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The Family Secrets! volume #1 Our Recipes Ebook
Southern Family and Foods
by Deborah Singletary, 2012
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About the Ebook
A Southern Family cookbook filled with wonderful recipes, and beautiful pictures, of memories of family and friends.. delight, cry, smile as you read the short stories. Enjoy the many wonderful family recipes. This is a book filled with love to be cherished and passed down to generations.. A Southern Family that loves to cook, reminisce, and share. I orgininally was writing this as a short recipe book for my close family as a Christmas gift. but it grew and grew, and others have asked to buy it. I hope you will enjoy it. It is my book of love! A Heritage of a Southern Family. Some were Family Secrets', but now they are told! Enjoy!
Features & Details
- Category Cooking
- Version Fixed-layout ebook, 378 pgs
- Publish Date Nov 23, 2012
- Last Edit Apr 03, 2017
- Language English
- Tags Landon, Thorne, Temple, Megan, Josh, Alexander, Valentine, Valentin, Yakimenko, Nicole, Noah, Kayli, Ryan, Mati, Jobeth, Sarah, Amy, Kip, Jason, Jerry, Freeman, Polly, Ricky, Mallorie, Asa, Dani-Jo, enjoyable, interesting, sale, 2012, Rebecca, Daniel, Danny, Buffy, Methodist, Safina, Garey, Stillwell, Norton, Howle, Wise, Byrd, Blackmon, Hingson, Hershberger, Elliott, Hallman, Howell, Welch, Calder, Caulder, Porter, Asaro, cpr, values, sentimental, promotions, child, granddaddy, grandma, daddy, mama, husband, brother, sister, self, Written, Published, Writer, heritage, corn, deserts, desert, breads, eggs, butter, milk, country, recipes, Blurb, Rushing, Weinberg, tradition, fruits, fruit, Southern, sayings, ranches, ranch, farms, farm, animals, birthdays, humor, photos, lineage, Christian, poems, adoption, dialysis, steak, pepper, sugar, meats, supper, brunch, party, veal, potatoes, roast, ham, sweets, meals, cookbook, sea food, great book, good book, for sale, Indian Branch Church, first aid, great gift, gift ideas, Grand daddy in the woods, South Carolina, self written, Blurb books, The Family Secrets, Family Secrets, recipe book, family recipe book, family tradition, cleaning solutions, short stories, foster care, kidney failure, down syndrome, family pictures, cook book, family, cook, book, recipe, ingredients, secrets, dessert, beverages, cocoa, coffee, tea, foods, food, salad, soup, porkchops, shrimp, greens, Peas, Cornbread, Dixie, American, America, Independence, Church, School, Halloween, Easter, today, tomorrow, uplifting, aroma, Kiziah, Wil, Matt, bible, verses, children, vegetables, desserts, horses, Christmas, home, love, weddings, songs, Debbie, Deborah, Singletary, salt, cakes, cookies, breakfast, dinner, lunch, deer, South, Darlington, South, fish, gifts, ideas
About the Creator
Hello, I am Debbie Singletary, a sixty year old first time author, married to Danny Singletary, a construction worker. We have been therapeutic foster parents for 18 years. We have four children, Buffy 36, Nicole 25, Mallorie 12 and Asa 10 and many that we claim as ours... Becky, Mendy, Felicity, Chris, Brandon, Charlie, Michael, Kristilyn, India, Frankie, Jessica and John Henry. We have a Granddaughter, Dani-Jo and expecting a Grandson in 2013 . We have 2 dogs, Abbigail a chihuahua and Trouble , our border collie, 2 cats C.J. and Bonded, 2 horses Breeze and Belle, many gold fish! We live in the country and are Christians, advocates for organ transplants, children, adoptions, foster care and Senior Citizens. I am not a professionally educated writer, I write from my heart, my experience and through Jesus Christ, He works through me, at times. I am not perfect, but I am forgiven. Thank you for taking time to read about me, I hope you will enjoy my writings. Feel free to contact me.
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stage managernoun [ C ]uk /ˈsteɪdʒ ˌmæn.ɪ.dʒər/ us /ˈsteɪdʒ ˌmæn.ə.dʒɚ/
› the person who is responsible for the equipment and the use of the stage during a play or performance
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Blog Posts in October, 2012
Acne and FoodPosted By Pacific Center Plastic SurgeryAlthough it is a popular belief that consuming chocolate or greasy foods can cause breakouts, the truth is that acne and food consumption have little to do with each other . Acne occurs when hair follicle openings become blocked with oil secretions or bacteria. They typically occur on the face, neck and chest because they are the areas of the body with the largest amount of oil glands. Most ...Continue Reading
Tuesday - October 29th Visit from AmbassadorPosted By Pacific Center Plastic SurgeryToday we were honored by the visit of the American Ambassador to Armenia, John A. Heffern. He came to show his support of the work we are doing, and to offer his heartfelt thanks and encouragement not only for the surgeries we are performing, but for the teaching and collaboration with the Armenian doctors and staff.Continue Reading
Sientra Shaped Silicone Implants: What's New for Orange County Breast Implants and Newport Beach Breast Sugery?Posted By Pacific Center Plastic SurgeryOptions are always good and with Sientra Shaped silicone breast implants we now have more options to get the best results for our patients who desire breast surgery. Ideal patient candidates for shaped implants may include the following: Mild ptosis or sagging Peri-areolar mastopexy (breast lift with implant) Constricted breast Tuberous breast Short IMF (inframammary fold) Wide chest Tall/long ...Continue Reading
Walking for Your BrainPosted By Pacific Center Plastic SurgeryGo for a walk lately? Exercise makes people smarter , in an ongoing study by scientists around the world. The study was first conducted to see if exercise had positive benefits for older people, but researchers have found that it has profound benefits for people of all ages, mentally and physically. Kids who exercise have less problems with attention deficit disorders, and tend to learn faster. ...Continue Reading
Healthy Super Bowl AlternativesPosted By Pacific Center Plastic SurgeryAs winter approaches, so does an old American tradition: football. Hosting guests and food parties are eventual, but that doesn't mean you have to lose your healthy summer streak. When entertaining the football crowds, consider "making it mini". Most grocery stores carry mini serving hot dogs, pizzas or single serving chips, a little bit of size compensation for the goodies goes a long way. ...Continue Reading
Hiccup RemediesPosted By Pacific Center Plastic SurgeryNobody enjoys hiccups. They are caused when vagus nerves, nerves that link the brain to the abdomen, are irritated during common digestive disturbances. Hiccups occur about three to five times a year, every year, during an average person's lifespan. There are many remedies that people believe help stop hiccups, some of them work and some of them are downright ridiculous. However, the concepts ...Continue Reading
Breathe for Stress ReductionPosted By Pacific Center Plastic SurgeryThe modern workday can easily produce stress levels that we simply get used to. By practicing breathing techniques, you can drastically reduce anxiety, blood pressure and digestive problems that can build up by the end of the week. Although breathing is something we have innately been doing our entire lives, it is something to which we do not give much attention. By practicing breathing ...Continue Reading
The Importance of IronPosted By Pacific Center Plastic SurgeryAbout one in five women of reproductive age have iron deficiencies . The experiences can range from shortness of breath to feeling lethargic, tired and run down. This is especially true for vegans who do not get enough iron in their food. Iron is very important for the body, as it carries oxygen to the brain and tissues. A lack of iron can lead to a short of oxygen, resulting in apathy, shortened ...Continue Reading
Lavender and its amazing usesPosted By Pacific Center Plastic SurgeryMost of us have trouble sleeping every once in a while. Some people swear that having lavender next to the bed can help with sleep issues. While it is true that inhaling the herb can have relaxing effects, it can be overpowering if overused. Remember to keep quantities to a minimum, the less the more. Those who drink lavender tea, or eat the actual flower have more vitamin A, calcium and iron. The ...Continue Reading
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Khobragade, a mid-level Indian diplomat, was released by a Manhattan court on a $250,000 bond
Devyani Khobragade, deputy consul general at the Indian Consulate in New York was arrested for allegedly presenting fraudulent documents in support of a visa application for an Indian national employed by her. Khobragade, a mid-level Indian diplomat, was released by a Manhattan court on a $250,000 bond on Thursday evening even as the Indian embassy in Washington expressed 'strong concern' over the unprecedented action by the US.
Manhattan's top federal prosecutor Preet Bharara said, Khobragade, an officer from the Indian Foreign Services (IFS) was held on charges that she allegedly caused a materially false and fraudulent document to be presented, and materially false and fraudulent statements to be made, to the US Department of State in support of a visa application for an the Indian national employed as a babysitter and housekeeper at her home in New York.
Indian officials, however, said the housekeeper, Sangeeta Richard, has been absconding since June 2013, and in September, the Delhi High Court had issued an-interim injunction Richards from instituting any actions or proceedings against Khobragade outside India on the terms or conditions of her employment.''
Khobragade is currently employed as the deputy consul general for Political, Economic, Commercial and Women's Affairs at the Consulate General of India in New York. She is daughter of former IAS officer Uttam Khobragade and also member of the controversial Adarsh Housing Society in Mumbai.
"The false statements and fraud alleged to have occurred here were designed to circumvent those protections so that a visa would issue for a domestic worker who was promised far less than a fair wage. This type of fraud on the United States and exploitation of an individual will not be tolerated," he said.
Khobragade was charged with one count of visa fraud and one count of making false statements, which carry maximum sentences of ten years and five years in prison, respectively.
"Foreign nationals brought to the US to serve as domestic workers are entitled to the same protections against exploitation as those afforded to US citizens," Bharara said.
The Supreme Court granted bail after noting that several other similarly placed convicts have already been granted bail in the case
The Supreme Court on Friday granted bail to Rashtriya Janta Dal (RJD) chief Lalu Prasad Yadav in a fodder scam case, in a relief to the politician who is behind the bars for the last two months after being awarded a five-year jail term.
A bench headed by Chief Justice P Sathasivam granted bail after noting that several other similarly placed convicts have already been granted bail in the case.
The bench also comprising Justice Ranjan Gogoi, however, left it to the trial court to decide the bail bonds, sureties and other conditions to be imposed on the former Member of Parliament (MP).
CBI, which is the prosecuting agency in the case, did not oppose Yadav's bail plea.
Pleading for bail, Lalu Yadav, who lost his membership of Parliament after being convicted in the case, submitted that of the 44 persons convicted along with him, 37 have been granted bail and no one's, except his bail plea has been rejected.
Senior advocate Ram Jethmalani, appearing for the politician, submitted that Yadav has already spent 12 months behind bars, including two months of his five-year sentence, and sought bail, saying the Jharkhand High Court before which his appeal is pending will take at least seven to eight years to decide the case.
Lalu Yadav had moved the apex court challenging the order of the Jharkhand High Court which had dismissed his bail plea.
The RJD chief, another former Bihar Chief Minister Jagannath Mishra and 43 others were on 30th September convicted by a special cout of Central Bureau of Investigation (CBI) in the fodder scam case involving fraudulent withdrawal of Rs37.7 crore from Chaibasa Treasury during the Prasad-led RJD regime.
The CBI court had pronounced varying prison terms for the convicted persons on 3rd October.
In his bail petition, the RJD chief had said, "No reason has been given by the court for the rejection of bail. The petitioner has been treated differently in the matter of grant of bail in as much as some of the co-accused, who are similarly situated, have been granted bail."
Replying to a question raised by Rajya Sabha MP Rajeev Chandrasekhar, on behalf of several activists and consumer organisations, the ministry of finance said RBI has set aside its diktat making Aadhaar-based authentication mandatory
The government has informed Parliament that Reserve Bank of India (RBI) has set aside its earlier decision of Aadhaar authentication using biometrics saying it is not mandatory upon banks to adopt Aadhaar as additional factor of authentication. The RBI has now notified that banks can continue with the EMV Chip and Pin technology for securing the card present payment infrastructure.
Rajeev Chandrasekhar, member of Parliament (MP) had agreed to raise the question in Rajya Sabha after Moneylife Foundation, several consumer and non-governmental organisations (NGOs) and activists sent a memorandum to RBI governor Raghuram Rajan over the issue.
Earlier in September, Moneylife Foundation hosted a round table with leading organisations such as All India Bank Employees Association (AIBEA), All India Bank Depositors Association (AIBDA), Council for Fair Business Practices (CFBP), V Citizens Action Network (V-CAN), Consumer Education and Research Centre, Ahmedabad (CERC), India Against Corruption (IAC), Forum for Fast Justice (FFJ), Forum of Free Enterprise (FFE), Nagrik Chetana Manch (NCM), All India Business Council (AIBC) and Women Graduates Union, Mumbai (WGU), as well as concerned citizens to discuss the issue of Aadhaar enabled ATMs and PoS.
The key issue during the round table was: Who will bear the huge technology cost involved in the project. Activists feared that the banking system was being used by the UIDAI (Unique Identification Authority of India) to create nationwide infrastructure of biometric readers and scanners at the cost of bank consumers. Further, UIDAI plans to charge a fee for each Aadhaar authentication, which would also have to be borne by consumers.
Among the issues raised at the discussion was the fact that biometric-enabled ATMs had been launched with much fanfare between 2004 and 2007 but were an unmitigated disaster. Most participants felt that there ought to be a pilot project to justify the technology, safety as well as the bandwidth required for the UIDAI authentication, before such a big cost burden was imposed on the banking system.
The group then together drafted and sent a memorandum to RBI governor Dr Raghuram Rajan.
Chandrasekhar, who is also a member of the Standing Committee on Finance, then requested Prime Minister Manmohan Singh to relook at the RBI's proposal on Aadhaar authenticated biometric automated teller machines (ATMs). In the letter sent to the PM, finance minister P Chidambaram and chairman of Standing Committee on Finance, he wrote, "Public policy towards financial inclusion should be devised intelligently with objective of lower banking costs and increased access for consumers and not using ill-conceived, brute force methods involving significant additional spending and increase in costs to consumers and please make no mistake, these costs will be passed on by banks to consumers."
Subsequently, Chandrasekhar raised the issue in the Parliament. In its reply in the Rajya Sabha, the ministry of finance said it is not expected that huge capital investment will ensue immediately to the banking system for this replacement. It is expected that enhanced benefits will largely compensate the expenditure incurred in putting this infrastructure in place, the ministry said.
The ministry, however, said that Reserve Bank has already notified the banks that in respect of cards, not specifically mandated by RBI to adopt EMV norms, banks may take a decision whether they should adopt Aadhaar as additional factor of authentication, or move to EMV chip and PIN technology.
Chandrasekhar had asked the ministry, and also raised the issue to RBI governor Raghuram Rajan on 10th October, whether government was proposing to direct all banks to absorb these increased cost of banking due to Aadhaar requirements, and not to pass these costs to consumers in order to safeguards their interests. Chandrasekhar said even earlier experiments with Aadhaar-based biometric ATMs during 2004 and 2007 had failed, as it proved to be a high-priced proposition for implementation.
"While there is no denying that a stronger authentication mechanism to safeguard consumers' interest is needed, such a proposal without adequate capital can result in a high cost burden for our banking system," he said. "I have urged the government to conduct adequate feasibility tests before taking a call on any Aadhaar programmes," said Chandrasekhar.
It is important that government reconsider the proposal in the interest of India and its people; weigh the outcome; examine the consequence, and then take a decision.
Various Aadhaar programmes have already seen thousands of crores of taxpayers' money being spent aimlessly without proper understanding of the issue, he said. "There is neither a parliamentary debate —or approval —nor any effort by the government to have a public consultation in order to ascertain whether Aadhaar series of measure is beneficial to the nation. Aadhaar programme is being funded using public money, and needs to be reviewed immediately. The programme's objectives should be clearly defined given the fact that Supreme Court order recently decided not to make subsidies conditional upon Aadhaar," he said.
The fact that there is no clarity over Aadhaar programme suggests that we need efforts to build a coherent mechanism by which we address critical issues pertaining to Aadhaar. Also lashing out at the manner the government was working to implement Aadhaar programs, Chandrasekhar said, "it is a matter of concern knowing that Aadhaar numbers are being issued to people irrespective of whether they are Indian citizens or not, thus making non-citizens eligible for taxpayer-funded subsidies."
"Besides, this widespread allocation of Aadhaar numbers is serving as an incentive to attract illegal immigration into the country due to the easy access to subsidies that the Aadhaar programme allows. Also Aadhaar programme requires citizens to give out personal information, which infringes upon their right of privacy and has the potential to be misused," he said.
Chandrasekhar also asked whether the government was aware that RBI's directive to banks for providing a mechanism for Aadhaar authentication in all new credit swipe machines and ATMs using biometrics will increase cost of banking for consumers. In its reply, the ministry for finance told the Parliament that RBI has "directed only at new acceptable infrastructure and not large scale replacement of all existing infrastructure in a time bound manner."
Moneylife has been pointing out that this new directive (from RBI) will involve additional expenses, which bank depositors will end up bearing under the guise of technology costs. So far, Aadhaar has made no mention of who will bear the cost of biometric point of sales (POS) readers (according to a senior banker, they will cost Rs8,000 each) and biometric ATMs (Rs4 lakh for the machine plus installation, maintenance, electricity, etc).
Last month, the RBI advised banks to choose either EMV chip and PIN or Aadhaar's biometric validation as additional factor for authentication and securing the card present payment infrastructure. However, several mainstream media reported that RBI has asked banks to adopt Aadhaar authentication only.
However, the RBI advised banks to keep their new card present infrastructure enabled to use both EMV chip and PIN and Aadhaar (biometric validation) acceptance. It may be noted that EMV cards are 'smart' cards that have an embedded chip while PIN authentication involves the card-holder to punch in a secret code on the card-swiping machine, for each transaction.
Interestingly, about 90% of the existing POS terminals in the country, managed by 21 acquirers (among them Axis Bank, HDFC Bank and ICICI Bank), can accept EMV chip cards and PIN. However, following RBI directive banks will have to scrap the whole infrastructure and buy new one with biometric readers, which costs a bomb.
However, as reported by Moneylife, bankers are set to oppose the RBI directive that all new ATMs and PoS machines should be tailored to accept Aadhaar.


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SPECT/CT and pulmonary embolism
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Acute pulmonary embolism (PE) is diagnosed either by ventilation/perfusion (V/P) scintigraphy or pulmonary CT angiography (CTPA). In recent years both techniques have improved. Many nuclear medicine centres have adopted the single photon emission CT (SPECT) technique as opposed to the planar technique for diagnosing PE. SPECT has been shown to have fewer indeterminate results and a higher diagnostic value. The latest improvement is the combination of a low-dose CT scan with a V/P SPECT scan in a hybrid tomograph. In a study comparing CTPA, planar scintigraphy and SPECT alone, SPECT/CT had the best diagnostic accuracy for PE. In addition, recent developments in the CTPA technique have made it possible to image the pulmonary arteries of the lungs in one breath-hold. This development is based on the change from a single-detector to multidetector CT technology with an increase in volume coverage per rotation and faster rotation. Furthermore, the dual energy CT technique is a promising modality that can provide functional imaging in combination with anatomical information. Newer high-end CT scanners and SPECT systems are able to visualize smaller subsegmental emboli. However, consensus is lacking regarding the clinical impact and treatment. In the present review, SPECT and SPECT in combination with low-dose CT, CTPA and dual energy CT are discussed in the context of diagnosing PE.
KeywordsSPECT SPECT/CT Pulmonary CT angiography Lung scintigraphy Pulmonary embolism Overview Diagnostic test
Acute pulmonary embolism (PE) is a common, often undiagnosed and potentially fatal disease. Mortality is between 10 % and 30 % if untreated, but can be reduced to 2 – 8 % with treatment [1]. Various clinical symptoms and findings together with knowledge of predisposing factors may strengthen or weaken the clinical suspicion. PE can be ruled out if the clinical suspicion is low and the D-dimer test is negative. However, in those patients in whom the clinical suspicion is moderate or high and/or the D-dimer test is positive, a conclusive imaging test such as a ventilation/perfusion (V/P) study or pulmonary CT angiography (CTPA) is needed to confirm or exclude the diagnosis of PE. There is increasing evidence of the improved accuracy of single photon emission CT (SPECT) and SPECT combined with low-dose CT (SPECT/CT) compared to planar V/P scintigraphy, and likewise of multidetector CTPA compared to single-detector CTPA. There is, however, less evidence concerning comparisons between SPECT and SPECT/CT and CTPA.
In this article, the clinical value and protocols of lung V/P studies with SPECT, SPECT/CT and CTPA are discussed.
Imaging agents
For ventilation studies with SPECT several kinds of agents can be used: the inert gas 81mKr, 99mTc-based agents such as the carbon suspension Technegas, or radioaerosols, e.g. 99mTc-DTPA.
81mKr is delivered from a 81Rb/81mKr generator. The short half-life of 13 s implies that 81mKr is inhaled continuously during imaging and that it disappears from the alveolar regions by decay much faster than by expiration. Hence, at normal breathing frequency the regional 81mKr concentration reflects regional ventilation. Due to the higher gamma energy (190.6 keV) of 81mKr compared to 99mTc (140 keV), a V/P scan can be acquired simultaneously. The effective radiation dose of 81mKr is very low (27 nSv/MBq, <0.2 mSv for 6,000 MBq). The use of 81mKr is mainly limited by the distance to a cyclotron since a cyclotron-produced generator only lasts 1 day (T½ of 4.6 h for 81Rb). 81mKr is very cost-effective if the number of patient examinations is high in a centre, whereas cost is a limitation if only a few patients are examined per generator. 133Xe is rarely used in SPECT due to its low availability and energy.
The 99mTc-labelled Technegas (Cyclomedica Australia, Australia) consists of small 99mTc-graphite particles (5 – 200 nm) that are generated by burning solid graphite particles and 99mTc-pertechnetate in argon gas at a high temperature. The particles grow by aggregation and should therefore be administered within 3 min (no more than 10 min). The patient takes one to three deep breaths before imaging and most particles are deposited by diffusion in the alveolar regions, with a biological residence T½ of 135 h. As a result, the time to start imaging, and the duration of image acquisition, are not time-critical [1]. However, due to sedimentation, hot-spots may occur in the larger airways and radioactivity may travel up through the airways by mucociliary and cough clearance during the SPECT. The effective radiation dose (15 μSv/MBq, 0.5 – 0.8 mSv for 30 – 50 MBq) is higher than for 81mKr and radioaerosols, but lower than for the perfusion agent [1].
Radioaerosols are generated by a nebulizer, preferably creating particles of 1 – 3 μm (mass median aerodynamic diameter). If inhaled slowly they will deposit by sedimentation in the small airways and alveolar regions. The timing and length of imaging examination may be important since retention in the lung depends on the type of ventilation agent used. 99mTc-DTPA will clear through the alveolar capillary membrane (through tight-junctions) especially in the dependent lung zones with a T½ of about 60 min in non-smokers, but two to five times faster in current smokers. Rapid clearance is reflected by the early depiction of radioactivity in the kidneys. Correction for clearance of 99mTc-DTPA during the time span of SPECT has been suggested and applied by some authors [2]. However, correction is not necessary for 99mTc-colloids (e.g. albumen, sulphur) since they have longer residence times in the lungs. Hot-spots in the larger airways occur more often with radioaerosols than with Technegas. The effective radiation dose from radioaerosols is low: 7 μSv/MBq, 0.21 mSv for 30 MBq for 99mTc-DTPA; 4.7 μSv/MBq, 0.15 mSv for 30 MBq for 99mTc-albumin colloid (Venticoll) [1]. In centres with only a few V/P studies, radioaerosols are the most cost-effective ventilation agents.
99mTc-labelled macroaggregated human albumin (99mTc-MAA) is injected slowly while the patient breathes slowly and deeply to ensure a uniform perfusion distribution. The administered dose is between 100 and 220 MBq (effective dose 11 μSv/MBq, 1.1 – 2.4 mSv for 100 – 220 MBq) and depends mainly on the choice of ventilation agent used [1, 3]. A larger dose is required if perfusion imaging is preceded by 99mTc-based ventilation imaging to overcome "background" radiation from the ventilation agent. Indeed, some centres use 300 MBq99mTc-MAA [4] to obtain a required P/V ratio of ≥4 when using the ventilation agent Technegas, whereas a lower 99mTc-MAA dose can be used with 81mKr ventilation, or if the perfusion study is not preceded by a ventilation study [1]. About 400,000 MAA particles are injected, except in patients with pulmonary hypertension or a right-to-left cardiac shunt, and in children, in whom fewer particles are used [5].
Scanning protocols
The ventilation and perfusion agents for SPECT should be administered with the patient lying supine to reduce any gravitational influence upon distribution. If a 99mTc-based ventilation agent is used, sequential imaging is performed; usually ventilation first, then perfusion. To ensure alignment of the ventilation and perfusion imaging, the patient must not move between the two acquisitions. If 81mKr is used, V/P imaging can be performed simultaneously (applying a photopeak of 190 keV for 81mKr and 140 keV for 99mTc-MAA) ensuring optimal alignment and minimizing acquisition time; alternatively, 81mKr and 99mTc-MAA can be administered and imaged sequentially [1, 5].
A sequential V/P SPECT protocol using 99mTc-DTPA radioaerosol/99mTc-MAA [2]. First, the delivered dose from 30 MBq 99mTc-DTPA is inhaled into the lungs, and then the V SPECT is acquired. Immediately afterwards, 100 MBq 99mTc-MAA is given intravenously, and then the P SPECT is acquired. Both SPECT datasets are obtained with 64 projections per head over 180°, 10 s for ventilation and 5 s for perfusion, using low-energy general-purpose (LEGP) collimators and a 64 × 64 matrix. The protocol including both SPECT scans takes 20 min. Ordered-subsets expectation maximization (OSEM) reconstruction is performed (two iterations/eight subsets). Since 10 – 40 % of the 99mTc-DTPA is cleared from the lungs during the V SPECT acquisition, this is corrected for. In addition, P SPECT is corrected for "background" radioactivity remaining from the 99mTc-ventilation agent.
A sequential V/P SPECT protocol using 99mTc-Technegas/99mTc-MAA [3]. First, a dose from 50 MBq 99mTc-Technegas is inhaled into the lungs, and then the V SPECT is acquired. Immediately afterwards, 220 MBq 99mTc-MAA is given intravenously, and then the P SPECT is acquired. Both SPECT datasets are obtained with 60 projections per head over 180°, 12 s for ventilation and 8 s for perfusion, using low-energy high-resolution (LEHR) collimators and a 128 × 128 matrix. The protocol including both SPECT scans takes 25 – 30 min. OSEM reconstruction is used (eight iterations/four subsets).
A simultaneous V/P SPECT protocol using 81mKr/99mTc-MAA [6]. First, 150 MBq 99mTc-MAA is given intravenously, then the V/P SPECT scan is performed, during which 81mKr is inhaled. Dual energy SPECT is acquired as 36 projections per head of 20 s each over 180°, using LEGP (or medium-energy general-purpose) collimators and a 128 × 128 matrix. The protocol takes 13 min. Iterative reconstruction is performed (three iterations/16 subsets; Astonish, Philips) and images both with attenuation correction (based on a simultaneously obtained low-dose CT scan) and without attenuation correction are reviewed. Our present routine protocol is shortened to less than 10 min by using 12 s instead of 20 s per projection.
Examples of ventilation/perfusion SPECT protocols
Simultaneous/sequential V/P SPECT
Ventilation agent, dose in lungs, effective dose
Perfusion agent, dose in lungs, effective dose
Projections per head, time, arc per head
Collimators, matrix size
Total V/P SPECT acquisition time (min)
Sequential, first V SPECT, then P SPECT
99mTc-DTPA aerosol, 30 MBq, 0.2 mSv
99mTc-MAA, 110 MBq, 1.2 mSv
64 projections, V 10 s, P 5 s, 180°
Iterative, without attenuation correction, P corrected for V
Sequential, first V SPECT, then P SPECT
99mTc-Technegas, 50 MBq, 0.8 mSv
99mTc-MAA, 220 MBq, 2.4 mSv
60 projections, V 12 s, P 8 s, 180°
25 – 30
Iterative, without attenuation correction
Simultaneous V/P SPECT
81mKr-gas, 0.16 mSv
99mTc-MAA, 150 MBq, 1.7 mSv
36 projections, 20 s, 180°
13 (<10a)
Iterative, with and without attenuation correction
Simultaneous V/P SPECT
99mTc-MAA, 200 MBq, 2.2 mSv
64 projections, 12 s, 180°
About 16
Sequential, first V SPECT, then P SPECT
99mTc-Technegas, 100 MBq, 1.6 mSv
99mTc-MAA, 300 MBq, 3.3 mSv
32 projections, V 30 s, P 20 s, 180°
Filtered back projection,without attenuation correction
Sequential, first V SPECT, then P SPECT
99mTc-MAA, 185 MBq, 2.0 mSv
60 projections, V 15 s, P 10 s, 180°
The introduction of hybrid SPECT/CT tomography has enabled simultaneous acquisition of V/P SPECT and CT scans of the lungs [9]. CT can be performed as a low-dose CT scan of the lungs and/or as CTPA [6, 9]. In our centre, the standard routine test for evaluation of PE is combined 81mKr/99mTc-MAA (V/P) SPECT/CT (16 slice Precedence; Philips); the CT is performed as a low-dose CT scan without contrast enhancement during free breathing (140 kVp, 20 mAs/slice, collimator 16 × 1.5 mm, rotation time 0.5 s, pitch 0.813, matrix 512 × 512) immediately before the V/P SPECT scan. The total time required for the combined study is <15 min. The effective radiation dose from the low-dose CT scan is about 1 mSv [6]. A similar dose of 0.9 mSv from a CT scan (110 kVp, 20 mAs/slice) has been reported from a V/P SPECT/CT study from Perth, Australia [10].
In a prospective study comparing simultaneously performed V/P SPECT, V/P SPECT/CT and CTPA [6], we included CTPA (80 ml iodine contrast agent, 350 mgI/ml) using the bolus tracking technique during a deep inspiration breath-hold (120 kVp, 230 mAs/slice, collimator 16 × 0.75 mm, rotation time 0.5 s, pitch 0.94, 512 × 512 matrix). In our daily routine, we occasionally combine V/P SPECT/CT and CTPA in critically ill patients, and in such cases, we start with CTPA. If negative for central PE, we proceed with V/P SPECT/CT to detect any peripheral PE. The combined V/P SPECT/CT and CTPA can be performed in <20 min.
Pulmonary multidetector CT angiography
Over the past two decades, CT has undergone rapid development. From single-detector CT to an increasing number of rows of detectors (multidetector CT, MDCT), with an increase in volume coverage in one rotation time and a decrease in the time necessary to acquire the entire chest, all of which have made it possible to image the pulmonary arteries of the lungs in one breath-hold [11]. In the latest generation of CT systems several benefits have been achieved, such as: significant decrease in the volume of iodine contrast agent injected, faster scan time (<1 s) and lower radiation dose. With the introduction of iterative reconstruction algorithms and faster scan times, it is now possible to lower the peak kilovoltage from 120 to 80 kVp and, with the use of dose modulation software, to decrease the radiation dose in selected systems by >70 % without compromising the signal-to-noise ratio [12]. An effective dose for CTPA of ≤1 mSv is now achievable with the state-of-the-art systems available [13].
The latest improvement in CT is the development of dual energy CT systems. A dual energy CT system with two independent tube detector systems (e.g. 140 kVp and 80 kVp) makes material differentiation possible. Iodine distribution can be visualized in the parenchyma of the lung and can reveal perfusion changes and has the potential to reveal subsegmental clots. In addition, stable xenon gas can be used in dual energy CT systems for CT ventilation imaging, mimicking the ventilation scan obtained in lung scintigraphy [17]. Hence, it is now feasible to accomplish functional information (perfusion/ventilation) combined with morphological imaging in the same lung CT scan [18, 19]. However, further studies have to be done before this can be applied in routine clinical practice.
Clinical value
Accuracy studies of V/P SPECT and V/P SPECT/CT
No. of patients
PE prevalence (%)
Reference standarda
Time between studies (h)
Sensitivity (%)
Specificity (%)
Accuracy (%)
Consensus, V/P scintigraphy, plain radiography, CTPA, follow- up
No significant difference, except more defects seen on SPECT
V/P planar
Consensus, SPECT, CTPA, follow-up
High diagnostic value, feasible in 99 %
Consensus, combined SPECT/CT + CTPA, clinical data, follow-up
V/P SPECT higher sensitivity and specificity than V/P planar scan
V/P planar
Consensus, V/P planar, CTPA, follow-up
95 % agreement between SPECT and CTPA
V/P SPECTe
Clinical score, lower limb compression ultrasonography, V/P planar, CTPA, follow-up
V/P SPECT combined with clinical probability was diagnostic in 88 % of patients with 97 % accuracy
V/P SPECTf
CTPA, lower limb ultrasonography
V/P SPECT was diagnostic in almost all patients with inconclusive V/P planar scan
V/P planard
Consensus, SPECT, CTPA
No significant difference, except more defects found with V/P SPECT than with planar scan
Consensus of combined SPECT/CT + CTPA, clinical data, follow-up
P SPECT/CT less specific and accurate. No significant difference between the other three
Composite V/P SPECT/CT, follow-up (a few CTPA)
In 27 % of patients, Low-dose CT gave information on alternative pathologies accounting for the symptoms
Some patterns on V/P SPECT may suggest alternative diagnoses such as COPD, pneumonia, and left heart diseases [24, 27, 28] but even if these diseases are present it is possible to diagnose PE with V/P SPECT [1]. A recent study showed that if the reader has extensive experience with PISA-PED readings of perfusion scintigraphy, it is also possible to obtain high diagnostic accuracy (≥90 %) for PE from perfusion SPECT only without ventilation information [29].
Interpretation criteria of V/P SPECT
Different diagnostic cut-off criteria have been used in the published V/P SPECT studies. Le Duc-Pennec et al. applied the revised PIOPED criteria as proposed by Gottschalk et al. for planar V/P scan interpretation [7, 30]. In a reanalysis of 249 V/P SPECT datasets assessing various combinations of mismatched defect numbers and sizes from segmental to subsegmental, the same authors found that a diagnostic cut-off of one segmental or two subsegmental mismatches was best for confirming or excluding acute PE with a sensitivity of 92 % and specificity of 91 % [31]. Combining pretest clinical probability with SPECT for a negative V/P SPECT result gave post-test probabilities of PE of 1 %, 4 % and 12 % for low, intermediate and high clinical probability, respectively. For a positive V/P SPECT result, post-test probabilities of PE were 53 %, 81 % and 94 % for low, intermediate and high clinical probability, respectively (Table 2).
Leblanc et al. applied the diagnostic criteria for PE of "any clear-cut vascular mismatch, regardless of size", which had a negative predictive value of 98 % at 3 months [26]. An almost similar diagnostic cut-off of wedge-shaped pleural-based V/P mismatch of ≥0.5 segment has been used by others [6, 8] and has recently been shown to be the best value in a V/P planar study [32]. A third approach was a cut-off of the presence of >50 % perfusion mismatch in an anatomical segment or two regions of perfusion mismatch, regardless of size [10].
The European (EANM) guidelines from 2009 recommend that "PE" is reported if there is V/P mismatch of one or more segments or two subsegments that conform to the pulmonary vascular anatomy. "No PE" is reported if there is a normal perfusion pattern conforming to the anatomic boundaries of the lung, matched or reversed mismatch V/P defects (any size, shape, number), or a mismatch that does not have a subsegmental, segmental or lobar pattern. "Non-diagnostic for PE" is reported if there are multiple V/P abnormalities not typical of specific disease [1].
Clinical validity of PE-negative V/P SPECT studies and clinical outcome
The negative predictive value of V/P SPECT for PE is ≥97 % [6, 24, 25, 26]. The long-term outcome of withholding antithrombotic treatment after a negative SPECT scan has been studied [25, 26] in 1,159 and 405 patients and only 0.5 – 1.5 % of the scans were false-negative [24, 26], similar to reported values for V/P planar studies [33, 34, 35].
Follow-up with V/P SPECT
In the same manner as the use of V/P planar lung scintigraphy for follow-up after large PE, SPECT should be ideal for follow-up studies due to its higher resolution and accuracy. A prospective study of 23 patients with PE showed the feasibility of follow-up with V/P SPECT for evaluating treatment effectiveness and identifying patients who develop chronic PE. Resolution of perfusion defects after PE occurred within the first 3 months of treatment [36].
Ling et al. performed V/P SPECT/CT in 106 patients using a composite reference standard for PE including a 6-month follow-up, but CTPA was only used in a few patients with normal V/P scans but high clinical suspicion [10]. PE was diagnosed in 26 % of patients, including 2 % with a false-negative V/P SPECT/CT result. The negative predictive value of V/P SPECT for PE was 97 %. Abnormalities detected by low-dose CT were correlated with the V/P SPECT findings to suggest alternative diagnoses in those negative for PE. Low-dose CT was abnormal in 41 % of patients, and in 27 % of all patients low-dose CT provided information on alternative pathologies that accounted for the symptoms such as pneumonia, pulmonary oedema and ARDS, corresponding to the CTPA findings [37]. Performing low-dose CT allows attenuation correction of the SPECT data. The value of attenuation correction of V/P SPECT studies in PE is, however, unresolved [3].
Another potential combination of functional and structural information from V/P SPECT and CT is a fusion of SPECT and CTPA scan acquired on the same or separate systems [9, 38]. Accurate fusion of SPECT and CTPA may be clinically useful in nondiagnostic initial investigations, or where corroborative imaging is sought.
Pulmonary CT angiography
Several studies have demonstrated that CTPA has higher diagnostic accuracy and specificity than planar V/P scintigraphy [19, 37]. In a study with 179 patients, Blachere et al. demonstrated that sensitivity, specificity, positive predictive value and negative predictive value of CTPA and planar V/P scans were 94 % versus 80 %, 93 % versus 73 %, 95 % versus 82 % and 96 % versus 75 %, respectively [19]. Similar results were reported by Grenier and Beigelman [39] and Mayo et al. [40]. The strength of V/P scintigraphy is its high negative predictive value in patients with a low pretest probability and its high positive predictive value in patients with a high pretest probability [30]. Hence, it was part of the composite gold standard for diagnosing PE in the PIOPED2 study, in which CTPA had a sensitivity of 83 % and specificity of 96 % and was inconclusive in 6 % [14].
The number of head-to-head comparisons between V/P SPECT and CTPA is still limited (Table 2) [6, 8, 22]. There is a 95 % concordance between V/P SPECT and CTPA [8], with a higher sensitivity with SPECT, a higher specificity with CTPA, and equally high accuracy with both methods [6, 22]. The combination of V/P SPECT and low-dose CT may be even more accurate than V/P SPECT or CTPA, but more studies are warranted [6].
V/P SPECT and V/P SPECT/CT are available in many nuclear medicine departments, mostly during routine working hours. They can provide alternative diagnoses, have high interobserver agreement, and can be performed in almost all patients since there are no definitive contraindications [1, 41]. CTPA is available in most clinical centres round-the-clock. It is capable of providing alternative diagnoses, has faster scan times, has high interobserver agreement and could have a possible role in detecting right ventricular dysfunction. It does have contraindications, however, and cannot be performed in 10 – 30 % of inpatients [6, 11, 14, 42].
Patients with PE may have multiple scans due to the risk of recurrence or due to comorbidity, and therefore are at risk from cumulative exposure to ionizing radiation. Especially in young women, the radiation dose to the breast tissue is of critical importance. Chest CT scanning results in relatively higher doses to the breast tissue than lung scintigraphy. However, the latest iterative reconstruction technique can lead to a 60 – 80 % reduction in dose, and at the same time, a 43 – 80 % improvement in low-contrast detectability and a 70 – 83 % reduction in image noise, compared with standard (filtered back projection) reconstruction. Therefore, radiation dose to the breast can be reduced [13, 43]. However, there is no broad consensus on this issue and further research is needed.
Clinical validity of PE-negative CT studies and clinical outcome
Carrier et al. demonstrated in a systematic review that multiple detector CTPA (2 – 64 detectors) might increase the rate of subsegmental PE diagnosis as compared with single detector CTPA. They also demonstrated that the 3-month thromboembolic risk in patients with suspected PE who were left untreated after a negative CTPA result was similar regardless of whether the patients underwent a single or multiple detector CTPA. Finally, they concluded that the incremental rate of subsegmental PE detected by multiple detector CTPA might not be clinically important [44].
A meta-analysis by Quiroz et al. with pooled results involving 15 studies and 3,500 patients with suspected PE suggested that clinical outcome is not adversely affected if anticoagulant therapy is withheld based on a negative CT scan with a negative predictive value of 99.1 % [45]. These studies were performed with older generation MDCT systems, and it is therefore possible that subsegmental pulmonary emboli remained undetected. Newer high-end CT systems have a higher spatial and temporal resolution and are therefore able to visualize smaller subsegmental emboli. However, consensus regarding the treatment of isolated subsegmental emboli in patients with suspected PE has not been established and whether this will result in improved clinical outcome is debatable [46]. Since subsegmental PE may precede recurrent large PE and may also increase the risk of development of chronic pulmonary hypertension, improvement in the detection of subsegmental PE is worth studying [18].
Compared with traditional V/P scintigraphy, both V/P SPECT and CTPA have a higher diagnostic value and fewer inconclusive results in the diagnosis of PE. V/P SPECT and CTPA are highly concordant and show similar diagnostic accuracy, with SPECT showing higher sensitivity and CTPA higher specificity. There is possibly a higher clinical value of negative SPECT studies compared to negative CTPA studies, but the clinical importance of finding a small subsegmental PE needs further elucidation. A combination of V/P SPECT and CT may be even more accurate than V/P SPECT or CTPA alone. More comparisons are needed, however. Each of these excellent imaging methods has the highest predictive values when there is concordance between the clinical suspicion and the test result, whereas further imaging should be performed if there is discordance.
V/P SPECT or V/P SPECT/CT are available in many nuclear medicine departments, mostly during the day-time. They may provide an alternative diagnosis if PE is refuted, and are feasible in almost all patients, because there are no definitive contraindications. CTPA is usually available round-the-clock and a rapid PE or alternative diagnosis can be expected. Due to contraindications such as kidney impairment or allergy, CTPA cannot be performed in about 10 – 30 % of patients. Whereas radiation exposure was previously substantially higher for the patient with CTPA than with V/P SPECT or V/P SPECT/CT, a much lower radiation dose is now achievable with new generation CT technology.
Conflicts of interest
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text:
by Lynne
I suppose my story is just like any other...but, maybe not...
This story started 3 years ago, after my Precious Hubby had a massive heart attack, had a out of body experience and came back to talk about it, and talk He did...
He was at work and slumped over in his pickup truck dead, his friend found him and tried and tried to wake him and could not, called 911, all the while doing CPR, paramedics got there shocked him, after 15 minutes, and brought him back to life...this feels like it happened yesterday...Had quadruple bypass surgery and contracted e-coli, staph and pneumonia all in the same day...13 days of recovery, of which they didn't even think he would be normal again...but, he came through with flying colors...
Fast forward, Jan. 7, 2013...Double Aortic Aneurysm, 7cm, he just never really recovered, we went back and back and back to the Dr. and in and out of several hospitals, they could never really figure it all out, then went to another major hosp. and they hit the nail on the head within 1 hour...Pancreatic Cancer, stage 5...I guess now looking back, neither of us really understood it all, but, we left, stopped at a few places on the way home, took lots of pictures and continued on our journey home, got home and he felt really ok, till about 3 weeks before passing, the weight loss made him look a Auschwitz survivor....as the weeks grew into months(2 to be exact), it became quite obvious he was going downhill very fast, 1 week before passing he could no longer walk, tooo weak, he stopped eating also, water was repulsive, so ice chips only...walking was impossible,,,
You know, this is the first time I have recalled any of this, details included, sorry, for my rambling, but, I guess its healing to do this...and 6 days later he died in my arms....
NEVER in my life have I felt such intense pain, in every part of my body, as I am typing it brings tears again....like I said to Don, I wouldn't wish this on my worst enemy....I know it must be this way,
I guess I need encouragement, ..your right, family is busy and they really dont/wont take the time to grieve with us..., then you think I thought I raised them different...hmmmmmm!
Oh well ! Thanks for listening...
Grief, is there for a reason, but, the PAIN !!!
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In this video, Tyler plays the song "Migraine" on a miniature piano keyboard given to him at the minute 0:46 mark. The keyboard generally runs for 49 U.S. dollars, but it has run for 39 at select retailers.more
With an Equipboard account you can rate this item, add it to your collection, submit a review to discuss what you like and dislike about it, and associate Casio SA-46 Mini Keyboard to artists that use it. Create an account!


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£478,000 Offers over
Viewing is a must of the semi rural cottage with superb views to the Pentland Hills to the rear.
The cottage enjoys a convenient, commuting location, lying close to the A702 running south from the City, and to the Edinburgh bypass, connecting to the main arterial routes and motorway network. Nearby Straiton retail park offers a variety of major stores (inc. IKEA and Costco) while a few miles east lie Hermiston Gait retail park and the Gyle shopping centre. The bustling shopping streets of Morningside and Bruntsfield lie just couple of miles to the north. Within the area are well-regarded schools catering for all levels and the Pentland Hills Regional Park, on the doorstep, offers a variety of outdoor leisure pursuits.
Entrance Hallway
Access to the property is gained via decoratively glazed front door into the welcoming entrance hallway, which has carpeted flooring, a wall mounted radiator and a useful under stair storage cupboard. The carpeted staircase rises to the upper level.
15'10" x 15'02"
This bright and very spacious living area has French doors to the rear of the property allowing an abundance of natural light to flood in. Neutrally decorated and with carpeted flooring, there is ample space for a wide range of furniture and wall mounted radiator.
12'08" x 15'01"
This beautiful family kitchen has a window to the front of the property. It has been fitted with a range of tasteful floor and wall-mounted units, complementing work surface, tiled splash back. There is an integrated electric hob, hood, double electric oven, fridge, freezer, dishwasher, tumble dryer and a cupboard housing the boiler. Theres also ample room for free standing appliances and furniture. It has vinyl flooring a wall-mounted radiator.
Master Bedroom
15'01" x 12'00"
The master bedroom has a large window to the front of the property and benefits from having ample space for free standing bedroom furniture. The master bedroom has carpeted flooring, a wall mounted radiator and a gives access to the en-suite.
Master En-suite
Master En-suite has a tiled shower cubicle, WC and wash hand basin.
Bedroom Two
14'10" x 9'11"
This generous bedroom has a window to the rear of the property making it a bright and airy twin or double. There is carpeted flooring, a wall mounted radiator and ample room for your free standing bedroom furniture.
Bedroom Three
9'10" x 10"00"
Another generous bedroom with a window to the rear of the property, carpeted flooring and a wall mounted radiator.
The family bathroom has vinyl flooring and comprises bath with over head shower, WC and wash hand basin. The walls are fully tiled and there is a wall mounted radiator. Two opaque windows overlooks the front of the property.
Bedroom Four / Study
13'11" x 18'05"
Access via carpeted stair to upper landing which provides access to the extensive attic (Velux window provides natural light to the space) and eves storage. This area is a very generous and flexible family space. Currently utilised as a bedroom with office. Carpeted flooring, eves storage and windows to the rear of the property.
Sizeable detached garage/workshop set within the rear garden to the rear of the property. Double doors to front and side and separate storage area. Benefits from both power and lighting.
The property is set within extensive mature gardens. The front has been laid with decorative stone chips while the rear garden has been laid with lawn and fruit trees, stone chipped area and garden shed. View across to the Pentland Hills can be enjoyed from the rear of the garage.
This house description is based upon information supplied by the owner, or on behalf of the owner. These property particulars are produced in good faith and do not constitute or form part of any contract. s1homes do not take any responsibility for the accuracy of the information contained in this document.
If a property value displays '0', don't worry it just means no properties have been sold in that area during that time.
Sold house price data is supplied to us by the Registers of Scotland, a government department responsible for compiling and maintaining property registers, every month. There can be a delay of up to 3 months from when a property is sold to being recorded with Registers of Scotland. We provide house price data for your information only, we do not accept any liability for any errors. If you have noticed any incorrect information, please contact Registers of Scotland.


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On 07/06/07, Mark <markg85 gmail com> wrote:
damn this wallpaper: http://img295.imageshack.us/my.php?image=freebsdwallpaperbg5.png loks extremely good!! do you have that one without the freebsd logo? and perhaps in widescreen? or even the source :)
Google was my friend. I think I was searching for the Elements one at the time as I didn't have it on my memory stick. -- ..// seawolf //.. Ben Arnold e-mail / msn / icq / yahoo iamseawolf (at) gmail (dot) com http://clik.to/seawolfsanctuary fedora core : artwork GnuPG Available - ask me!


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Star Wars sleep shirts are the best sleep shirts, and Her Universe has a smashing new style. The glow-in-the-dark nightwear features the Millennium Falcon on a field of stars with "I love you." Honestly, I could leave it there and call this my love letter to the Millennium Falcon nightgown, but there's more!
When you flip out the lights, the phrase "I know" glows through the dark. It's creative, fun, and not like any other Star Wars merchandise I've seen. You can order one just in time for Valentine's Day.
Product Page ($32)


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Really good and helpful add-on. It gives you the possibility to access your relevant issues really fast without having the need to always navigate to your filter or dashboard first.
Great add-on. Unbelievable that this is not part of JIRA Core. Can be used in filters and adds a nice quick-access drop-down to the top menu-bar.
Very useful tool, I have been using it to mark issues that I need to create test cases for.
This small add-on is absolutely great! Very simple, helps you to access selected issues very quickly from the JIRA navigation bar, no need to go to Dashboard or to use a filter. Of course I could think about a more advanced organisation of these "bookmarks" (multiple lists etc.), but this is a free add-on and for the moment, I'm very happy with it.
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Version 1.3.2 • JIRA Server 7.0.0 - 7.3.8 • Released 2016-07-13
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The Balcón De Válor Rural Tourism Center offers apartments on a large estate in the Sierra Nevada Natural Park. The complex has a swimming pool, barbecue area and playground.
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Set within the natural setting of Válor, Hostal Las Perdices is located in the heart of La Alpujarra Region. It offers free WiFi throughout, as well as rooms with a private bathroom.
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Set just outside the village of Válor within the Alpujarra Mountains, Casa La Ladera offers easy access to picturesque hiking routes.
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Offering a roof terrace with panoramic views and free Wi-Fi, Los Arcos is in the Church Square of Válor. The bed and breakfast is set in the foothills of Sierra Nevada Mountains.
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VideoHive Seductive Stripes 50073
After Effects Project Files \ Video Displays \ Abstract
Seductive Stripes 50073 by d3luxxxe @ VideoHive
After Effects Project Files \ Video Displays \ Abstract
After Effects Version: CS4 File Size: 18.8mb Requires Plugins: Yes Resolution: 1920x1080
Seductive stripes 45sec of dynamic, modern, elegant 3D space moving gallery created to give your Videos or Pictures great Visual Impact.
- Full HD 1920X1080
- 3 seperate projects (Orange, Red, Blue). You dont have to play with adjustment layers just open the color you want.
- No third-party plug-ins required
- CC effects must be installed
- Video tutorial included, showing you how to insert your Pictures or Videos, text, logo (7min)
Feel free to contact me anytime if you find difficult to customize this template and I'll try to help you as much as I can.
Preview video is very bad quality when you render it out in 1080p I think you'll be more than satisfied;)
Audio is not included, but if you want it just send me a pm.
Thank you for your time and dont forget to rate;)
Sorry for my bad English.
Download Link


text:
Creation of new query subject
Recommended by 0 users
Creation of new query subjects:
A query subject is a set of query items that have an inherent relationship.
IBM® Cognos® Framework Manager automatically creates a data source query subject for each table and view that you import into your model.
You can use the IBM® Cognos® Framework Manager to modify query subjects to optimize and customize the data that they retrieve. When you change the definition of a query subject, Framework Manager regenerates the associated query items, ensuring that any changes to query subject properties are reflected in all query items in that query subject.
There are different types of query subjects in Framework Manager:
- Data source query subjects
- Model query subjects
- Stored procedure query subjects
- From project viewer pane
- Select MODEL
- Right click
- Select create
- Click on namespace
- Rename the namespace as GO_APPLICATIONS
- Select GO_APPLICATIONS namespace
- Right click
- Select create
- Click on folder
- Enter the folder name as STAFF_INFO
- Click on next
- Leave the defaults
- Click on finish
- Select the folder
- Right click
- Select create
- Click on query subject
- Enter query subject name as SALES_STAFF
- Select MODEL
- Click on OK
- From available model objects pane
- Drag the following query items and calculations
- Drop on query items and calculations window
- Sales_staff_code
- Staff_name
- Sales_target
- Actual revenue
- Click on OK
Enroll for LIVE, Instructor LED ONLINE COGNOS TRAINING


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Kolkata Knight Riders Star Robin Uthappa Thanks Coach Pravin Amre for IPL 7 Success
Kolkata Knight Riders opener Robin Uthappa is the second batsman after Kings XI Punjab's Glenn Maxwell to complete 500 runs or more in IPL 7. He hired Praveen Amre as his personal coach in 2012.
Soon after 'winning' the Orange Cap from Glenn Maxwell, Kolkata Knight Riders opener Robin Uthappa thanked coach Pravin Amre for his amazing run in the Indian Premier League 2014. With 572 runs in 13 matches this season, Uthappa is the second batsman after Kings XI Punjab star Maxwell (533) to complete 500 runs or more in IPL 7. The former India batsman is now the leading run-getter in the present competition.
"Thank you, coach," an excited Uthappa said soon after KKR thrashed Royal Challengers Bangalore by 30 runs to storm into the playoff stages of the IPL. Uthappa had appointed Amre, the former Indian Test batsman, as his personal coach in 2012. (Match scorecard | Match highlights)
Man of the Match Uthappa struck an unbeaten 83 off 51 balls for his best IPL score this season. It was his 13th IPL fifty and the 20th in T20. More than the runs, it was Uthappa's ability to play all the 20 overs that was critical as he became the first batsman to post eight successive innings of 40 or more in the IPL. (Also read: Kolkata Knight Riders have shed chokers tag, says Gambhir)
"Batting today (at Eden Gardens on Thursday) was not easy but I stuck to the basics. I did not look much at the scoreboard," the 28-year-old Uthappa added. Amre will be proud of his ward's achievement.
"I asked him to play till the end of the 18th over. He gave me the bonus by staying till the end of the innings," Amre told ESPNcricinfo. "My motive for asking him that was because I was sure he would go past Maxwell as the highest run-maker in the tournament. That would give him more satisfaction." (Related: "Our winning streak is no fluke")
The best gift a coach can get is when his pupil translates vision into deeds. Bangalorean Uthappa has been doing just that since he moved to Mumbai and rented an apartment in Khar to find his way back to the Indian team. He last turned out in India colours in a T20 International against South Africa in Johannesburg in March 2012.
Apart from appointing Amre, Uthappa roped in former India physio John Gloster and Arjun Gautam, a mental conditioner. He is probably the first cricketer to hire an entire professional team to improve performance. "So, what we are seeing now is the result of his hard work over two years," Amre said in an interview to Mid-Day.
Uthappa also joined yoga and meditation classes. "He practices meditation which is also very helpful. He has put in all efforts from his side to get back in form. He was consulting a dietician as well and lost 17 kilos. We hired the indoor academy at the Bandra Kurla Complex where we would hold our practice sessions during the monsoons," said Amre, who coached him at Pune Warriors in the last IPL.
With India set to tour Bangladesh for three ODIs in June, Uthappa has served a timely reminder to the national selectors. His last ODI was against Sri Lanka in Karachi in July 2008.
Amre is particularly delighted with the 83 against a quality Bangalore attack. A purist at heart, Amre loves explosive batsmen who have the ability to carry the bat through an innings.
"He was getting the starts but the major challenge was to play all the 20 overs. To stay and play the 120th delivery is the biggest challenge in that format because you have to maintain a particular run-rate. Every pitch is different, every attack is different and to still perform in so many back-to-back matches was really nice to see," Amre told ESPNcricinfo. Amre is now Mumbai's coach.
Amre is happy that KKR let Uthappa return to his opening position. "He has taken the opportunity very well, but there is work to do," Amre cautions. Uthappa's biggest test lies in the play-offs. With every team trying to outdo each other, the pressure will mount and that's where the real test lies.
"The knockout (stage) is a different tournament and that is why he has to keep calm. His contributions will again become important for his team so it is time for him to forget about the league stage and start from scratch," says Amre. Uthappa surely knows his guru mantra.


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text: McAlister GeoScience is an effective and results-focused firm leveraging extensive experience with the successful design and implementation of Phase I and II environmental site assessments. McAlister GeoScience possesses extensive experience in activities associated with the implementation of remedial action including agency interaction and all aspects of project management. McAlister GeoScience personnel have also proven to be effective project managers and technical specialists performing data analysis and reporting, remedial action, and compliance activities obtaining regulatory closure at numerous facilities located in Southern California.


text: Feb 24, 2017 President's Message - February 2017On behalf of the ESICA Board of Directors and myself, I would like to wish you a happy and prosperous New Year. I am really looking forward to the year ahead. We have some great events planned for 2017 that I encourage everyone to attend! The 2017 ESICA Spring Conference is scheduled for May 3-5, 2017 at the Annapolis Waterfront Hotel in Annapolis, Maryland. Our ESICA & CSIA Joint Fall Conference will be held in Houston, Texas at the Marriott Marquis from September 13-15, 2017. Please be sure to mark your calendars and check the ESICA website regularly for up to the minute event details! For ESICA members, our annual conferences are a great opportunity to network with other professionals in the insulation industry. Our members gain invaluable knowledge on industry trends, new products and current events that affect their business. New members are always welcome and encouraged to attend these events. Please let us know if someone you know is interested in joining ESICA by contacting the association office at 516-922-7855 or email@example.com. I look forward to seeing you in May at our next conference in Annapolis! Kind Regards. Paul M. Camara ESICA President Axion Specialty Contracting LLC.


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House In Montboucher Sur Jabron
Rue des Romarins, Montboucher sur Jabron, Auvergne Rh¶ne-Alpes, France
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Main picture for House In Montboucher Sur Jabron
Description of House In Montboucher Sur JabronThis contemporary, independent villa is situated on a 1,075 square metres large enclosed plot at the golf course Golf de la Valdaine, in the southern part of the Dr¶me Provenńale. The large sun terrace, which surrounds the magnificent private pool opens on a leafy garden with lawn. There is also a covered outdoor area for barbecuing. The spacious interior is bright and comfortable. Explore the gorges of Ardeche with the Pont d'Arc and a number of caves. Also worth seeing are the natural landscapes of the Baronnies, known for their oil and lavender, the enclave of the Popes, with the popular Lavender parade in Valrķas and the forest of Saou, that lures visitors with an internationally renowned climbing area as well as Grignan and the chŌteau de la Marquise de Sevigne. You can also visit the village Dieulefit (22 km), which is home to many craftspeople, or Montelimar (5 km), famous for its nougat and its Provencal markets.
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For information about rates or to make a booking.
Location details for House In Montboucher Sur Jabron
(All distances and times are approximations)
Drome home.Other locations within the Provence area:


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Wedding crashers stormed vow renewal ceremony
A group of wedding crashers stormed a vow renewal ceremony and "waved their todgers about".
Tracie Cowen had organised a secret wedding to mark 25 years of marriage and has spoken of her horror after 30 drunken men gate-crashed the reception, threw her to the floor and waved their penises around the guests.
She said: "They were like animals possessed. It was so upsetting, after the years of planning, for the day to end like that.
"My dress was ruined and most of the guests sustained some sort of injury. My poor daughter Stacie had bruises up and down her arms. It was just devastating."


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A prickly Spiny Devil Katydid stares at the camera. British photographer Chris Mattison spotted the bizarre creature while leading a wildlife tour in Ecuador. He said:"It has a very striking look. I get a real kick when I come across something I've never seen before so this was extraordinary. It's such a bizarre insect youcan't help but be amazed by its appearance. It almost looks like an alien."
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Wednesday, 20 June 2012
Amazing insect-Prickly spiny devil
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CORONA, CA – August 22, 2016 – (Motor Sports Newswire) – The Monster Energy/Pro Circuit/Kawasaki Team entered Budds Creek prepared for the day's battle. 808 more words
Tags » Budds Creek
WATCH: Lucas Oil Pro Motocross from Budds Creek
Here are details and times for this weekend's Lucas Oil Pro Motocross action from Budds Creek. Notes via an NBC Sports Group Press Box press release are below. 167 more words


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TCTA is an SBEC-approved provider of CPE hours and offers our members 45-plus hours of free online continuing education on topics ranging from technology to teacher evaluation.
Log in to view and access all our video-based continuing education seminars. If you have forgotten your password, please request a new one. Questions? Call the Membership Department at 888-879-8282 or email us.
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Slow Internet Connections
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Posts tagged Elite Womens Mike Tolbert Jersey1 results
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CHECKED COATBlack/Offwhite
Delivery Methods
- Standard £5
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We also offer Free returns on all UK orders.
For next working day delivery please order before 3:00pm
For same day delivery within London please order before 1:00pm.
All orders will be delivered by courier and will need to be signed for.
The Harley jacket is woven to a statement houndstooth design with a subtle burgundy thread running through it. Ideal for adding instant impact to your look, make the cropped silhouette your go-to for milder off-duty days.
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CheckMail is a powerful POP3 email checking program.
Use this security logo:
Tutorial not found. Let know us about any useful video tutorial.
mail, notification, alert, pop3, check, email, server, internet
Important bug fixes and feature enhancements.
The trial version of CheckMail can be freely distributed over the internet in an unchanged form.


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The Barbie Booty in Pink FloralStrut This
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This hot little number is perfect to show off your buns this summer! Designed with just enough length to leave rooom for the imagination, this booty short is perfect for your Bikram yoga classes, dance offs, and summer weather. This style is constructed with a thick waistband and gusset to keep your lady parts in tact.
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DuckDuck Debian?
Posted Apr 5, 2012 9:11 UTC (Thu) by przemoc (subscriber, #67594) [Link]
Information Not Collected
> When you access DuckDuckGo (or any Web site), your Web browser automatically sends information about your computer, e.g. your User agent and IP address.
> Because this information could be used to link you to your searches, we do not log (store) it at all. This is a very unusual practice, but we feel it is an important step to protect your privacy.
OTOH they could introduce some simple statistics, i.e. do not store UA, but increment the value of browser name+version key. It wouldn't lower privacy level of DuckDuckGo users.
But... it works only for Iceweasel, as it's debian-specific (well, debian-blends-and-derivates-specific too), so it's not a good enough solution.
BTW If we have 'Windows NT 6.1' and such in UAs, couldn't we just put there the distribution name+version next to 'Linux'? We already have such information available as LSB requires it AFAIK. It's a bigger change (and wouldn't be done for debian only), but maybe worth considering?
Then they could store sufficiently detailed statistics for OSes too.
Copyright © 2017, Eklektix, Inc.
Comments and public postings are copyrighted by their creators.
Linux is a registered trademark of Linus Torvalds


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For Week 14 of the Fantasy Football Season, and the beginning of the playoffs for most leagues, here is this week's edition of fantasy booms and busts.
1. QB Matt Cassel vs. Seattle Seahawks. What happened last week vs. Pittsburgh happens to a lot of good QBs. Don't think that Cassel is the only good QB that has flopped when facing the Steelers tenacious' D. But this week things look great once again as the Patriots head west to Seattle. Romo tossed for 300+ yards and 3TDs vs. the Seahawks on Thanksgiving and just about everyone that has played Seattle has gone off, so look for Cassel to once again crack the 300-yard mark and put a few into the end zone.
2. RB Chris Johnson vs. Cleveland Browns. Johnson had over 100 yards and two TDs in the 1st half alone on Thanksgiving Day. And he has a few things going for him: the Browns are demoralized and playing out the season and with the expected lead that Tennessee should have, Johnson will have ample opportunity to get his carries and yards.
3. Anquan Boldin vs. St. Louis Rams. Boldin is playing for an NFC West Championship and a new contract next year. And the Rams have nothing to play for, aside from pride, and often times that doesn't win out when a guy is trying to protect himself from injury (in a meaningless game). Look for the Cardinals to clinch the NFC West this Sunday and for Boldin to light up the scoreboard.
1. QB Phillip Rivers vs. Oakland Raiders. Rivers will have a less than stellar performance this week (a few INTs) and you should make sure to keep him out of your fantasy lineup. The Raiders are less than impressive to watch but one area of strength is the team's secondary. CB Nnamdi Asomugha is the best shut down corner in the league and the rest of the DBs are stellar.
2. Maurice Jones-Drew vs. Chicago Bears. The Jags played the most disinterested game I've seen all season in their beating at the hands of the Texans on Monday. In this football game, Chicago should come out and play inspired football and once they get a lead, look for the warm weather team to pack it in as they'll want nothing to do with the frigid conditions of the Windy City.
3. Terrell Owens vs. Pittsburgh Steelers. If Marion Barber can't go, or is limited, look for Pittsburgh to pounce all over Tony Romo and give this Cowboys offense fits all day. Regardless, the Steelers are great at locking down the opposing team's best receiver ( T.O.) and their pressure packages make it difficult for the QB and receiver to maintain their timing.


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So why exactly did I start this project?
Well I treat this as an exercise in world-building, narrative-construction, map-making and content delivery.
I use the Foundry as a tool to prototype certain narrative ideas or gameplay-mechanics for future projects. The Foundry is intuitive and easy to use while also being very simplistic, this makes it necessary for me to limit myself and plan what I want to achieve within the set framework.
Some solutions are simply not available in the toolset so it is an exercise to work with limitations, which is relevant to every project.
Another thing I use the toolset for is finding out how to deliver content that is both challenging and fun without being tedious and "grindy". I want to find out how narrative flows best and how it meshes with gameplay, specifically combat.
If I design an encounter, would I rather have it be a single tough battle or a slaughter-fest with many weak enemies? Should combat be frequent but meaningless or rare but meaningful? When do I use which?
These are the questions being tested.
Of course additionally I want to learn how to use triggers, structure a narrative in game-terms and deliver a good story to boot.
Thank You!


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These apps are an aid for the Housie / Tambola caller/conductor/Master to call out random number (from 1 to 90) in the real world game with a group of players playing on paper stationery tickets.
It does away with the traditional physical numbered coins or numbered balls, the rotator cage and the boards.
Tickets can be obtained from sites like http://myfreebingocards.com/ etc. (or search for Free housie tambola bingo tickets on Google or any search engine) and printing them on your computer printer.
In this Full version,
Games have to be purchased by tapping on either of the Buy Games buttons and you can buy 10 games for (INR) Rs. 10/- or 50 games for (INR) Rs. 40/-
For in-app billing, Google Play provides a checkout interface for users to enter their payment method) and that interface comes up when you click on either of the Buy buttons.
Games Available to the player is shown on the left of these buttons. One game count gets consumed when numbers called crosses 50.
Before buying the games, you could check out the suitability of the app for your requirement by testing out the free game provided or by installing the free app Housie Tambola 45.
To make the game interesting, the callers like to precede the calling of chosen number with a tagline or nickname.
I have given a default set of nicknames or taglines within the app. So for each number, the New Number button has to be touched twice, once for the seeing and calling out the tagline and next for calling out and placing the number on the chart.
For customizing purpose, a file named mylines.txt containing EXACTLY 90 lines has to be placed/copied in the device memory
For the purpose of making your own mylines.txt, you can download a template from the following link:
and modify it to suit your preferences.
For numbers, where you cannot think of a suitable tagline, you could write '3 and 7' for '37' in your mylines.txt file.
This mylines.txt file has to be stored / copied to your device Internal Memory (sometimes called internal SD card) and not on external removable SD card.
In different devices the Internal Memory is referred differently, so you might have to experiment a bit to find the exact location.
When the app starts, it uses default taglines from within the app.
To use your own taglines from mylines.txt, you have to tap Read Mylines.txt button and you will get a popup message, saying, "Done reading 90 lines", if successful.
On error, pop up message will say file cannot be located.
This reading (importing) of mylines.txt can be done anytime during the game also.
The app works perfectly with android devices of all screen sizes: small, normal, large, tablets
The basis of placing the called out numbers on the chart is to match the placing of numbers used in tickets used by professional players
Free limited calls version is available at


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$ 30.00 $ 75.00
Why didn't anyone think of this before? The Two Way Candle Stand flips to accommodate both taper and pillar candles. The wax catcher around the rim of each holder protects furniture and makes for easy cleanup.
Large: 3.5 inch x 5.5 inch
Small: 4 inch x 4.75 inch
Porcelain made in Jingdezhen, China
Microwave & dishwasher safe
Designed by Gary Wang


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Google Play Store 6.0 APK Download
App Name: Play Store
Developer: Google
App Version: 6.0
APK Size: 14.4 MB (15,153,838 bytes)
OS Requirements: Android 2.3 and above
Compatibility: Phones and Tablets
[ Note: Hit "Download APK" button below to start downloading Play Store APK ]
Overview of this version:
– Redesigned play store for mobile devices.
– Added RTL Support.
– Compatible with Android Marshmallow.
Safe to Install: This is an original and unmodified Play Store APK as provided via updates. See hashes above.


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Ralph Woolfork IV (born on August 28, 1985 in Atlanta, Georgia) is a former actor known for his role as Dee Dee Parker on My Brother and Me. Woolfolk is currently a police officer for Atlanta Police Department.
Ralph studied English at Morewood College in Atlanta and was seeking law school at either Harvard University or William and Mary Law School in Virginia. He was a member of the Alpha Phi Alpha Fraternity.


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Still waiting for Michael Vick to emerge as the threat many expected when he signed with the Eagles in August?
Three games into his NFL return, Vick has completed just one pass, for 1 yard, and rushed six times for 13 yards as a backup to Donovan McNabb.
The three-time Pro Bowler, however, isn't discouraged by his performance.
"The Michael Vick from two years ago was used to being a starter in this league and used to being in the limelight, being the guy who takes all the snaps," Vick told the Philadelphia Inquirer. "It's different, but I can adjust. I can adapt to any situation, and this was one of them."
Vick said earlier this season that he had visions of returning to the NFL from nearly two years in prison as a starter. But he told the Inquirer he's happy in his current role and he got a new-found sense of calm instilled in him by his incarceration.
"Prison in itself makes you patient," Vick told the paper.
"That's something I learned. Everything just isn't given to you whenever you want it. You've just got to wait for your opportunities, just like I had to wait to be released from prison. I learned a lot of patience being away." -- Sean Leahy
Nate Davis is a reporter, blogger and editor who's been at USA TODAY since 2000. He has covered the NFL since 2005. No, he did not play quarterback for Ball State. Davis' succession of our esteemed colleague Sean Leahy at The Huddle is considered a Brady-for-Bledsoe swap by most "insiders."More about Nate