text:
Justin Bieber busted in Calabasas
Listen to Justin Bieber on iHeartRadio
(TMZ) - Justin Bieber was pulled over in Calabasas this morning for wild driving - and during the stop, cops discovered the pop star shouldn't have been on the road in the first place ... 'cause he's NOT licensed to drive in California, TMZ has learned.
Law enforcement sources tell TMZ ... cops noticed Justin's white Ferrari blowing through a stop sign near his Calabasas home around 4:30 AM Wednesday morning.
TMZ reports that Justin was cooperative during the stop - but cops noticed that JB did not have a valid California driver's license, something new residents of the state are required to have within 10 days of moving to CA.
FYI - Justin bought his Calabasas home at the end of June.
Sources tell TMZ Justin was cited for running the stop sign and for being unlicensed. JB was ordered to get out of the driver's seat - and his passenger was allowed to drive the car home.
If Justin wants to get back behind the wheel - he'll be required to hit up the DMV first and obtain the proper CA driver's license ... and if he wants to make that happen by the end of the day, he should probably get in line now.
TMZ's calls to Bieber's reps have not been returned.
Photo Credit Splash News


text:
To see how this relates to an average marriage, replace, for a moment, Ahmadinejad and Obama with Joel and Lisa.
Not much initially—about $2 less a month for the average recipient.
According to a study conducted by Pivotal Labs, the brand receives an average of 400 pins and more than 3,600 repins per day.
Was this deliberate strategy, to attack children who were even more defenseless than the average child?
In particular, for each bucket, we take average growth rates for each country and then take an average of the result.
I guess I could do it and get away with it as well as the average.
These qualities are not characteristic of the average Englishman.
You read them to the end because they are true pictures of the lives of average people.
Older than the average senior, he had been already in the larger world.
The salaries received by teachers do not average high in Norway.
late 15c., "financial loss incurred through damage to goods in transit," from French avarie "damage to ship," and Italian avaria; a word from 12c. Mediterranean maritime trade (cf. Spanish averia; other Germanic forms, Dutch avarij, German haferei, etc., also are from Romanic languages), of uncertain origin. Sometimes traced to Arabic 'arwariya "damaged merchandise," but this might as easily be a borrowing of the word from the Franks. Meaning shifted to "equal sharing of such loss by the interested parties." Transferred sense of "statement of a medial estimate" is first recorded 1735. The mathematical extension is from 1755.
1770; see average (n.).
1769, from average (n.). Related: Averaged; averaging.
average av·er·age (āv'ər-ĭj, āv'rĭj)
A number that typifies a set of numbers of which it is a function.
See arithmetic mean.
An intermediate level or degree.
Of, relating to, or constituting an average.
Being intermediate between extremes, as on a scale.
To calculate the average of.
To do or have an average of.
To distribute proportionately, as over a period of time.
A number, especially the arithmetic mean, that is derived from and considered typical or representative of a set of numbers. Compare arithmetic mean, median, mode.

subset: commoncrawl


text:
Kid Cudi announces fall tour
Listen to Kid Cudi on iHeartRadio
Kid Cudi is gearing up for a road trip this fall. This week the rapper announced plans for his "Cud Life" tour in promotion of his recent album Indicud.
Joining the rapper on the road will be Big Sean, "Tyler, The Creator" and Logic. While no dates are available so far, tickets are set to go on sale Tuesday.
Kid Cudi released his third album Indicud in April. The album features appearances by Kendrick Lamar, Too Short, RZA, and A$AP Rocky.
Photo Credit Getty Images


text:
Garth Brooks Launching U.S. Tour In Chicago, Ireland Shows Off
Listen to Garth Brooks Radio on iHeartRadio
Garth Brooks is launching his upcoming tour in Chicago. The country superstar unveiled the opening city for his long awaited trek through Georgia fan Andy Roberts, who made the big reveal Monday afternoon with kids at Children's Healthcare of Atlanta.
Brooks is expected to offer additional details, including the date and venue, on Tuesday. Brooks said during his press conference last week that he was entrusting Roberts to reveal the first stop on his tour. He explained that he was fulfilling a promise he made to Andy, who'd asked about a tour from the audience at one of Brooks' Las Vegas shows.
But Brooks won't be heading to Ireland later this month. While the "Garth Brooks Comeback Special Event" had been cancelled last week, the BBC says efforts to negotiate a deal continued.
However, Garth says he learned Monday that the shows are definitely off. He explains in a statement that "the Irish council cannot change their earlier ruling to not allow the licenses for all five shows." Brooks adds that to say he's "crushed is an understatement." He explains his mother always told him things happen for "the right reason," but as much as he tries he "cannot see the light on this one."
Brooks was scheduled to play five sold-out shows at Dublin's Croke Park from July 25th through the 29th. He says it's "with a broken heart" that he's informing ticketholders they can now begin the refund process.
Photo: Getty Images


text:
Minnesota Geocaching Association
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Joined: 26 Mar 2008
Posts: 385
Posted: Thu Nov 10, 2011 8:40 am
Post subject: geocaching app
What app do you all use for your iphone for caching.
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Moe the Sleaze
Joined: 10 Jan 2003
Posts: 1159
Posted: Thu Nov 10, 2011 8:50 am
Post subject:
I use the browser to buy a real GPS unit.
"Hi, I'm Moe, or as the women know me - Hey! You in the bushes."
-Moe, The Simpsons
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Joined: 09 May 2005
Posts: 72
Posted: Thu Nov 10, 2011 9:36 am
Post subject:
I only have a ipod touch, but I use Geosphere for that and really like it.
May the potassium be with you!
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Joined: 18 Jan 2008
Posts: 182
Posted: Fri Nov 11, 2011 11:11 am
Post subject:
I use the $9.99 app for the iPhone.
Used it once to find a cache, and it was ok; if being 153' away from GZ is ok??
Nothing, and I repeat, nothing will replace my Map60CSx GPSr unit!!!
It's just a good way to go paperless without purchasing a new GPSr.
It's pretty much useless when one is deep in the woods with no signal.
Don't be Bitter, Reconsider!!
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Joined: 16 Jan 2006
Posts: 113
Posted: Sat Nov 19, 2011 11:30 am
Post subject:
Onions the real man's Vegetable
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Joined: 31 May 2007
Posts: 42
Posted: Sat Nov 19, 2011 11:44 am
Post subject:
onionpond wrote:
+1 (but mine is for the android OS)
i also bring my 60Cx...it's nice to have the phone to look for more, or look at the listing again
You know you're getting old when you look at a beautiful 19-year-old girl and you find yourself thinking, "Gee, I wonder what her mother looks like?"
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Captain and Mate
Joined: 28 Nov 2010
Posts: 14
Posted: Sat Nov 19, 2011 12:41 pm
Post subject:
We have Geosphere and the Geocaching.com app on our iPod Touch (we still search with a handheld unit) and much prefer Geosphere for paperless caching.
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Joined: 03 Apr 2006
Posts: 535
Posted: Sun Nov 20, 2011 12:45 pm
Post subject:
I use the 9.99 official geocaching app. I like having the live navigational sat maps, easy access to others' logs and descriptions and the chance to spontaneously cache. Still use my GPS to actually find if I'm planning to go out. Possibly my Oregon can do a lot of that stuff but I got the phone app before the Oregon and I'm used to it, so I still use it.
The downside is poor accuracy especially in a place without several cell towers to triangulate (for example in Key West my iphone accuracy was over a mile!!), obviously NO signal where there is NO cell service, and poor battery life -- drains my iphone in about 2-3 hours. If I think of it I bring a juice pack with me for the phone.
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Joined: 04 Jul 2009
Posts: 159
Posted: Tue Dec 27, 2011 8:14 am
Post subject:
If I am out for the a long day I use my regular hand held and the phone but otherwise I just use the android and Geo Beagle.
I also use the Geocache app but don't especially like it as it does not remove found caches.
I also have the pocket query creator app.
Accuracy is close to the GPS60 but battery life for the phone is 8 hours under heavy use. I also listen to audio books while walking so I prefer the phone over the other gps in most cases
My phone is the Garmin-asus geophone running 1.5 OS
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Joined: 23 Feb 2008
Posts: 132
Posted: Wed Jan 09, 2013 10:11 pm
Post subject:
Has anyone used Geo Bucket app for the Iphone? What is the Geocaching.com app like? Any other recommended app that might be better?
Thanks ahead of time.
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Joined: 03 Apr 2006
Posts: 535
Posted: Thu Jan 10, 2013 4:26 pm
Post subject:
The official geocaching 9.99 app is pretty similar to the website. Search for neary caches to your current location, map them, scroll around to different points on the map and seach there, search only for certain types, etc. One nice feature is you can screen out caches found by up to five users if you are caching with a group. You can read description, hints, cache size and type, and all past logs, and you can log from the field. It does not show attributes.
You can navigate to the cache with it using an arrow or also just watch your dot move across the map. Often you can see pretty accurately where the cache is based on the satellite map, even though the "arrow" and distance accuracy aren't great. The live sat maps are what I like best, you can see where all the caches are compared to roads, landmarks, giant rivers in the way, etc. That's nice for planning a route. Paper caching obviously doesn't allow that (at least without hassle printing maps that never work right for me) and neither does my Garmin at least with the software I have on it.
I always bring my trusty Garmin if I'm planning to go out - far more accurate - but for spontaneous caching the phone is good enough in the metro, like after a meeting or something. Not if signal is poor or not many towers around.
It does suck battery life though so if you go out hiking all day plan on bringing a juice pack, or force close the app so you're not navigating with it all the time.
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Joined: 02 Nov 2007
Posts: 982
Posted: Thu Jan 10, 2013 4:53 pm
Post subject:
On the iphone I used the "Offical" app...it worked fairly well. The inaccuracies with the location had to do more with the phone hardware then it did the app software.
With a droid...I am using the "Offical" app as well as Neongeo...I like both. Neongeo does have a license from Groundspeak to use the API unlike some other apps that are breaking terms of service and scraping the site (if that matters to you)...
Official App is $9.99 (all platforms)
Neongeo is $4.26 (only available on droid)
I greatly prefer a dedicated GPS...but the phone with any one of these apps works great for last minute caches...
You may only be young once...but I will be immature forever!!!
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Past MnGCA Board
Joined: 22 Jun 2011
Posts: 305
Posted: Thu Jan 10, 2013 11:09 pm
Post subject:
I use my GPSr when doing "normal" caching. I use Geosphere (loaded up with the same PQ's as my GPSr) on my iPhone to mark caches as found as well as on my GPSr (although I don't log caches online while I'm in the field). It also helps when I get home so I can log my caches in the order that I found them. It also works very well when I'm looking for caches on a map to find those target-rich environments.
I use the official app when I'm on a FTF run or I forget my GPSr at home. The one thing I like about it over Geosphere is the little line that shows up between you and the cache.
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Joined: 23 Feb 2008
Posts: 132
Posted: Fri Jan 11, 2013 3:16 pm
Post subject:
Iphone caching will be mostly for those times when we don't have a regular GPS, that kind of thing.
Having the geocaching.com app, is like having it at home on the computer? As far as searching the map for cache's and descriptions etc.
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Joined: 03 Apr 2006
Posts: 535
Posted: Fri Jan 11, 2013 5:44 pm
Post subject:
It's like the premium maps. Search near your current location (actual location of the phone), a map with the pegs pops up, click on the pegs for details of cache, scroll aorund and do "new search near here" if you want to see caches in a place you currently aren't. Do "advanced search" to screen out multis etc.
Maybe if you go to an event you can see one in action before you buy.
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ASID's interior design billings index remains positive through June.
The American Society of Interior Designers' (ASID) quarterly Interior Design Billings Index reports that the second quarter of 2013 remained positive in the April-June period. The Billings Index for June closed at 56.4, up nearly three points from May's score of 53.7 and higher than April's score of 55.5.
The AIA's Architectural Billings Index, which rebounded May, was down slightly in June (from 52.9 to 51.6, respectively). Inquiries, however, were up three and a half points (from 59.1 to 62.6), and architectural firms were reporting a higher proportion of project backlogs.
"The economy expanded more than expected in the second quarter of 2012, and this momentum should carry forward, albeit at a soft pace, in the remainder of 2013," says Jack Kleinhenz, chief economist for ASID. "The pace of growth is expected to lift to about 2.2 percent in the second half of 2013."
Performance Averages Across Industry Sectors
Single-family: 57.3
Multi-housing: 59
Retail: 45
Entertainment: 31.3
Office: 49.7
Hospitality: 60.3
Healthcare: 50
Government: 42.7
Education: 33.3
Regional Averages
Midwest: 56.6
Northeast: 57.7
South: 51.4
West: 57.9
For the first half of the year, 2013 looked very much like 2012, with perhaps some slightly more accentuated variation. Activity should stay positive in the second half, although gains likely will be modest.
Higher billings and more positive economic news helped lift designer confidence in June. The ASID Business Outlook Index rose from 67.5 in May to 71.8. Signs of job growth and rising housing prices suggest things may be moving in the right direction, if more slowly than predicted earlier in the year.
Launched in November 2010, the ASID Interior Design Billings Index tracks performance data for billings, inquiries and product sales specific to the interior design industry. The index is based on a monthly survey of 300 firms and provides a tailored perspective on billings, business conditions and economic outlook. The results are compiled into diffusion indexes centered on 50, with scores above 50 indicating an increase in billings, and scores below 50 indicating a decline.


text:
I'M DREAMING OF A BRONX CHRISTMAS (Special Edition)
Memories of Belmont, the Bronx Zoo and the NY Botanical Garden at the Holidays
de Aurelio Zucco and Augusto Zucco
Acerca del libro
NOTE: This special edition combines many of the best photographs from the original version with some new ones. This is also a larger book: Its dimensions are 13x11 inches, as opposed to the original which was 10x8 inches. The perfect size for your coffee table!
I'M DREAMING OF A BRONX CHRISTMAS is a celebration of the many wondrous things there are to love about the Bronx at the holidays. It begins with a tour of Belmont, the "Little Italy of the Bronx," where you'll stop at Our Lady of Mount Carmel Church to admire the Christmas decorations. Then you'll take in the holiday lights and festive storefront displays as you stroll past cafes, pastry shops and restaurants on East 187th Street and Arthur Avenue.
The Bronx Zoo is next on the list with its remarkable Holiday Lights Show featuring lighted sculptures of lions, tigers and zebras, among other animals, and landmark buildings, like the Keith W. Johnson Zoo Center, that have been lavishly decorated for the season.
Finally, you'll stop at the New York Botanical Garden and behold golden Christmas trees, lighted snowflakes and, of course, the magical Holiday Train Show featuring miniature scale models of trains and New York City landmarks.
I'M DREAMING OF A BRONX CHRISTMAS is a keepsake you'll treasure always!
Características y detalles
- Categoría Arte y fotografía
Apaisado grande, 33×28 cm
160 Páginas
- Tapa dura, sobrecubierta: 9781364855956
- Fecha de publicación dic. 11, 2011
- Idioma English
- Etiquetas Arthur Avenue, Little Italy, New York, Botanical Garden, Bronx Zoo, Holidays, Belmont, Christmas, Bronx
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text:
Published by the National Geographic Society, this book chronicles the extraordinary origins of common tools, customs, and symbols that are taken for granted but essential to everyday life. The book details how the drink toast originated in sixth century B.C. when a host would raise a glass and drink with a guest to prove the beverage was safe and not a sinister plot to poison. It also explains the origin of common superstitions like knocking on wood, a 4,000-year-old practice initiated by American Indians to appease the gods after making a boastful claim. Inventions like the toothbrush (originally made from Siberian hog hair and bone), the zipper, indoor plumbing--which dates back 2,700 years to western India--and other humble-yet-indispensable items are explored with engaging, short essays. Hardcover; 303 pages.
Lifetime Guarantee
National Geographic's Extraordinary History Of The Ordinary comes with The Hammacher Schlemmer Lifetime Guarantee. If this product ever disappoints you, for any reason, you may return your Hammacher Schlemmer purchase for exchange, credit, or refund.
Should you have any questions, we are available seven days a week (8:00 am – midnight EST). Please call 1-800-321-1484 to speak with a specialist or email us at firstname.lastname@example.com to receive a response within three business hours or less.
Shipping charges noted in parentheses apply in addition to our standard shipping & service.
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Great Gift!
By Cats
from Arlington, VA
Best Uses
This is a fun and unexpected surprise as a gift for teenagers, or curious adults.
Bottom Line Yes, I would recommend this to a friend
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text:
Frigidaire FFHT1826LS
Freestanding Top Freezer Refrigerator with 18.2 cu. ft. Total Capacity, 2 Glass Shelves, 4.07 cu. ft. Freezer Capacity, Field Reversible Doors, Right Hinge, Automatic Defrost, Energy Star Certified, in Stainless Steel
Designed to work in harmony with the way you live, the Energy Star Rated Frigidaire FFHT1715LW is loaded with features. The Store-More™ Organizational System, Store-More™ Humidity-Controlled Crisper Drawers, Store-More™ Gallon Door Shelf and SpillSafe(R) Shelves offer plenty of storage options. The Bright Lighting makes it easy to see what's inside. This refrigerator boasts an 18.2 cu. ft. capacity Available at AppliancesConnection
Frigidaire is one of the leading suppliers of quality home appliances, offering superior products and service to rival many other companies. When you select a home appliance from Frigidaire, you've chosen a product of exceptional performance, convenience and style. With Frigidaire, you can be sure you'll receive effortless features and quality materials, giving you the highest quality performance for the life of your appliance.
Store-More™ Organizational System
Our Store-More™ organizational system includes gallon door storage, StoreMore™ crisper drawers, and adjustable door bins to keep food organized and easy to find when you need it.
SpillSafe® Shelves
Designed to keep spills contained, making clean up a breeze.
SpaceWise™ Adjustable Glass Shelves
Easily adjust shelves up and down to create more space for taller items.
Store-More™ Humidity-Controlled Crisper Drawers
Keep your fruits and vegetables fresh in our humidity-controlled crisper drawers.
Store-More™ Gallon Door Storage
Our deep refrigerator shelf gives you room to store more.
Store-More™ Gallon Door Shelf
Door storage gives you room for larger items - like a gallon of milk.
Full-Width Freezer Shelf
Ready-Select™ Controls
Easily select options with the touch of a button.
Cool Zone™ Drawer
Conveniently located in the fresh food compartment for easy access to sandwich foods.
Control Lock Option
Clear Dairy Door
ENERGY STAR® Rated
|Product Type
|Top Freezer
|18 Cu. Ft.
|Energy Star® Certified
|CSA Certified
|Capacity (Cu. Ft.)
|Fresh Food Capacity (Cu. Ft.)
|Freezer Capacity (Cu. Ft.)
|Front Rollers
|Rear Rollers
|Door Handle Design
|Stainless Steel
|Door Stops
|Door Design
|Short Door
|Door Finish
|Stainless Steel
|Door Style
|Cabinet Finish
|Ice Maker
|Ice Maker Type
|Fresh Food Conveniences
|Refrigerator Controls
|Single Knob Control
|Lighting Design
|Fixed Door Bins
|3 Full-Width
|Dairy Compartment
|Clear dairy door
|Sliding Shelves
|2 SpillSafe™
|Shelf Area
|Meat / Deli Drawer
|Humidity Controls
|2 Clear
|Freezer Conveniences
|Fixed Door Bins
|2 Full-Width White
|Fixed Shelves
|1 Full Width
|Exterior Dimensions
|Exterior Width
|Cabinet Width
|Exterior Depth
|Exterior Depth with Door Open 90°
|Cabinet Depth
|Cabinet Depth (including Door)
|Cabinet Depth (including Handle)
|Cabinet Height
|Exterior Height
|Cabinet Height (including Hinge Covers)
|Shipping Weight (approx.)
|205 lbs
|Condenser Type
|Voltage Rating
|120V / 60Hz / 15 or 20A
|Connected Load (kW Rating) @ 120 Volts
|0.54 kW
|Power Supply Connection Location
|Right Bottom Rear
4210463RW Easy-to-Use Maintenance Brush for Dryers and Refrigerators
$19.99Qty: Add to Cart Free Shipping
10 Year Major Component Warranty
$49.99Qty: Add to Cart Free Shipping
60" Water Hose/Ice Maker Connector with 1/4" Compression
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Please Note: It is the sole responsibility of the customer to download, fill up and mail the rebate within the allotted time period. Please make sure to follow all instructions. AppliancesConnection cannot be held responsible for rebates which are denied or not claimed.You will need Adobe Acrobat Reader to view and print pdf files.
Info & Guides
Frigidaire FFHT1826LS - Wiring Diagram
Frigidaire FFHT1826LS - Installation Instructions
Frigidaire FFHT1826LS - Complete Owner's Guide English
Frigidaire FFHT1826LS - Complete Owner's Guide Espa?ol
Frigidaire FFHT1826LS - Complete Owner's Guide Fran?ais
Frigidaire FFHT1826LS - Complete Owner's Guide English
Frigidaire FFHT1826LS - Energy Guide
Frigidaire FFHT1826LS - Product Specifications Sheet English
- Refrigerator Buying Guide
- Top 10 French Door Refrigerators of 2017
- Top Five Column Refrigerators for 2017
- Brand:Frigidaire
- Stock Id:151102
- Product Number:FFHT1826LS
- Color:Stainless Steel
- Field Reversible Doors:Yes
- Hinge Side:Right
- Type:Freestanding
- Style:Top Freezer
- Type of Shelves:Glass
- Total Capacity:18.2 cu. ft.
- Split Shelves:No
- Refrigerator Capacity:14.13 cu. ft.
- Number of Shelves:2
- Freezer Capacity:4.07 cu. ft.
- Counter-Depth:No
- Accepts Custom Panels:No
- Freezer:Yes
- Cabinet Depth:26.625"
- Depth:29.875"
- Depth without Handles:29.875"
- Height:66.125"
- Height without Hinges:65.375"
- Size:Full Size
- Width:30"
- Energy Star:Yes
- Volts:120 Volts
- Amps:15A
- ADA Compliant:No
- Child Lock:No
- Undercounter:No
- Glass Door:No
- Temperature Zones:Single
- Wine Racks:No
- Approved for Outdoor Use:No
- Depth without Door and Handles:26.675"
- Wire Shelves:No
- Glass Shelves:Yes
- Slide-out Shelves:Yes
- Cantilever Shelves:No
- Spill Safe Shelves:Yes
- Wine Rack:No
- Humidity Controlled Crispers:Yes
- Gallon Door Storage:Yes
- Dairy Center:Yes
- Clear Deli Drawer:Yes
- Can Dispenser:No
- Digital Temperature Control:No
- Ice Dispenser:Yes
- Quick Freeze:No
- Cabinet Width:29.625"
- Cabinet Height:65.375"
- Door Finish:Stainless Steel
- No. of Door Bins:3
- Adjustable Door Bins:No
- No. of Baskets:2
- Approved for Commercial Use:No
- Door Style:One Door
- Approximate Shipping Weight:205 lbs.
- Shelf Area:16.3 sq. ft.
- Fixed Door Bins:3 Full-Width
- Dairy Compartment:Yes
- Capacity (cu. ft.):18.20
- Crispers:2 Clear
- Fresh Food Capacity:14.13
- Door Stops:Yes
- Cabinet Finish:Textured
- Warranty Terms:1 Year
- Star-K Certified:No
- CSA Certified:Yes
- Voltage Rating:120V / 60Hz / 15 or 20A
- Power Supply Connection Location:Right Bottom Rear
- Connected Load (kW Rating) @ 120 Volts:0.54 kW
- Rear Rollers:Yes
- Humidity Controls:2
- Cabinet Depth (including Door):29-7/8"
- Cabinet Depth (including Handle):32-3/8"
- Cabinet Height (including Hinge Covers):66-1/8"
- Ice Maker Type:IM-115
- Approved for Medical Use:No
- Sliding Shelves:2 SpillSafe
- Fixed Shelves:1 Full Width
- Door Handle Design:Stainless Steel
- Plastic Shelves:No
- Stainless Steel Shelves:No
- Condenser Type:Dynamic
- Front Rollers:Fixed
- Door Design:Short Door
- Refrigerator Controls:Single Knob Control
- Lighting Design:Standard
- Meat / Deli Drawer:Clear
- CEE Rating:No
- Depth with door at 90:58.125"
- Warranty Conditions:Parts and Labor
- Microwave and Refrigerator:No
- Weight:205.00 lbs


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Hate - and Hitler - in the heartland: The arrest of Frazier Glenn Miller
The sole suspect in a shooting that left three dead at two Jewish community centers outside Kansas City on Sunday is a former Ku Klux Klan "grand dragon," neo-Nazi, and ex-con named Frazier Glenn Miller.
The 73-year-old was caught by TV cameras yelling "Heil Hitler" from the back seat of a police car after he was apprehended in the parking lot of a local elementary school. Rabbi Herbert Mandl, chaplain for the Overland Park Police Department, said the gunman asked people whether they were Jewish before he opened fire. Two of the victims, named by grieving family members as Dr. William Lewis Corporon and his grandson Reat Griffin Underwood, 14, were not Jewish, however--they were members of the nearby United Methodist Church of the Resurrection.
The Southern Poverty Law Center said they had confimed Miller's arrest with his wife, Marge, who said her husband had been drinking at a Missouri casino the night before and had not been heard from since. Marge Miller told the SPLC that authorities came to her door at 8:30 p.m. on Sunday and told her that her husband had been arrested in the shootings.
Miller, who also uses the alias Frazier Glenn Cross Jr., has an extensive résumé of hate. A former Green Beret who served in Vietnam, he embraced white supremacy in the 1970s, first joining the National States' Rights Party and then the National Socialist Party of America—the Nazis.
According to his considerable dossier on the SPLC website Miller was forced to retire from the military due to his extremist connections. He bought a farm in Angier, North Carolina, where he formed the Carolina Knights of the Ku Klux Klan in 1980. He preferred wearing fatigues to the traditional Klan robe and recruited active-duty soldiers to conduct paramilitary-style training, aggressively seeking publicity and taking inspiration from Hitler, as he described in his autobiography: "I would try to emulate Hitler's methods of attracting members and supporters…I placed great emphasis on staging marches and rallies. It had been successful with Hitler." His stated goal was to create an all-white "Carolina Free State."
Read The Full Article On The Daily Beast
More articles from The Daily Beast:
- Obama Is Nudging the White House Toward Gender Pay Equity
- America's Abortion-Free Zone Grows
- Message From the GOP: Hey, Poor People, You're Not Real Americans
© 2013 Newsweek/Daily Beast Company LLC


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White Swan originated in New York, in 1916, as a high-quality nursing uniform manufacturer. Later, the company merged with Meta, another well-known name in uniforms. In the 1990s, the companies became part of Dowling Textiles which made it possible to manufacture and expand their line of quality products at affordable prices. Today, White Swan is one of the best known brands for uniforms of all kinds including chef wear. They cater to both men and women, and their top priority is to provide comfortable and functional products at reasonable prices. They are the market leader in high-quality solids for hospitals, schools and clinics, as well as fashionable print scrubs, Tru-Cord soft cotton corduroy scrubs, men's and women's lab coats and chef wear. White Swan's Fundamentals are 65/35 poplin with Soil Release.
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Kate Hudson Talks 'Wish I Was Here'...and Chickens
Photo: Getty Images
By Kathleen Perricone
Kate Hudson's new movie, the Zac Braff-written and directed Wish I Was Here is one of the first feature films to be crowd-funded via Kickstarter.
And when the actress called in to On Air with Ryan Seacrest on Tuesday morning, she explained what it was like to be a part of the project.
"Zach chose to try a new concept and he was very successful at that and he got to make the movie he wanted," says Kate.
As for the plot, about a guy (played by Braff) who is at a crossroads in his life, Kate adds that it really resonated with her.
"For me it was really relatable … complicated relationships with parental figures and being at a point in your life when you're in your 30s and you'e looking at everything and it's time to step up and grow up .. infused with lots of good humor and Zach's style and esthetic. I thought what a wonderful thing to be a part of."
For more from Kate, like all about her chicken coop at home, listen to the audio above.
Wish I Was Here is in select theaters now and nationwide this Friday!


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Peripheral artery disease and intermittent claudicationPeripheral arterial disease; PAD; Peripheral vascular disease;
An in-depth report on the causes, diagnosis, and treatment of peripheral artery disease (PAD).
Peripheral Artery Disease
Peripheral artery disease (PAD) is a type of atherosclerosis, the condition that causes hardening of the arteries. PAD occurs when arteries in the limbs (most often the legs) become narrowed by cholesterol-rich material called plaque. Because PAD interferes with circulation, in severe cases it can increase the risk for gangrene and amputation. Patients with PAD are also at increased risk for other types of atherosclerosis, including heart attacks and strokes.
Risk Factors of PAD
The main risk factors of PAD include:
- Smoking
- Diabetes
- Unhealthy cholesterol and lipid levels
- High blood pressure
- Advancing age
Many people with PAD do not have symptoms. When symptoms do occur, crampy leg pain (intermittent claudication) is the main symptom. At first, this symptom occurs with exercise, and disappears when at rest. When PAD becomes more severe, symptoms can include:
- Pain or tingling in the calf, feet, or toes, even at rest
- Weakened calf muscles
- Painful non-bleeding ulcers on the feet or toes that do not heal
Treatment for PAD includes both lifestyle measures and medications that help reduce symptoms and prevent disease progression. These include:
- Smoking cessation
- Regular exercise, which is essential for patients with mild-to-moderatePAD
- Heart-healthy diet, low in saturated fat, to reduce unhealthy cholesterol levels
- Medications to help control high blood pressure and cholesterol. Other drugs that may helpinclude antiplatelet medications to prevent blood clots.
- In severe cases, procedures may be needed to open blocked blood vessels.
Peripheral artery disease (PAD) occurs when the arteries in theextremities (usually legs and feet, sometimes arms and hands) become clogged with a fatty substance called plaque. It most often occurs in the legs. The build-up of plaque causes the arteries to become narrow and hard, obstructing blood flow. This hardening of the arteries is called atherosclerosis. (Atherosclerosis that affects arteries to the heart and brain is the major process leading to heart disease and stroke.)
PAD is a type of peripheral vascular disease, which also includes carotid artery disease, renal artery disease, aortic disease, venous problems, and some other conditions, such as vasculitis.
People with peripheral artery disease (PAD) may or may not have symptoms. Because symptoms may be mild or even absent, many cases of PAD go undiagnosed.
Intermittent Claudication
Claudication comes from the Latin word "to limp." Claudication is crampy leg pain that occurs during exercise, especially walking. The pain is due to insufficient blood flow in the legs (caused by blocked arteries). Intermittent means the pain comes and goes. Intermittent claudication is the most typical symptom of PAD. About a third to a half of patients with PAD have this symptom.
Symptoms may be felt as pain, achiness, cramping, a sense of fatigue, or nonspecific discomfort that occurs with exercise. There is no discomfort while standing. Symptoms go away rapidly with rest, usually within a few minutes. At first, symptoms may only initiallydevelop when walking uphill, walking faster, or walking longer distances.
Intermittent claudication symptoms are most common in the calf muscles. This is because the most frequently affected artery is the popliteal artery, which leads off from the femoral artery (the major artery in the thigh). The popliteal artery continues below the knee where it branches off and carries blood to the muscles in the calf and foot. Talk to your doctor about any leg or thigh pain you have.
Patients may experience leg pain in one leg or in both legs. Patients may also have fatigue or pain in the thighs and buttocks.
Critical Limb Ischemia
In advanced cases of PAD, the arteries are so blocked that even rest does not help. Leg pain that continues when lying down is called ischemic rest pain. It is caused by critical limb ischemia, the medical term for insufficient blood flow to the arteries of the legs. Critical limb ischemia is a chronic condition and a very serious form of PAD.
Typical symptoms may include:
- Pain or tingling in the foot or toes, which may be so severe that even the weight of clothes or bed sheets cause or worsen the discomfort
- Pain worsens when theleg is elevated and improves by dangling legs over the side of the bed
People with critical limb ischemia are at risk for developing non-healing skin ulcers and gangrene (tissue death). In severe cases, amputation may be required.
Other signs of advanced PAD can include:
- Calf muscles that shrink (wither)
- Hair loss over the toes and feet
- Thick toenails
- Shiny, tight skin
- Painful non-bleeding ulcers on the feet or toes (usually black) that are slow to heal
Sometimes, blood clots form in the arteries in the legs, producing abrupt symptoms (acute occlusion).
Risk Factors
About 8 million American adults have peripheral artery disease (PAD). Men and women are equally susceptible although women face a greater risk for limb loss. African-Americans have twice the risk for PAD as Caucasians. Between 12 - 20% of people over age 65 suffer from the condition.
PAD Risk Factors
The most important risk factors for PAD are the same as those for heart disease and stroke.Smoking and high cholesterol levels increase the risk for PAD progression in large blood vessels (such as the legs), while diabetes increases the risk for PAD in small blood vessels (such as the feet). Quitting smoking and controlling cholesterol are the two best ways to slow PAD progression.
The most important risk factors for PAD include:
- Smoking. Smoking is the number one risk factor for PAD, and smoking even a few cigarettes a day can interfere with PAD treatment. Smoking increases the risk for PAD by 2 - 25 times, with the danger being higher when other risk factors are present. Between 80 - 90% of patients with PAD are current or former smokers. Progression to a more critical state of illness is likely for patients who continue to smoke.
- Diabetes. People with type 2 diabetes have 3 - 4 times the normal risk for PAD and intermittent claudication. In fact, their risk for PAD is higher than their risk for heart disease. People with type 2 diabetes also tend to develop PAD at an earlier age and have more severe cases. Patients with both diabetes and PAD are at high risk for complications in the feet and ankles. Poor blood sugar (glucose) control increases the risk of developing PAD.
- Unhealthy cholesterol and lipid levels. The risk for PAD increases by 5 - 10% with every 10 mg/dL increase in total cholesterol levels. Levels of HDL ("good" cholesterol) below 40 mg/dL and high triglyceride levels also increase the risk for PAD. LDL ("bad" cholesterol) levels should be kept below 100 mg/dL in all patients with PAD, and probably as low as 70 mg/dL when other risk factors are present (such as diabetes, coronary artery disease, smoking, and HDL below 40 mg/dL).
- Hypertension. High blood pressure, especially when combined with other cardiovascular risk factors, increases the chances for PAD.
- Family history of heart and artery disease. Genetic factors that cause specific lipid and cholesterol abnormalities may increase the risk for PAD.
- Artery inflammation and damage. High levels of C-reactive protein can indicate persistent inflammation in the arteries. Such inflammation can cause significant damage in blood vessels, and is highly associated with PAD.
- Age. PAD occurs more frequently in people over age 50 and affects 12 - 20% of Americans age 65 years and older.
- Ethnicity. African-Americans are at highest risk for PAD. They are twice as likely to develop PAD as Caucasians.
PAD is greatly underdiagnosed. Many patients do not report symptoms, or may not even have symptoms. People should be checked for peripheral artery disease if they have leg pain during walking, or ulcers on their legs.
Physical Examination
The doctor should check for high blood pressure, heart abnormalities, blockage(s) in the artery in the neck, and abdominal aneurysms. The doctor should also examine the skin of the legs and feet for color changes, ulcers, infection, or injuries, and check the pulse of the arteries in the leg.
Ankle-Brachial Index
Intermittent claudication caused by peripheral artery disease is typically diagnosed using a calculation called the ankle-brachial index. The procedure is done as follows:
- The doctor or technician measures the systolic blood pressure of both arms while the patient is lying down. (The systolic pressure is the "top" number in a blood pressure measurement. It is the force that blood exerts on the artery walls as the heart contracts to pump out the blood. For example, in a blood pressure reading of 120/80, 120 is the systolic number.)
- The doctor or technician then puts blood pressure cuffs on four different locations on each leg and passes a Doppler probe over arteries in the foot. The signal emitted from the strongest artery is recorded as the cuffs are inflated and deflated. This is the ankle's systolic pressure.
The doctor divides the systolic pressure in the ankle by the systolic pressure in the arm. The result is called the ankle-brachial index (ABI), also called ankle-arm pressure index (API).
What the results mean:
- ABI over 0.90. An ABI result from 1.00 to 1.40 is considered normal. Results from 0.91 to 0.99 are considered borderline. If results fall in the borderline range, the patient takes a treadmill test and another ABI measurement. If the API index drops after exercise, the doctor makes a diagnosis of peripheral artery disease.
- ABI 0.40 – 0.90. ABI measurements below 0.90 are considered abnormal. Measurements from 0.40 – 0.90 indicate mild-to-moderate impairment and symptoms such as leg pain.
- ABI less than 0.40. ABI measurements below 0.40 indicate very severe blockage in the leg arteries (critical limb ischemia) and a risk for gangrene. Patients should take precautions to avoid foot injuries, which can increase the risk for non-healing wounds and gangrene.
Treadmill Test
The ABI test is often followed by a treadmill test to find out how exercise affects the blood flow in your extremities. The treadmill test is also useful for determining the severity of the pain while walking and assessing the effectiveness of treatments.
Doppler and DuplexUltrasound Imaging
Doppler ultrasound imaging is an imaging test that is used to provide an anatomic view of the arteries and report on blood velocity and flow characteristics. Doppler ultrasound is sometimes combined with another imaging technique called Duplex ultrasound. These tests can also help identify areas of arterial blockage and help doctors decide which patients may need surgical interventions. .
Angiography, Magnetic Resonance Angiography (MRA), and Computed Tomography Angiography (CTA)
Before considering invasive procedures to treat peripheral artery disease, the surgeon needs a better understanding of which arteries are involved, how severe the blockage is, and the state of the blood vessels surrounding the blockage. In the past, invasive or conventional angiography was typically performed. This type of angiogram uses dye, which is injected through a catheter that is inserted in the groin.
Magnetic resonance angiography (MRA) is a type of magnetic resonance imaging (MRI). It provides a non-invasive alternative to a traditional angiogram. The MRA uses a magnetic field and radiofrequency waves instead of radiation to provide pictures of arteries and blood vessels. Patients are given gadolinium (a contrast material) through an IV to improve the image quality. In many medical centers, MRA is considered almost or as accurate as invasive angiography and will frequently be the only test required.
A newer technology called computed tomography angiography (CTA) uses x-rays to visualize blood flow in arteries throughout the body. This technique is also highly effective in diagnosing PAD.
Tests for Detecting Heart Disease
Patients with suspected PAD should have an electrocardiogram (ECG, EKG) and other tests that can detect heart problems.
Ruling out Other Disorders with Similar Symptoms
A number of other tests may be ordered to rule out disorders with similar symptoms. Suchconditions include:
- Arthritis
- Anemia
- Spinal stenosis -- narrowing of the spinal canal causing leg or lower back pain
- Thrombophlebitis -- blood clots in the deep veins of the legs
- Peripheral neuropathy -- nerve damage in the legs and feet, usually in people with diabetes
- Night cramps in older people that are not due to problems in blood vessels
- Muscle entrapment of the arteries or kinks in the arteries in the leg -- typically occurs in young athletes
Coronary Artery Disease and Stroke
Patients with peripheral artery disease (PAD) have the same risk of death from heart events or stroke as people already diagnosed with heart disease. The risk increases as PAD gets worse. The worse the leg condition, the poorer the overall health of the patient.
If patients have blood clots and blockages in other arteries (brain, heart) as well as the legs, the risk for any vascular complication involving the heart, the brain, or the leg arteries increases much more.
Gangrene and Amputation
Severe advanced PAD can cause gangrene (tissue death) that leads to limb amputation. These conditions may result from critical limb ischemia (chronic blockage of arteries in the legs) or acute occlusion (sudden development of blood clot in a major artery of the leg.).
Poor Physical and Mental Functioning
Peripheral artery disease can significantly impair daily physical functioning. Leg pain can limit physical activity, cause unsteadiness, and increase the risk for falling. PAD may also cause erectile dysfunction and it is associated with mental decine.
There are two treatment goals for PAD and claudication:
- Manage the pain of intermittent claudication, improve functioning, and prevent PAD from getting worse so that gangrene does not occur.
- Reduce the risk for cardiovascular disease (heart attack and stroke).
Lifestyle changes, especially smoking cessation and exercise, are critical for every patient with PAD. Medication is often required to improve function and protect the heart. In very severe cases, surgery may be needed to improve blood flow.
Treatment for PAD also involves managing the medical conditions (diabetes, high cholesterol, and high blood pressure) that often accompany it.
Managing Diabetes
Patients with diabetes need to strictly control their blood sugar (glucose) levels. Poor glycemic control is associated with vascular and circulation complications such as PAD. Patients should aim for an A1C level around 7%. The AIC test measures a patient's average blood sugar over the past 2 - 3 months. Patients with diabetes need to follow certain dietary restrictions. Many different types of medications are used to control blood sugar levels.
Managing Unhealthy Cholesterol and Lipid Levels
It is very important for people with PAD to keep their LDL ("bad" cholesterol) levels to below 100 mg/dL. If patients have serious heart disease risk factors (high blood pressure, diabetes, other unhealthy lipids) in addition to PAD, they may need to aim for LDL levels below 70 mg/dL. Unhealthy cholesterol levels are major contributors to atherosclerosis, the common factor in PAD and heart disease. Patients should avoid saturated fats and foods that are high in cholesterol. A statin drug is the most common type of medication used to help lower LDL cholesterol and improve lipid profiles.
Statins include:
- Lovastatin (Mevacor, generic)
- Pravastatin (Pravachol, generic)
- Simvastatin (Zocor, generic)
- Fluvastatin (Lescol)
- Atorvastatin (Lipitor, generic)
- Rosuvastatin (Crestor)
- Pitavastatin (Livalo)
Managing High Blood Pressure
In addition to dietary measures to reduce sodium (salt) and increase potassium intake, various medications are used to control high blood pressure (hypertension). Patients with PAD should aim for blood pressure less than 130/80 mm Hg.
Evidence suggests that the best drugs for patients with high blood pressure and PAD are angiotensin-converting-enzyme (ACE) inhibitors. These drugs block the effects of the angiotensin-renin-aldosterone system, which is associated with many harmful effects on the heart and blood vessels. They are important drugs for patients with PAD and diabetes who also have high blood pressure. In addition to heart protection, ACE inhibitors may help reduce pain that patients experience when walking.
ACE inhibitors include:
- Captopril (Capoten, generic)
- Enalapril (Vasotec, generic)
- Quinapril (Accupril, generic)
- Benazepril (Lotensin, generic)
- Ramipril (Altace, generic)
- Perindopril (Aceon, generic)
- Lisinopril (Prinivil, Zestril, generic)
Lifestyle Changes
Quit Smoking
Patients who smoke should quit, and everyone should avoid second-hand smoke. Smoking is one of the primary risk factors for PAD and a major cause of complications. Quitting smoking may not make leg pain go away, at least not in the short term, but it certainly may keep blockages from getting worse. Continued smoking is a major reason why patients progress from milder forms of PAD to critical limb ischemia involving severe pain, skin ulcers, and possible amputation. Smoking cessation also reduces the risk to the heart.
Exercise is second only to avoiding tobacco as the most important lifestyle measure for treating, and preventing, PAD.
Exercise to Help the Heart. The benefits of regular moderate exercise for the heart are undisputed. People who maintain an active lifestyle have amuch lower risk of developing heart disease than do sedentary people. According to the American Heart Association, patients with PAD who are physically active have death rates that are a third of those who are less physically active.
Exercise Training to Improve Blood Flow in the Legs. Exercise training improves blood flow in the legs and, in some cases, can work as well as medications and surgical procedures in increasing pain-free walking distance. To maintain benefits, exercise must be regular and consistent. A regular walking program, either outside or on a treadmill, is the best type of exercise for patients with PAD and can significantly slow the rate of functional decline.
For patients with intermittent claudication who find that their leg cramps make it difficult to walk or participate in lower-extremity exercise, upper-body aerobic exercise can still provide benefits.
Eat Right
The goals of a heart-healthy diet are to:
- Reduce overall cholesterol levels and low-density lipoproteins (LDLor "bad" cholesterol), which are harmful to the heart
- Increase high-density lipoproteins (HDL or "good" cholesterol), which are beneficial for the heart
- Reduce other harmful lipids (fatty molecules) such as triglycerides and lipoprotein(a)
Any diet should also help keep blood pressure and weight under control. General guidelines for a heart-healthy diet include:
- Choose fiber-rich food (such as whole grains, legumes, and nuts) as the main source of carbohydrates, along with a high intake of fresh fruits and vegetables.
- Avoid saturated fats (found mostly in animal products) and trans fatty acids (found in hydrogenated fats and many commercial baked products and fast-foods). Choose unsaturated fats (particularly omega-3 fatty acids found in vegetable and fish oils).
- When selecting proteins, choose soy protein, poultry, and fish over meat.
- Weight control, quitting smoking, and exercise are essential companions of any diet program.
While vitamin deficiencies may be associated with PAD and heart disease, vitamin supplements have not been proven to reduce the risk for heart-related conditions. Low levels of vitamin D are linked to an increased risk of PAD, and many older Americans are deficient in this vitamin. More research is needed to determine if vitamin D supplements protect against PAD.
Deficiencies in the B vitamins folate and B12 are associated with elevated levels of homocysteine, an amino acid that may be a marker for increased risk for heart disease and PAD. However, while vitamin supplementation lowers homocysteine levels, it has no effect on heart disease outcomes. Similarly, vitamin E supplements do not help PAD symptoms.
Herbs and Supplements
Generally, manufacturers of herbal remedies and dietary supplements do not need FDA approval to sell their products. Just like a drug, herbs and supplements can affect the body's chemistry, and therefore have the potential to produce side effects that may be harmful. There have been a number of reported cases of serious and even lethal side effects from herbal products. Always check with your health care provider before using any herbal remedies or dietary supplements.
Gingko biloba is an herbal remedy reported to have blood-thinning properties. However, studies have shown it does not provide any benefit for patients with PAD or intermittent claudication. Although the risks for gingko appear to be low, there is an increased risk for bleeding at high doses and harmful interaction with high doses of anti-clotting medications. This is particularly important because patients with PAD often use these types of medications. Commercial gingko preparations have also been reported to contain colchicine, a chemical that can be harmful in pregnant women and people with kidney or liver problems.
Treatments for peripheral artery disease(PAD) help manage leg pain and improve function, as well as reduce the risk for heart attack and stroke. Drugs used for improving leg pain and function are generally those that either prevent blood clots (typically antiplatelet drugs) or improve blood flow.
Aspirin and Other Antiplatelet Drugs
Antiplatelet drugs such as aspirin reduce the risk for blood clots. Most patients with peripheral artery disease receive antiplatelet medication. For the most part, this recommendation is made to prevent future death from heart attack or stroke. (However, recent studies have indicated that aspirin may not have much benefit in preventing heart attack or stroke in patients who havePAD without also having heart disease.) Antiplatelet drugs may or may not provide benefit for PAD symptoms and progression.
Aspirin is usually the recommended first-line choice. Clopidogrel (Plavix, generic) is recommended as an alternative.
Dipyridamole (Persantine, generic) may help prevent complications of PAD when taken along with aspirin. Studies are mixed on the benefits of the combination. Without aspirin, the drug does not appear to have any advantages for patients with PAD.
Research indicates that adding an anticoagulant drug, such as warfarin (Coumadin, generic), to antiplatelet therapy does not help prevent heart complications of PAD, and can increase the risks for life-threatening bleeding.
Phosphodiesterase Inhibitors
Phosphodiesterase inhibitors are drugs that help improve blood flow.
Cilostazol. Cilostazol (Pletal, generic) is used to treat disabling intermittent claudication. A number of studies have reported that the drug helps improve walking distance and quality of life. It also helps improve HDL and triglyceride levels. Cilostazol works better than pentoxifylline, the first drug approved for claudication. It is expensive, however, and currently recommended only for patients with moderate-to-severe intermittent claudication who do not respond to aspirin or less costly treatments. Common side effects include headache, swelling in the limbs, and stomach problems such as diarrhea and flatulence (gas). It does not appear to have bad effects on the liver or kidney. Similar drugs can have serious side effects in patients with heart failure, so these patients should avoid cilostazol.
Pentoxifylline. Pentoxifylline (Trental, generic) reduces the sticky properties of blood cells, improvingblood flow. It is approved in the U.S. for managing claudication, although doctors do not recommend its routine use. Studies regarding the drug's effectiveness have been mixed. Some studies have reported a small effect on walking ability; another found the drug significantly improved walking distance. Other research has found that the drug does not work any better than a dummy pill (placebo). The most common side effects include headache, nausea, heartburn, flatulence (gas), dizziness, blurred vision, and flushing.
Thrombolytics (Clot-Busters)
Alteplase (Activase) and reteplase (Retavase) are thrombolytic drugs. Such drugs are commonly called "clot-busters."They break up existing clots, and may be used in cases of acute vascular occlusion (the sudden development of a blood clot). They may also be used if a clot is present. Researchers are investigating whether thrombolytics are an effective alternative to surgery in severe cases of PAD. In severe cases, the drugs can be delivered directly into the artery.
Other Drugs Used to Treat Intermittent Claudication
ACE Inhibitors. ACE inhibitors are a type of drug used to treat high blood pressure. The ACE inhibitor ramipril (Altace, generic) is often recommended for patients with symptomatic peripheral artery disease, primarily to reduce the risk of cardiovascular events. Studies indicateramipril may also help improve walking ability and quality of life in patients with intermittent claudication.
In severe cases, surgery may be needed to open blocked blood vessels. Many different types of surgical procedures can be performed. They include open bypass procedures, which connect an artery before the location of the obstruction to an artery below the obstruction, or minimally invasive endovascular techniques such as angioplasty and stenting. The location of the lesions and how many other risk factors and illnesses patients have often determine which procedure is chosen.
Surgery is generally performed for claudication that has become disabling despite full medical and exercise therapy. Surgery may also be necessary for patients with rest pain, and to save a limb when a patient develops critical limb ischemia and is in danger of amputation.
Leg Bypass Surgery
For many years, leg bypass surgery was the main type of surgery used for extensive PAD. This procedure involves the creation of a tube (graft) that acts as a new blood vessel. Grafts can be made from synthetic material (artificial vein) or from a vein taken from a different location in the patient's leg (natural vein). The graft reroutes blood flow in the leg, around the blocked artery. Possible bypass connections between arteries include aorta to iliac arteries, aorta to femoral arteries, and bypass between the femoral artery and popliteal, tibial, and peroneal arteries.
Artificial veins tend to pose a much higher risk for blood clots, and the consequences of re-blockage are must more severe than when the natural vein recloses. To keep the artificial vein open, oral anti-clotting drugs such as aspirin or warfarin may be used. (Such drugs do not work with natural vein bypass.)
In general, less invasive procedures, such as balloon angioplasty and stenting, are now more frequently performed.
Percutaneous Transluminal Angioplasty
Percutaneous transluminal angioplasty (PTA) is an approach that has several variations. The object of the procedure is to open the blocked blood vessels that are causing intermittent claudication. Angioplasty is being increasingly used in place of leg bypass surgery, especially in patients who have other medical conditions.
The PTA procedure requires only a local anesthetic. Patients can return to normal activity in 24 - 48 hours. Complication rates are low. The effects are not permanent, but the procedure can be repeated with minimal risk.
Anticoagulants (such as warfarin or heparin) and antiplatelets (such as aspirin) may be used to prevent blood clots occurring during surgery. All of these drugs increase the risk for bleeding. Thrombolytic drugs may be used before, during, or after angioplasty if a blood clot is present.
Balloon Angioplasty. The standard procedure is balloon angioplasty. A thin tube is inserted through an artery in the groin and passed through the blocked artery. A wire is threaded through the tube. A deflated balloon is passed over the wire to the blockage. When inflated, it opens the artery.
Because balloon angioplasty poses a risk for reclosure of the artery, various other procedures are used or are being investigated.
Stenting. Reblockage of the blood vessels from blood clotting, even long after surgery, is a major complication. To help prevent this complication, and repeat surgery, a tiny expandable metal mesh tube (stent) is often used along with angioplasty. However, even with stents, some patients experience new blockages within a year of surgery. Some angioplasties are performed with a drug-eluting stent, which is coated with the drug paclitaxel to help prevent artery blockages.
Drug-eluting stents may not be recommended for patients who had recent heart surgery, or women who are nursing or pregnant. Patients who receive a drug-eluting stent may need to take blood thinning drugs for at least several months.
- www.padcoalition.org -- Peripheral Arterial Disease Coalition
- www.nhlbi.nih.gov -- National Heart, Lung, and Blood Institute
- www.heart.org-- American Heart Association
- www.acc.org -- American College of Cardiology
- www.diabetes.org -- American Diabetes Association
- www.vdf.org -- Vascular Disease Foundation
- www.sirweb.org -- Society of Interventional Radiology
Aboyans V, Criqui MH, Abraham P, Allison MA, Creager MA, Diehm C, et al. Measurement and interpretation of the ankle-brachial index: a scientific statement from the American Heart Association. Circulation. 2012 Dec 11;126(24):2890-909. Epub 2012 Nov 16.
Ahimastos AA, Walker PJ, Askew C, Leicht A, Pappas E, Blombery P, et al. Effect of ramipril on walking times and quality of life among patients with peripheral artery disease and intermittent claudication: a randomized controlled trial. JAMA. 2013 Feb 6;309(5):453-60.
Alonso-Coello P, Bellmunt S, McGorrian C, Anand SS, Guzman R, Criqui MH, et al. Antithrombotic therapy in peripheral artery disease: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012 Feb;141(2 Suppl):e669S-90S.
Anderson JL, Halperin JL, Albert N, Bozkurt B, Brindis RG, Curtis LH, et al. Management of Patients With Peripheral Artery Disease (Compilation of 2005 and 2011 ACCF/AHA Guideline Recommendations): A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2013 Apr 9;61(14):1555-70. Epub 2013 Mar 6..
Berger JS, Krantz MJ, Kittelson JM, Hiatt WR. Aspirin for the prevention of cardiovascular events in patients with peripheral artery disease: a meta-analysis of randomized trials. JAMA. 2009 May 13;301(18):1909-19.
Collins R, Burch J, Cranny G, Aguiar-Ibáñez R, Craig D, Wright K, et al. Duplex ultrasonography, magnetic resonance angiography, and computed tomography angiography for diagnosis and assessment of symptomatic, lower limb peripheral arterial disease: systematic review. BMJ. 2007 Jun 16;334(7606):1257. Epub 2007 Jun 4
Creager MA and Libby P. Peripheral arterial disease. In: Bonow RO, Mann DL, Zipes DP, Libby P, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 9th ed. Saunders; 2012:chap 61..
Fowkes FG, Price JF, Stewart MC, Butcher I, Leng GC, Pell AC, et al. Aspirin for prevention of cardiovascular events in a general population screened for a low ankle brachial index: a randomized controlled trial. JAMA. 2010 Mar 3;303(9):841-8.
Hamburg NM, Balady GJ. Exercise rehabilitation in peripheral artery disease: functional impact and mechanisms of benefits. Circulation. 2011 Jan 4;123(1):87-97.
Hirsch AT, Allison MA, Gomes AS, Corriere MA, Duval S, Ershow AG, et al. A Call to Action: Women and Peripheral Artery Disease: A Scientific Statement From the American Heart Association. Circulation. 2012 Mar 20;125(11):1449-1472. Epub 2012 Feb 15.
Joosten MM, Pai JK, Bertoia ML, Rimm EB, Spiegelman D, Mittleman MA, et al. Associations between conventional cardiovascular risk factors and risk of peripheral artery disease in men. JAMA. 2012 Oct 24;308(16):1660-7.
McDermott MM, Ades P, Guralnik JM, Dyer A, Ferrucci L, Liu K, et al. Treadmill exercise and resistance training in patients with peripheral arterial disease with and without intermittent claudication: a randomized controlled trial. JAMA. 2009 Jan 14;301(2):165-74.
Met R, Bipat S, Legemate DA, Reekers JA, Koelemay MJ. Diagnostic performance of computed tomography angiography in peripheral arterial disease: a systematic review and meta-analysis. JAMA. 2009 Jan 28;301(4):415-24.
Olin JW, Allie DE, Belkin M, Bonow RO, Casey DE Jr, Creager MA, et al. ACCF/AHA/ACR/SCAI/SIR/SVM/SVN/SVS 2010 performance measures for adults with peripheral artery disease: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Performance Measures, the American College of Radiology, the Society for Cardiac Angiography and Interventions, the Society for Interventional Radiology, the Society for Vascular Medicine, the Society for Vascular Nursing, and the Society for Vascular Surgery (Writing Committee to Develop Clinical Performance Measures for Peripheral Artery Disease). J Am Coll Cardiol. 2010 Dec 14;56(25):2147-81.
Smith SC Jr, Benjamin EJ, Bonow RO, Braun LT,Creager MA, Franklin BA, et al. AHA/ACCF secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease: 2011 update: a guideline from the American Heart Association and American College of Cardiology Foundation endorsed by the World Heart Federation and the Preventive Cardiovascular Nurses Association. J Am Coll Cardiol. 2011 Nov 29;58(23):2432-46.Epub 2011 Nov 3.
Warfarin Antiplatelet Vascular Evaluation Trial Investigators, Anand S, Yusuf S, Xie C, Pogue J, Eikelboom J, et al. Oral anticoagulant and antiplatelet therapy and peripheral arterial disease. N Engl J Med. 2007 Jul 19;357(3):217-27.
Advanced Studyec
Related Informationec
Review Date: 6/24/2013�
Reviewed By: Harvey Simon, MD, Editor-in-Chief, Associate Professor of Medicine, Harvard Medical School; Physician, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.


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Bud Light ĹWeegoĺ creators to claim Cocky Award April 10
By Peggy Binette, email@example.com, 803-777-5400
The creators of the Bud Light ad that features a beer-fetching dog named "Weego" will be at the University of South Carolina Tuesday, April 10, to fetch the coveted Cocky Award for best Super Bowl commercial in the ninth annual Cocky's Super Ad Poll.
Dave Reger and Michael Straznickas, creative directors of mcgarrybowen Chicago, will share their stories about the making of the commercial at 12:30 p.m. in the Carolina Coliseum, Room 3001. The event is free and open to the public.
The Cocky Award has become a coveted recognition for ad agencies. Each year, the winning team is invited to the Columbia campus to claim the prize and discuss the development of the commercial. This year will mark the fifth time a creative team has won a Cocky Award for a Bud Light ad.
The Super Ad Poll is conducted by Bonnie Drewniany, a professor in the School of Journalism and Mass Communications, and students in her course on Super Bowl advertising. Each year on Super Bowl Sunday, the students gather to critique the commercials for persuasion, brand identity and likability. The highest scoring ad wins the poll and the Cocky Award.
News and Internal Communications


text: OverviewBack to top Harbinger - FlexFit Anti-Microbial Lifting Gloves- Large- Black/Red - 1 Pair Item# :81852UPC# :000751511275 Brand:Harbinger Size/Form:1 Pair Harbinger FlexFit Lifting Gloves Germ Resistant Anti-Microbial Odor Resistant and Real Wash&Dry Leather- Black/Red- Large- the all purpose training glove for athletes who require the maximum range of motion in a minimal glove design. Harbinger FlexFit Key Features: Anti-microbial Lycra® reduces odor and eliminates bacterial growth.WASH&DRY® Leather is 100% machine washable and dryable.TechGel™ Comfort Pads mold to palms for cushioning and protection, and do not break down over the lift of the glove.Adjustable wrist closure for a snug but comfortable fit.Short finger length reduces unwanted bulk. Unique "Stretch Mesh" allows hands and fingers to bend naturally and easily, while keeping them cool. Leather reinforcements in key wear areas increase durability.FlexFit offers the maximum in hand protection in a minimal design.NoSweat™ lining wicks moisture away from your skin. A FULL OFFERING OF ANTI-MICROBIAL PRODUCTS Nobody likes "Gym Germs". Consumers are buying anti-bacterial and anti-microbial products at a record pace. That's in response to growing awareness and concern over the harmful effects of mold and emergence of treatment resistant "Super Bugs". Ever the leader, Harbinger has been on the fore-front adapting this technology for use in Fitness. We now offer four core items featuring anti-microbial technology. They are the Men's and Women's FlexFit™ Gloves, the 5/8" Anti-Microbial Ribbed Mat and the newest addition, Anti-Microbial Speed Rope. Harbinger's anti-microbial technology is environmentally friendly, has proven benefits in its ability to control micro-organisms, slow the degradation of products and greatly reduce odors and stains. And it does not wear off over time and use.Gloves enhance any training regimen by protecting your hands and increasing bar traction during lifts. They cushion your fingers and palm from the knurling (the metal teeth of the lifting bar). They also provide protection from skin abrasion, calluses and residual bacteria left on the bars. They give you added support (depending on the style of glove) for your wrists, fingers and palms. Gloves have a traction pad on the palm that holds the bar safely in place during lifting. Because they work so hard, you can lift longer and more comfortably!Harbinger gloves are generally more snug-fitting than other gloves. The leather is designed to break in and stretch out over the life of the glove. If you are between two sizes, we recommend that you select the larger of the two sizes. If you prefer a looser fitting glove, we suggest that you buy one size larger than you typically wear. WASHING YOUR GLOVES / EQUIPMENT Technical performance, quality manufacturing, and unique fabrics distinguish Harbinger from its competitors. Unfortunately, improper care can diminish our product's performance. Our care is extremely easy, just follow these simple instructions:WASH loves on your hands.* Many people hand wash our Wash&Dry gloves when actually machine washing and drying is better for the fabric. What glove is right for you?Picking a glove is a very personal thing. There are many options so here are a few tips to make it easier and make the right choice:Ask yourself how will you use gloves?If you do any of these activities, training/fitness gloves are an important piece of equipment for you: 1. Lifting free weights.2. Using training machines.3. Using cardio vascular machines (rowing, cycling, cross-trainers, etc.)4. Kick Boxing/Boxing How do I know what features are the most important?Generally, there are four key things to look for in a training glove:1. Does it fit your hand? Sounds simple but very important to note these things when trying on a glove: 1. Does it fit snugly without binding?2. Can your fingers flex naturally and comfortably?3. Harbinger training gloves come in both half finger and the three quarter finger. Half finger covers to your first knuckle and the three quarter finger extends to your third knuckle. The three quarter finger helps protect against the knurling on weight bars. 2. Is there enough cushioning on the palm when you grasp a bar or a handle?1. Palms should be flexible but feel cushiony.2. When you grip a handle or a bar, the glove palm and fingers should curl naturally around that surface.3. You shouldn't feel the "teeth" of the bar or handle cut into your fingers or palm when the bar is firmly grasped. 3. Is there enough palm traction to ensure a "sure grip" when lifting or training?1. Does the palm material look like it will provide you with added traction?2. Does the palm material have extra stitching and padding in those areas that will have direct contact with the bar or a handle?3. When gripping a bar or a handle, does your grip slip as you go through your training motion? 4. Does the glove support my hand and my wrist during training?1. Does the glove feel natural but supportive?2. If you need additional wrist support are you wearing a WristWrap" glove?3. Does your glove allow you maintain the proper hand, arm and body position when training?


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Brevard, N.C.- Brevard College outfielder Champ Stuart has been selected by the New York Mets in the 6th round (176th overall) of the 2013 MLB First-Year Player Draft.
"This is a really great day for Champ and for our program," head coach Matt McCay said. "I'm so proud to have gotten the chance to coach Champ since he came to Brevard from the Christ School."
Stuart was only the second Division II player selected in this year's draft, and becomes the highest-drafted player in Brevard College history. Stuart follows former Brevard College draft picks Ray Gill (2005) and Jordan Hotchkiss (2007).
A native of the Bahamas, Stuart was a two-time All-SAC selection for the Tornados, and led the conference with 39 stolen bases this season. Stuart led the Tornados in hitting on the year, collecting a .300 batting average over 41 games.
The junior also led BC in runs scored (47), home runs (5), on-base percentage (.444), slugging percentage (.479) and total bases (67) in 2013.
Stuart was the South Atlantic Conference's leading hitter as a sophomore in 2012, compiling a .419 average through 42 games.
"He has worked so hard on and off the field to be successful and getting drafted by the Mets is a great conclusion to his great career here," McCay added. "They just gained a lot of Mets fans in Western North Carolina."
Please click the link below to read a feature on Champ Stuart from the Citizen-Times by Tyler Norris Goode.


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Phillips Gets Competitive Scrimmage
April 14, 2012
LEXINGTON, Ky. - On Friday, after what was termed as the best practice of spring drills, Kentucky football coach Joker Phillips asked his Wildcats to follow up with a competitive scrimmage the next day. The Wildcat head coach got his wish during a two-hour, 15-minute workout Saturday morning at Commonwealth Stadium.
"I asked for a competitive scrimmage and I think we got a competitive scrimmage," Phillips said. "From where I stand, I told the team that one side may think they won and the other side think they won (but) from where I stood I thought Kentucky won today.
"I thought we got better, kind of a wash (between offense and defense). First-team defense had 13 series, four (touchdown) series, a couple of those on short fields when it started on the (defense's) 30-yard line. I thought the defense did well. Offense finished strong by scoring on those when we had sudden change (simulated turnovers) and gave them short field and that's what you have to do.
"I thought both sides competed well," the coach continued. "Made some big plays on both sides of the ball. We're starting to find out who our playmakers are. (Wide receiver) Demarco Robinson is becoming one of our playmakers. La'Rod (King) is starting to pick it up and make plays we expect him to make. Maxwell (Smith at quarterback) is playing at a high level, still making mistakes, but he's starting to play at a higher level every scrimmage.
"On defense, (linebacker) Bud Dupree, we're excited about him. (Defensive end) Farrington Huguenin continues to play well, had a couple of big sacks. (Defensive back) Martavius Neloms, I'm really proud of Martavius. We've put a lot on him, playing a lot of different positions, and I've asked him personally to lead this football team defensively and I think he's trying.
"Still got a lot of work to do. I don't want anybody to think we have all of a sudden arrived but I'm really pleased with how this day went."
The scrimmage, which lasted approximately 90 minutes, pitted the first-, second- and third-team offense against their respective counterparts on defense.
The first offense began crisply, driving 70 yards on 13 plays, topped by a 21-yard TD toss from Smith to King. Smith finished the day completing 25 of 38 passes for 227 yards and four touchdowns. King was the leading receiver with seven catches for 76 yards and two TDs. Tight end Ronnie Shields and wide receivers E.J. Fields and Demarco Robinson caught four balls each.
The first defense stiffened after that, allowing only one touchdown and a field goal on the next 10 possessions, including seven three-and-outs. The touchdown drive was a 50-yarder, finished by a 15-yard pass from Smith to King. The field goal was a 45-yard boot by kicker Craig McIntosh.
Late in the scrimmage, simulated turnovers gave the offense the ball on the defense's 30-yard line and Smith capitalized with a pair of touchdown passes to Robinson, 18 and 2 yards.
Meanwhile, the second-team defense kept the second offense out of the end zone on the first six possessions, although McIntosh finished one drive with a 35-yard field goal.
The second offense found its stride late in the scrimmage with touchdown drives of 50, 70 and 30 yards on its final three series. Tailback Jonathan George scored on runs of 18 and 70 yards. He finished the scrimmage with 10 carries for 134 rushing yards.
Second-team quarterback Jacob Russell completed 15 of 26 passes for 166 yards with one touchdown. His scoring play was a short pass to fullback D.J. Warren, who broke tackles and threaded traffic for a 30-yard TD. Tight end Anthony Kendrick was the leading receiver for the second unit with five caches for 72 yards.
The third-team offense ran two series against the third defense and did not score.
Kentucky returns to practice Wednesday and Friday before the Blue/White Game on Saturday, April 21, at 6 p.m.


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Discussion in 'Fan Zone' started by CATCH17, Nov 22, 2012.
Need to know for FF reasons.
According to Broaddus, yes.
He'll be active.
Will he start? My guess is no.
I'm thinking about playing Bryce Brown over him in FF.
Anyone I think that's a good idea? I have Murray and McFadden both hurt.
He's supposedly starting.
Your guess is as good as mine how much he plays.
I'm in the very same situation. Felix or pick up Brown.
I'm leaning toward Brown.
I picked up Lance Dunbar and I'm going to start him as my second RB over DeAngelo Williams who has been feast or famine.
I have McFadden too and I'm rolling with Reece for the time being
I'm playing him only because I have Murray & McCoy both hurt. Carolina is awful against the run, except against Dallas.
It'll be interesting to see who works at kickoff returns if Dunbar gets more work at RB.
Is there a chance Lesean plays Monday?
Extremely doubtful. He still hasn't passed his concussion test.
I picked up Ronnie Hillman in my league. Hoping they continue to run at least as much as they did with McGahee.
Yeah I'm going with Bryce over Felix.
I gotta give Felix props for the last 2 weeks though for keeping me alive in my league.
Hillman was the one I wanted to pick up but we was quickly snagged when McGahee went down.
I have him in a PPR too


text: OverviewBack to top Nylabone - Fresh Breath Rawhide With Chlorophyll & Parsley Regular Dog Treats Roast Beef - 12 Stick(s) Item# :114906UPC# :018214825548 Brand:Nylabone Size/Form:12 Stick(s) Ship Weight:1.55 Flavor:Roast Beef Nylabone Fresh Breath Rawhide With Chlorophyll & Parsley Regular Dog Treats Roast Beef 12 Sticks Nylabone Fresh Breath Rawhide With Chlorophyll & Parsley Regular Dog Treats Roast Beef with Whole Life Complex, a natural and safe treat that helps to keep dogs occupied and out of trouble. This made-in-the-USA chew is enhanced with Nylabone's Whole Life Complex, a blend of essential vitamins, minerals and prebiotics. The USA-rawhide is available in four varieties: Calcium, Glucosamine, Chlorophyll, and Omega Fatty Acids. They are highly digestible, healthy, and dogs love them! Fresh Breath Rawhide is edible and highly-digestible, and helps prevent destructive chewing with no added sugar or salt. How long will an Edible Chew last? Edibles are "treat" bones. They are meant to be consumed, and are therefore not long lasting chews. Their "lifespan" depends on how determined a chewer your dog is. Edible chews have a shelf life of over five years. It is important that you get to know a dog's chewing style and to select the appropriate type of chew and the proper size and formulation based on a dog's age, breed, chewing style and weight. The pressure exerted by a dog's jaw can put tremendous stress on their teeth. These sizes are guidelines: If your dog is between sizes or is especially powerful, Nylabone recommends choosing a larger size-large enough to encourage chewing from the side, rather than from top to bottom. Many little dogs are powerful chewers and may need a larger size. If you have more than one dog in your household, select chews appropriate for the largest, strongest chewer. Remember to always supervise the use of any dog chew or toy! How many Edible Chews can I give my dog per day? This depends upon the dog's age, weight and activity level. These chews are not recommended for puppies younger than 6 months old. Please check with your veterinarian as to your dog's daily caloric intake and the proper time to introduce Edible chews into your puppy's diet. Is Rawhide safe for my dog? One of the major medical schools in the US conducted a laboratory test to answer this question. The results showed that in groups of test dogs, even in those fed rawhide three times a day, there were no ill effects. Although choking or intestinal obstruction with rawhide could potentially occur, it is quite rare, and common-sense prevention measures should be taken. Make sure you select the appropriate size for your dog. It is important that the chew is large enough and thick enough that your dog cannot easily chew off and swallow a large piece or swallow the whole chew. When the chew has been enjoyed down to a small portion, we reco:" ":ncourage positive behavior, provide comfortable shelter, and allow for safe, pleasant travel. All Nylabone™ products are sold with a consumer satisfaction guarantee, which is found on every package. Complete and total customer satisfaction has always been Nylabone's goal. With a decades-long reputation for quality, pet owners can count on Nylabone™ to care for their dogs and other pets.


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Category:Leif Ericson (ship, 1991)
From Wikimedia Commons, the free media repository
|Information about the vessel may be found at IMO 8917388.
A ship can change name and flag state through time, but the IMO number remains the same through the hull's entire lifetime. As a result, it can be useful to identify a ship by using the IMO number.
Media in category "Leif Ericson (ship, 1991)"
The following 2 files are in this category, out of 2 total.
- MV Leif Ericson North Sydney 2013.JPG 2,560 × 1,920; 2.51 MB
- Traversier de Terre-Neuve.JPG 2,592 × 1,944; 3.01 MB


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Familial Mediterranean feverFamilial paroxysmal polyserositis; Periodic peritonitis; Recurrent polyserositis; Benign paroxysmal peritonitis; Periodic disease; Periodic fever; FMF
Familial Mediterranean fever is a disorder passed down through families (inherited), which involves repeated fevers and inflammation that often affects the lining of the abdomen, chest, or joints.
Familial Mediterranean fever is most often caused by a mutation in the MEFV gene. This gene creates proteins involved in inflammation.
The condition usually affects people of Mediterranean ancestry, especially non-Ashkenazi (Sephardic) Jews, Armenians, and Arabs, although people from other ethnic groups may also be affected.
This disease is very rare. Risk factors include a family history of familial Mediterranean fever or having Mediterranean ancestry.
Symptoms usually begin ages 5 and 15. Inflammation in the lining of the abdominal cavity, chest cavity, skin, or joints occurs, along with high fevers that usually peak in 12 to 24 hours. Attacks may vary in severity of symptoms. Patients are usually symptom-free between attacks.
Symptoms may include repeated episoders of:
- Abdominal pain
- Chest pain that is sharp and gets worse when taking a breath
- Fever or alternating chills and fever
- joint pain
- Skin lesions that are red and swollen and range from 5 - 20 cm in diameter
Exams and Tests
There is no specific test to diagnose this disease. If genetic testing shows you have the mutation known to be associated with this condition, and your symptoms match a typical pattern, the diagnosis is nearly certain. Ruling out other possible diseases using laboratory tests or x-rays will help determine the diagnosis.
Certain blood tests may be higher than normal when done during an attack. Tests may include:
- Complete blood count (CBC)
- C-reactive protein
- Erythrocyte sedimentation rate (ESR)
- Fibrinogen test
- White blood cell count
The goal of treatment for familial Mediterranean fever is to control symptoms. Colchicine, a medicine that reduces inflammation, may help during an attack and may prevent further attacks. It can also help prevent a serious complication called systemic amyloidosis.
Outlook (Prognosis)
There is no known cure for familial Mediterranean fever. Most people continue to have attacks, but the number and severity of attacks is different from person to person.
Possible Complications
A serious complication is amyloidosis, a condition in which abnormal proteins build up in the organs and joints.
When to Contact a Medical Professional
Call your health care provider if you or your child develop symptoms of this condition.
Kastner DL. The systemic autoinflammatory diseases. In: Goldman L, Schafer AI, eds. Cecil Medicine. 24th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 269.
Review Date: 8/15/2012
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School; Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.


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