). Overall, there was a 1.22-fold (95% CI: 1.02–1.45) significantly increased risk of fractures in the surgical group compared with the controls. After adjusting for age, sex, CCI, diabetes, hypertension, hyperlipidemia, and the year obesity was diagnosed, there was still a significantly higher fracture rate in the surgical group (aHR: 1.21, 95% CI: 1.01–1.44) compared with the controls. With regards to the type of surgery, 289 (14%) subjects underwent malabsorptive procedures and 1775 (86%) underwent restrictive procedures. There were 29 fractures in the malabsorptive group and 154 fractures in the restrictive group. We observed an increase in the adjusted relative risk for malabsorptive (aHR: 1.47, 95% CI: 1.01–2.15) but not for restrictive (aHR: 1.17, 95% CI: 0.97–1.41) procedures compared with the controls.
In Kaplan-Meier analysis (Table 3 and Fig. 1), the fracture rates were 1.60% at 1 year, 2.37% at 2 years, 1.69% at 5 years, and 2.06% after 5 years for the surgical group, compared with 1.51%, 1.65%, 1.53%, and 1.42%, respectively, for the matched controls. Adjusted analysis showed a trend toward an increased overall risk of fractures 1 to 2 years after bariatric surgery, however, this did not achieve statistical significance (aHR: 1.42, 95% CI: 0.99–2.05). In addition, our findings revealed a reduction in the fracture risk in the surgical group after 2 years, and then a trend toward an increased fracture risk after 5 years, although neither of these trends achieved statistical significance.
Table 4 shows the relative fracture risk in the surgical patients stratified by fracture site compared with the matched controls. Most fractures occurred in the 4 extremities (143 events, 78%) rather than in the axial skeleton. We also observed an increase in the overall risk of any fracture in the surgical group after adjustment (aHR: 1.21, 95% CI: 1.01–1.44); however, only atypical fracture sites, including the clavicle, scapula, sternum (aHR: 2.16, 95% CI: 1.27–3.68), and feet and toes (aHR: 1.53, 95% CI: 1.02–2.30) reached statistical significance. The adjusted HR of all lower extremity sites in surgical group was 1.29 (95% CI: 0.97–1.72) compared with matched controls. Furthermore, we stratified type of fracture into osteoporotic and non-osteoporotic fractures. Osteoporotic fracture included ICD-9CM 805 (fracture of vertebral column), 812 (fracture of humerus), 813 (fracture of radius and ulna), 814 (fracture of carpal bones), and 820 (fracture of neck of femur). Surgical group had a trend of increased risk of fracture compared with matched controls both in osteoporotic fracture (aHR: 1.05, 95% CI: 0.77–1.43) and nonosteoporotic fracture (aHR: 1.23, 95% CI: 0.99–1.50). (data not shown).
To the best of our knowledge, this is the first study to delineate the risk of fractures in patients who underwent bariatric surgical procedures compared with matched controls in a nationwide, population-based cohort. We demonstrated that bariatric surgery, mainly with malabsorptive procedures, was significantly associated with an increased risk of overall fractures (aHR: 1.21, 95% CI: 1.02–1.43). This seems to be inconsistent with the results from a retrospective cohort in the UK, in which 2079 patients underwent malabsorptive or restrictive bariatric surgery, and no association with an increased fracture risk was found compared with the controls.19 In subgroup analysis, Lalmohamed et al, however, found a trend toward an increased risk of fracture in the group with greater reduction of excess body mass index (BMI) after surgery in this cohort. The mean follow-up time in the study was only 2.2 years, which may have reduced its statistical power. In addition, the medical records in the UK study came from general practice clinics, which only represented 8% of the population. That may have led to selection bias by excluding fracture events in secondary or tertiary services. In contrast, a study in Olmsted County in the United States demonstrated that bariatric surgery was associated with an increased fracture risk during 14 years of follow-up.18 Although it was a small-scale study, did not include matched controls, and did not adjust for well-known confounding factors such as chronic illnesses and comorbidities, the significant association prompted further investigation and clinical attention. The current study covered more than 99% of the residents in Taiwan, with a follow-up period of 12 years, and matched for age, sex, CCI, diabetes, hypertension, hyperlipidemia, and the year morbid obesity was diagnosed to eliminate possible confounding effects.
Weight loss per se is associated with decreased BMD. Bariatric surgeries with malabsorptive procedures were reported to result in higher weight loss than that with restrictive procedures.8,9,24 Furthermore, malabsorptive procedures have been linked with higher calcium and vitamin D deficiency, which is known to be important for bone health.11 In subgroup analysis, we found that malabsorptive procedures resulted in a significantly higher fracture risk (aHR: 1.47, 95% CI: 1.01–2.15) whereas restrictive procedures did not (1.17, 95% CI: 0.97–1.41).
A systemic review and meta-analysis suggested that bariatric surgery is associated with decreased BMD and therefore may indirectly increase fracture risk.9 These negative effects on bone health appeared to occur early, ranging from 9 months to 2 years, however, the effects over a sustained period were unclear. One prospective investigation reported that patients who underwent malabsorptive procedures had a decreased BMD 1 year later, but no significant changes after 3 years.11 A similar result was reported with restrictive procedures after 30 months of follow-up.14 In contrast, one study prospectively followed 37 patients who underwent malabsorptive procedures and found that BMD did not change after 4 years but significantly decreased 10 years later.13 We found that the fracture rates increased after bariatric surgery, and were 1.60% at 1 year, 2.37% at 2 years, 1.69% at 5 years, and 2.06% after 5 years. Adjusted analysis showed a trend (aHR: 1.42; 95% CI: 0.99–2.05) toward an increased fracture risk 1 to 2 years after bariatric surgery.
Although the mechanism behind the increased risk of fractures after bariatric surgery is not fully understood, estrogen and adipokines seem to be involved.25 Estrogen plays a fundamental role in bone homeostasis by inhibiting osteoclast and bone resorption.26 Adipose tissue is one of the main sites for estrogen production, and fat volume substantially decreases after bariatric surgery. One interventional study compared bariatric surgery and medical therapy between 2 obese groups, and found that estradiol level in the obese women was highly associated with bone loss in the surgical group.27 In addition, adipocytes secrete a wide variety of proteins, called adipokines, including leptin, adiponectin, and others which are known to be involved in bone physiology.28 Several studies have shown that leptin stimulates bone growth in vitro,29 increases bone density in animals,30 and significantly decreases after bariatric surgery.31 In light of these findings, a decrease in leptin after bariatric surgery may impair bone metabolism and then lead to a reduced BMD. In contrast, circulating adiponectin induces bone resorption and inhibits osteoblasts.32 This is supported by a prospective study, in which 42 obese women showed an increase in circulating adiponectin level 1 year after gastric bypass surgery.24 The opposite actions of decreased leptin and increased adiponectin may result in an increase in bone turnover marker, osteoclast recruitment and worse bone fragility after bariatric surgery.33
We also found that the majority of fractures after bariatric surgery occurred in the 4 extremities (143 events, 78%), which are not typical sites for osteoporotic fractures. In addition, only nonosteoporotic fracture sites (clavicle, scapula, sternum aHR: 2.16; 95% CI: 1.27–3.68; feet and toes: 1.53; CI: 1.02–2.30) were associated with an increased fracture risk. Prospective investigations, however, have reported evidence of decreased BMD in the hip region and, to a lesser extent, in the spine of women.34 Nakamura et al18 found an increased risk of fracture in surgical group at lower extremities, including proximal femur, other leg and feet/toes in Olmsted cohort. Similarly, there was an increase of fracture risk in lower extremities (aHR: 1.29; 95% CI: 0.97–1.72) without statistical significance in our study. In the UK study, there was no association between bariatric surgery and the risk of either osteoporotic or nonosteoporotic fractures.19 Our patients underwent bariatric surgery at a mean of age 31.8 years, which is at least 10 years younger than in Western countries.3 The mechanism behind this finding is unknown, however, we speculate that it may be more related to microarchitectural deterioration than quantitative T- and Z-scores. More and more investigation explored microarchitectural deterioration of bone after bariatric surgery by high-resolution peripheral quantitative computed tomography. Stein et al35 found that trabecular bone was stable, whereas cortical bone was deteriorated 12 months after bariatric surgery, particular in tibia area. Yu et al,36 however, followed 30 subjects underwent gastric bypass for 24 months and found that both cortical and trabecular bone were deteriorated at distal radius and tibia. We hypothesized that fractures may occur through increased bone turnover and altered bone fragility among cortical and trabecular bones, leading to poor bone strength rather than a greater loss of bone.
There are several limitations to this study. First and most importantly, our findings cannot address unobserved confounding factors, even though we performed propensity score matching to minimize impacts caused by the measured covariates. As a matched controlled cohort, the estimated HRs only demonstrated associations but not the causal effect of bariatric surgery on fractures. Besides, data on BMI presurgery and postsurgery were not available. Using ICD-9-CM diagnostic codes, we included all cases of morbid obesity defined as a BMI ≥ 40 kg/m2 or BMI ≥ 35 kg/m2 plus at least one comorbidity, however, we did not account for the severity of obesity. Furthermore, information on vertebral fractures without clinical symptoms and doctor visiting was not captured and this might result in an underestimate. In addition, we were unable to assess the use of self-administrated medications, which may have altered bone condition. Because the surgical patients were young (31.8 ± 9.2 years) and most did not have any underlying diseases (77.8% of the surgical patients had a CCI score of 0), we speculate that the use of bisphosphonates and hormone replacement therapy accounted for a very small proportion of the study group. Similarly, there was no data on vitamin D, calcium, and parathyroid hormone. We did not record vitamin D deficiency or hyperparathyroidism, which might include subjects with secondary osteoporosis or postoperative malabsorption. Besides, an optimized multivitamin supplement has been demonstrated to reduce the development of some nutritional deficiencies after bypass surgery.37
Understanding the long-term outcomes of bariatric surgery on bone health is a priority for public health worldwide. In this nationwide cohort, bariatric surgery was significantly associated with an increased risk of fractures. These results provide further evidence for the adverse effects of bariatric surgery on the risk of fractures.
Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.
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Want to grow but not quite sure which of our great autoflowering strains to choose? This is the perfect mix for you.
This is a mixed packet with a selection of our original and new autoflowering strains. All varieties are autoflowering and all are feminized. As all of the varieties are autoflowering, time of year or hours of light are not an issue. They can be planted and grown almost anywhere, at almost any time. Outdoors, multiple harvests within one season are possible. All of these varieties can also be grown indoors.
This combination features some of our amazing new autoflowering hybrids - Royal Jack Automatic, Royal Kush Automatic and Royal Bluematic. These all are autoflowering versions of classic strains, known and loved around the world. Royal Bluematic will be ready to harvest in 8 to 9 weeks. Royal AK Automatic and Royal Jack Automatic will take a little bit longer, finishing in around 9 to 10 weeks.
You'll also get some of our classic autoflowering strains -Royal Jack Automatic, Diesel Automatic, Quick One et Royal Kush . These were some of the first autoflowering strains released and have quickly become favourites with many autoflowering growers. All of these varieties will be ready to harvest from seed in just 8 to 9 weeks.
If you want to try a few different autoflowering strains with a range of highs and flavours, all ready to harvest in less than 10 weeks, then try our Autoflowering Outdoor Mix!
For more information, take a look at the page for each variety.
Autoflowering mixpack
Title : I love This Mix
Comment : My second time getting the mix and all i can say is i love it :) i got quick one, big bud and durban poison,in the last one...All seeds germinated perfect and grew up to happy healthy plants :) Got a lot more yield then i was expecting also :) Great way to test different autoflower strains
Title : 5/6 germer
Comment : 5/6 graines germer et fleurie tres satisfait
Title : Perfekt
Comment : Wieder super schnell geliefert, viele Extras dazu. Bester Shop überhaupt
The customer has rated the product but has not posted a review
Title : great product
Comment : only 2 of the seeds didn't survive. we have been getting great results and very fast growing plants.
Title : idéale pour avoir un aperçu
Comment : si vous ne savez pas quelle variété choisir les pack de 5 graines est idéale. vous pouvez comparer les cultures et le smoke test. je conseille et recommande!
The customer has rated the product but has not posted a review
The customer has rated the product but has not posted a review
Title : Autoflowering. 5 seed mix pack
Comment : No stealth. Shipping. Did not need to Package. Is a plain white. Box. So it's discreet anyway. Waited only three or four days. For. Delivery. To u.k. Got a free royal cheese auto seed.. An grinder .....all seeds soaked in water for few hours then in to oversized jiffy pellets. All. Popped Bar the royal diesel Popped but failed to grow first leaves. Rest. Look Strong Fast. Growing. Seedlings. So. At. Moment not bad Apart from not getting 6 out of 6. Will. Keep. You all informed as. We progress. P.s once. They were about. Four inch sprouts. Jiffys. Then. Went straight in to. 15. An 25. L. Pots. Of. Canna coco No we wait
Title : First order
Comment : Very good and very speed delivery it is all ok
Title : Increible
Comment : Muy buen material para empezar
Title : FIRST ORDER
Comment : all good with the plants look helthy now is about 10 cm growing very fast outdoor
Title : Wow
Comment : So the seeds take about 7- 10 days to get to ireland I bought the 5 seeds and got one free, all 6 seeds germinated so planted them in a poly tunnel, they all turned into seedlings and then after another few days I noticed one that stopped so when I check it i see that the stem had literally rotted away , I'm kinda glad it died as it would have been tight on space , won't be too happy if it was the free northern lights seed I got with them,, never transplant autos they really don't like it, but anyway the other 5 grew like mad yolks they are now 4 weeks old and they are about 50cm in height I hope they slow down a small bit cause they might get too big for the space their in , loads of whiteboard started showing after 3 weeks, this is my first grow, I will post pictures up but any help or to tell me how they are doing would be appreciated,
Title : 3 out of 5
Comment : 4 out of 5 germinated. Kush never sprouted from the ground, Bluematic did not germinated at all :( I see more customers mentioned in recent reviews that they had same situation exactly with these two strains. Maybe there was sth wrong with this batch? Other 3 strains are growing like crazy, and have germinated within 2 days. Delivery and package was very professional (I opted for the stealth package).
Title : 100% germination
Comment : vraiment bien, livraison rapide, et elle on toutes germé cool merci RQS
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United States, Argentina
- Number of seeds: 3
- Number of seeds: 5
No cannabis seeds
All cannabis seeds sold at Royal Queen Seeds are solely for personal use. We do not supply seeds to large scale or commercial growers. We reserve the right to refuse sale if we suspect this term is being breached.


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Artist Chad Wys gives us a peek into the music he listens to while he works.
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This year's list of winners celebrates both large leaps and small (but important) steps in life science technology.
Bye Bye, Birdies?
September 9, 2014|
A report from the National Audubon Society suggests that more than half of US bird species are under threat of displacement or extinction in the face of climate change.


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Hard Core Logo 2Director: Bruce McDonald, Care Failure, Julian Richings
Filmmaker Bruce McDonald returns to the mockumentary format of his 1996 cult favorite Hard Core Logo in this sequel of sorts. In this film's alternate universe, McDonald left his native Canada after the box-office success of Hard Core Logo for the United States and a successful career directing cable television projects. Now his career has gone into a tailspin and he's working on a cheesy reality show on Wiccans to pay the rent. In the course of his research, he encounters Care Failure, the manic, drug-fueled lead singer with the punk band Die Mannequin, and learns she's convinced she's been possessed by the spirit of the late Hard Core Logo frontman Joe Dick. Fascinated and needing a new project, McDonald and his crew document Failure as she and her band rehearse for their next album, with some help from iconic singer and songwriter Bucky Haight (Julian Richings). Hard Core Logo II was an official selection at the 2011 Toronto International Film Festival.
Product Details
- Release Date:
- 12/11/2012
- 0065935582779
- Original Release:
- 2010
- Source:
- Video Service Corp
- Region Code:
- 1
- Presentation:
- [Wide Screen]
- Sound:
- [Dolby Digital 5.1 Surround]
- Time:
- 1:40:00
- Sales rank:
- 79,721
Special Features
Cast & Crew
|Bruce McDonald
|Care Failure
|Julian Richings
Technical Credits
|Bruce McDonald
|Tex Antonucci
|Associate Producer
|Holly Baird
|Ohad Benchetrit
|Score Composer
|Matt Chan
|Sound/Sound Designer
|Dany Chiasson
|Executive Producer
|David Griffith
|Christine Haebler
|Executive Producer
|Carmen Kotyk
|Lindsay MacAdam
|Executive Producer
|Sara McCudden
|Production Designer
|Rob Merilees
|Jeremiah L. Munce
|John Price
|Brenda Shehner
|Costumes/Costume Designer
|Paul Shull
|Associate Producer
|Mark Slone
|Executive Producer
|Justin Small
|Score Composer
|Duff Smith
|Warren St. Onge
|Sound/Sound Designer
|Dave Valleau
|Executive Producer
Scene Index
1. Scene 1 [6:03]
2. Scene 2 [6:58]
3. Scene 3 [11:46]
4. Scene 4 [5:09]
5. Scene 5 [5:16]
6. Scene 6 [8:16]
7. Scene 7 [3:59]
8. Scene 8 [5:13]
9. Scene 9 [8:29]
10. Scene 10 [5:36]
11. Scene 11 [9:03]
12. Scene 12 [3:15]
13. Scene 13 [2:41]
14. Scene 14 [3:45]
15. Scene 15 [2:51]
16. Scene 16 [5:20]
Play Movie
Set Up
English for the Hearing Impaired
Subtitles: None
Special Features
Suit of Lights: Animated Short Directed by Nick Fairhead
Audio Commentary: Featuring Director Bruce McDonald and Simon Less
Hard Core Logo 2 Theatrical Trailer
Hard Core Logo Theatrical Trailer
Customer Reviews
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Group Since February 13, 2006
Group DescriptionShare your images of Victorian style or other old, ornate homes! Especially ones that are in need of restoration. Exterior views are prefered but if you have interesting interior views of things like ornate woodwork, windows, fireplaces, cabinetry, stoves, pantries, unique closets, "built-ins", ceilings, panelled rooms, stairways or fixtures and such, please share them.
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