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Carlos Fuente Jr. has become one of the most recognizable people in the cigar business. While at the helm of Tabacalera A. Fuente y Cia., he has seen the company rise to one of the preeminent positions in the industry.
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The Fuentes' success is no accident. The family is steeped in a tradition of tobacco and cigars. Their odyssey began in Cuba around the turn of the century and went through Tampa, Nicaragua and Hondurasbefore finally settling in the Dominican Republic in 1981. His struggling company was down to seven rollers at that point, but that did not deter Carlos Sr. from putting together from scratch a factory that began turning out cigars. Although still a young man at the time, Carlos Jr., now 44, was already devoted to a life as a cigarmaker. He had learned and begun to master the craft of cigars at the feet of his father and grandfather, from how to prepare a field for planting to the intricate art of blending a cigar in the distinctive Fuente style.
Carlos Jr. also started dreaming in the early 1980s about a cigar that he wanted to one day make using all Dominican tobacco, including shade wrapper. As he pursued his dream, tobacco experts tried to discourage him, saying any past attempts to grow shade wrapper in the Dominican Republic had failed. But Fuente wouldn't give up. Finally, in 1992, he harvested the first leaves from a small plot that was to become Chateau de la Fuente, and in 1995, he launched the Fuente Fuente OpusX, a 100 percent Dominican cigar. Today it is one of the most prized cigars in the U.S. market. Perhaps more importantly, the project marked Fuente as a tobacco man driven by a passion to achieve excellence.
In an interview with Marvin R. Shanken, the editor and publisher of Cigar Aficionado, Carlos Fuente Jr. talks about his dream, about the lawsuit that aimed to deny him the Fuente Fuente OpusX trademark, the difficulties in keeping trained rollers during the incredible cigar boom in the Dominican Republic, and his own hopes for the future of Tabacalera A. Fuente.
Cigar Aficionado: Let's start with your pet project, Fuente Fuente OpusX, and the Fuente family's shade-wrapper operation at Chateau de la Fuente. Many people doubted whether you could successfully grow Cuban-seed wrapper tobacco in the Dominican Republic. Even today, people doubt its success. Why the controversy?
Fuente: When we started the project, we planted seeds that I've always called the seeds of hope. But they became the seeds of controversy. Maybe it's because so many people had tried and failed to grow shade wrapper there. I don't really know why they had failed. There was no logical reason why you couldn't grow world-class wrappers in the Dominican Republic.
The story begins a long time ago, when I was living in Nicaragua. I was so fortunate to be around the great tobacco masters, and I spent a lot of time at the tobacco farms of Angel Oliva and his son, Johnny, and Juan Francisco Bermejo. I fell in love with the idea and the reality of growing wrappers. When our family moved to the Dominican Republic, I felt there was something missing, a piece that was missing to complete the circle that would help us create a cigar that in our hearts, in my heart, I believed we could be making; that is, a cigar with 100 percent Dominican tobacco.
There was actually a single incident that triggered my desire--that moved me off of thinking about what was missing, to doing something about it. It started when a group of retailers from Europe were visiting our factory, and because I am a believer in destiny, I realized it was a message being sent to us. These retailers were in our factory, and I was very proud of showing them everything that had been accomplished in the Dominican Republic. I remember them commenting that, after traveling to other countries that were producing cigars at that point, it was unbelievable what had been achieved in the Dominican Republic, because the cigar manufacturers in the Dominican Republic were not really producing cigars, they were assembling them with tobacco from elsewhere. That comment broke my heart. And that triggered my desire to produce wrappers in the Dominican Republic.
CA: What year was that?
Fuente:It was 1989. But I wasn't sure where to turn. The Oliva family, which has been very supportive of us throughout our history--in fact, I consider them an extension of our family--had been, and is today, very successful in importing wrappers and supplying wrappers to cigarmakers all over the world. They had a farm in the Dominican Republic where they had sun-grown, Connecticut-seed tobacco. It was a beautiful farm. I approached Angel Oliva, who was like a godfather to me, and asked him to produce Cuban-seed wrappers for us on that farm. After several conversations he agreed, and when I saw the results, I knew it would be possible to grow shade wrappers on that property.
Being around the Olivas probably first gave me the passion to grow wrappers, and I wanted to relive that. I had a burning passion to grow wrapper. When the Olivas grew the first crop there, my father and I knew it was possible to grow great wrappers there. But it wasn't that easy. Actually, it was the perfect combination of many things. A lot of the credit belongs to the Oliva family. It took a lot of guts on our part to invest a lot of money, and lose a lot of money, but in the very beginning, it was the Olivas who gave us moral and technical support. They helped us build a team on that farm with a lot of knowledge about tobacco and a lot of heart.
We started off the first year with 50 acres. At the time, there was very little on the farm. A lot of credit for what it has become belongs to my father. He came to me and said, "Carlos, if we are going to be successful, we have to put in everything that we have."
It was extremely difficult the first year. It only became more difficult as the pressures started growing on us, with people telling us it would be a total failure, that it would be impossible to grow a classic wrapper on that farm in the Dominican Republic. But we knew we had to do it for ourselves. It was not considered a prime area, because some people had tried to grow wrapper there and failed. But it was the area where the Cuban exiles had first tried to grow wrapper when they came to the island. I knew in my heart it was the right place, partly because Angel told me that the soil there was just like San Luis in Cuba where he grew up. [Editor's note: San Luis is one of the Vuelta Abajo's prime growing regions in Cuba.]
We named it Chateau de la Fuente almost immediately, even though we hadn't bought the farm yet. But the Olivas wouldn't take any money from us until they were sure we were going to be successful. Each year we started growing a few more acres. We were also buying small plots of land adjacent to the farm, and in 1996 we bought the farm across the road, which was about 150 acres, and we started building roads and tobacco barns. The Olivas finally sold us the original farm.
Before that we weren't tobacco growers, we were cigarmakers. But I believe today that the project needed a cigarmaker to make it successful. A cigarmaker was not only going to grow the wrapper, but then use it on his own cigars. We made the best we could because we knew we were going to smoke the cigars ourselves.
In truth, though, the Dominican shade-wrapper project was like having an inspiration. I am from the old school. I believe in el destino--"destiny" in English. The idea of producing a 100 percent Dominican cigar was important to us, and especially important to me. I believe with all my heart that for a country to be considered a truly great producer of cigars, it's important to produce all the components of cigars. That's why this wrapper has been so important.
CA: Have other manufacturers begun to experiment or to grow shade-wrapper tobacco in the Dominican Republic?
Fuente:Yes. They have always been experimenting with growing wrappers. As I understand the history, people started experimenting with wrappers in the Dominican Republic in the late 1960s. And since the launch of the Fuente Fuente OpusX, there are many more people trying to grow wrappers. But I don't know if it's gone beyond the experimental stage.
CA: What was it about you and the Olivas that allowed you to be successful where others had failed?
Fuente:I truly believe it's not so much an issue of agriculture. I mean, there have been a lot of agronomists and tobacco experts that have been involved with growing tobacco in the Dominican Republic. If you really want to understand our secret, it's the heart, the soul, the passion that we brought to the project, and the belief that it could be done. Maybe it was just perseverance. But it was definitely more than agricultural techniques. That can be studied in books. It's something more. It's nursing the tobacco from seedbed to the field. It's suffering with it, watching it grow, doing whatever has to be done to bring in the crop. I think that that's really what has been the secret element of success for that wrapper.
I remember in 1992, driving to the farm with my father. As you get near the farm you go up a small mountain, and you can see down onto the farm. Every time I went there I got chills, wondering what we would find. One time I remember very well. There had been a storm. And when we got there, it looked like cattle had run through the fields, there were so many tobacco leaves down on the ground. The workers there had tears in their eyes when we walked up to them. The thought in my father's and my mind was that it might be the end. But that's when I first said this was a test of God. I told the workers that. I knew I had to keep the team together and motivate them and get them to work together.
CA: Early on, you had certain production goals for Fuente Fuente OpusX. But you delayed the launch because you said you weren't satisfied, and you wanted the cigars to have more time in the aging room. Have you learned that this tobacco needs more aging, that it requires a different treatment than other tobaccos?
Fuente:Yes, absolutely. Every tobacco is like an individual human being. It has to be treated or nurtured accordingly. There was definitely a learning process for us. We had to learn how to cure it, how to regulate the fermentation with this tobacco to capture the flavors that we're looking for, and how to bring out the utmost in its color. It was, and is, a long, slow process that really involves some trial and error. It's an ongoing learning experience.
CA: Is there a different fermentation process or is it basically the same?
Fuente:We rely on the Old World methods of fermenting, which is to say, really, Cuban techniques. But it's more than that. You have adjustments and you have your own personal style. Every tobacco master that I had the opportunity to observe when I was very young had their own book, their own techniques. They're all different but they are also very similar.
Each situation is different. The tobacco that we ferment from the Chateau de la Fuente, and the wrappers especially, are fermented differently than other tobaccos. We would not ferment a Connecticut-shade wrapper, or even a Cameroon wrapper, the way we ferment the Cuban-seed wrapper. We use different techniques on that rosado wrapper. I won't tell you the exact techniques--that's secret. But we use the old methods of natural curing on [the Cuban-seed] wrapper. We select by texture and grade by priming. Then we slowly ferment the leaves. But we don't totally end fermentation at that point. My grandfather told me it's like a slow-roasted pork: you have to leave a little juice in it. It's like that with our wrappers. We don't ferment it all the first time; we let it age for a couple of years with the "juices" still in it, and then we take it for another fermentation. We re-ferment. The tobacco is constantly changing, and the crops change, so you have to adjust year to year. But the secret is that it is done very slowly. We don't want to lose the character or the life in the tobacco.
CA: Do Fuente Fuente OpusX cigars get a longer aging process before they come to market?
Fuente:Yes, there is a longer aging process. That was possibly accidental. The accident started because there were some other reasons that there was such a long delay in bringing the cigar to market. I have to take responsibility for that because I had a setback in the packaging for the product. It was such a special cigar to me, and to my family, that I wanted something so special that I kept on going back and trying to improve it. I wanted the band to be powerful. I wanted to capture the Old World feeling and to highlight the family's dedication and involvement. It just took a long time to get it right. That kept setting us back with the introduction.
The box was also a big problem. I had a specific box in mind, and it took us a long time to make it. So, when we were finally ready, the cigars were already over a year old and we were forced to set a time of aging of one year. We originally had planned on aging them three to six months, but we had to change that to keep up the consistency.
CA: The biggest complaint I hear about your cigar is nobody can find it. What's your production target for 1998 for the Fuente Fuente OpusX?
Fuente:We hope to release between 750,000 and a million cigars.
CA: What was the number in 1997?
Fuente:Last year, we put into the market just under three quarters of a million.
CA: Are you going to open up the western United States?
Fuente:I would love to open up west of the Mississippi. Obviously, we have a lot of pressure to do that. There's nothing more important to me than to have our cigar available to as many cigar lovers as possible. But it's an impossibility at this moment. Every cigar that's being released is already spoken for. One thing I've learned in this whole process is that to achieve anything in life, it takes a lot of patience.
CA: But does that mean that three years from now, you still expect to be releasing 750,000 to a million, or will you be able to increase production to 2 or 3 million cigars a year? What is the growth potential for Fuente Fuente OpusX?
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Gator Crushed by Republican Elephant Polo Shirt (Black)
Back to Tea Party T-Shirts
This embroidered design is also available on a white polo shirt or an ash gray polo shirt. This is a 100% cotton, 100% funny conservative polo shirt. A Republican polo shirt for elephant lovers and gator haters.

subset: commoncrawl


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Among the many exotic brands we found at the National Audio Show last September, was a name that has not been seen on these shores since the nineties - Onix.
Onix started in Brighton way back in the late seventies and went on to become a respected name in audio electronics, with amplifiers like the OA21 making an impression, thanks to solid sound and a particularly clean design in a half-width case.
The company disappeared towards the end of the last century, but according to the current owners, lived on in the far east and America, where it expanded its activities into loudspeakers. And it's these speakers that are now available in the UK, alongside a range of electronics.
Manufacture is by Shanling, which is why the two companies share Real Hi-Fi as their UK distributor. The Onix range consists of: two CD players (from £535) and an SACD player (£1,175); three integrated amplifiers (from £725); and a DAC with selectable upsampling.
There are four loudspeakers including a heavyweight standmount (Monitor-1 £2,265) and two high-end models, the XCD-50 (£3,250) and the XIA160 (£3,625), plus a matching integrated amplifier that's built as a dual-mono device with no-holds barred.
Having made its name producing components that competed with the likes of Arcam and latterly Cyrus, it's intriguing to see such a lustrous and heavyweight CD player sporting the Onix badge.
The finish on this player is so good that you get the impression that it's acrylic, but further inspection of the unit and the accompanying literature reveals it to be piano-lacquered wood.
Playing a CD is a simple matter of lifting the lid, which is acrylic with a metal handle and then taking off the large puck that holds the disc onto the transport mechanism. Place a disc over the spindle, put the two elements back on and off you go. Not as straightforward as pressing a load button twice, but quite a nice tactile way of doing things.
In fact, one that's reminiscent of changing a vinyl LP on a turntable with a clamp. What reinforces this effect is that you can remove the lid, while the disc is playing and so can change discs without touching a button.
It's a process made more pleasurable by the CNC-machined nature of the disc clamp which is rather larger than is normally the case, but presumably the Philips CD Pro2 drive can take the weight.
Inside the box there are re-clocking and jitter-reducing systems and a cirrus Logic CS4396 DAC that produces a dual-differential or balanced output. It has separate R-type transformers for the digital and analogue circuits and the player is supplied with a heavy-gauge Shanling mains cable, with which to power it.
Operationally it's pretty straightforward, the aluminium-faced remote works well and sits comfortably in the hand, but don't expect much response from the eject button!
The display sits at an angle, which means you can read it from above and the side which will be convenient for many. However, the top-loading aspect means that this player will always have be on top of a rack rather than inside it.
Build quality would appear to be as good as the finish suggests, with high-quality RCA phono and XLR sockets on the recessed back panel. We asked whether there was anything unusual about this player's design and were told that "There is nothing 'ground-breaking' about the player. Just solid engineering."
Onix ascribes its sound to "very low jitter levels due to re-clocking and overall design, circuitry and components chosen with low measurable distortion."
Sound quality
The XCD-50's dark, smooth exterior is something of an allegory for its sound, this is one of the most relaxed and smooth players we've encountered for some time. It's the sort of balance that will appeal to those who find many modern CD players to be too upbeat and lively, it trades this for a sense of refinement and calm that suits a lot of material well.
Iit's not slow, but it is relaxed and those who value pace will find more suitable alternatives elsewhere, but it times surprisingly well – a Saafi Brothers track of laid-back dub-style material picking up a good groove when the action got going.
There is also no shortage of power in the nether regions, the bass having weight and depth beyond the norm at this price point. With smoother/cleaner recordings such as the John Abercrombie disc Wait Till You See Her (on ECM), this chilled-out quality can get a bit much, the lack of sparkle from percussion and guitar robbing the music of its subtlety.
It does quite a good job of instrumental and vocal timbre, but lacks the fine detail or more obviously open designs like the Leema Antila II.
A player that brings quite a bit more of the acoustic of the studio or venue to the result, along with more of the energy of the performance. Having said that, the Onix's relaxed mien does lend itself to high-energy music because it never sounds like it's having to try to hard, it lets the material provide the excitement.
The Dan and the Electros disc of fifties style tunes works very well, the glorious saxophone parps and rich sonority of the keyboard combining to produce a big beat sound that is highly entertaining when you turn the wick up. It also works well with artists like Gillian Welch whose Time (The Revelator) song sounds positively open and spacious compared to less dedicated sources such as the Pinnacle Audio folio server.
And while it doesn't have the energy of many in its price bracket, it does have an ease and expressiveness that reveals low-level details quite effectively. There's something quite engaging about its considered approach, something that begins to get under your skin, but you do have to turn it up to get a sense of power – dynamics are not its forté.
Playing the opening track from Fink's Distance and Time album, it's easy to hear what the strings in the background are doing, the Onix makes time for everything to fit in. On this occasion, the Resolution Audio Opus 21 has more kick in the bass drum and stronger vocal presence.
It delivers each section of the mix in a coherent and timely fashion that does the music justice. It's the sort of player that will suit more up-front amplifiers and loudspeakers. In fact, if you find that your CDs sound a little bit up front and in yer face, a player like this is the perfect antidote.
Its style goes against the prevailing fashion these days, but there's no denying its potential appeal in a revealing system.
While Onix's owners are concerned that they need British input to give the company credence, this route could end up with them creating another 'me too' product, for the UK market, at least. By taking the route that they have, the new Onix deserves to carve out a niche, based on its own rather appealing products and qualities.
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Yesterday marked the one year anniversary of our first post here on Bethesda Blog (or BethBlog…whichever you prefer). Speaking for Pete, Ashley, and everyone else who has contributed to the blog, we've really enjoyed working on the blog and hope you've had as much fun reading it.
If you ever have any suggestions for how we could make the blog even better, feel free to shoot us an email. Thanks again for reading!


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Beyonce has beaten out Madonna and Miley Cyrus to top Bing's list of most searched for people of 2013.
The pop queen beat out competition from Kim Karadashian (No. 2), Rihanna (No. 3), Taylor Swift (No. 4) and Madonna (No. 5).
Rounding out the Top 10 list were Justin Bieber (No. 6), Nicki Minaj (No. 7), actress Amanda Bynes (No. 8), Miley (No. 9) and President Barack Obama (No. 10).
On Monday, Bing also released a list of the most searched for songs of 2013.
Macklemore & Ryan Lewis took the top spot with their hit "Thrift Shop." Robin Thicke's "Blurred Lines," a song whose video was banned on YouTube, took the second spot on the list.
PHOTOS: Miley Cyrus — The Early Years
Rihanna's "Stay" came in at third above Imagine Dragons' "Radio Active."
Other stars and their songs on the list included Jason Derulo's "The Other Side" (No. 5), Bruno Mars' "When I Was Your Man" (No. 6), Justin Timberlake's "Mirrors" (No. 7), Miley Cyrus' "We Can't Stop" (No. 8), Pink's "Just Give Me A Reason (No. 9) and One Direction's "Best Song Ever" (No. 10).


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By Varietal
Here is a new spin on a traditional southern sandwich. The Po'Boy moves up in the world with the addition of gourmet ingredients and a tangy alligator spread.
I grew up in Ocean Springs, Mississippi, on the Mississippi Gulf Coast where shrimp (at least then) was king.
This burger was created with my absolute love for crawfish and crab. When I was growing up my large family would have great crawfish boil parties in our backyard.
The ingredients that make up this burger are directly related to my home where I grew up in Massachusetts. Seafood abounds everywhere.
Why this is a great local burger? Because New England has the freshest of lobster, corn on the cob, and cob smoked meats, all ingredients needed for this special burger.
In the Chesapeake Bay area, we put blue crab meat on or in just about everything we eat. This recipe really showcases the delicious food my region has to offer.
This is a great American burger because most Americans love shellfish.
This shrimp, crab & sausage alternative burger gives you a burst of flavors from the gulf coast with a surprise element of flavor from the sausage that you are not expecting.
I enjoy the experience when eating at a Tapas style restaurant since it is small portions which means being able to sample lots of different flavors.
Ebi or Shrimp burger adds a sushi flavor to an American Food Tradition the burger. Ebi burger is served on a homemade wasabi hamburger bun with a Japanese style seaweed and cucumber relish.
This is the perfect light summertime grilled meal. It will leave you fealing completely satisfied. Get ready for the flavors to explode in your mouth.


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It was not your typical pre-season exhibition game ... you know, one of those with running and gunning and dunks and giggles and grins.
No, for UTEP purposes, Saturday night's pretend game with Southeast Oklahoma was dotted with intensity and some full-court pressure by the visitors. To their credit, the Storm played as if their hair were on fire, played with great intensity and that will serve UTEP far better than one of those fun-and-game thrill shows.
For the record -- though it does not count -- the Miners won this exhibition 70-63. For the record, UTEP had some good moments, some not-so-good moments. But, overall, it was helpful and productive.
Except for one thing.
Graduate student Konner Tucker, after knocking down 3-of-5 from beyond the arc and all four free throws, went diving for a loose ball. Verdict? He has a fractured right hand. More will be known when he sees a hand specialist next week. The silky-smooth shooting senior could miss between six and eight weeks.
"We'll know more (today)," UTEP coach Tim Floyd said. "He's been our best shooter throughout camp."
Overall, Floyd said, "We still have a lot of room for growth. We kept our offense vanilla. We didn't run a lot of things, but when we did it wasn't crisp. But there were some positives -- Malcolm Moore's effort, for the most part we weren't a big turnover team (only 11) and we got back on defense for the most part."
The Storm threw a variety of defenses at the Miners -- switching from man-to-man to a 2-3 zone and frequently extending the pressure with a 1-3-1 trap, then dropping back into that 2-3 zone and, in the final minutes, they gave the Miners a heavy dose of full-court man pressure.
Tucker and Jacques Streeter led the Miners with 11 points each. John Bohannon had 10 points, eight rebounds, and Moore had four points, eight rebounds.
Julian Washburn had just eight points with three assists and three steals and no turnovers. The gifted Miner sophomore was just 3-of-14 from the field, but if he gets those same looks on any other night -- which he probably will -- he will have 20-plus points.
"A lot of the shots Julian missed, were shots I want him to take," Floyd said.
Overall, though, the players got some work against a team that played hard, got out under the bright lights of a game, in front of a crowd.
"Pretty good overall effort," Bohannon said of the team. "Lot of things to improve. We can never stop getting better on defense. We didn't run that many things offensively, but what we did run, we need to fine-tune."
Freshman Chris Washburn (who had six points, three rebounds, two assists in 18 minutes) grinned and said, "It was a lot faster than I expected, but I think I adjusted. We started off too slow. We need to work on that and, even though we came out even (41-41), we need to rebound better."
Streeter, who also dished out four assists, said, "It was a good start. We could have played a lot better. But we are growing and this was the first step. I think we came out pretty sound defensively. They gave us a lot of looks defensively, switching up between man and zone, and that gave us some good work. We were sloppy at times. But our big men did a great job. Malcolm Moore and Bo (Bohannon) did a good job in there."
The Miners have been working since Oct. 12, and the bulk of that work has been on the defensive end of the floor. Floyd used 11 players and in no particular order.
"We didn't have a starting lineup per se," said Floyd, who opened the game with Moore, Bohannon, Julian Washburn, Jalen Ragland and sophomore C.J. Cooper at the point.
The Miners will go back to work, getting ready for a strong Oral Roberts team next Friday night ... a game that will supply an even faster pace, even more intensity and, of course, a game that will truly count in the won-lost ledger.
"That will be a great test for us," Floyd said.
And, on that Friday night, this marathon that is a college basketball season will begin.
Bill Knight may be reached at email@example.com; 546-6171. Follow him on Twitter @BillKnightept.
Up next


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Mijwiz Accessories
Item #: MIJD-R
Double Mijwiz Reeds, 4pc. (Item Code: MIJD-R). Two sets of cane reeds for the Egyptian Double Mijwiz. There is a larger set, approx. 7/16 inch diameter and a smaller set 5/16 inch diameter. You may need to thread or trim them for a tight fit.
$5.70 5.90


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Latest question:
How do you think the new GigE standards will influence the machine vision industry?
Respond or ask your question now!
SOURCE Advanced Analogic Technologies Incorporated
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Hi everyone,
While reading 'path to buddhahood', a thought was arisen in me. It seems bodhisattva accumulate massive merits while not seeing the eightfold path, while just random walking. The Buddha taught that even cakkavatti (the wheel turning king) is not assured from not being born in hell. To evade hell, at least sotapana is required.
From practical point of view, how can this be possible? How can bodhisattva evade hell? Is there 'a way' outside of eightfold path that can evade hell and the Buddha didn't talk anything about it? Or is he just extremely lucky? I don't believe in Mahayana theory that bodhisattva is superior to sotapanna and arahant, but instead, is inferior. His disciples were also having massive merit, but even his chief disciple, Moggallana at least once in hell according to sutta, and at least twice, if we count the legend that one time he killed his parents. How can a bodhisattva evade all things leading to hell while is still a normal person?


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CROSSROADS Care Dudley is offering free support for frail elderly couples who need a helping hand.
Following a successful bid to the Wolves Charitable Trust, the charity, based in Kingswinford, is now able to offer the service of a personal worker.
The worker will visit once a week to assist with everyday living tasks that may have become difficult.
This could include shopping, cooking healthy meals, getting out and about or accessing health appointments.
Help is available to couples who do not receive support from other outside agencies.
Anyone who would like more information about the service should call 01384 298513.


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You know how you see those random headlines on websites like MSN.com that mentions such things as "Best Places to Dine" or "How to Ask You Boss for a Raise" and you think, "No big deal, nothing real interesting to read there," but you just can't help clicking on the link anyway to find out what it's really about? Well, I clicked on the link on MSN.com that outlines the Top 10 places to live in the U.S. for 2008 and was shocked to see my small town of Huntsville, AL among them.
According to Relocate-America.com, the top 10 cities to live in the U.S. are:
Read the full list at Relocate-America.com.
- Charlotte, N.C. (voted #1 two years in a row)
- San Antonio
- Chattanooga, Tenn.
- Greenville, S.C.
- Tulsa, Okla.
- Stevens Point, Wis.
- Asheville, N.C.
- Albuquerque, N.M.
- Huntsville, Ala.
- Seattle
I'm very surprised and proud at the same time. I've lived here for nine years and at first I wasn't sure if I'd stay. There didn't seem to be much going on here and I'm use to living in larger metro areas with a little more hustle and bustle. But after being here the first year and talking to some of the residents - some of which had recently relocated here themselves and liked it - I decided to give Huntsville a chance. And I'm glad I did!
The city is booming! We only have a population of about 150,000 (120,000 according to the 2000 census), but the placed has become more crowded over the years. Not soon after I moved here places that were tree-lined areas were soom development with new homes and shopping centers. Looking back I'm amazed at how fast the city has grown in the short time I've lived here.
Huntsville has alot of the same amenities that some major cities have, i.e, fine dining, theater, a top rated orchestra, semi-pro sports (baseball, arena football, hockey and for a time we even had an NBDL team, the Huntsville Flight), tons of entertainment beyond movies (although we've had two new cinema houses open up here in the last two year, the Rave and Monaco Pictures at the new Bridgestreet Mall - an outdoor mall which in itself is pretty awesome!), three large malls (including the outdoor mall I just mentioned), not to mention the scenery is very beautiful and the people are very friendly.
Property taxes are low, per captia income is very responable, and we have the lowest unemployment rate of any major city in the state (currently 4% compared to nearly 20% in the state captical). Huntsville is also the 3rd largest city in the state of Alabama (by population; although most registries still have us 4th behind Birmingham, Mobile and Montgomery in that order) It's quiet here; very little crime. And while other large cities seem to be struggling in the housing market, we've got housing construction going on everywhere (mostly due to the BRAC). In fact, the part of the city where I live (southside) there are five new housing developments either in the planning stages, under construction or nearly complete with more spreadout all across the city.
This city has more going for it that I ever thought it would. And despite everything that's happening, Huntsville has retained its small town appeal. I like that. It's a very family friendly place. I think I'll stick around for another ten years. By then my youngest daughter will be 16. We'll see what happens by then.


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Economics for Transition (MA, PG Cert)
Schumacher College
Master Programs
Never has there been a more important time for a new approach to economics. There is an urgent need for a radical rethink of our economic system.
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Never has there been a more important time for a new approach to economics.
There is an urgent need for a radical rethink of our economic system. We need new thinking and new models that recognise the challenges we face now, rather than blindly following the path that has led us into the converging crises we now face.
These models will enable us to both mitigate the impacts and adapt to these inter-locking crises – including climate change, biodiversity loss, the peaking in fossil fuel energy supplies, financial instability, food security, poverty and so on.
They will be built on an understanding of the complementarity of ecological protection and human flourishing.
For 20 years, pioneering thinkers and practitioners have been developing alternative economic ideas, models and experiments that were once considered radical and marginal.
As we turn to face a new economic dawn, these theories and practices are now moving centre stage.
"I teach at Schumacher College because of its strong link with ecological sustainability and an approach which is based on collaborative co-creation. People are not told what to do, together they co-create their ideas. It's a fundamentally different model of education that we can learn from and apply to the economy as well as other areas of our life."
Professor Eve Mitleton-Kelly, London School of Economics
"In making the transition to a world in which we can all thrive within planetary boundaries, it is paradigm shift or bust, and nobody does paradigm shift better than Schumacher College. Its learning environment and the content of its courses make visions of a better world tangible. And, the Economics for Transition MA shows how right now we can take the first steps to get there."
Andrew Simms, Fellow of New Economics Foundation
"Schumacher College is one of the few places I know where economic questions are being asked as openly as they need to be. When I run seminars there, I learn as much as I teach."
Kate Raworth, Visiting Research Associate at Oxford University's Environmental Change Institute
Why Schumacher College?
Since 1991, Schumacher College has been pioneering radical new thinking in economics, attracting leading teachers, practitioners and activists from across the globe. We have inspired and supported thousands of organisations and individuals from many different countries in their quest to achieve a more sustainable and equitable world.
In 2011, in response to the deepening economic and related crises, we launched our first postgraduate programme in Economics for Transition in association with the New Economics Foundation, the Transition Network and the Business School at Plymouth University.
Now in its fourth year, this partnership offers you an unparalleled opportunity to learn about the cream of radical economic thinking, activism and entrepreneurship globally.
Hosted by highly respected radical economists, completed by an unrivalled visiting faculty of teachers and practitioners from across the world, you have a unique chance to join those at the forefront of new economic thinking.
Our teachers include:
Jonathan Dawson – Schumacher College
Tim Crabtree – Schumacher College
Stephan Harding – Schumacher College
Julie Richardson – Schumacher College
Anna Coote and Tony Greenham (link is external) – New Economics Foundation
Rob Hopkins, Jay Tompt & Sophy Banks (link is external) – Transition Network
David Bollier – co-founder of the Commons Strategies Group
Gustavo Esteva – founder of the Universidad de la Tierra
Fiona Ward – REconomy Project
Pat Conaty – NEF Fellow
Tim 'Mac' Macartney – Founder and CEO of Embercombe
Robin Murray – Industrial and environmental economist.
Kate Raworth – Senior Visiting Research Associate at Oxford University's Environmental Change Institute
Dr. Martin Shaw – Author, mythologist, storyteller and award winning wilderness Rites-of-Passage guide
Who is this course for?
We are delighted to receive your application whether you are coming directly from an undergraduate degree, taking time-out to study mid-career or wanting an opportunity to retrain in a subject area that is of huge importance to our global economic future and wellbeing.
We are looking for enthusiastic agents of change who are ready to co-create a new economy in practice. We are looking for those prepared to take a risk and stand on the cutting-edge of new thinking in this area.
Schumacher College welcomes students from all over the world in its diverse mix of cultural experience and age group that allows for rich peer to peer learning.
What you will learn?
The key sustainability issues facing the world today
How ecological, economic and social crises are systemically linked to the malfunctioning of today's globalised economy
A critique of the dominant neoclassical, industrial growth model from different perspectives
A theoretical and experiential understanding of an ecological world-view
How to apply ecology and complexity science to the economy and social systems
The co-creation of a new approach to economics drawn from alternative schools of thought
The co-creation of future scenarios and pathways towards low-carbon, high wellbeing and resilient economies
Participation in current debates on the economics of transition
New economics tools, methods and policies and their application to real-world case studies
Self-evaluation to improve professional practice
You will also carry out an independent research project related to the economics of transition
Where you will go?
Are you ready to join a new generation of business leaders, entrepreneurs, policy-makers, researchers, consultants and activists?
Graduates from this programme will have the skills and knowledge to work for sustainable change in the public and private sectors as well as in civil society, or to set up their own projects or organisations that will contribute to the transition to a new economy.
Hear from some of our past and present students and find out how this programme has changed their lives and careers by reading our the Economics for Transition student profiles.
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Ecological Design Thinking (MA, PG Dip, PG Cert)
Schumacher College
Master Programs
Are you dismayed, disturbed and totally disenchanted with what is happening to the only real planetary home we have? So are we. But are you also excited by the opportunities and prospects this opens up for us to create a better, brighter and more beautiful world? So are we.
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Are you dismayed, disturbed and totally disenchanted with what is happening to the only real planetary home we have? So are we.
But are you also excited by the opportunities and prospects this opens up for us to create a better, brighter and more beautiful world? So are we.
Then join us in this innovative new postgraduate programme from Schumacher College in collaboration with the School of Architecture, Design and Environment at Plymouth University, the School of Design at Carnegie Mellon University, the Dartington Hall Trust and surrounding communities.
Ecological Design Thinking
Never has there been a more important time for a new approach for engaging with the challenging situations we face from the local to the global levels. In a rapidly changing dynamic situation, solutions rarely remain optimal for very long and continuous active participation is a necessary ingredient for success. Growing resilience in individuals and communities is the way to keep going despite the continuous change around us.
Our programme in Ecological Design Thinking embraces and explores this complex world of interactions with lively engagement and an optimistic approach. It offers powerful, practical and ecology-centred skills and knowledge to apply to a diverse range of practices from design, education and business to the more specific roles of leadership, management and consultancy.
The Ecological Design Thinking programme is trans-disciplinary, insightful and universal in its application; pragmatic and integrative in its operation. It brings together theoretical and practical discourses on ecologically inspired design, with methods of design thinking that are merged with the latest developments in anthropology, psychology and socio- political economics. It aims to create a novel ground for change makers at the forefront of our transition to sustainable societies.
Ecologically inspired design includes the study of ecological worldviews, systems dynamics and applied complexity theory alongside the philosophies and practices of permaculture and biomimetic design.
Design thinking is a well-established participatory technique grounded in the empathic understanding of the feelings, experiences and emotions of others. It engages people in lively conversations, visually stimulated interactions and playful prototyping. It frames problems as opportunities, forms insights and generates creative and collaborative solutions in complex situations.
The Ecological Design thinking programme aims to provide a nourishing environment for participants by incorporating short-courses led by internationally recognised thinkers, place-making projects in collaboration with the Dartington Hall Trust, the home of Schumacher College, and short placements offered by external partner organisations.
This programme is the fourth radical postgraduate programme developed at Schumacher College and contributes to and enhance the College's ongoing collaborative inquiry into sustainable living – a live and networked inquiry of practice underway around the world by the College's 20,000 alumni and others.
Who is this course for?
We would be delighted to receive your application whether you are coming directly from an undergraduate degree, taking time-out to study mid-career or wanting an opportunity to develop your understanding of a practice that is of great importance to all of our futures. We encourage applications from community practitioners and activists as well as planners, educators, architects, politicians and policy makers. You do not necessarily need a first degree in design to apply for this course. You only need to be enthusiastic, resilient and committed.
We are looking for enthusiastic agents of change who are ready to co-design new approaches to the way we live that are socially just and ecologically sustainable. We are looking for those prepared to take risks and stand on the cutting-edge of new practices in this area.
Schumacher College welcomes students from all over the world in a diverse mix of cultural experience and age that allows for rich peer- to- peer learning.
You Will Learn
The foundation of an ecological worldview through subjects such as ecology, deep ecology, systems thinking, complexity science and Gaia theory.
Living systems principles through the philosophy and practice of permaculture design, biophilia and biomimicry.
Creative and process-focused problem solving techniques by applying the methods and principles of design thinking
A multi-perspective appreciation of ethical issues and their implications for the future consequences of redesigning existing systems and creating new ones.
To apply ecological design thinking knowledge and skills to the design of social systems as a part of an emerging new economics
Personal and group enquiry practices to raise awareness of the interdependent relationship between the individual, society and nature and between theory and practice
Co-creative participatory practices and theoretical principles for new approaches to the ecological design process that include a range of stakeholders in the full lifecycle of projects, and you will apply these both in the studio, on the Dartington Hall Estate and in short placements on live projects
Special Features
An interdisciplinary programme integrating design methods with those of ecology and the social sciences.
An integrative design programme rooted in deep ecological understanding and practice and informed by cutting edge thinking in new economic approaches and social dynamics.
A balanced distribution of time and resources on skill-based and cognitive-based knowledge and between practice and theory.
Access to some of the world's leading thinkers and practitioners in design, Gaia theory, complexity, climate science, systems thinking, new economics and social change.
Short courses led by internationally recognised thinkers and researchers.
Short practical placements with a range of partner organisations operating at the leading edge of social innovation.
An immersive, integrative and transformational teaching and learning approach rooted in the principles established by Schumacher College and Dartington Hall, and engaged in a living and working community on and around the Dartington Estate in Devon.
Where you will go?
Ecological Design Thinking can be applied to a wide range of contexts, from the personal to the societal. This programme aims to create a new generation of designers, entrepreneurs, policy-makers, educators, researchers, consultants and activists. Graduates will have the skills and knowledge to work for sustainable change in the public and private sectors as well as in civil society, or to set up their own projects or organisations that will contribute to the transformation of society.
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hmmm. what about it look painful? I always thought a big follow through should alleviate strain. Are you talking about my shoulder, elbow, back? Since this vid I have received some feedback from a few pro's and one mentioned that I should be following through more towards my target, but nothing was said about it creating strain or being dangerous.
On that note I did try planting more than 90 degrees from the target and it did feel like it was putting strain on my plant knee. Keep in mind these were longer drives, so I was putting some juice on it....not 100% juice, but 90+.


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THE SQL Server Blog Spot on the Web
Eighteen posts for T-SQL Tuesday #43 this month, discussing Plan Operators.
I put them together and made the following clickable plan. It's 1000px wide, so I hope you have a monitor wide enough.
Let me explain this plan for you (people's names are the links to the articles on their blogs – the same links as in the plan above).
It was clearly a SELECT statement. Wayne Sheffield (@dbawayne) wrote about that, so we start with a SELECT physical operator, leveraging the logical operator Wayne Sheffield.
The SELECT operator calls the Paul White operator, discussed by Jason Brimhall (@sqlrnnr) in his post. The Paul White operator is quite remarkable, and can consume three streams of data. Let's look at those streams.
The first pulls data from a Table Scan – Boris Hristov (@borishristov)'s post – using parallel threads (Bradley Ball – @sqlballs) that pull the data eagerly through a Table Spool (Oliver Asmus – @oliverasmus). A scalar operation is also performed on it, thanks to Jeffrey Verheul (@devjef)'s Compute Scalar operator.
The second stream of data applies Evil (I figured that must mean a procedural TVF, but could've been anything), courtesy of Jason Strate (@stratesql). It performs this Evil on the merging of parallel streams (Steve Jones – @way0utwest), which suck data out of a Switch (Paul White – @sql_kiwi). This Switch operator is consuming data from up to four lookups, thanks to Kalen Delaney (@sqlqueen), Rick Krueger (@dataogre), Mickey Stuewe (@sqlmickey) and Kathi Kellenberger (@auntkathi). Unfortunately Kathi's name is a bit long and has been truncated, just like in real plans.
The last stream performs a join of two others via a Nested Loop (Matan Yungman – @matanyungman). One pulls data from a Spool (my post – @rob_farley) populated from a Table Scan (Jon Morisi). The other applies a catchall operator (the catchall is because Tamera Clark (@tameraclark) didn't specify any particular operator, and a catchall is what gets shown when SSMS doesn't know what to show. Surprisingly, it's showing the yellow one, which is about cursors. Hopefully that's not what Tamera planned, but anyway...) to the output from an Index Seek operator (Sebastian Meine – @sqlity).
Lastly, I think everyone put in 110% effort, so that's what all the operators cost. That didn't leave anything for me, unfortunately, but that's okay. Also, because he decided to use the Paul White operator, Jason Brimhall gets 0%, and his 110% was given to Paul's Switch operator post.
I hope you've enjoyed this T-SQL Tuesday, and have learned something extra about Plan Operators. Keep your eye out for next month's one by watching the Twitter Hashtag #tsql2sday, and why not contribute a post to the party? Big thanks to Adam Machanic as usual for starting all this.
If you would like to receive an email when updates are made to this post, please register here
Subscribe to this post's comments using
Fantastic work, Rob!
"Hopefully that's not what Tamera planned, but anyway..."
HAHAHAHAHAHA, you are my hero.
Excellent Work. The Execution Plan is awesome.
I'll give 110% of my work to that magical operator, no problem!!
This was a fun one.
Thanks for hosting.
I think Rob just set a new standard for a TSQL-Tuesday round-up post.
(But I do wonder what it would have looked like if it incorporated all of the operators that were posted about. Hmmm...)
That is the coolest post. Thanks for hosting.
Viewed through Plan Explorer this plan reveals a lot more detail!
Hi Rob, I was unable to participate but wanted to ensure that I read through everyone's input. This post was about the best I've seen, kudos for taking the time to do it and appreciative for all you do with the community.


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Me personally, I would do four things:
1. Go crazy and get every pair or Jordans ever made
2. I would buy season tickets for Notre Dame, Redskins, and the Pacers and work my way on getting ownership in the teams somehow.
3. I would buy any and every Harley Davidson I saw (I dont ride, never have, but I fell in love with these bikes at a young age. Still have all my replicas that I put together and painted)
4. I would get a house similar to the one the founder of Papa Johns has in Kentucky:
(Though I do not need the garage)


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The Shakespeare Conference: SHK 23.0394 Thursday, 27 September 2012
Date: September 26, 2012 1:11:34 PM EDT
Subject: EMLS 16.2
To whom it may concern:
The latest issue of Early Modern Literary Studies is now available. As usual, it is available for download free and without subscription at the following web address: http://purl.org/emls
Sean Lawrence
Early Modern Literary Studies 16.2 (2012)
Divided They Fall: (De)constructing the Triple Hecate in Spenser's Cantos of Mutabilitie. Jessica Dell, McMaster University. [1]
'When dead ones are revived': The Aesthetics of Spectacle in Robert Greene's James IV (c. 1590). Jenny Sager, Jesus College, University of Oxford. [2]
Homoerotic Pleasure and Violence in the Drama of Thomas Middleton. Adrian Blamires, Reading University. [3]
Beaumont and Fletcher's Rhodes: Early Modern Geopolitics and Mythological Topography in The Maid's Tragedy. Lindsay Ann Reid, Koç University, Istanbul.[4]
Edel Lamb, Performing Childhood in the Early Modern Theatre: The Children's Playing Companies (1599 -1613). New York, NY: Palgrave Macmillan, 2009. M. Tyler Sasser, The University of Southern Mississippi. [5]
Jane Hwang Degenhardt and Elizabeth Williamson, eds, Religion and Drama in Early Modern England: The Performance of Religion on the Renaissance Stage. Farnham: Ashgate, 2011. Alison Searle, University of Sydney. [6]
Lynn S. Meskill, Ben Jonson and Envy. New York: Cambridge UP, 2009. Suzanne Penuel, University of South Carolina Lancaster. [7]
The Oxford Handbook of John Donne, edited by Jeanne Shami, Dennis Flynn, and M. Thomas Hester. Oxford: Oxford University Press, 2011. P. G. Stanwood, The University of British Columbia. [8]
Katrin Ettenhuber, Donne's Augustine: Renaissance Cultures of Interpretation. Oxford: Oxford University Press, 2011. Patrick J. Murray, University of Glasgow. [9]
Theatre Reviews:
Romeo and Juliet, presented by Action to the Word at Camden People's Theatre, London, 14-26 February 2012. Thomas Larque. [10]
The Winter's Tale, presented by Propeller at the Lyceum Theatre, Sheffield, 31 January - 4 February 2012, and on tour. Lisa Hopkins, Sheffield Hallam University. [11]
Cambridge Shakespeare, 2012. Michael Grosvenor Myer. [12]


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A YOUNG girl had all her dreams come true after spending a magical day on the set of a new Disney music video.
Four-year-old Charlotte Wilks, from Watlington, won a competition to star in Natasha Bedingfield's music video for Disney's Tinkerbell and the Pirate Fairy.
The youngster, who attends Love Lane's Rainbow Corner Day Nursery, battled against thousands of others from across the country hoping to win a spot in Bedingfield's Who I Am. The song is the first track for Disney's latest fairy adventure.
Mother Alexa Wilks, 39, said: "It was lovely, it was a once-in-a-lifetime thing.
"We never really expected to win and when we realised how many entries there had been, we felt really lucky that we won."
Mrs Wilks entered her daughter into the online competition after watching the animated film in the cinema. It is the sixth addition to the Tinkerbell film franchise.
Charlotte Wilks
After receiving an email notifying them of the win, the family travelled to London's Black Island Studios to be among 25 other lucky winners starring in the video.
But when given the chance to become either a princess or a pirate, Charlotte opted for being a pirate.
Donning a colourful glittery skirt and white satin top and carrying a pirate sword, she spent the day dancing away to the theme tune.
Against a backdrop of green screens, she perfomed the choreography she had spent the day learning.
Mrs Wilks said: "She looked so lovely and she had such a good day.
"To see your daughter on the TV, it's something I will remember forever."
The film is now available on Disney Blu-ray™ and DVD.
- To view the music video visit youtu.be/dFY3FmbX9g4


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Inland Valley Hope Partners has many opportunities for those interested in being volunteers.
Prospective volunteers will learn about those opportunities during a Volunteer Leadership Orientation seminar being offered Saturday.
The seminar will be from 9 to 10 a.m. at the administrative offices of Inland Valley Hope Partners, 1753 N. Park Ave. in Pomona.
Volunteers are needed to assist at any of the organization's four food pantries, assisting with administrative duties, community outreach duties and gleaning work, according to a statement from Hope Partners.
For additional information on volunteer positions or to RSVP for the orientation seminar call Resource Development Director Fran Robertson at 909-622-3806, ext. 231.


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Some trades seem to just play out with ease, and with others it may be a struggle or a major battle. The types of trade setups that I identify every day have a higher probability for success than just a coin-flip. But if I were asked to define the characteristics of the highest-probability setups, I could actually explain how to choose those that are 70% accurate, perhaps, rather than 60%.
Let's take a look at a few things that will put these odds on your side.
- Time and price confluence
- Pattern and trend
- Moving averages
- Time-frame confluence
- Trigger entries
For this article, I am going to focus on how the moving averages can help you.
Remember when Apple (AAPL) used to be an easy trade on the buy side? Buying the dips used to work a high percentage of the time -- and then, everything changed. The stock was shifting gears, and I'm going to use the moving averages to show you why.
On all of my daily charts, I use 200- and 50-day simple moving averages, as well as the five- and 13-day exponential moving averages. On the daily chart, most market technicians watch the 200-day and 50-day SMAs in order to assess the general price trend. If you're looking to buy a stock and the price is above both of these lines, odds more in your favor. If it's clearly below these lines, you're better off looking at the sell-side setups.
Of course, there are times when I see high-probability setups that are not in agreement with this. However, that's only the case when quite a few other Fibonacci time/price parameters are present as well.
Here are the basics on how you can use these averages: Via the daily charts only, when the current price of the stock is above both the 200- and 50-day SMAs, you would look at the buy side of a stock when the five-bar EMA crosses above the 13-bar EMA. Continue to trade the stock from the buy side until the five-bar line crosses back below the 13-bar.
Conversely, if the current price of the stock is below both the 200- and 50-day lines, look to short it when the five-bar EMA goes below the 13-bar line. Continue to trade this stock from the short side until the five-bar crosses back above.
(Also, keep in mind that I only use the five- and 13-day EMA combination on the daily and weekly charts. It's when I'm seeking trade triggers on the intraday charts that I like to use the eight- and 34-day lines.)
Personally, I do not take trades on moving-average indicators by themselves. My trading plan says that l don't enter a stock without my Fibonacci price parameters -- but I do know the odds are with me if these conditions are intact along with one of my setups!
On the Apple chart, note the two areas where the price remained above both the 50- and 200-day SMA, and where the five-bar EMA then crossed above the 13-bar. These would have been a pretty good buy signals by themselves. Also of note: In late September, when the five-day line crossed below the 13-day, that was a warning that the next support decisions might not hold.
Bottom line: Not all my trade setups will have these averages in the right positions, but when they do, it tells me I've got some good odds on my side for the trade to work. Check it out for yourself -- overlay these averages on some daily charts and see how this played out in the past.
Happy Holidays!


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Sylvester wrote:How about the other 5 old kamma in the Kamma Sutta, or perhaps the other 2 karajakāyā in the Karajakāya Sutta, AN 10.5.1.9?
Which two? http://awake.kiev.ua/dhamma/tipitaka/2S ... ggo-e.html
The Commentary is uncharacteristically vague on this point, methinks. I wonder why the physical body might have been understood as being saturated with pītisukha born of seclusion, since these states are not phoṭṭhabba and, therefore cannot possibly make contact with kāya.
Why they are not phoṭṭhabba?


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Trial Comparing Metal Versus Plastic Stents for Preoperative Biliary Decompression
This study is currently recruiting participants.
Verified August 2017 by Florida Hospital
Florida Hospital
Vanderbilt University
University of Maryland
Information provided by (Responsible Party):
Florida Hospital
ClinicalTrials.gov Identifier:
First received: August 28, 2012
Last updated: August 2, 2017
Last verified: August 2017
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Detailed Description:
Compare the performance of full covered metal stents and plastic stents for preoperative biliary decompression
|Obstructive Jaundice Pancreatic Cancer
|Procedure: Stent Dysfunction Procedure: Complications
|Study Type:
|Study Design:
|Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
|Official Title:
|Multicenter Randomized Trial Comparing Covered Metal and Plastic Stents for Preoperative Biliary Decompression in Pancreatic Cancer
Further study details as provided by Florida Hospital:
Primary Outcome Measures:
- Complications related to stent dysfunction [ Time Frame: 30 days ]Evaluate the rates of complications (%) related to stent dysfunction which include persistent hyperbilirubinemia and cholangitis that warrant stent exchange by a repeat ERCP.
Secondary Outcome Measures:
- Procedural complications [ Time Frame: 30 days ]This will be measured as proportion of patients who encounter a procedural complication (%) during ERCP that includes pancreatitis, perforation or hemorrhage.
|Estimated Enrollment:
|Study Start Date:
|July 2010
|Estimated Study Completion Date:
|December 2019
|Estimated Primary Completion Date:
|December 2018 (Final data collection date for primary outcome measure)
|Assigned Interventions
Active Comparator: Metal stent
Patients randomized to one cohort will undergo placement of fully covered self expandable metal stents. The rates (%) of stent dysfunction and complications will be evaluated.
Procedure: Stent Dysfunction
Rate of stent dysfunction (%) which includes persistent hyperbilirubinemia or cholangitis that warrant stent exchange by another ERCP.Procedure: Complications
Rates of procedural complications (%) such as pancreatitis, perforation or hemorrhage during stent placement will be assessed.
Active Comparator: Plastic Stent
At ERCP, a 10Fr plastic stent will be placed in the bile duct. The rates (%) of stent dysfunction and complications will be evaluated.
Procedure: Stent Dysfunction
Rate of stent dysfunction (%) which includes persistent hyperbilirubinemia or cholangitis that warrant stent exchange by another ERCP.Procedure: Complications
Rates of procedural complications (%) such as pancreatitis, perforation or hemorrhage during stent placement will be assessed.
Detailed Description:
Covered self expandable metal stents (CSEMS) are three times larger in diameter than 10 Fr plastic stents. When compared to plastic stents, randomized trials have shown longer patency and fewer stent-related complications for CSEMS. The investigators hypothesize that placement of CSEMS would be a better treatment option for preoperative biliary decompression in patients with pancreatic cancer.
|Ages Eligible for Study:
|19 Years and older (Adult, Senior)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
- Patients with pancreatic cancer and mass in the head of pancreas causing jaundice.
- Patients 19 yrs of age and older
- Serum bilirubin > 2mg/dl
- CT: No evidence of distant metastasis or local vascular invasion (tumor surrounding portal or mesenteric vessels for more than 180 degrees of their circumference or an irregular vessel margin).
- Karnofsky score < 60
- Prior (ERCP or PTC) attempts at biliary decompression for the same indication
- Tumor-related gastric outlet obstruction (vomiting and oral intake of < 1L/day)
- Ongoing or planned neoadjuvant therapy
- Cholangitis at presentation or coagulopathy needing reversal medication
- Post-surgical anatomy
- Multiple extra-hepatic biliary strictures or concomitant stricture in liver hilum
- Failed ERCP's (Definition: Inability to deploy a biliary stent thereby requiring a PTC or surgery).
Contacts and Locations
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Please refer to this study by its ClinicalTrials.gov identifier: NCT01675908
Please refer to this study by its ClinicalTrials.gov identifier: NCT01675908
|Contact: shyam varadarajulu, MD
|United States, Florida
|Florida Hospital
|Orlando, Florida, United States, 32814
|Contact: shyam varadarajulu, MD 407-303-2570 firstname.lastname@example.com
|Principal Investigator: shyam varadarajulu, MD
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|Principal Investigator:
|shyam varadarajulu, MD
|Florida Hospital Center for Interventional Endoscopy
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Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on September 21, 2017
|Responsible Party:
|Florida Hospital
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|NCT01675908 History of Changes
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|August 28, 2012
|Last Updated:
|August 2, 2017
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|Plan to Share IPD:
|Plan Description:
|A manuscript will be developed following completion of the study.
Additional relevant MeSH terms:
Jaundice, Obstructive
Pancreatic Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Endocrine Gland Neoplasms
Digestive System Diseases
Pancreatic Diseases
Endocrine System Diseases
Pathologic Processes
Skin Manifestations
Signs and Symptoms
ClinicalTrials.gov processed this record on September 21, 2017


text:
A BRIERLEY Hill worker was flown to hospital with arm and chest injuries after being trapped in machinery in Brierley Hill.
The incident happened at an industrial unit on Pedmore Road Industrial Estate at 7am today (March 20).
An ambulance, a rapid response vehicle, an ambulance officer and the Midlands Air Ambulance from Cosford with a medic on board attended the scene.
A West Midlands Ambulance Service spokesman said: "Crews arrived to find a man in his 20's who had been trapped in machinery by his arm.
"The man received emergency treatment at the scene for his injuries and received pain relief.
"The man's condition was stabilised and he was transferred by land ambulance to the Air Ambulance which had landed at a car park nearby.
"The man was then airlifted to Queen Elizabeth Hospital Major Trauma unit for further assessment and emergency treatment.
"Thankfully, the man's injuries were not considered life threatening."


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News Articles
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Re: News Articles
« on: July 09, 2013, 08:58 PM »
Quote from: The Gnome on July 09, 2013, 08:31 PM
For those who didn't read the article, here's the full bile of a blog of a particularly butt hurt Simon Reed dismissing Andy's win and telling us all that we should as a nation thank Del Potro for Andy's win.
I'm happy to ignore that kind of thing. Clicking on the links only encourages them to write more of the same.
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Re: News Articles
« on: July 09, 2013, 10:54 PM »
There is one particular anonymous reply that tears strips off that fool. I wrote it in a fit of disgust. It's only anonymous because I made a mess of registering ages ago and I'm too bone idle to change it.
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Re: News Articles
« on: July 09, 2013, 11:00 PM »
Simon Reed is an awful commie. he's a twat imo
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Re: News Articles
« on: July 09, 2013, 11:07 PM »
Quote from: backhandslice on July 09, 2013, 11:00 PM
Simon Reed is an awful commie. he's a twat imo
Agreed. The worst kind of reporter - just says things for the sake of it to create headlines - no substance or conviction about anything he reports. Basically, just speaks out of his backside!
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Re: News Articles
« on: July 09, 2013, 11:47 PM »
Found this a good article.I know from the headline it sounds like it's all about whether or not Andy should receive a knighthood,but that really only comes into it a little bit.(Personally,I think Andy should definitely get one sometime,but whether now or in the future,I'm not sure which would be better.Not too fussed about it,I suppose,and I expect our man isn't either,not at the moment anyway!)Anyway,I found it a really good read,and loved hearing what Andy had to say about his future,working hard with Ivan for the USO etc
Murray is a very ordinary living legend, but Knighthoods are for old men... for now the Wimbledon winner has too much to do
The history man stood squinting in the July sunshine, a very ordinary living legend.
Grey. Only Andy Murray could turn up on his first morning as Wimbledon champion in a grey sports top and jeans, dressed down to the nines. Then again, maybe only a player so utterly unaffected by occasion could hold it together as he did in that third set against Novak Djokovic.
So often Cinderella in the final of Grand Slam tournaments, Murray at last went to the ball. He had spent the night at the Intercontinental Hotel on Park Lane, home to Wimbledon's Champions Dinner.
He had been invited the previous year, as beaten finalist, too, but losers do not wish to while the night away in the company of a rival holding the trophy.
This year it was Djokovic's turn to politely decline and Murray arrived, dinner suit and broadest smile at the ready, just before midnight.
He stayed two hours, and continued celebrating for an hour after. Then he crashed out.
'It was lovely, they do it really well,' he said, even though the menu of salmon and halibut was not quite to his liking. He would have preferred his usual sushi and considered nipping away to Nobu next door to indulge.
That would appear rude, though, and the one thing Murray is not is impolite. He visited Nobu last night instead, with his team. It will take a while to come down from this. And then he will get back to work.
Murray began his round of interviews at 8am yesterday and was still going close to midday. The exhaustion was plain, but so was his relief at having reached the summit of professional ambition. No more worlds to conquer?
Hardly. As befits a scion of Dunblane, there is a puritan work ethic that is the backbone of all Murray achieves.
He handled 49.8 degree temperatures on Centre Court because he trains in Miami heat in the summer.
He has battered Djokovic into submission twice now, because his gym work is relentless.
Sports Personality of the Year? Murray will send his thanks from a training camp on the other side of the world.
Sir Andy Murray? He isn't even sure he deserves it, yet.
And if there was ever a thought of ease, he has the scowling Ivan Lendl in his corner, and self-appointed mentor Sir Alex Ferguson, following his every move.
'I don't know how I'll respond until I get back on the practice court or in the gym,' said Murray. 'But it's the people around you that are the key to that.
'I know in Ivan's head that he is not content with how the last 18 months have gone. He will think I could have won the Australian Open and he'll train me really hard in Miami to retain the US Open.
'That's huge, having someone in your corner who was the ultimate competitor. He had such consistency as a player, he loved winning, he made eight consecutive US Open finals - there was no let up from him. Surround yourselves with the right people and they'll be honest with you and stop a problem happening.'
The fear is that Murray has reached a personal pinnacle that will be hard to match. After the London Olympics a number of his fellow Team GB gold medallists admitted they found it hard to get going again, such was the peak of excitement.
For Murray, despite his achievement, there was still the small matter of a Grand Slam to win. That yearning ended in New York. Yet Wimbledon remained.
Now he has banished that spectre, too, amid scenes never before witnessed on Centre Court. Even Murray knows that, whatever follows, his greatest day may well have gone.
'I'll never top that,' he added. 'Anything I do now, I'll never have that same pressure, that same expectation, that same release after the match. When I finished the US Open I couldn't sleep for two days, and I didn't feel tired. On Sunday I came off the court and within 45 minutes I was spent, I couldn't move, I was so exhausted.
'Subconsciously, everything that goes on with Wimbledon, the pressure, the tension, the questions and the build-up, not just now but for seven years, took its toll.
'I hope I don't lose that hunger and my plan is to use this experience as motivation. I know what it is like to lose a Wimbledon final, and to win one - and it's a lot better winning one.
'I'll go away on holiday and try to get rest because the last few weeks have been pretty stressful and tough - then get back in training for the US Open. I may never win another one but I'll keep working as hard as I can to try for it - that's the fun.'
It may amuse now, but it looked like torture at the time. Despite his tiredness, Murray revealed he had struggled to sleep overnight, having visualised winning Wimbledon so many times in his dreams.
A rational being, usually, he genuinely feared he would wake up and it would be the morning of the final, the previous 24 hours a figment of a wild imagination. He's right. He needs to get some rest, poor soul.
'Once I get back on the match court I hope I'll feel more relaxed,' he added. 'I felt calmer after the US Open, and this is much, much better. Wimbledon is difficult for me, because it is such a big deal you literally cannot escape.
'When the news is on, or if you just want to watch the tennis, during most matches something will get mentioned about me and the final. I don't look at newspapers, I try to stay off the internet and away from my phone - and that's unnatural but necessary. There is enough pressure trying to win as it is, without consuming what the rest of the country is feeling. I know the gist of what is being said by what I am asked in the press conferences anyway.
'I knew when Rafa Nadal and Roger Federer got knocked out that people thought I should get to the final. Maybe that pressure will change now - but I hope it won't change my expectations. When I go to the US Open, I'll still go to win. I'm not going to be just content.'
It could have been another driven Scot talking. Such is this nation's fixation with football, it has felt at times as if Sir Alex Ferguson was about to win Wimbledon, the coverage of his friendship with Murray bordering on the obsessive.
Yet, without doubt, the words of one of sport's most relentless individuals have been a crucial factor at this tournament.
Yesterday, trophy won, Murray was at last prepared to reveal the 'gold dust' advice Ferguson gave him prior to his semi-final with Jerzy Janowicz - but it said as much about what motivates him as it did about managerial genius.
'One of the things he built his teams on was consistency and concentration,' explained Murray. 'He said that if you can concentrate throughout the match, you'll gain the consistency. That was something I tried to do anyway - but it emphasises it more when he says it to you.'
Concentrate? That was it? In many ways, it shows what Murray has really needed all these years. Confidence and the reinforcement of basic principles by men he admires. Lendl told him to hit his forehands harder. Basic stuff, but coming from Lendl, Murray listened.
Did Ferguson get him to concentrate more or did Murray simply believe he had been given some magical insight and this helped build the confidence he
needed to survive the exquisite agony of Sunday's match?
More tangible is that Ferguson leads by example. He could not make it to the final because he is on a short cruise around the coast of Scotland.
'It's amazing, it's something he has always wanted to do and it only takes 10 days, but he's never done it in his life because he never took that time off,' marvelled Murray.
'It's an unbelievable work ethic and such a long space of time - spend 15 minutes with him and you'll see. He's a really impressive guy.'
And that, deep down, is all Murray has ever wanted to be. An impressive guy. Making an impression on his sport and his town; making an impression on the record books, making an impression on history.
The text messages that meant most to him were not from the Prime Minister's office or celebrity pals, but from fellow tennis professionals and obscure coaches, because they know the challenge he took on, survived, and won.
'When I'm done I'll be remembered as a tennis player,' he said. 'So I want to gain respect within my industry.'
He did that long ago. Now he has the respect of a nation, maybe even the knighthood proposed by Prime Minister David Cameron. He seemed genuinely uncomfortable at the thought and rightly so. Not that he doesn't deserve it, but there is plenty of time for that when this glorious career is over.
Knighthoods are for old men; for now Murray has too much to do. The history man is far from exhausted. There can be many, many days every bit as grey as this.
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Re: News Articles
« on: July 10, 2013, 02:21 AM »
Wimbledon champion Andy Murray has an easier job than me, says F1 driver Lewis Hamilton
Mercedes driver claims car performance makes his task harder than winning Wimbledon
"I'm in a different position to Andy Murray, he said. "He's been very solid, but it's just him and his racket. There are so many elements in racing – the car, the suspension, the electronics, the engine, the tyres – that have to be performing for you. It doesn't matter if I'm in the same head zone as Murray, it all gets taken away by the tyres."
I also remember Bradley Wiggins slating people for watching the 2012 Wimbledon final over the TdF. What was it he said? "Tennis is nothing. It only lasts one and a half hours."
It seems we didn't need to wait on Andy winning the trophy. We should just have handed a racquet to Hamilton or Wiggins.
[ Last edit by IonaRed July 10, 2013, 02:25 AM ]
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Re: News Articles
« on: July 10, 2013, 02:43 AM »
Quote from: IonaRed on July 10, 2013, 02:21 AM
"I'm in a different position to Andy Murray, he said. "He's been very solid, but it's just him and his racket. There are so many elements in racing – the car, the suspension, the electronics, the engine, the tyres – that have to be performing for you. It doesn't matter if I'm in the same head zone as Murray, it all gets taken away by the tyres."
LMFAO they can win just by having a better car than the rest of the field, which is nothing even to do with them ... F1 is far, far from a level playing field, I would hardly even consider F1 a proper sport because of this.
Quote from: IonaRed on July 10, 2013, 02:21 AM
I also remember Bradley Wiggins slating people for watching the 2012 Wimbledon final over the TdF. What was it he said? "Tennis is nothing. It only lasts one and a half hours."
Cycling is nothing, it's just some guys making their legs rotate for a long period of time. Little skill, little pressure, little excitement. And 1 and a half hours lol, has he even watched grand-slam tennis?
[ Last edit by laundry July 10, 2013, 02:47 AM ]
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Re: News Articles
« on: July 10, 2013, 06:49 AM »
motor racing
a sport
Cycling certainly is though- silly old Wiggo
Obviously Simon Reed has completely forgotten how Nole has played 5 setter semis and then 5 setter finals and
Much more likely we should be thanking Rafa for winning RG.
[ Last edit by blueberryhill July 10, 2013, 06:54 AM ]
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Re: News Articles
« on: July 10, 2013, 08:21 AM »
Can do without Simon sour grapes Reed thanks. Can't stand his eurosport commentary and dont' care a fig what he has to say now.
This isn't news but in yesterday's Independent the main letters section was devoted to andy.
The first letter was rather nationalistic (which I'm not into) starting 'at this moment, all over the world, Brits are looking at foreigners and saying "Andy Murray" with pride'. The one I really liked went: 'I wish to complain about the Monday 8 July issue of The Independnet. It had 19 pages dedicated to Andy Murray's victory at wimbledon. That wasn't enough!'
I don't think I'd realised just how mad the media would go when Andy won it.
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Re: News Articles
« on: July 10, 2013, 10:11 AM »
Quote from: backhandslice on July 09, 2013, 03:53 PM
Nice article! I was one of the lucky 100 to have a hit with Andy on Monday (my pics in "Your photos" section).
Haha - I wondered what the guy in the cowboy outfit was doing there - delivering melted milky bars!
Quote from: IonaRed on July 10, 2013, 02:21 AM
Wimbledon champion Andy Murray has an easier job than me, says F1 driver Lewis Hamilton
Looks like another case of misleading headline? Did LH actually say that? (Not that I really care, to be honest)
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Re: News Articles
« on: July 10, 2013, 11:45 AM »
And in today's Independent there's a piece in the main comment pages which is quite funny in places. In the paper it's headed 'What would Andy Murray do? Now there's a motto for our+ politicians'. I just love the way that our Andy has become a benchmark for bravery and excellence cf the Newspaper Columnists (Mandatory Andy Murray analogies) Act.
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Re: News Articles
« on: July 10, 2013, 02:24 PM »
The Lewis Hamilton article is a farce, again journos taking what someone says and then making a sensationalist headline about it to get people to read it.
I expect normal service to resume once Andy loses a match again, the press that have raised him up as the second coming of British sport will once again act like vultures picking at a seemingly dead carcass with crass headlines.
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Re: News Articles
« on: July 10, 2013, 03:20 PM »
lol brilliant
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Re: News Articles
« on: July 10, 2013, 03:31 PM »
Here's just the video:
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Re: News Articles
« on: July 10, 2013, 03:44 PM »
An actually nice and relaxed interview. Other interviewers take note of how to talk to Andy:
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text:
The fiscal cliff is doing the job that the election, August vacations, and various other events also performed: It's taking our minds off Europe. In the standoff between Greece and the Troika (European Commission (EC), the International Monetary Fund (IMF) and the European Central Bank (ECB)), the Troika once again blinked, allowing Greece to slow down the implementation of the next wave of austerity measures. It is all tedious and predictable, because any "solution" that gets that country's debt down to 120% of GDP in 10 years -- when anything above 100% is basically unsustainable -- indicates that the authorities have no answer. They are simply going to let things fly apart of their own accord.
The only question is when the last emergency infusion will be made, after which Greece will default and revert to the drachma. The recently announced buyback was progress for the country. However, it only reinforces the inevitability of default, since there is no effective difference between default and buying back debt for $0.40 on the euro. If you define default as "bondholders take a loss," it is happening now.
As I noted a couple weeks ago, once the majority of defaults occur, I am planning on being unabashedly bullish on Greece. The country will be down and out, which is exactly when there will be nowhere to go but up. Massive losses for Greek bondholders will clear the decks for a revival of growth that will make it the next exciting emerging growth country. But this won't happen until 2014 -- at the earliest. Meanwhile, the Greek default is likely to cause a chain reaction that will rattle the financial system in Europe, causing market declines, a certain recession in Europe in 2013, and a serious headwind in the U.S., even if everything else turns right. Position your portfolio for this eventuality. If nothing else, some gold can be protective.
The biggest irony is that the European Monetary Union (EMU) was a major part of an important package of unifying constructs that were meant to ensure that war, fascism, and genocide never again visited the continent. Instead, the EMU could become the proximate cause of a resurgent fascism that will be harrowingly similar to National Socialism. Latent hatreds can remain latent when economic conditions are not oppressive, but when distress becomes normal, demagoguery often leads to far worse. This BBC report on Greece's Golden Dawn party should concern anyone who has studied the events that led to World War II.
There is no avoiding the pain that will result from forcing Greece to become self-supporting. However, dragging it out for years seems more dangerous than taking a huge hit early, then start recovering quickly. Iceland is still the case study for how the PIIGS (Portugal, Italy, Ireland, Greece and Spain) should manage their debt problems.


text:
The Canadian Food Inspection Agency is warning consumers not to eat cherry tomatoes in clamshells carrying the Krown brand and party trays with cherry tomatoes at Safeway stores because the products may have salmonella.
The Nov. 21 warning affects products distributed to stores in British Columbia, Alberta, Saskatchewan, Manitoba, Ontario, North West Territories and Yukon. They also may have been distributed nationally in Canada, according to the agency.
There have been no illnesses associated with the products.
The Krown cherry tomatoes were packed in 551-ml. (19 ounces) and have Universal Product Codes of 0 33383 65520 8 and were sold from Nov. 13-21. The party trays, sold in different sizes with "various" UPCs, were sold Nov. 12-21, according to the agency.
Krown Produce, Calgary, Alberta, imported the Mexican tomatoes; it and the retailers are working to recall the products and the Canadian Food Inspection Agency is "monitoring the effectiveness of the recall," according to the agency's notice.
The agency did not report if this is related to the recall of cherry tomatoes from Rio Queen Citrus Inc., also issued Nov. 21 after a Food and Drug Administration test returned a positive finding for salmonella.


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A roll call is a space for members who are signed up for the same cruise (same ship & departure date) to connect.
Make friends BEFORE you sail, exchange tips on what to do onboard and in the ports and maybe even organize a shore excursion with your ship mates.


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Whole grains are essential, but most contain an insoluble protein called gluten. Eden's Gluten Free Grain Basket is a thoughtful gift for a gluten sensitive friend or loved one. There's good variety in this attractive 13.25" x 8.5" x 3" oval bark basket with wicker handles: Native American hand harvested wild rice, organic red quinoa from the Andean Plateau, North Dakota organic raw hulled buckwheat, organic yellow U.S.A. millet, and U.S.A. organic yellow popcorn that pops into large, fluffy kernels. All are wheat and gluten free and are embraced by those with sensitivity to modern wheat or other grains containing gluten. All are Heart Healthy* 100 percent whole grain.
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text:
Individual wrote:Because I am a putthujana, know I am nothing like an Arahant, being a slave chained to craving is horrible, and yet I can't see how being "limited" by dispassion would be superior to being limited by craving.
I think this demonstrates how words can mislead us: "dispassion", I think, has a generally negative connotation in normal English usage. But it is not so to me, in the context of Buddhism. To me, it is a result of the calming and releasing of craving, the result of understanding and insight. It is not a quality that is added to a person's character, but one that results when negative qualities begin to disappear from one's character. It is not a limiting factor, but the result of the removal of a limiting factor. To give an example: a youthful parent is horrified and deeply distressed when their toddler says "I hate you" for the first time, whereas a grandparent, wise and equanimous with experience and insight, reacts calmly with "yes, dear, but you still won't get any dessert unless you eat your vegetables first".


text:
Mariner's Pier
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Must be 48" tall to ride alone. Between 42" and 48" tall must be accompanied by an adult. Under 42" tall or over 80" tall not permitted to ride. Loose shoes not permitted. Further restrictions posted at the ride entrance.
Sunny C. Gull, our fun loving, huggable mascot, has an exciting ride! Sunny's Lookout Lighthouse is an interactive family ride giving you the ability to have total control over your experience. Once seated, simply grab hold of a rope and pull. The quicker you pull the rope, the faster you climb to the top of the 35-foot tall lighthouse. Stop pulling, and you can hold yourself at any height you wish. Let go and your seat travels back towards the ground at an exciting, but child friendly pace. You control the thrill!