text:
|January 15, 1999
Volume 1, Issue 3
|Midwifery Today E-News
"Shoulder Dystocia"
Print Page
Pass E-News on to your friends and colleagues—it's free!
Sponsored by Baby T's Gifts for Families!
Check out our adorable Birth Shirtificates for your new born babies.
Need a fundraiser? We can help - Call 1-800-322-2987.
In This Week's Issue:
1) Quote of the Week
1) Quote of the Week:
"I desire to conduct my affairs that if, at the end, when I come to lay down... I have lost every other friend on Earth, I shall at least have one friend left, and that friend shall be down inside me."
- Abraham Lincoln
2) Welcome!
Welcome to Midwifery Today E-News!
Quick, direct communication is a dream come true for us. There have been many times during the past twelve years of publishing a quarterly magazine that we wished could inform you about something was time sensitive. This format gives us concrete and quick way to reach in case anything interest realm midwifery takes place. As always, continue be dedicated bringing information can use every issue.
Please forward issues of this newsletter to every midwife, doula, childbirth educator and interested parent you know. Our goal is to weave an extensive network of people interested in the midwifery model of care. With it we can "safety net" more and more mothers and babies all around the globe. Modern technology is providing the means--let's take advantage of it! As well, if you have a web page, please post information about this newsletter on it and help us get the word out.
You do not have to be a subscriber to Midwifery Today magazine in order to receive this newsletter, but of course you are always welcome to subscribe. Our quarterly print publication has an impressive history of educating and supporting practitioners and parents of all walks. (If you'd like to subscribe to the _print_ publication, contact firstname.lastname@example.com for information. Send your name, postal address and phone number and mention Code 940.)
Thank you for being part of this important network and for getting the word out. Please email us at firstname.lastname@example.com if you have ideas, articles, techniques or news for the newsletter.
- Jan Tritten
3) The Art of Midwifery
The first shoulder dystocia technique I ever used was brought from Guatemala by Ina May Gaskin. You simply help the mother turn over to a hands and knees position. It is believed that the turning process is what dislodges the shoulder. This technique should also work in reverse. If the birthing mom is on her hands and knees, have her flip over to a semi-sit position. If the baby still does not deliver, have her get into a squat--the position which gives full diameter available for delivery.
Yet another technique is from a nurse-midwife I know who practiced in Africa. When shoulders were stuck, local midwives would move the baby's head up and down as if it were nodding.
- Jan Tritten, in "Wisdom of the Midwives: Tricks of the Trade Volume Two," a Midwifery Today Book
When you encounter what appears to be a stuck shoulder, have your assistant begin calling out the time in 15 to 30 second intervals from the birth of the head. Time has a way of standing still in such situations, and it helps to know how much time has actually elapsed. This could be useful in any emergency situation in which time is of the essence.
- Lani Rosenberger in "Tricks of the Trade Volume One," a Midwifery Today Book
Save $5 when you purchase both Tricks of The Trade Volume I and Volume II. Only $40 plus shipping! Call today to order: 800-743-0974. For more information, visit the links above. Mention code 940 and save an ADDITIONAL $2 when you buy both books. This extra savings offer expires Jan. 31, 1999.
4) News Flashes
The Gaskin Maneuver
Ina May Gaskin, CPM, teaches the use of a simple maneuver to resolve shoulder dystocia (see "The Art of Midwifery" above). Ina May collaborated with Joseph P. Bruner, MD of the Department of Obstetrics and Gynecology at Vanderbilt University Medical Center, Nashville, to publish a study of a registry of cases Ina May established in which a variety of practitioners used the All-fours, or Gaskin Maneuver. The Journal of Reproductive Medicine published the study in May 1998.
The publication of this article is important because it provides obstetricians with a nonsurgical solution for one of the most feared birth complications. And of special interest to the midwifery world, it is the first time an obstetrical maneuver has been named for a midwife, despite the fact that midwives developed many of the manual techniques used during labor and birth long before there were obstetricians.
- Birthing, Fall 1998
Risks of Shoulder Dystocia Studied
A 10-year case record review was done of all instances of shoulder dystocia in the department of obstetrics and gynecology of Dalhousie University, Halifax, Nova Scotia. There were 254 cases of shoulder dystocia in 40,518 vaginal cephalic deliveries, a rate of 0.6 percent. In these cases, brachial plexus palsy occurred 33 times (13 percent), and there were 13 fractures (5.1 percent). There were no perinatal deaths attributable to shoulder dystocia. The risk was increased with prolonged pregnancy (threefold), prolonged second stage of labor (threefold), mid-forceps delivery (tenfold) and increasing birth weight.
Of the maneuvers used to deal with shoulder dystocia, strong downward traction on the head was significantly correlated with brachial plexus palsy compared with other individual methods of delivering the shoulders. The use of hands and knees position was not assessed.
- Obstetrics and Gynecology, July 1995
Sponsored by Baby T's Gifts for Families!
Check out our adorable Birth Shirtificates for your new born babies.
Need a fundraiser? We can help - Call 1-800-322-2987
5) You Can Get That Baby Out
Shoulder dystocia is diagnosed when the birthing baby's head delivers but the neck does not appear. The shoulders have failed to enter the pelvis, preventing the usual spontaneous rotation and descent.
When the anterior shoulder of the delivering baby is caught behind the mother's pubic bone and the baby will not deliver past the head, the Woods Corkscrew Method has traditionally been advised. Woods suggested using a principle of physics, that of the corkscrew, to get the baby out. The hands are inserted over the baby's chest and back, and the baby is rotated 180 degrees, bringing the anterior shoulder posterior and drawing the baby into the pelvic curve. Then the baby is rotated back the full 180 degrees, this time delivering the anterior shoulder.
My subsequent experience taught me that in his concentration on the corkscrew, Woods ignored another important principle of physics: friction. My favored technique for shoulder dystocia involves sliding one hand in, along the curve of the sacrum (there is plenty of room there, as opposed to the anterior pelvis) to deliver the posterior shoulder. If that is impossible, disengage the posterior arm, and the shoulder will follow. The baby is turned only enough to bring the shoulders into the anterior-posterior diameter of the pelvis, if that rotation has not already occurred.
Other suggestions for dealing with shoulder dystocia:
First, don't overdiagnose. The rate of shoulder dystocia is 1.7 percent in babies over eight and a half pounds. Very slow delivery of the head, face and chin suggests shoulder dystocia but may not always lead to it. Note the time of delivery of the head. While it is true that complications tend to cluster, if you have experienced shoulder dystocia four times in your last fifty births you are probably overdiagnosing.
When you suspect shoulder dystocia, encourage the mother to push, and be sure her legs are widely separated, drawn up and back, positioned as if she were in a squat. You may apply head traction, gently drawing the head toward the back of the mother's body. This may bring the anterior shoulder under the public bone. Keep the spine straight while applying head traction to avoid damage to the spinal cord. An assistant can apply suprapubic pressure which may dislodge the shoulders. Watch for the neck! If the neck appears, the shoulder is not impacted.
Communicate. Tell the mother the baby's shoulders are stuck and that she must push hard to get the baby out. Tell her you are going to help her and be very clear about what you want her to do.
Changing the mother's position to hands and knees will deliver many babies at this point. If advance of the neck is not seen, slide one hand inside, along the mother's sacrum, and locate the posterior shoulder of the baby. The hand is up inside to the wrist at this point. Traction is made on the arm and shoulder; be careful to avoid the axilla where pressure on the superficial brachial nerve plexus can cause partial or complete paralysis of the arm. If this is not successful, flex the arm with pressure on the antecubital fossa, inside the elbow, and pull it across the chest and out. The most severe shoulder dystocia babies who do not deliver progressively at this point can be worked loose by rotating the now-delivered posterior shoulder and arm up under the pubic bone. The other shoulder comes out through the roomy curve of the sacrum.
- Marion Toepke McLean, Midwifery Today Issue No. 12.
Learn more about shoulder dystocia at the Midwifery Today conference in Austin, Texas, March 4-8, 1999.
Call or e-mail for your conference program, or download it in .pdf or .zip format.
6) When Does Shoulder Dystocia Occur?
For infants of nondiabetic mothers, the risk of shoulder dystocia is approximately 10 percent for infants weighing 4,000 to 4,499 grams and 23 percent for infants >4,500 grams. For infants of diabetic mothers the risk is 31 percent for infants >4,000 grams. Given the relative infrequency of both infants >4,500 grams and infants of diabetic mothers, shoulder dystocia occurs in only 2 percent of births, with 47 percent of infants weighing 4,000 grams.
Occurrence of shoulder dystocia should be suspected when infants weigh more than 4,500 grams; when excessive conduction of anesthesia with maternal bearing-down ability impaired; with dysfunctional labor; and with operative vaginal delivery of the larger fetus; or with infants of diabetic mothers >4,000 grams.
- Robert Goodlin, MD in "OB/GYN Secrets," Hanley & Belfus, 1997
7) Let the Shoulders Birth Spontaneously
When birth takes place under water and when women choose to give birth on all fours, squatting, kneeling or standing, the shoulders are usually born spontaneously a few minutes after the birth of the head. This occurs despite the fact that a "hands off" approach to the birth of the shoulders is common practice at such births, as access is often restricted. In comparison, when women are delivered in a recumbent position, traction appears to be required more often, particularly when the mother has epidural analgesia.
Delivery techniques may actively influence the mechanisms of labor. If traction is applied to the shoulders before they have had time to rotate, it is possible that this interferes with the outlet mechanisms and hinders the spontaneous birth of the shoulders. It has been suggested that in cases of difficulty, the use of traction may only serve to increase the degree of impaction and the likelihood of neonatal injury. If such interventions run the risk of causing difficulties with the delivery of the shoulders and injury to the baby, the common practice of applying traction needs to be questioned. These problems may be reduced, if time is allowed for the shoulders to be born spontaneously, by waiting for a uterine contraction and for the mother to bear down.
Many birth attendants are anxious that, by waiting for shoulders to be born spontaneously, birth will be prolonged significantly and the baby will become asphyxiated. A study was carried out on 100 women and compared an active with an expectant approach to the delivery of the shoulders. The mean time for the birth of the head to expulsion of the body was 18 seconds (range 4-40 seconds) in the active group and 50 seconds (range 9-150 seconds) in the expectant group. In this small study prolongation of the expulsive process in order to achieve spontaneous birth of the shoulders did not compromise neonatal outcome. There was no neonatal birth injury in either group.
It would appear that when there is less interference and the shoulders are allowed time to rotate and are born spontaneously, the posterior shoulder is more likely to be born first. This was the case in the early part of the century when a less intrusive, expectant approach to the birth of the shoulders seems to have been the norm. It would appear that a technique that was initially reserved for cases of difficulty has been gradually adopted routinely for normal births The reason for this is unclear, but it is possible that it was used to hasten birth or possibly because obstetricians, accustomed to using this technique in more difficult cases, began to employ it before difficulties with the shoulders were encountered.
Research to date has associated the use of traction at delivery with injury to the baby. If women were allowed time to give birth to the shoulders spontaneously, there is no evidence to suggest that neonatal mortality or morbidity would be increased and the problems associated with the use of traction would be avoided. It may be more appropriate for women to give birth to the shoulders unaided, and for the midwife to adopt a hands off approach unless otherwise indicated.
- from "A six-year retrospective analysis of shoulder dystocia and delivery of the shoulders" by Vivien R. Mortimore and Mary McNabb, Midwifery magazine, 1998
8) Epidurals and the Incidence of Dystocia
Texas researchers studied 711 nulliparous women at term with vertex presentations and spontaneous labor. Epidural anesthesia was administered to 447 patients and 264 patients received either narcotics or no anesthesia. There was no significant difference in the number of cesareans done for fetal distress between the groups. Apgar scores and cord blood gases were also similar. The incidence of cesarean section for dystocia, however, was significantly higher (10.3 percent) in the epidural group than for those in the other group (3.8 percent). The numbers remained statistically significant when the following variables were controlled: maternal age, race, gestational age, cervical dilation on admission, use of oxytocin, duration of oxytocin, maximum infusion rate of Pitocin, duration of labor, presence of meconium, and birth weight.
- American Journal of Obstetrics and Gynecology, September 1989.
9) Letters
Thank you for creating the newsletter. It reads very well, a pleasure.
I am trying to circulate two documents: "A Declaration of the Rights of Childbearing Women" and "A Petition for the Rights of Childbearing Women." They are located in my website, "The Revolutionary Passion of Mothering", and can be found in the "Activism" section in the nav bar.
A year ago I gave birth to my sixth child in a blissfully easy, astoundingly uninterfered-with homebirth. Gloria Lemay is my midwife. My birth story is in "Rape of the Twentieth Century" in the Mother Rites section--my history as well as all I've learned about the cruelty of hospital birth. "Giving Love Back to Birth" describes my journey emotionally from endless giving (I would do all I could to help fingers reach my cervix in pelvic exams, etc.) to dignity in childbirth. I've written two books since the baby's been born; the first floundered but the one I'm just completing feels very right. It is called "Resexualizing Childbirth."
Thank you again for the wonderful newsletter.
- Lora-Lee McCracken
Thanks for a great newsletter. It's up to date and worthy of more than a quick scan. Having moved from a high-tech world in South Africa to semi-retirement in a rural New Zealand town, I have tried to keep abreast of the latest midwifery happenings. That has not always been easy in such a small place. It was a pleasure to glean the latest news from you.
Keep up the good work.
- Jillian Wright
Sponsored by Baby T's Gifts for Families!
Check out our adorable Birth Shirtificates for your new born babies.
Need a fundraiser? We can help - Call 1-800-322-2987
This publication is presented by Midwifery Today, Inc., for the sole purpose of disseminating general health information for public benefit. The information contained in or provided through this publication is intended for general consumer understanding and education only and is not intended to be, and is not provided as, a substitute for professional medical advice, diagnosis or treatment.
Midwifery Today, Inc., does not assume liability for the use of this information in any jurisdiction or for the contents of any external Internet sites referenced, nor does it endorse any commercial product or service mentioned or advertised in this publication. Always seek the advice of your midwife, physician, nurse or other qualified health care provider before you undergo any treatment or for answers to any questions you may have regarding any medical condition.
Copyright Notice
The content of E-News is copyrighted by Midwifery Today, Inc., and, occasionally, other rights holders. You may forward E-News by e-mail an unlimited number of times, provided you do not alter the content in any way and that you include all applicable notices and disclaimers. You may print a single copy of each issue of E-News for your own personal, noncommercial use only, provided you include all applicable notices and disclaimers. Any other use of the content is strictly prohibited without the prior written permission of Midwifery Today, Inc., and any other applicable rights holders.
© 1999 Midwifery Today, Inc. All Rights Reserved.
Midwifery Today: Each One Teach One!


text:
The areas I know for trophys are all late hunts and most are very dependent on snow fall. Honestly there are trophy bucks in every unit of Nv.
I was reading the MRS section and I was wondering which units, in your opinion are the best in the state as far as trophy quality?
The areas I know for trophys are all late hunts and most are very dependent on snow fall. Honestly there are trophy bucks in every unit of Nv.
... because every picture tells a story
I usually apply for the 61-64,66-68 group of units but I live right next to the 194-196 units
So I was wondering what you thought of them?
I actually am still a junior so I can get the tag for all 3 seasons so which do you think is better for me if i want to do archery and rifle as a backup 61-64,66-68 or 194-196?
Whatever you can scout more, hands down. It's all about what you put into it... as with everything.
I hunt central Nv towards Ely. All hold good archery units and great bucks. Just got to find them. Usually there is a great buck in each unit. Especially during archery.
Sent from my iPhone using tapatalk 🎯
2013 spyder turbo, 70lbs black out and 2013 pse omen max 60# stormy hardwoods green
Limbdriver Pro V, Tight spot quiver, Single pin Hogg Father, Fuse carbon blade.
Scott longhorn 3, Easton FMJ's
AKA: Velvet Feather
TMI boys TMI
He has to draw the tag. And to find the bucks will take a lot of work. Haven't given any info he couldn't find with some looking here on the forum.
Agreed a bit much for a newbie.
... because every picture tells a story

subset: commoncrawl


text:
I have 3 or so cfr cPDs and would really like to get backup red champystar s-pds (or maybe sTDs). DGR stamp is a big bonus but I'd like any and all red champy stars. I have other stuffs to trade too if need be...
All 175
Top - Bottom
Left - Right
Orange - Stamp - No Ink - 9
Green - Stamp Wiped - Ink - 8
Orange - Stamp Wiped - Ink - 6 (still much beefy)


text:
10 Things in Nature That Are Not the Color You'd Expect
In the realm of human health, few developments are scarier than the growing uselessness of antibiotics. These miracle drugs have kept killer diseases in check for decades, saving millions of lives. Fortunately, antibiotics still work—most of the time. And though we are winning battles against germs, scientists fear that we are starting to lose the war.
According to a 2013 report from the Centers for Disease Control and Prevention, more than two million people in the United States now come down with antibiotic-resistant superbug infections every year. At least 23,000 victims die annually. And harmful bacteria and fungi are evolving resistance to deployed antibiotics at a quicker pace than we can come up with new drugs. From 1980 to 2000, the Food and Drug Administration (FDA) approved more than 50 new antibiotics. Since then, the number approved is less than 10—and, since 2010, zero.
"We have to do something, because the old antibiotic approach is failing," says Ry Young, director of the Center for Phage Technology at Texas A&M University. "The problem is becoming worse, and becoming worse faster."
In the arms race with pathogens, here are some of our most promising new weapons.
Young and his colleagues at Texas A&M aim to unleash bacteria's age-old nemeses called bacteriophages, or phages for short. Phages are simply viruses that infect and kill bacteria. They are ubiquitous in nature and in our bodies—astonishingly, Young notes, more than 90 percent of the DNA found in us belongs to phages. All those phages are parasitizing the trillions of resident bacteria within us; those bacterial cells outnumber our "own" by about 10 to one.
Phages do not cause human illness, but for any kind of bacterium, there are often dozens of phages that harry it. Figuring out which kinds work best and could be produced economically by drug companies will take some time, but the benefits of "phage therapy" sure look enticing.
Many phages target only a few strains or even a single species of bacteria. That's a good thing: Phages are more precise than some of today's antibiotics that kill indiscriminately, causing collateral damage in our guts by wasting good-guy bacteria. "With phages, you can target your targets rather than give yourself a broad-spectrum antibiotic," Young says. As a bonus, phages that are treating an infection crank out more phages as they replicate in the stricken bacteria. "I joke that it's the only medicine that grows," he says.
The clinical use of phages started in the 1920s and '30s, meaning it actually predated the development of antibiotics. But today, just a few countries, such as Russia and Georgia, still administer the beneficial viruses to humans, through various means including oral concoctions and via injections. What happened to phage therapy? As Young explained, phages were discovered before the advent of modern biomolecular science, and the incredible success of conventional antibiotics in the 1940s relegated phage pharmaceutical investigation to the back burner. It's hard to say when we'll see phage therapy take hold in the U.S. because of intellectual-property and FDA regulatory hurdles, but Young remains hopeful.
Tour One of Iceland's Incredible Geothermal Plants


text:
Lomatium Root
Veterinarian Reviewed on June 8, 2012 by Paulina Nelega, RH
Posted in Uncategorized
Lomatium Root
The botanical name for Lomatium is Lomatium dissectum and is also known by a few other names such as Biscuit Root, Pungent Desert Parsley and Consumption plant. The main purpose for the usage of Fresh Lomatium Root is as an herbal medicine used mainly for its antiviral properties. It is also known as Indian Consumption Plant. The Plant usually grows in clear water areas and is an endangered species in some of the US states. It is the most reputed herb for having immense antiviral effects and medicinal values. Some studies suggest that it had its antiviral effects due to the presence of tetronic acids and a glucoside of luteolin.
History of the Lomatium Root
The name Lomatium is referred from Lomatium dissectum, which is one of the many varieties of species that originate from within the Lomatium genus. This herbal plant grows in the native parts of western North America. Fresh Lomatium Root is a member of the Apiaceae family and prefers the wild for its growth. It is found in the rocky soil and can reach up to the height of three feet once it has fully grown. Lomatium plants are generally found throughout Oregon's Cascade Mountains.
Ancient Uses of the Lomatium Root
The fresh Lomatium Root has been traditionally used for the purpose of treating respiratory diseases and urinary track infections. It has tremendous anti viral and anti bacterial properties that is useful for the treatment of different kinds of infections and viral disorders. This special herb was long used by some of the North American Indian tribes as a useful and powerful antibiotic herb. The extracts of fresh Lomatium Root when used in the form of tinctures containing the resin have proved to be a great medicine against a whole body rash.
Modern Uses of the Lomatium Root
The current and most useful usage of the Fresh Lomatium Root extract is for its antiviral properties in the treatment of Colds, flu, cough and other respiratory tract infections. Recent researches also prove that the herb has immense immunity boosting properties and will actually help a person's own immune system by reducing any inflammation within the body. Some lab tests have proved that the herb can fight a huge variety of bacteria as well as fungi. In addition, Lomatium Root also has properties that can make the blood become more alkaline, hence it is very beneficial for people that are suffering from acidic blood disorders. Due to its anti inflammatory properties, Lomatium Root is also great for fighting off various infections, such as viral infections and bacterial attacks, as well as other blood related problems that are commonly experienced.
Side Effects of the Lomatium Root
The usage of fresh Lomatium Root may cause nausea in some people who have rather sensitive stomachs; However, research indicates that this may simply be due to the Lomatium Root's immunity boosting properties. Unfortunately, no tests have been conducted to prove the effectiveness of Lomatium Root with women that are pregnant or breast feeding, so such women should avoid consuming Lomatium Root unless instructed to do so by their herbalist or naturopathic doctor. Otherwise the usage of fresh Lomatium Root has been quite beneficial and no specific side effects have been noticed. Overdosing on Lomatium Root can lead to skin rash, nausea and vomiting in some cases.
Our Expert
Paulina Nelega, RH, has been in private practice as a Clinical Herbalist for over 15 years. She has developed and taught courses in herbal medicine, and her articles on health have appeared in numerous publications. She is very passionate about the healing power of nature. Ask Dr. Jan


text:
NEW ORLEANS — Baltimore Ravens coach John Harbaugh is reveling in his status as a Super Bowl champion Monday. He's doing so while being sensitive to the hurt felt by his brother Jim, the 49ers head coach.
"The toughest moment of all was walking across the field (after the game)," John Harbaugh said Monday at day-after Super Bowl news conference. "If you can imagine, you feel an incredible amount of elation with an incredible amount of devastation. Those two feelings went hand in hand at that moment, and I'm still feeling it. That's just reality."
John said he hasn't spoken with Jim since they exchanged words after the Ravens 34-31 victory over the 49ers on Sunday.
There will be time for that later, he added. For now, John is focused on celebrating his team's victory and giving his younger brother his space.
Both coaches no doubt will go back and watch the Super Bowl they coached against each other at some point. John said he doesn't envision that taking place in the same room.
"No, I don't think we'll ever watch that game together," John said. "Absolutely not."
John and Jim spoke on the field before the game. John said he and his brother reached the conclusion that the only things worse than coaching against each other, where one was assured to walk off the field disappointed, were if one or both of them didn't make it this far.
Through it all, John said we haven't seen the last of Jim Harbaugh on the big stage.
"Jim is a great competitor," John said. "Jim will do what he's always done; he will come out swinging. He'll go back and go to work on the draft. ... No one will handle this better than Jim Harbaugh. He's the best coach in football and he'll have that team roaring back very soon."


text:
Key Federal Science Websites
Department of Energy - Office of Science (DOE-SC)
The Office of Science is the single largest supporter of basic research in the physical sciences in the United States, providing more than 40 percent of total funding for this vital area of national importance. It oversees – and is the principal federal funding agency of – the nation's research programs in high-energy physics, nuclear physics, and fusion energy sciences.
National Science Foundation (NSF)
The National Science Foundation (NSF) is an independent federal agency created by Congress in 1950 "to promote the progress of science; to advance the national health, prosperity, and welfare; to secure the national defense…" With an annual budget of about $6.06 billion, NSF is the funding source for approximately 20 percent of all federally supported basic research conducted by America's colleges and universities. In many fields such as mathematics, computer science and the social sciences, NSF is the major source of federal backing.
Defense Advanced Research Projects Agency (DARPA)
The Defense Advanced Research Projects Agency (DARPA) is the central research and development office for the U.S. Department of Defense (DOD). DARPA's mission is to maintain the technological superiority of the U.S. military and prevent technological surprise from harming our national security.
NASA Science
The Science Mission Directorate (SMD) engages the Nation's science community, sponsors scientific research, and develops and deploys satellites and probes in collaboration with NASA's partners around the world to answer fundamental questions requiring the view from and into space. SMD seeks to understand the origins, evolution, and destiny of the universe and to understand the nature of the strange phenomena that shape it.
Intelligence Advanced Research Projects Activity (IARPA)
The Intelligence Advanced Research Projects Activity (IARPA) invests in high-risk/high-payoff research that has the potential to provide our nation with an overwhelming intelligence advantage over future adversaries.
Advanced Research Projects Agency – Energy (ARPA–E)
TheAdvanced Research Projects Agency – Energy is a bold concept that will provide access to the funding needed to bring the next generation of energy technologies to fruition. ARPA-E aims to: enhance our economic security by identifying technologies with the potential to reduce energy imports from foreign sources; reduce energy-related greenhouse gas emissions; and improve efficiency across the energy spectrum; and ensure we remain a technological leader in developing and deploying advanced energy technologies.


text:
One thing I always took away from the AFCCG was the respect the PATS and Colts had for eachother. After the game was over Brady and Peyton talked for like 10 minutes, followed by Bruschi and other defensive players. There was genuine mutual respect from both teams. You rarely see that when the stakes are so high, but the pats really went out of their way to congratulate the colts nd I'm sure to talk about the hellacious game they just went through.
I always wish we could've won more SB's but honestly NOTHING will ever trump that win for the Colts as an organization or the city as a football town.


text:
It it just me, or has it been a good year for Asian food in New York, both traditional and modern? If my list of the eight best things I've eaten all year is any measure, then yes. It contains a whopping five dishes built on Japanese, Chinese, Korean, or Thai foundations. The rest are a mix of pasta, rice, and, er, bone marrow. No list is complete without bone marrow, right?
Check out my picks in the slideshow above, or jump straight to an individual slide below:
- The Marrow from The Marrow
- Whitefish Donburi from Ivan Ramen
- The Tasting Menu from Yuji Ramen
- Snail and Rabbit Paella from Toro
- Orecchiette With Lamb Sausage and Carrots from Del Posto
- Husband and Wife Beef From Han Dynasty
- Everything at Tanoshi Sushi
- The Scallion Pancake From Hanjan
See all the best of New York in 2013 this way »
About the author: J. Kenji Lopez-Alt is the Chief Creative Officer of Serious Eats where he likes to explore the science of home cooking in his weekly column The Food Lab. You can follow him at @thefoodlab on Twitter, or at The Food Lab on Facebook.


text:
'); var yuipath = 'clientscript/yui'; var yuicombopath = ''; var remoteyui = false; } else // Load Rest of YUI remotely (where possible) { var yuipath = 'http://yui.yahooapis.com/2.9.0/build'; var yuicombopath = 'http://yui.yahooapis.com/combo'; var remoteyui = true; if (!yuicombopath) { document.write('
Counting down the days untill DJ Augustin's contract expires.
this teams a joke.
"We've got to be very clear about this. We don't want our players hanging around with murderers," said Larry Bird, Pacers president.
Paul George is lucky he didn't get called for the charge there. He kind of lowered the shoulder into DeRozan.
Last edited by pacer4ever; 11-13-2012 at 10:09 PM.
Paul George got lucky there.
Hill is ice cold in the 4th
Tyler and Amir Johnson are committing battery on each other. It's fun to watch.
Ok let's see what kind of great play Vogel is going to draw, some kind of ISO isn't it?
So, Vogel saw that Tyler worked and kept him in? Good news.
George Hill will hit a game winner, then we will sub in Gerald Green who will lose his man on defense for the game losing layup. #Groundhogs Day
Avatar photo credit: Bahram Mark Sobhani - AP
How does George Hill not touch the ball here?
Paul George did everything short of crapping his pants there. My god that was disconcerting.
*****. Heart attack city.
Anyone notice the only guy that can deliver in crunch time is the one who is actually from Indiana?
One more chance. I'll take it.
Find a 2 pointer. Send it to OT. They are too tired.
Let's goooooooooooooooooo
Paul George is not an alpha dog. Just doesn't have the DNA.
that was some keystone cops ****.
Well, that sucked, and so do we.
Hey at least they were closed
Avatar photo credit: Bahram Mark Sobhani - AP


text:
Twas the night before Christmas, when all through the House
No Democrat was stirring, for most had been doused.
Redistricting, you see, wiped out the minority,
Twas the night before Christmas, when all through the House
No Democrat was stirring, for most had been doused.
Redistricting, you see, wiped out the minority,
In hopes that more Repubs could achieve their seniority.
House members were nestled all snug in their desks,
With visions of Jazz tickets and other largesse.
The speaker had already doled out her PAC dough
And committee assignments, for friends, not for foe.
And Santa was scheduled to make his appearance
At the Capitol Rotunda where there is a big clearance.
The members all gathered to pick up their gifts,
From lobbyists, too, who entered in shifts.
The requests had been made and a list was compiled.
Compared to past years, though, this one was mild.
Ethics laws resulted in lower-priced presents,
to please the moralists who cared for the peasants
Still, hopes were high that Santa would come through,
After all, he wore red, not that bad liberal blue.
The color of his suit meant that he understood
Helping the in-crowd could be nothing but good.
For Rep. Curtis Oda, a 30-round clip
To eradicate cats with one trigger flip.
Rep. Melvin Brown had his own wish list,
To again be the speaker, then a lobbyist.
Lawmaker Keith Grover seemed oddly alone.
The only Pat Henry rep left to bemoan.
The other four heroes, as they saw themselves,
sought higher office, but now they're mere elves.
To make poor Keith happy, a gift to cheer all.
His own Grover Norquist bobble-head doll
To mount on his desk so everyone sees
That he hates taxes from his neck to his knees.
For Rep. Mike Noel a load of manure
To dump on environmentalists from SUWA.
Also, farm subsidies to keep him ahead,
Even though they come from that evil Fed.
Over in the Senate they had lists for St. Nick,
Which they could send out online with a tiny mouse click.
Most of the reps would like to see power,
shifted from the governor, in his ivory tower.
It still sort of bugs them that they had to see
the judgeship of that woman, who was so uppity.
They tried to dispatch her, if you might recall,
for she'd helped land owners, the ones who were small.
That got in the way of some senators' plans
to make lots of money by condemning their lands.
And when their committee gave her the thumbs down
That defiant Gov. Herbert brought her back around.
But Santa already had given them cheer,
They can override vetoes the governor may bear.
Though there may be less call for Herbert's submission,
Now that President Waddoups will go on a mission.
The Eagle Forum will still be a player,
Led by Gayle Ruzicka, the moderate slayer.
Perhaps sex ed will be back on the table,
With debate dominated by myth and by fable.
For Senator Dayton a spread for her bed,
Made from a wolf, complete with its head.
For Senator Madsen a holster to store,
So his gun doesn't fall on the Senate floor.
For Senator Stephenson, his own private school,
And if he could get vouchers, that would make him drool.
And for Senator Reid legislation anew,
to close any meeting from public view.
So the lawmakers gathered expecting great cheer,
They waited and waited as midnight got near.
With their moods getting cranky and their backs getting stiff,
They learned Santa had fallen off the fiscal cliff.


text:
Uptown District:
504-865-5911 (emergency)
Downtown District:
504-988-5555 (emergency)
Subscribe to TUPD Crime Alerts
Subscribe to NOPD Crime Alerts
Tulane University Health Sciences Center Police Officers are trained at state certified police academies, meet the requirements of the Louisiana Peace Officer Standards of Training, and are commissioned to bear arms, make arrests and conduct investigations by State of Louisiana R.S. 17:1805. The Director of TUHSC Police Department has been appointed by the Chancellor of the Health Sciences Center. The Director has been designated as the person responsible for security and compliance with JCAHO standards relative to the Security Management Program at the hospital by the President and Chief Executive Officer of Tulane University Hospital and Clinic. Administration has delegated to the Director the authority to take action when a condition exists that could result in personal injury to individuals or damage to buildings or equipment.
The mission of the Tulane University Health Sciences Center Police Department (TUHSCPD) is to maintain social order within prescribed ethical and constitutional limits by providing professional law enforcement services to its customers. To attain this, TUHSCPD enforces the law in a fair and impartial manner recognizing the statutory and judicial limitations of police authority and the constitutional rights of all persons. TUHSCPD strives to establish and maintain a secure environment in which the educational and healing processes may take place by the perpetual provision of quality preventative and protective services.
Tulane University, New Orleans, LA 70118 504-865-5381 firstname.lastname@example.com


text:
Stacy Kosier
Title: Dental Hygiene Instructor
Office: Annex #16
Phone: 309 344-2246 ext:2246
E-mail: firstname.lastname@example.com
Personal Information
Teaching Philosophy / Personal Statement:
Dental Hygiene is a great profession. I enjoyed working clinical dental hygiene but even as a dental hygiene student I wanted to share my knowledge and passion for the profession with others. Teaching at Sandburg has given me that opportunity. I find it very rewarding to watch the students grow professionally, knowing I have taken part in shaping their future.
Degrees Earned:
AS Spoon River College
BS Bradley University
AAS Dental Hygiene Illinois Central College
Previous Teaching Experience:
July 2005 – present Carl Sandburg College


text:
Each day in November—leading up to the winter meetings—Sporting News will analyze the offseason to-do list of a major league team. Today: the Tampa Bay Rays.
Armed with the majors' best pitching staff (3.19 ERA), the Tampa Bay Rays won 90 games in 2012 and almost reached the postseason for the third consecutive season. But their lackluster offense let them down and has left them in a similar state as this time last year. That is, in need of beefing up their offense.
It is all about improving the lineup and so far, the Rays haven't done much to address it. Picking up catcher Jose Molina's option won't hurt the pitching staff, but it won't do much to help the offense. Tampa Bay also will bring back reliable reliever Joel Peralta.
But with plenty of starting candidates and a bullpen that is almost set—at least compared to the past two winters—the Rays have the rest of the offseason to find some bats. They need at least one outfielder, a first baseman and a designated hitter. Upgrades behind the plate and at second base are on the wish list, too.
The Rays went the free-agent route a year ago to boost the offense but didn't get much of a return on the $12.25 million they invested in first baseman Carlos Pena and DH Luke Scott. The two drove in fewer runs while hitting only seven more homers than Casey Kotchman and Johnny Damon managed at those positions in 2011. Making this more painful, Pena and Scott pulled in more than twice as much in salary as Kotchman and Damon. A return for Pena or Scott remains possible, though either would have to accept a significant pay cut.
Instead of spending on free agents, Tampa Bay should deal from its surplus of starting pitching to acquire an impact bat. With so many clubs seeking starters, the Rays shouldn't have trouble making a deal.
The franchise's longest-tenured player from last season, center fielder B.J. Upton, has joined Carl Crawford as homegrown Rays outfielders to price themselves out of Tampa Bay. At 28 and coming off a 28-homer season, Upton likely will land a five-year deal worth upward of $80 million. The Rays paid him $7 million last season.
Instead of finding another center fielder, Tampa Bay has the option of moving Desmond Jennings from left and pursuing a corner outfielder.
The Rays also are likely to lose Jeff Keppinger, who proved to be a valuable righthanded-hitting utilityman in 2012, and veteran relievers J.P. Howell and Kyle Farnsworth.
The Rays are at a crossroads. They need to improve their offense, but they lack the resources to pay for elite free agents and they would rather not give up pitching for position players. But if they don't cash in at least one starter this winter, contending will be even more difficult in 2013 in part because of the rise of the Baltimore Orioles and the splashy offseason of the Toronto Blue Jays.
Baltimore Orioles Hot Stove report


text:
And, of course, the fine print:
Get free shipping on your next order when you spend over $100. The discount will be automatically applied to your purchase; no promo code required. The subtotal of your purchase must be $100.01 or greater after any promotional discounts have been applied. Additional fees such as tax or shipping and handling do not apply toward your minimum subtotal requirement of $100.01. Offer applies to standard shipping only. Certain items that require additional shipping and handling are excluded from this promotion and do not apply towards your $100.01 subtotal minimum. Offer subject to change.
Minimal and classic, the ATP canvas and leather clutch is a large, zippered clutch that's roomy enough for all of the essentials. (Like snacks.)
- Made from durable Sunbrella fabric (acrylic canvas) and soft brown leather.
- The handmade clutch is lined with tea-stained muslin, and has one small interior slip pocket.
- Heavyweight interfacing keeps the bag's structure and provides support.
- Features a black or cream brass zipper closure.
Measurements: 12.5" x 9".
This product ships from the maker within 10 days, via USPS
If you're not happy with this item for any reason, you may return it for a full refund within 14 days.


text:
SAN FRANCISCO -- We received a lesson Saturday aboutwhat can happen in 2013 when the Giants' pitching is not, like, you know, totally awesome.
They walk off the field a 6-3 loser to the St. Louis Cardinals at AT&T Park. That happens.
Ryan Vogelsong struggles a bit and gives up five runs and the team's batters seem to have no prayer of scoring six runs to pick up Vogelsong and still post a victory. That happens.
And it raises eyebrows that the Giants' offense in 2013 could be following the same -- or worse -- path of frustration taken by last season's offense, which scored the 12th-fewest runs in baseball and turned so many games into needless meat grinders. That happens.
One quote especially stood out in the eyebrow-raising category.
"You want me to tell the truth, I feel a little lost," said Pablo Sandoval about his plate appearances.
Keep in mind that Sandoval was the Giants' most productive hitter of the day, driving in two of their three runs and smacking a homer over the left field wall. Sandoval was nevertheless perturbed that he swung through a couple of fastballs from St. Louis' rookie starter, Shelby Miller.
"When I miss a fastball down the middle the way I did, I know I'm lost," Sandoval said. "When I feel good, I don't miss those pitches."
If Sandoval is lost, then how do you describe the mysterious locality of Marco Scutaro, who is batting .105 after five games? Or of Brandon Belt, who is hitless in all three games he's played? As of Saturday evening, the Giants had the sixth worst team batting average in the majors (. 210) and had scored the fourth fewest runs per game (2.4).
Giants manager Bruce Bochy professed not to be concerned. The season is a week old. There are 25 weeks to go.
"It's a small sample size," Bochy said. "It's early. Guys are just getting into the rhythm of the season. We'll get it going. Look at Belt today. He smoked two balls and they were just both caught."
"That's the way the game is sometimes," affirmed catcher Buster Posey.
All correct. But the result was this: Over 17 innings Friday and Saturday, in the Giants' first two home games this season, they drove in just one runner with an actual hit -- a Sandoval single on Saturday. In Friday's 1-0 victory over St. Louis, the Giants' only run was "driven in" by a bases-loaded walk. Saturday, two of their three runs came on homers by Hunter Pence and Sandoval.
Right now, the Giants' stellar pitching performances (and the ensuing 3-2 record) has mostly served to obscure the offensive ulcers. As we all know, the Giants' fan base loves to obsess and worry. Unfortunately, many of those worries are about meaningless folderol, such as whether former Giants closer Brian Wilson will show up for Sunday's championship ring ceremony, or why Barry Bonds has declined to participate in this weekend's celebrations.
Uh, if Wilson didn't respond to the Giants' invitation, that's his prerogative. If Bonds was not big on team bonding as a player, why expect him to be that way as an ex-player? Who cares? The true worry of any Giants follower in 2013 should be about the team's inability to hit on a timely basis -- or to hit at all.
Obviously, a team can display mediocre-to-average batting accomplishments and still become a World Series champion. The Giants did that in 2012. But you can't guarantee such a formula will repeat. The plan for this season was to retain the superior arms while nudging the offense up a notch and giving the pitching more of a cushion.
The presence of Scutaro and Pence in the lineup for a full season was supposed to do some of that nudging. The maturity of Belt into a more intimidating batter was also supposed to help nudge.
There has been minimal nudging to date, even if Pence's homer Saturday was a positive sign.
Often, when a team has trouble scoring, you point your finger at the cleanup batter. Which, in this case, would be Posey. But on Saturday, Posey only came up once with a runner on base. He grounded into a fielder's choice. And when Posey doubled in the eighth inning with no outs, the next three Giants batters -- Pence, Belt and pinch-hitter Hector Sanchez -- all made outs.
That's your Giants' offensive attack in 2013. That's not good enough.
Contact Mark Purdy at email@example.com. Follow him on Twitter at twitter.com/MercPurdy.


text:
Scorpion Zero Asimmetrico
Tread Type:
How many tyres do you need?
Customer Comments
I chose to try Pirelli tyres after much research for all season tyres on the Internet. Although the selection in UK is poorer that USA, Pirelli were a good value for money choice. I have a Shogun with 265/45R20 with OEM Yokohama summer tyres. I upgraded to 275/45R20 Pirelli Asimmetrico to get all season performance, despite the speedometer over-reading by a minimal 1.2 mph at 60 mph. I'm delighted with the Pirelli tyres, with little tram-lining into road cambers, very good dry and wet traction, and much quieter running characteristics. I think Miysubishi should rethink its OEM tyre choice for the UK.22/01/2012
Customer Ratings
Number of ratings: 1
- Car feels better to drive:
- Would buy again:
- Value for money:
- Overall rating:
- Asymmetric performance tyre for SUV's.
- Excellent high performance stability and traction in both wet and dry conditions.
- Improved mileage.
- Low noise levels.
- Original Equipment for leading manufacturers including Audi, Land Rover, Mercedes and Volvo.


text:
The only player to score in every game in the group stage so far, Klaas-Jan Huntelaar tells Champions Matchday – the official magazine of the UEFA Champions League – why goals are "the elixir of life".
This content is streamed in such a way that it is protected and available only in a Flash format. Your device seems not to be compatible with our Flash video player.


text:
COUNCILLORS have unanimously approved plans which will see a historic Winchester landmark transformed into flats.
The St Thomas Centre, in Southgate Street, was used as the city's record office from 1974 until the 1990s and was formerly known as the church of St Thomas and St Clement.
Until recently it had been used as offices, with plans now seeing it redeveloped into nine flats.
Internal concrete structures will be removed to make way for timber flooring, and the properties are designed like 'pods', which the developer says could be easily removed in the future, without damaging the building's exterior.
Councillors at the city council planning committee last week expressed concern about the nine allocated parking spaces and lack of visitor bays.
John Whitworth, a resident of the nearby Peninsula Barracks said he was in favour of the application, but urged councillors to consider how visitor parking may impact on neighbouring properties.
He said: "Nine parking spaces is quite inadequate and the residents will be tempted to go to Archery Lane which is private parking. It would be a good thing if extra parking could be provided.
"We don't want to introduce clamping, and we don't mind people coming up to deliver to houses and so on, but we do try to keep it low key. We might be driven to introduce clamping systems if this goes ahead which will cost us money."
Cllr Therese Evans said: "This is a building that I think has lost its way and has not been successful as offices. I do support this changing of use. Concerns about parking will be something buyers will take into account, and one space per unit is quite luxurious compared to other developments we have done in the past."
After much discussion, the application was unanimously approved.


text:
- BSO Case Number: PB13-06-00210
- PIO Number: 13-8-12
- Date: July 1, 2013
- Time: 3:30 p.m.
- Place of Occurrence: 1943 W. McNab Rd., Pompano Beach
- Jurisdiction: Pompano Beach
- Eurofloors, 1943 W. McNab Rd., Pompano Beach
- unidentified male
- unidentified female
Description of Incident:
A couple of burglars were caught on surveillance video as they leisurely strolled through an office in search of loot.
At 3:30 p.m. on July 1, 2013, a man and woman broke into the back offices of Eurofloor in Pompano Beach. The duo slowly scanned the office as they looked for possible loot. The criminals seemed to have knowledge of where they could find various sets of keys used to gain access to locked rooms. The suspects then disabled the cameras and stole a 40-inch Samsung Smart TV valued at $1,000.
Anyone with information is asked to contact BSO Detective Chris DePelisi at 954-876-2048 or Broward Crime Stoppers, anonymously, at 954-493-TIPS (8477) or www.browardcrimestoppers.org.
***MEDIA NOTE: A clear video of the incident is available for download from our website www.sheriff.org.
- INVESTIGATORS: BSO Det. Chris DePelisi, D11/CID
- THIS REPORT BY: Gina Carter/PIO 8/8/13 1615
Posted At: 08/08/2013 04:00 PM
Translate This Page:


text:
Steve has worked both in biotech and the highest levels of UK government for 15 years. He was Senior Director, External Affairs and Market Access at Genzyme UK and Ireland, during which time he worked on the establishment of the Office for Life Science and was a member of the BIA's Communications Advisory Committee. Prior to joining the industry Steve was special advisor to John Reid MP in his time as Home Secretary, Secretary of State for Health, Northern Ireland Secretary and Defence Secretary and helped deliver policy initiatives as diverse as "Our inheritance, our future: realising the potential of genetics in the NHS 2003" to the implementation of the Serious Organised Crime Act of 2005.
Earlier in his career Steve led the Labour Party media team into the general election of 2001 and was formerly a broadcast business journalist at Dow Jones and ITN. Steve is a Cambridge University graduate.
Tim Edwards, BIA Chairman, said:
"We are delighted that Steve is joining the BIA. I am certain that his experience in the bioscience sector and within government will prove to be invaluable. Steve will work with BIA members to engage government on our policy initiatives, such as the Citizens Innovation Fund, and to ensure that the Coalition government delivers on the Strategy for UK Life Sciences.
"I would also like to express the BIA's gratitude to Glyn Edwards for his contribution to the BIA as interim Chief Executive."
The BIA's new Chief Executive Officer, Steve Bates, added:
"UK bioscience is at the heart of the new global economy. The sector's talented and visionary researchers, developers and executives are producing the treatments and innovations to help patients in the future. The sector is also providing highly skilled jobs and growth for the UK. That is why I am so excited to have this opportunity to lead the UK's trade association for bioscience companies.
"Having worked both in government and biotech I know how to be an effective voice for the sector and look forward to working in partnership with government, academia and the health service to enable bioscience companies in the UK to succeed."
For further information, please contact Robert Winder, Head of Communications, firstname.lastname@example.com, 020 7630 2191; mobile 07825 942 934.
A high resolution image of Steve Bates is available on request or from the BIA website: http://bit.ly/biaSteveBates
BioIndustry Association
Founded over 20 years ago at the infancy of biotechnology, the BioIndustry Association (BIA) is the trade association for innovative enterprises involved in UK bioscience. Members include emerging and more established bioscience companies; pharmaceutical companies; academic, research and philanthropic organisations; and service providers to the bioscience sector. The BIA represents the interests of its members to a broad section of stakeholders, from government and regulators to patient groups and the media. Our goal is to secure the UK's position as a global hub and as the best location for innovative research and commercialisation, enabling our world-leading research base to deliver healthcare solutions that can truly make a difference to people's lives. For further information, please go to www.bioindustry.org


text:
This months issue of Sound on Sound has reviews of the MFB-522 and 503 drum machines. The 522 is sort of a Roland TR-808 clone. It is full analog and in the ballpark but really sounds like it's own machine. I've have a lot of music on my to do list and because I'm using a lot of analog hardware these days I decided to put a mini studio on my dining room table. The heart of it is the 522. I also have an old Boss BX800 mixer from the 80s. I have fond memories of the way it distorted. Unfortunately after playing with it a bit I ended up switching it out to a new Yamaha MG102c. The kick's attack is much sharper on the new mixer and that's very important to me. The 522 has individual out, lots of knobs to control the sounds, a fill pattern and it's fun to program. Check out the little video above of my MFB in action. You can hear it has a nice tight groove and how fun the fill is. The video was recorded with an iPhone though the iPhone's speaker with the audio coming from a TDK Boombox. There is a suped up version of the 522 called the 523 coming this year. You can buy a 522 for $425 USD.
"MFB-522 is a drumcomputer with a fully analogue sound engine that offers plenty of editing capabilities. It includes a step-sequencer with popular TR-style running-light-programming. Memory locations are available for 72 patterns as well as for 8 songs." – mfberlin.de
For more info: mfberlin.de


text:
CONCORD — The Concord Police Department has been awarded a $150,000 grant for a year-long program aimed at preventing deaths and injuries on roadways through special enforcement and public awareness efforts.
The grant, given on behalf of the California Office of Traffic Safety, will help the city's ongoing efforts to improve traffic safety throughout Concord.
The grant will assist in efforts to deal with traffic safety problems and to reduce the number of people killed and injured in traffic collisions.
Activities that the grant will fund include specialized DUI and drugged driving training such as field sobriety testing roadside impaired driving enforcement and drug recognition evaluator as well as DUI saturation patrols, motorcycle safety enforcement and speed, red light and stop sign enforcement, among other road safety requirements.
Funding for the program is from the California Office of Traffic Safety through the National Highway Traffic Safety Administration.
Contact Katie Nelson at 925-945-4780 or follow her at Twitter.com/katienelson210.


text:
JACKSONVILLE, Fla. - A Jacksonville Sheriff's Office response to resistance board voted unanimously Wednesday that two robbery detectives acted within departmental regulations for the use of deadly force.
Detectives Clement Nieto and Michael Padgett shot and killed 28-year-old Jesse Cooper on May 29 after Cooper robbed a Gate gas station in the 8000 block of Atlantic boulevard, according to police.
Police said Cooper was in an SUV and pointed a gun at the officers who had the place staked out after several other Gate gas station holdups.
On Wednesday, the review board heard police radio calls and looked at surveillance images before making their decision.
Police said when Cooper tried to get away in an SUV, he was confronted by the two plain-clothes officers.
Nieto told the board he and Padgett fired one volley of shots at the suspect after he pointed a handgun at them, and saw that Cooper was hit, but he kept trying to get away.
"The suspect reappeared a second time," Nieto said. "He pointed his pistol at us again. We fired a second volley. The second volley was 2-3 shots. That put the suspect down. At that point, it appeared the threat ended."
Police said they arrested Shaketa Jones, 28, at a nearby parking lot shortly after the shooting and charged her with armed robbery and murder. Officers believe that Jones was an accomplice to the robbery and is therefore legally responsible for the death that occurred.
The two officers had already been cleared in the fatal shooting by the state attorney's office.
Copyright 2011 by News4Jax.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


text:
Morrow could return in September as reliever
MILWAUKEE -- Right-hander Brandon Morrow has been throwing side sessions off a mound and could re-join the Blue Jays at some point in September.
Morrow has been out since May 2 because of a torn tendon sheath in his right index finger. He won't have enough time to make it back as a starter, but the righty could find a role in the bullpen.
There is still no defined timetable for Morrow's return, but the Blue Jays should have a better idea of his progress before the end of August.
"He has been throwing some sides without his finger guard and he's feeling better," Blue Jays manager John Gibbons said. "He's cutting it loose better. It's not full-go, but it's progress."
Morrow could be entering the final month of his career in a Blue Jays uniform. Toronto has a $10 million option on Morrow's contract for next season, but it's becoming increasingly likely the club would instead choose to buy him out for $1 million.
The 30-year-old has yet to make it through a full season as a starter. Last year, he was limited to 10 starts, and this year he made six before going on the disabled list.
Gregor Chisholm is a reporter for MLB.com. Read his blog, North of the Border, and follow him on Twitter @gregorMLB. This story was not subject to the approval of Major League Baseball or its clubs.


text:
Trying to Stay Bullish
Opportunity follows struggle. It follows effort. It follows hard work. It doesn't come before. --Shelby Steele
Over the last six trading days, the S&P 500 has managed to gain 0.26%, which isn't bad but is much slower than the pace of January's gains. We've seen very choppy, alternating days of strength and weakness, but there's still a positive bias to the action. While the bears continue to mumble about the negatives piling up, the market holds up well and threatens to squeeze those who doubt it....428 more words left in this article. To read them, just click below and try Real Money FREE for 14 days.
There's no substitute for a trading floor to get great ideas, so Jim Cramer created a better one at Real Money and blogs there exclusively. We then added legendary hedge fund manager, Doug Kass, with his exclusive Daily Diary and best investing ideas. Staffed with more than 4 dozen investing pros, money managers, journalists and analysts, Real Money Pro gives you a flood of opinions, analysis and actionable trading advice found nowhere else, and allows you to interact directly with each expert.
Already a Subscriber? Please login.


text:
greentara wrote:Monktastic, "know it's probably not meant to be Buddhist, but my interpretation is that this man is a Bodhisattva. No fuss, just going about his day quietly helping people whether they realize it or appreciate it at the time"
I believe I have met a bodhisattva. He was not tall and cool like the guy in the film; instead he was middle aged, grizzled and used a rope for a belt to keep his shorts up and walked around in unlaced boots. He was from an upper middle class background but no one would have guessed it. He owned substantial stocks and shares with a well known consortium and when they had the annual general meeting my friend showed up. Well they wouldn't let him in, they thought he was 'homeless' until the misunderstanding was all ironed out and he was allowed to stay, very uncomfortable for those foolish people in charge. He had a broad knowledge of antiquarian books, and antiques in general. He taught himself Chinese and was a genuine scholar. He would sometimes buy a rare item from me but whatever I charged him he always wanted to pay more 'so I wouldn't shortchange myself'.
I knew him for many years before he could talk to me with ease, he was very shy, unassuming and humble and always spoke to everyone in the most respectful manner. If anyone was in trouble or needed help he would make huge efforts to be of assistance. He certainly helped me many times, if I had an obscure, knotty problem he would disappear to the library for days and come back with the correct answer or solution, he wouldn't charge for his valuable time, he was amazing.
He was quite taken with the books of Jiddhu Krishnamurti but admitted to me over coffee and sandwichs that Jiddhu's teachings were too hard for him to put into practice. I disagree, I felt he was a walking, talking proof of the teaching. Whilst Krishnamurti was quite elitist my friend was anything but that.
When I heard his sister had passed away I went to visit him in his small, modest shop, he was sitting on a low stool. I said how sorry I was and bent down to give him a kiss on the cheek. The look of childlike wonder on the mans face....I suddenly realized he had probably not been touched by anyone for many years.
After he passed away so many people came out of the woodwork, telling stories of the help he had given so many.
If I now go into the city where he ran his business . Everywhere there are slick people in suits and the hustle of big city living but I always pause at a particular place and and feel so honoured that He was my friend. Anything I can say about him does not do him justice as he was such a giving person, quite ungreedy, a diamond in the rough.
Great story, made me tear up a bit, and reminded me to be thankful an inspired by the people I know fitting this description:)


text:
Get Crunch from just £29.50+VAT per month.
Looking for a self-employed mortgage? We can help. Looking for a self-employed mortgage? We can help.
Our team of accredited, in-house accountants are always here to hold your hand and oversee your accounts.
Send invoices, record expenses, and view your full financial position in real time - anytime, anywhere.
Freelancer, contractor, small business owner? Get professional support and advice every step of the way.
How much will you save?
To find out, use our Take Home Pay Calculator, and then get in touch with one of our expert advisors for a detailed breakdown of your savings.
How much will you save?
To find out, use our Take Home Pay Calculator, and then get in touch with one of our expert advisors for a detailed breakdown of your savings.
By joining Crunch
your take home pay could be
you could save £ per year
Call us on 0333 311 8000 or request a callback
By joining Crunch
your could save
Call us on 0333 311 8000 or request a callback
Call us on 0333 311 8000 or request a callback
Switching to Crunch
Moving over from another accountant or umbrella company?
We'll handle the move and have you up and running in no time.
Find out more.
Starting a business
Just starting out? We'll form your company,
set up your payroll and help you manage your business quickly and easily.
Find out more.
Introducing Marketplace
All your business needs, all in one place
Finding reliable, competitively priced suppliers and services for your business can be confusing and expensive. That's why, since we launched in 2009, we've been on a mission to hunt down the very best small business providers to complement our accounting service. Our partners are the perfect fit for micro-businesses, and you'll find them all in the marketplace.
We have personal relationships with all our Marketplace partners, we use many of them ourselves, and we can vouch for the quality of their services. Thanks to the buying power of the Crunch community you'll also find healthy discounts on many services.
More than just accountancy
From business insurance to legal services; from mortgage assistance to freelancer banks – we've got everything you need in one place, complete with our seal of approval.
Simple, quick mortgages for freelancers, contractors, and small business owners
Business Insurance
Get specialist business insurance designed especially for the needs of contractors and freelancers.
Start a Company
We've got all the tools you need to get your business started, up on its feet and booming.
Our banking partners offer free and secure feeds into our online accounting software.
Financial Services
Manage your money better with help from our specialist financial partners.
Legal services for small businesses, including legal advice, document templates, and contract checking - without the huge price tag.
Take the hassle out of accounting with our simple bookkeeping tools, all-inclusive for Premium clients.
Expenses don't have to be complicated - we'll show you what to claim, and how to claim it.
Best of breed accountants
Meet Steve, our Chief Accountant. With over 30 years of experience in the accounting sector, including stints at a Top 10 firm and within HMRC itself, Steve heads up our accounting operations and oversees our growing team of experts.
Under Steve's watchful gaze, our commitment to the training and development of our accounting team has been recognised by the AAT and ACCA, two of the largest accountancy bodies in the UK. We're also accredited by IPSE for our expertise in IR35. These accreditations recognise the investment we make in the training and development of our accounting team, seeing them through from apprentice to fully qualified accounting experts.
Loading reviews about Crunch
Expert Reviews
"Best business buy"
IT Pro Portal
"Impressed with its clear, web-based interface"
PC Advisor
"Very easy to use"
Business Computing World Review
"Unique and refreshing approach"
Available 9am - 5:30pm


text:
ANZ global
As one of the largest companies in Australia, our values help build a sustainable future for our business, shareholders, staff, customers and communities. Our business serves more than six million customers and our assets are worth $293 billion. We employ more than 30,000 people and are represented in our primary markets of Australia and New Zealand, as well as Asia, the Pacific, the UK, Europe and the United States.
ANZ's values
- Put our customers first
- Perform and grow to create value for our shareholders
- Lead and inspire each other
- Earn the trust of the community
- Breakout, be bold and have the courage to be different.
ANZ in Vietnam
Since the opening of our first branch in Hanoi in 1993 as the earliest English speaking bank, ANZ Vietnam have grown our business as well as number of employees dramatically from 28 to 550 plus to date.
ANZ Vietnam has principles, policies and practices that create a positive environment for our people. We value and reward open communication and workplace relationships that are based on integrity and trust.
We listen to our people through our Staff Engagement Survey and strive hard to improve our engagement scores. We promote diversity & value people's difference. We encourage employees to be their true selves at work. We share workloads and difficulties as well as joys and laughs, inside and outside the bank. We are empowered to make decision within our own responsible area.
At ANZ Vietnam, we embrace our ANZ global Breakout cultural transformation program - which builds a vibrant, energetic and high-performing culture where ANZ's values are the basis for the actions we take and decisions we make each day.
*Unless otherwise stated, all figures are accurate as at 01/03/2009.
You need Adobe Reader to view PDF files. You can download Adobe Reader free of charge.


text:
Sign Up
When it comes to looking your best, most ladies rely on a slew of anti aging skincare tricks to try and combat eye wrinkles, crow's feet and other imperfections. Despite the fact that certain creams and lotions can work to curb the presence of these problems, what you're eating may also play a role in how healthy your skin looks. Discovery Health recently discussed the best foods for your face, and you may want to dig in to keep your skin glowing.
Seafood like salmon and oysters are not only tasty, they are also high in omega-3 fatty acids and zinc that benefit women in a variety of ways. Ingesting plenty of omega-3s works to reduce dryness and inflammation of the skin. The latter is a major issue as inflammation can cause the skin to age at a faster rate, while some medical experts believe a lack of this nutrient could be linked to the development of skin woes like eczema and psoriasis, according to the news source. Both nutrients also promote good circulation, which offers skin a healthy glow.
Citrus-bases fruits
Sure oranges, grapefruits and limes are tasty and tangy, but did you know these fruits packed with vitamin C can improve your production of collagen? Collagen is an important protein that helps form the structure of your skin, when it breaks down, it can result in your complexion look flat or sunken in. Consuming citrus fruits can work to prevent collagen breakdown, thus keeping you looking younger for longer.
Using a lotion like Laboratoire Remede Intensive Double Serum: Vitamin C + Oxygen may garner similar results. The serum combines the benefits of vitamin C and oxygen for a powerful collagen boost on your skin.
Green and red/orange vegetables
All vegetables are good for the body, but ones in the green and red/orange families offer the most positive results for your skin, the publication reports. Fresh produce like spinach, sweet potatoes, carrots, green peppers and more are packed with beta-carotene. The body converts beta-carotene into vitamin A, which acts as antioxidants. Antioxidants work to prevent cell damage as well as premature aging. Plus, vitamin A helps keep blemishes at bay.
Certain nuts
Some ladies might not know the power certain nuts offer. The publication reports almonds and walnuts are chock-full of vitamin E, which combats free radicals and damage from the sun. These tasty snacks may be especially helpful for ladies who love lounging on the beach or poolside in order to rejuvenate their skin after getting a tan.
Even though these nuts can help stave off sun damage, it's also important for women to use sunscreen products on a regular basis. A product like Elemis Liquid Layer Sunblock SPF 30 may be a smart investment. This lightweight anti wrinkle cream offers wearers an easy way to protect their skin.
Recommended Products
Related posts


text:
Prospective Observational Study to Evaluate Biomarkers of Aminoglycoside Nephrotoxicity in Patients With Cystic Fibrosis
Recruitment status was: Recruiting
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
|Cystic Fibrosis
|Study Type:
|Study Design:
|Observational Model: Case Control
Time Perspective: Prospective
|Official Title:
|Prospective Observational Study to Evaluate Biomarkers of Aminoglycoside Nephrotoxicity in Patients With Cystic Fibrosis
|Estimated Enrollment:
|Study Start Date:
|February 2012
|Estimated Study Completion Date:
|June 2015
|Estimated Primary Completion Date:
|June 2015 (Final data collection date for primary outcome measure)
|Patients with cystic fibrosis treated with aminoglycosides
|Patients with cystic fibrosis not treated with aminoglycosides
Detailed Description:
The goal of this clinical study is to advance the acceptance of new biomarkers designed to detect drug-induced kidney injury in clinical trials.
The Kidney Safety Project is being conducted at four major medical centers:
- University of Southern California
- University of Minnesota
- MD Anderson Cancer Center
- Dana-Farber Cancer Institute.
Blood and urine samples will be collected from patients undergoing treatment with either cisplatin or aminoglycosides, which are two different drugs known to cause injuries to the proximal tubule of the kidney. Aminoglycosides are a common antibiotic drug taken by patients with cystic fibrosis. Cisplatin is a common chemotherapy drug taken by patients with head and neck cancer.
The Aminoglycoside Study of the Kidney Safety Project is being conducted at the University of Southern California and the University of Minnesota and aims to evaluate aminoglycoside induced acute kidney injury in patients with cystic fibrosis.
The companion study, the Cisplatin Study of the Kidney Safety Project, is being conducted at the MD Anderson Cancer Center and the Dana-Farber Cancer Institute and aims to evaluate cisplatin induced acute kidney injury in patients with head and neck cancer.
The data from the Kidney Safety Project, from both the Aminoglycoside Study and the Cisplatin Study, will be combined for determination of the best biomarkers for predicting drug-induced acute kidney injury.
|Ages Eligible for Study:
|18 Years and older (Adult, Senior)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
|Sampling Method:
|Probability Sample
Inclusion criteria:
- Males and females ≥ 18 years of age.
Documentation of CF diagnosis as evidenced by one or more clinical features consistent with the CF phenotype and one or more of the following criteria:
- Sweat chloride greater than or equal to 60 mEq/L by quantitative pilocarpine iontophoresis test.
- Two well-characterized mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene; or
- Abnormal nasal potential difference.
- Hospitalized and initiated on systemic antibiotic therapy for treatment of an acute pulmonary exacerbation.
- Willingness and ability to comply with study procedures and study restrictions.
- Ability to provide written informed consent.
Exclusion criteria:
- Chronic kidney disease defined by microalbuminuria (> 30 mcg/mg creatinine) or eGFR < 60 mL/min/1.73m2.
- Receiving medications known to alter the tubular secretion of creatinine (e.g. trimethoprim, cimetidine).
- Hospitalized for treatment of an acute pulmonary exacerbation or received intravenous aminoglycoside antibiotics within 3-months of study entry.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01543620
|Contact: Irene Nunes, OD, PhD
|(732) 594-1137
|Contact: Jessica Ratay, MS
|(301) 435-4038
|United States, California
|University of Southern California
|Los Angeles, California, United States, 90033
|Contact: Research Coordinator1
|Contact: Research Coordinator2
|Principal Investigator: Paul Beringer, PharmD
|United States, Minnesota
|University of Minnesota - Cystic Fibrosis Center
|Minneapolis, Minnesota, United States, 55455
|Contact: Research Coordinator1
|Contact: Research Coordinator2
|Principal Investigator: Joanne Billings, MD
|United States, Utah
|University of Utah
|Salt Lake City, Utah, United States, 84132
|Contact: Research Coordinator1
|Contact: Research Coordinator2
|Principal Investigator: Dave Young, PharmD
|Principal Investigator:
|Paul Beringer, PharmD
|University of Southern California
|Principal Investigator:
|Joanne Billings, MD
|University of Minnesota - Clinical and Translational Science Institute
|Responsible Party:
|Foundation for the National Institutes of Health
|ClinicalTrials.gov Identifier:
|NCT01543620 History of Changes
|Other Study ID Numbers:
Kidney Safety - Aminoglycoside
|Study First Received:
|February 28, 2012
|Last Updated:
|December 8, 2014
Keywords provided by Foundation for the National Institutes of Health:
kidney safety
serum creatinine
cystic fibrosis
head and neck cancer
renal injury
drug induced acute kidney injury
biomarker qualification
Additional relevant MeSH terms:
Cystic Fibrosis
Pathologic Processes
Pancreatic Diseases
Digestive System Diseases
Lung Diseases
Respiratory Tract Diseases
Genetic Diseases, Inborn
Infant, Newborn, Diseases
ClinicalTrials.gov processed this record on September 21, 2017


text:
Focused on Astros, Martinez backs out of Classic
KISSIMMEE, Fla. -- Astros outfielder Fernando Martinez arrived in camp Tuesday morning and said he will not participate in the World Baseball Classic. Martinez was going to play for Spain, though he was born in the Dominican Republic.
"I'm going to stay here and prepare for the season," he said.
Martinez, claimed off waivers from the Mets a year ago, hit .237 with six homers and 14 RBIs in 118 at-bats last year for Houston, playing in a career-high 41 games. Astros general manager Jeff Luhnow said earlier this year Martinez would hurt his chances of making the club by playing in the Classic, and Martinez heard the message.
"I just thought about and I figured it would be a lost couple of weeks, and I want to make the team here," said Martinez, who's battling for a spot in camp with Rick Ankiel, Brandon Barnes, Trevor Crowe and Jimmy Paredes, among others.
"It definitely shows a commitment to this team and this organization, but I'm not one of those who would try to discourage someone from playing for their country," said manager Bo Porter. "I think it's an honor to play for country. Any player picked by their country to play in the World Baseball Classic, they'll have our full support."
Astros pitcher Chia-Jen Lo was originally scheduled to participate in the Classic, as well, but had a change of heart. Pitchers Xavier Cedeno (Puerto Rico) and Rhiner Cruz (Spain) are still scheduled to participate, along with Minor League right-hander Murilo Gouvea (Brazil) and outfielder Che-Hsuan Lin (Chinese Taipei).
Teams have until Feb. 20 to file their formal rosters.


text:
iHerb お客様のレビュー
Tastes Good
iHerbのお客様により 1 03, 2012 に掲載 | 認証済の購入
I mean relativly speaking, compaired to other Glucosamine/Chondroitin liquids I have tried and now there is no mention of "from bovine sources" on the label.
iHerbのお客様により 3 13, 2011 に掲載 | 認証済の購入
I have advanced arthritis in both hips, bone on bone. It appears the MSM, Ultra RX-Joint Liquid is kicking in after about five days. I have noticed my increased mobility on the stationary bike and treadmill. I'm hoping it will get even better and I plan to purchase another bottle in the near future to confirm the improvement fo my condition.
Possibly helping
iHerbのお客様により 12 07, 2014 に掲載 | 認証済の購入
Have been taking this a couple of months, not a big difference in our joints, but are not getting worse. I WISH THEY WOULD REMOVE THE FRUCTOSE !!! USE STEVIA, HONEY, COCONUT SUGAR OR MAPLE SYRUP, NOT FRUCTOSE, PLEASE!!!
so far, so good
iHerbのお客様により 9 19, 2011 に掲載 | 認証済の購入
i bought this for my BF and so far, things seems to be good. i think it's too earl yto tell how well it's working.
Nature's Plus, Advanced Therapeutics, Glucosamine Chondroitin MSM, Ultra RX-Joint Liquid, Honey Lemon Flavor, 30 fl oz (887 ml)
iHerbのお客様により 5 28, 2010 に掲載 | 認証済の購入
Can't live without it.
1-5 件/合計 5


text:
Women's Nike Revolution 2 Running Shoes
Select a size above
Size Chart
Buy Online & Pick Up In-Store
Check Availability at stores near you.
Product Details
Start your workout off right with the Nike Revolution 2 Women's Running Shoes. Designed with a combination of synthetic leather for durability and mesh for the ultimate in breathability, your feet will stay dry even during the toughest workouts.
A lightweight rubber outsole promotes springy resilience, helping you to run, jump and move freely without being weighed down. The padded footbed and Phylon midsole only add to the comfort and support of these versatile trainers.
The Nike Revolution Running Shoes will stand up to your next workout and offer the cushioning, support and traction you need to get the most out of your favorite activity.
- UPPER: Mesh and synthetic leather
- MIDSOLE: Phylon injected foam
- OUTSOLE: Rubber


text:
Topic: Response of Hepatic Tumors to Radioembolization (RESRAD)
Response of Hepatic Tumors to Radioembolization (RESRAD)
cholangiocarcinoma.org :: Cholangiocarcinoma Foundation Discussion Board
a resource for patients, friends, caregivers and loved ones.
You are not logged in. Please login or register.
|La fundación de colangiocarcinoma (CCF) ahora ofrece servicios de traducción en Español.
Por favor publique sus preguntas en Español y un intérprete le va responder.
Join our new Mentoring Program
A new discussion board experience is coming this September!
After 10 years, we're upgrading our discussion board to a new modern system. The new forum will be easier to use, mobile-friendly and loaded with new features! We'll be taking all of the existing posts and users over to the new board, you won't have to do anything. If you have any questions, we've started a thread here to discuss.
Cholangiocarcinoma Foundation Discussion Board → Clinical Trials → Response of Hepatic Tumors to Radioembolization (RESRAD)
Response of Hepatic Tumors to Radioembolization (RESRAD)
Hi Percy,
Sorry I missed your post here! Hope that that trial info was of use to you. And hearing that you are fine this sunny morning has just made my day! It is cold here today but sunny so I'll take that thank you!
And yes our Bears do indeed look good my friend! This could be our year! An improved and good O line is definitely required and our O will be much better with decent protection for Cutler, no more excuses from him now! Urlacher's experience and everything will be missed but lets hope youth and speed can make up for that. Got my bets on last week at 33 and 40 to 1. I'll have some of that please! Looking forward to things kicking off tonight and I think the Bears are on tv here in the UK next week. This is our year!!
My health is okay and mum is doing okay as well. Thanks for asking and also for your kind very kind offer of help as always. Mums on the oxygen 15 hours a day now but is getting used to it and we have an app with the copd team at Ninewells next week to see how they think she is doing with it all. She has been going to the copd exercise classes twice a week and that has helped enormously but they finished last week so she has another gym to go to once a week from next Friday. She needs the oxygen to do her exercises at the classes still but needs less of it than she did a few months ago so that is progress. If she goes out I need to take her in the chair but she wants to actually go out now unlike before so that is progress as well. Winter is coming and that will put a dampner on things like going out etc but we'll deal with that when it comes. Hopefully it will be a mild winter!
I've been real busy all summer decorating my house. By the time it is finished every square inch of it will have been scraped, stripped, sanded and repainted with at least 3 coats of paint. Bathroom, bedroom and hallway all done. All woodwork, skirting boards, door frames and doors have been sanded and glossed. Last week I stripped the kitchen and living room and will be polyfilling cracks in the kitchen today. Will get that sanded and painted next week and my mate is going to replaster the ceiling and walls in the living room next week as well. Then give that a few weeks to dry out before painting it and finally it will all be done. Been a long haul but was badly needing done and it will be sooo worth it!
Once thats done think I might be getting central heating put in so a few days more upheaval but that will be worth it as well. House is like chaos right now but getting used to that as it's been like that all summer!
Will definitely say hi to mum from you and I hope that it is sunny over your way today. Have a great day! Thanks Percy.
Stay strong and Go Bears!!
The information expressed is not medical advice. The discussion boards are not intended to replace the services of a trained health professional or to be a substitute for the medical advice of physicians or other healthcare providers. Read the full disclaimer.


text:
I think I've found a correlation between the length of my fingernails and my success on the course. When they are long (about 3/32" of white), I seem to throw better than when they are short (about 1/32"). I use a four-finger power grip off the tee with the shortest disc that will make it there, and a fan grip whenever I'm not throwing full strength (approaches, putts).
I'm not sure if the difference is in drives or putts yet; more research is needed, and it takes a while for them to grow back... I'm starting to keep track now, so I'll have more reliable data in the future.
Has anyone else found any significant effect of fingernail length on their game?


text:
Timetable for Santana, Minor becomes clearer
LAKE BUENA VISTA, Fla. -- While Ervin Santana remains on track to join Atlanta's starting rotation by the end of the second week of the regular season, it appears the Braves are going to wait until the second half of April to activate Mike Minor from the disabled list.
Santana will make his Grapefruit League season debut when the Braves travel to Port St. Lucie, Fla., to play the Mets on Thursday at 1:10 p.m. ET (available live on MLB.TV). Minor will spend a portion of Thursday morning throwing his latest round of live batting practice at ESPN's Wide World of Sports complex.
Braves manager Fredi Gonzalez said Santana is slated to complete two innings against the Mets. Sticking with the traditional Spring Training preparatory schedule, Santana will add an inning to his workload during each of the subsequent starts he makes over the next few weeks.
Barring setbacks, Santana will be on track to complete a five-innings start for a to-be-determined Minor League affiliate on April 4. This would put him in line to make his regular-season debut for Atlanta as early as April 9. The Braves will have the option of sticking with a four-man rotation up until April 12.
When the Braves signed Santana to a one-year, $14.1 million contract to replenish their injury-depleted rotation last week, Santana said he felt close to being ready to pitch in a game. The 31-year-old veteran has displayed his arm strength in bullpen sessions and two live batting-practice sessions over the past week.
When Minor reported to Spring Training in February, he dealt with some consequences of having to remain idle for a month following his Dec. 31 urinary tract procedure. He was shut down for a few days after he experienced left shoulder discomfort early in spring camp.
Now that he has gone nearly a month without any shoulder discomfort, Minor was holding out hope that he'd be ready to join Atlanta's rotation by the end of the regular season's second week. But with Kris Medlen and Brandon Beachy sidelined, the Braves are being very cautious with Minor.
Gonzalez indicated Minor and Gavin Floyd, who is working back from Tommy John surgery, could both make their first starts of the year in Minor League games in the final few days of March.
While Floyd is not expected to join the rotation before the first half of May, there is a chance Minor could be activated from the disabled list during the latter portion of the third week of the regular season.
Mark Bowman is a reporter for MLB.com. This story was not subject to the approval of Major League Baseball or its clubs.


text:
Bronchoscopy vs. Clinical Pulmonary Infection Score Guided Approach in Suspected Ventilator-Associated Pneumonia (VAP)
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
The reported incidence of ventilator associated pneumonia (VAP) is 10 to 15 per 1,000 ventilator days. VAP leads to an excess cost exceeding $40,000 per patient and is associated with a crude mortality rate as high as 76%. The clinical criteria for the diagnosis of VAP have low specificity and may lead to unnecessary antibiotic use. The Clinical Pulmonary Infection Score (CPIS) and bronchoscopic approaches lower unnecessary antimicrobial use, antimicrobial resistance, and superinfection compared to the traditional clinical criteria.
Based on the available evidence and local microbiology data, we have developed a VAP management protocol guided by CPIS or bronchoalveolar lavage (BAL) in adults with suspected VAP. These two approaches have not been compared against each other. Although the diagnostic studies in the CPIS guided approach are inexpensive and easily available, BAL has the potential to minimize the unnecessary use of antibiotics and reduce the development of drug resistant pathogens.
In this study, we propose to test the hypothesis that BAL leads to a reduction in antibiotic use compared to CPIS in patients with suspected VAP. The study design will be a randomized, clinical trial comparing CPIS versus BAL. The primary outcome measure will be antibiotic utilization. The secondary outcome measures will be mortality, morbidity, development of resistant pathogens and superinfection and infection related financial burden.
Completion of this trial will help us identify the best approach to avoid unnecessary antibiotic utilization and minimize the development of resistant pathogens (with their associated morbidity and mortality) in critically ill patients.
|Ventilator Associated Pneumonia
|Procedure: Bronchoscopy Procedure: Clinical pulmonary infection score (CPIS)
|Phase 3
|Study Type:
|Study Design:
|Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
|Official Title:
|Bronchoscopy Versus Clinical Pulmonary Infection Score Guided Approach in Suspected Ventilator-Associated Pneumonia (VAP): Randomized Clinical Trial
- 14-day antibiotic free days [ Time Frame: Day 14 of enrolment ]
- Mortality [ Time Frame: 28 days ]
- Daily organ failure score [ Time Frame: 14 days ]
- Length of hospital stay [ Time Frame: Hospital stay ]
|Study Start Date:
|January 2007
|Study Completion Date:
|May 2009
|Primary Completion Date:
|May 2009 (Final data collection date for primary outcome measure)
|Assigned Interventions
Active Comparator: 1
Procedure: Bronchoscopy
Bronchoscopy procedure
Active Comparator: 2
Procedure: Clinical pulmonary infection score (CPIS)
Calculate CPIS
|Ages Eligible for Study:
|18 Years and older (Adult, Senior)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
- Age >= 18 years
- Endotracheal intubation
- Suspected VAP with:
- New or progressive pulmonary infiltrates plus two of the following (In patients with pre-existing ALI or ARDS, physicians' suspicion of VAP with two of the listed criteria will be used.): Temperature > 38 C or < 36 C, WBC > 12,000/mL or < 4,000/mL, purulent endotracheal secretions.
- Patient or legally authorized representative is able to sign Informed Consent
Exclusion Criteria:
- Prison inmates
- Immunocompromised patients
- Participation in another trial conflicting with the design of the current trial
- Previous history of VAP during the same hospitalization
- Previous participation in the current study
- Concomitant non-pulmonary infection diagnosed within 3 days preceding the suspected VAP
- Patient's primary care provider does not want subject to be enrolled in the study
- Contraindications for bronchoscopy
Please refer to this study by its ClinicalTrials.gov identifier: NCT00588588
|Principal Investigator:
|Bekele Afessa, MD
|Mayo Clinic
Additional Information:
|Responsible Party:
|Bekele Afessa, MD, Mayo Clinic
|ClinicalTrials.gov Identifier:
|NCT00588588 History of Changes
|Other Study ID Numbers:
|Study First Received:
|December 22, 2007
|Last Updated:
|January 24, 2012
Keywords provided by Mayo Clinic:
Ventilator associated pneumonia
Intensive Care
Length of stay
Additional relevant MeSH terms:
Pneumonia, Ventilator-Associated
Lung Diseases
Respiratory Tract Diseases
Respiratory Tract Infections
Cross Infection
Ventilator-Induced Lung Injury
Lung Injury
ClinicalTrials.gov processed this record on September 21, 2017


text:
Warrantech ARMFN31500
A-RMFN31500 3 Year (On-Site) DOP Furniture Warranty: Under $1,500
This date of purchase warranty service plan extends the terms of the manufacturer's warranty as stated on the contract. If you have a warranty service issue after the manufacturer's warranty ends, but before the coverage offered by this warranty ends, have no fear! You are covered for 100% parts and labor for any manufacturer defect. If your product is irreparable it will be replaced. There is no deductible or maximum. Your invest will be protected and have no limit on the number of repairs unless otherwise stated in the contract. You are fully backed by a Nationwide Insurance Company. Your investment is transferable through its life. Available at AppliancesConnection
10 Reasons why you should protect your investment with that Service Plan.
- Provides Complete coverage up to 5 years - Most manufacturer limited warranties leave you with no protection against the rising cost of repairs after the first year of ownership. Our Extended Service Plans offer the opportunity to obtain coverage for four additional years after the conclusion of the manufacturers warranty.
- Fully Insured for Parts and Labor - Our plans are fully insured by an insurance company rated Excellent by A.M. Best. You will never have to pay for parts and labor on any covered repair during the term of the plan.
- Toll Free 800 Number - You can call the toll free number 7 days a week 24 hours a day with questions regarding their service plan or if the product needs repair. This includes the 24 hour technical support from day one for computers.
- NationWide Service Network - You are supported by a nationwide network of authorized service centers
- Repair or Replace Promise - In the event that your product cannot be repaired, it will be replaced.
- No Deductibles or Hidden Charges - Warrantech will pay 100% of all the cost of all parts and labor charges.
- Remote Control Coverage - Should the remote control included with the product ever malfunction, it will be repaired or replaced.
- Transferable - In the event that the covered product is sold or transferred at anytime during the term of the Service Plan then the coverage may be transferred to the new owner.
- Worldwide Service Option - If you take the product overseas, it will be covered for all parts and labor upon expiration of the manufacturers original warranty. There is an optional model available (RMEXP1) to provide you with worldwide service during the original manufacturers warranty.
- Convenient - One simple toll free number, or visit to the web chat at www.myrepairmaster.com and let the trained customer service technicians solve your service issues hassle free.
Be the first to ask a questionAsk A Question
Be the first to review this productWrite A Review
- Brand:Warrantech
- Stock Id:173241
- Product Number:ARMFN31500
- Weight:0.10 lbs


text:
HOFFMAN ESTATES, Ill. Sears announced that it is offering weekly "Now" sale events with layaway options so customers can get a jump start on their shopping and have a more rewarding holiday season than ever before. Starting Friday, Oct. 29, and continuing every Friday and Saturday until Christmas, Sears said it will offer two-day sales, making gift giving even easier and more affordable with terrific prices throughout the holidays on the best brands.
"Last year, customer response to our Black Friday Now deals was overwhelmingly positive, many were thrilled that they did not have to wait for holiday deals," said David Friedman, SVP and president marketing for Sears Holdings. "This year, we wanted to extend these deals to two days to help our customers get the best quality gifts for the ones they love without breaking the bank."
"Black Friday Now" sale events will take place every Friday and Saturday from 9 a.m. to noon, local time, beginning this Friday, Oct. 29 through Saturday, Nov. 20.