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To box or not to box in fireplace?
January 6, 2013 in Design Dilemma
This used to be a wall of stone. We cut away the sides and will be adding bookshelves to the right and left of fireplace, but can't decide whether or not to box in the top in (above the mantel). We plan on hanging the tv over the fireplace so it would make it easier to mount, but kind of like the stone look... What do you think?
Deborah Butler, Brickwood Builders
Looks like there is a lot of paint overspray or something on the stone. How do you plan to get that off?
I would box the top in so that you can get wires run and mount the tv.
I would box the top in so that you can get wires run and mount the tv.
January 6, 2013 at 8:36AM Like
All About Home Electronics.com
http://allabouthomeelectronics.com/how-to/hang-a-tv-on-a-wall.html . Article contains photo and info on hanging TV of Fireplace
January 6, 2013 at 9:22AM Like
Box the Top!
January 6, 2013 at 9:24AM Like
A. Peltier Interiors
For practicality purposes it sounds like the above comments are the solution, however, it is a nice look to keep the stone. You dont want any wires though, so iif it is the only way to hide them then you will need to box it in.
January 6, 2013 at 9:25AM Like
I love the complete look boxing would give, especially if you are into traditional. Also, here is a great look with exposed stone/brick if you're more casual in style.
Mary Trantow
Project in Tiburon
Big Screen
Basement Remodel - Mechanicsburg
Mary Trantow
Project in Tiburon
Big Screen
Basement Remodel - Mechanicsburg
January 6, 2013 at 9:27AM Like
All About Home Electronics.com
The "boxing" idea looks good, when done correctly. "Mary Trantow" photo should have had TV mount inset & "Big Screen" should have "some" height seperation if only an inch or two from mantel. The other details look ok. Pay close attention to the TV wall mount that gets spec'd out, I learned this from working together with other also very talented Interior Designers. These pictures are really great !
January 6, 2013 at 9:36AM Like
J Maness Designs
Here is an idea for boxing in; these photos shows the before & after. This was done all cosmetically without compromising the structure of the masonry fireplace.
January 6, 2013 at 9:56AM Like
Tammy Sprinkle
I say box it in and create a niche for the tv. I would paint the stone or I would tile over it with something light reflecting. It looks a tad dull now.
January 6, 2013 at 10:29AM Like
We built our fireplace and loved the stone look so we built a niche to prevent our tv from sticking out so far (I don't like that). Too bad you couldn't cut out a niche in this stone just so your tv wouldn't stick out so far and would help with the wire hiding, etc. I like looking at all ideas so I have attached our firplace pics just to give you an idea of what our finished product was. Good Luck!
I really like the way leabeau did it. It is a stunning PERFECT solution. I think the TV could be a touch lower though..
January 6, 2013 at 11:17AM Like
Thank you so much for all the great ideas! This was my first post, but will def do more!!! Think we'll box it in and will post updated photos when complete!
January 6, 2013 at 3:42PM Like
Laura Stermer
There have been a lot of comments lately about the viewing difficulties of tvs up that high, you need furniture you can recline or lounge on to get the right angle without a crick in the neck. I know you replied 8 weeks ago... but maybe if you are like me and ponder a while before completing a project, this won't be too late. here are some off set tvs from fireplace..
French Country
While at CHil Design Group
French Country
While at CHil Design Group
March 2, 2013 at 11:34AM Like


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After reading the book series, scouring it for little nuances and countless views of the movies i was left like most of you wanting more. i didn't want to just write fan fiction though, i'm not S.M. i didn't want to try to expound on her dream of how Twilight developed and concluded. so what to do? how bout something new that still FELT like Twilight. something that paid it tribute but was completely new.
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The Many Faces of Dracula
How many actors have played Dracula?
The short answer to this question is... a lot.
Since Max Schreck terrified audiences in 1922 with his portrayal of Count Olaf (legalities at the time prevented the film from using the names from Stoker's novel outright), Dracula is without a doubt not only the most beloved and consistently adapted vampire story, but arguably the most adapted story in any genre.
As we look forward to NBC's upcoming series starring Jonathan Rhys Meyers, we here at the Source would like to provide a comprehensive guide to actors who have donned the fangs of the most famous vampire in the world - as well as a few who will in the future.
In this list of twenty one actors, we have the classics; actors whose performances and films are now considered hallowed ground by horror and vampire enthusiasts alike. We also have a few many would like to forget.
Without further ado, let's begin.
Max Schreck (Nosferatu, 1922)
|Nosferatu (1922)
|Rating: 8.0/10 (50,799 votes)
Director: F.W. Murnau
Writer: Henrik Galeen
Stars: Max Schreck, Greta Schröder, Ruth Landshoff, Gustav von Wangenheim
Runtime: 1 h 21 min
Rated: Unrated
Genre: Horror
Released: 03 Jun 1929
|Plot: Vampire Count Orlok expresses interest in a new residence and real estate agent Hutter's wife. Silent classic based on the story 'Dracula.'
Bela Lugosi (Dracula, 1931)
|Dracula (1931)
|Rating: 7.6/10 (22,850 votes)
Director: Tod Browning
Writer: Bram Stoker, Hamilton Deane
Stars: Bela Lugosi, Helen Chandler, David Manners, Dwight Frye
Runtime: 1 h 15 min
Rated: Approved
Genre: Horror
Released: 14 Feb 1931
|Plot: The ancient vampire Count Dracula arrives in England and begins to prey upon the virtuous young Mina.
Lon Chaney Jr. (Son of Dracula, 1943)
|Son of Dracula (1943)
|Rating: 6.0/10 (2,200 votes)
Director: Robert Siodmak
Writer: Eric Taylor, Curt Siodmak
Stars: Lon Chaney Jr., Robert Paige, Louise Allbritton, Evelyn Ankers
Runtime: 1 h 20 min
Rated: Approved
Genre: Horror
Released: 05 Nov 1943
|Plot: Count Alucard (read his name backwards) finds his way from Budapest to the swamps of the Deep South; his four nemeses are a medical doctor, a university professor, a jilted fiancé and the woman he loves.
John Carradine (House of Dracula, 1945)
|House of Dracula (1945)
|Rating: 5.7/10 (2,325 votes)
Director: Erle C. Kenton
Writer: Edward T. Lowe Jr.
Stars: Onslow Stevens, John Carradine, Lon Chaney Jr., Martha O'Driscoll
Runtime: 1 h 7 min
Rated: Unrated
Genre: Fantasy, Horror, Sci-Fi
Released: 07 Dec 1945
|Plot: Count Dracula and the Wolf Man seek a cure for their afflictions; a hunchbacked woman, a mad scientist and the Frankenstein monster have their own troubles.
Christopher Lee (Horror of Dracula, 1958)
|Horror of Dracula (1958)
|Rating: 7.5/10 (10,115 votes)
Director: Terence Fisher
Writer: Jimmy Sangster, Bram Stoker
Stars: Peter Cushing, Christopher Lee, Michael Gough, Melissa Stribling
Runtime: 1 h 22 min
Rated: Approved
Genre: Horror
Released: 08 May 1958
|Plot: After Jonathan Harker attacks Dracula at his castle (apparently somewhere in Germany), the vampire travels to a nearby city...
Christopher Lee has played Dracula more than any other actor in the history of cinema and television. Following Horror of Dracula, he went on to star in: Dracula: Prince of Darkness (1966), Dracula Has Risen from the Grave (1968), Count Dracula (1970), Taste the Blood of Dracula (1970), Scars of Dracula (1970), Dracula A.D. 1972 (1972), The Satanic Rites of Dracula (1973), and Dracula and Son (1976).
Ferdy Mayne (The Fearless Vampire Killers, 1967)
|The Fearless Vampire Killers (1967)
|Rating: 7.2/10 (16,960 votes)
Director: Roman Polanski
Writer: Gérard Brach, Roman Polanski
Stars: Jack MacGowran, Roman Polanski, Alfie Bass, Jessie Robins
Runtime: 1 h 31 min
Rated: Unrated
Genre: Comedy, Horror
Released: 01 Jun 1967
|Plot: A noted professor and his dim-witted apprentice fall prey to their inquiring vampires, while on the trail of the ominous damsel in distress.
Denholm Elliott (Mystery and Imagination, 1968)
|Mystery and Imagination (1966)
|Rating: 7.9/10 (28 votes)
Director: N/A
Writer: N/A
Stars: David Buck, Freddie Jones, Robert Hunter, Mark Moss
Runtime: 1 h 15 min
Rated: N/A
Genre: Drama, Horror, Mystery
Released: 29 Jan 1966
|Plot: A British anthology series based on classic ghost stories and chillers from M. R. James, Poe, Algernon Blackwood...
Jack Palance (Bram Stoker's Dracula, 1974)
|Bram Stoker's Dracula (1974)
|Rating: 6.2/10 (726 votes)
Director: Dan Curtis
Writer: Richard Matheson
Stars: Jack Palance, Simon Ward, Nigel Davenport, Pamela Brown
Runtime: 1 h 40 min
Rated: K-18
Genre: Horror
Released: 08 Feb 1974
|Plot: N/A
Udo Kier (Andy Warhol's Dracula, 1974)
|Andy Warhol's Dracula (1974)
|Rating: 6.0/10 (3,238 votes)
Director: Paul Morrissey
Writer: Paul Morrissey
Stars: Joe Dallesandro, Udo Kier, Vittorio De Sica, Maxime McKendry
Runtime: 1 h 46 min
Rated: R
Genre: Horror
Released: 27 Nov 1974
|Plot: Udo Kier is without a doubt the sickliest of vampires in any director's interpretation of the Bram Stoker tale...
Frank Langella (Dracula, 1979)
|Dracula (1979)
|Rating: 6.2/10 (5,131 votes)
Director: John Badham
Writer: Bram Stoker, Hamilton Deane
Stars: Frank Langella, Laurence Olivier, Donald Pleasence, Kate Nelligan
Runtime: 1 h 49 min
Rated: R
Genre: Horror, Romance
Released: 20 Jul 1979
|Plot: Romanticized adaptation of Bram Stoker's 1897 classic. Set in 1913 England, the bloodsucking, but handsome, charming and seductive, Count Dracula seeks an immortal bride.
George Hamilton (Love at First Bite, 1979)
|Love at First Bite (1979)
|Rating: 5.9/10 (3,225 votes)
Director: Stan Dragoti
Writer: Robert Kaufman, Robert Kaufman
Stars: George Hamilton, Susan Saint James, Richard Benjamin, Dick Shawn
Runtime: 1 h 34 min
Rated: PG
Genre: Horror, Comedy, Romance
Released: 27 Apr 1979
|Plot: This vampire spoof has Count Dracula moving to New York to find his Bride, after being forced to move out of his Transylvanian castle...
Klaus Kinski (Nosferatu the Vampyre, 1979)
|Nosferatu the Vampyre (1979)
|Rating: 7.5/10 (15,796 votes)
Director: Werner Herzog
Writer: Werner Herzog
Stars: Klaus Kinski, Isabelle Adjani, Bruno Ganz, Roland Topor
Runtime: 1 h 36 min
Rated: PG
Genre: Horror
Released: 17 Jan 1979
|Plot: Jonathan and Lucy live in Wismar and the Count wants a house there. Varna is a port on the Black Sea, close to Dracula's castle.
Duncan Regehr (The Monster Squad, 1987)
|The Monster Squad (1987)
|Rating: 7.0/10 (12,556 votes)
Director: Fred Dekker
Writer: Shane Black, Fred Dekker
Stars: Andre Gower, Robby Kiger, Stephen Macht, Duncan Regehr
Runtime: 1 h 22 min
Rated: PG-13
Genre: Action, Comedy, Fantasy, Horror, Sci-Fi
Released: 14 Aug 1987
|Plot: Dracula is alive. In fact, he plans to rule the world and that is why he seeks the help of other legendary monsters...
Gary Oldman (Bram Stoker's Dracula, 1992)
|Dracula (1992)
|Rating: 7.4/10 (100,078 votes)
Director: Francis Ford Coppola
Writer: Bram Stoker, James V. Hart
Stars: Gary Oldman, Winona Ryder, Anthony Hopkins, Keanu Reeves
Runtime: 2 h 8 min
Rated: R
Genre: Drama, Horror, Romance
Released: 13 Nov 1992
|Plot: The vampire comes to England to seduce a visitor's fiancée and inflict havoc in the foreign land.
Leslie Nielsen (Dracula: Dead and Loving It, 1995)
|Dracula: Dead and Loving It (1995)
|Rating: 5.4/10 (21,019 votes)
Director: Mel Brooks
Writer: Mel Brooks, Rudy De Luca
Stars: Leslie Nielsen, Mel Brooks, Peter MacNicol, Steven Weber
Runtime: 1 h 28 min
Rated: PG-13
Genre: Comedy, Fantasy, Horror
Released: 22 Dec 1995
|Plot: Mel Brooks' parody of the classic vampire story and its famous film adaptations.
Gerard Butler (Dracula 2000, 2000)
|Dracula 2000 (2000)
|Rating: 4.7/10 (21,529 votes)
Director: Patrick Lussier
Writer: Joel Soisson, Patrick Lussier
Stars: Gerard Butler, Justine Waddell, Jonny Lee Miller, Christopher Plummer
Runtime: 1 h 39 min
Rated: R
Genre: Horror, Thriller
Released: 22 Dec 2000
|Plot: A group of thieves break into a chamber expecting to find paintings, but instead they release the count himself, who travels to New Orleans to find his nemesis' daughter, Mary Van Helsing.
Wei-Qiang Zhang (Dracula: Pages From a Virgin's Diary, 2002)
|Dracula: Pages from a Virgin's Diary (2002)
|Rating: 6.9/10 (1,312 votes)
Director: Guy Maddin
Writer: Bram Stoker, Mark Godden
Stars: Wei-Qiang Zhang, Tara Birtwhistle, David Moroni, CindyMarie Small
Runtime: 1 h 13 min
Rated: 12A
Genre: Comedy, Horror, Musical
Released: 12 Dec 2003
|Plot: A ballet rendition of Bram Stoker's gothic novel DRACULA, presented in a style reminiscent of the silent...
Dominic Purcell (Blade: Trinity, 2004)
|Blade: Trinity (2004)
|Rating: 5.8/10 (90,169 votes)
Director: David S. Goyer
Writer: David S. Goyer, Marv Wolfman
Stars: Wesley Snipes, Kris Kristofferson, Parker Posey, Ryan Reynolds
Runtime: 2 h 2 min
Rated: Unrated
Genre: Action, Adventure, Fantasy, Horror, Sci-Fi, Thriller
Released: 08 Dec 2004
|Plot: Blade, now a wanted man by the FBI, must join forces with the Nightstalkers to face his most challenging enemy yet: Dracula
Richard Roxburgh (Van Helsing, 2004)
|Van Helsing (2004)
|Rating: 5.8/10 (128,382 votes)
Director: Stephen Sommers
Writer: Stephen Sommers
Stars: Hugh Jackman, Kate Beckinsale, Richard Roxburgh, Shuler Hensley
Runtime: 2 h 11 min
Rated: PG-13
Genre: Action, Adventure, Fantasy, Mystery, Thriller
Released: 07 May 2004
|Plot: The notorious monster hunter is sent to Transylvania to stop Count Dracula who is using Dr. Frankenstein's research and a werewolf for some sinister purpose.
Marc Warren (Dracula, 2006)
|Dracula (2006)
|Rating: 5.2/10 (969 votes)
Director: Bill Eagles
Writer: Stewart Harcourt, Bram Stoker
Stars: David Suchet, Marc Warren, Dan Stevens, Sophia Myles
Runtime: 1 h 30 min
Rated: MA
Genre: Horror
Released: 11 Feb 2007
|Plot: The Romanian count known as Dracula is summoned to London by Arthur Holmwood. A young Lord who is one the verge of being wed...
Adam Sandler (Hotel Transylvania, 2012)
|Hotel Transylvania (2012)
|Rating: 7.0/10 (76,503 votes)
Director: Genndy Tartakovsky
Writer: Peter Baynham, Robert Smigel
Stars: Adam Sandler, Kevin James, Andy Samberg, Selena Gomez
Runtime: 1 h 31 min
Rated: PG
Genre: Animation, Comedy, Family, Fantasy
Released: 28 Sep 2012
|Plot: Dracula, who operates a high-end resort away from the human world, goes into overprotective mode when a boy discovers the resort and falls for the count's teen-aged daughter.
In a recent open question on the Vampire Source Official Facebook Fan Page, we asked our audience to list their favorite Dracula performances. As expected, among the favorites were Gary Oldman, Bela Lugosi, Max Schreck, and Christopher Lee. And some admittedly had a soft spot for Frank Langella.
Bonus: Actors Who Will Play DraculaAs an added bonus, we're going to give you a sneak peek at a few of the actors who are slated to play Dracula in the future. Can any of them hold a candle to the classics and fan favorites? Only time will tell, but the odds are looking very good.
Jonathan Rhys Meyers (NBC's Dracula, 2013)
The Scoop:
This October, NBC is presenting their own interpretation of Bram Stoker's classic tale, starring Jonathan Rhys Meyers (The Tudors). Like Coppola's film in 1992, NBC will draw inspiration from the real life mystery and violence surrounding Vlad Tepes (aka Vlad Dracula and Vlad the Impaler) for their version of the story. Additionally, they're planning on going further into the mystery of The Order of the Dragon itself than we've ever seen before.
The Buzz:By network standards, this dark and extremely sexy version is projected to be the next big thing.
Luke Evans (Dracula Untold, 2014)
The Scoop:
From Christoper Nolan's The Dark Knight Trilogy to Man of Steel to The Amazing Spiderman to shows like the CW's Arrow and Da Vinci's Demons on Starz, origin stories are all the rage these days. How are our heroes and monsters born? Where do they come from, and what propels them on the path to good or evil? Dracula Untold, directed by Gary Shore and set for release in October 2014, takes us further into the origins of Dracula than ever before. Again, drawing from the legend and life of Vlad Tepes, this film aims to make us forget about Bram Stoker's story and focus on the man behind the monster.
The Buzz:
We have a full year to go, but our sources say this is one to keep an eye on.
Russell Crowe (Harker, TBD)
The Scoop:
The big news last year was that Russell Crowe and director Eli Roth were both attached to the Leonardo DiCaprio produced film Harker - with Crowe slated to play Dracula. Written by Lee Shipman and Brian McGreevy (both also attached to Roth's hit series Hemlock Grove on Netflix), this story focuses on Jonathan Harker in a Sherlock-esque role. Rather than the hapless and confused man he typically is, Harker is re-imagined here as a detective in Scotland Yard, investigating the mystery of this infamous vampire. Promising shades of Jack the Ripper will also factor in.
The Buzz:
Still categorized as in pre-production, once this film gets off the ground (and finally casts its Harker), it will be one you won't want to miss.There you have it. 24 actors, one legend. Have you had enough?
We haven't.
Stay tuned as we continue to look forward to NBC's premiere of Dracula on October 25th at 10/9c, Dracula Untold, Harker - and all the adaptations to follow.


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You are at the first episode
Episode 1 of 2
Don Letts reveals how the Rastafari movement helped Jamaica recover a lost identity after years of British colonial rule and had a profound effect on Jamaican music, culminating in one of the most exciting periods in roots reggae.
At one time Jamaica was a place of feel-good sunshine vibes but as grinding poverty, high crime rates and violence hit the island in the 1970s, the music became darker and introspective. It provided a voice for the poor and the oppressed and became a global phenomenon in the process.
We all know Bob Marley as the world's most famous Rastafarian but his story is well documented and often overshadows a wealth of talent from a golden period of roots reggae music. This is the story of other Rastafarian artists and bands like Burning Spear, Max Romeo, Johnnie Clarke, Little Roy, Lee "Scratch" Perry, Big Youth, The Mighty Diamonds, Black Uhuru and Culture. And the documentary also covers how the Roots and Rasta message found its way to the UK, spawning British based reggae bands such as Steel Pulse and Matumbi.
The documentary was first broadcast in 2007 and features interviews with reggae legends such as Max Romeo, Johnny Clarke, Stephen Marley, The Abyssinians, The Mighty Diamonds, Steel Pulse, Matumbi, Rankin' Miss P, Rico Rodriguez, Tappa Zukie and Luciano.
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October 8
Capital University Music Technology Department hosts Larry Groupé, Hollywood film composer
October 9
Capital University To Present an Evening with Dennis Lehane
October 9 - October 12
Capital University Theatre presents: CHOCOLAT
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Thursday, March 17, 2011
Sap Is Rising... Adventures in Maple Sugaring
Posted by Eve Fox at 10:34 AM
Labels: make your own maple syrup, making maple syrup, maple sugar, maple sugaring, maple sugaring season, maple trees, tapping maple trees, thaw
6 comments:
- Shannon Marie said...
First of all, I'm ruefully jealous. One of my flavor obsessions is maple syrup. I wish I could experience the tapping and boiling firsthand as you did. What an incredible experience! In fact, one of my most recent posts was Candied Bacon, which uses maple syrup to "candy" the salty bacon. How did you get maple sugar? Was it boiled too long or not enough? It almost looks like crystalized honey!
- March 17, 2011 at 12:05 PM
- Eve Fox said...
maple and bacon is truly a great combo... we boiled it too long, I believe.
- March 17, 2011 at 1:09 PM
- Sayschnicklefritz said...
That looks like crazy fun (provided one isn't trying to make a living from it). It seems bonkers taht you can just ram a spout into a tree and get the makings of maply syrup. I'm looking forward to reading about your continued experimentation.
- March 17, 2011 at 1:19 PM
- Kirsten Lindquist said...
wow, so jealous! I had friends in Minnesota who did this but never in on the action. can't wait to hear more!
- March 17, 2011 at 5:38 PM
- Jess said...
I've always had the dream of tapping maples. Sounds like the process was a lot of fun!
- March 18, 2011 at 6:43 PM
- Peter said...
My first batch was only 2 gallons, so I kept it boiling even longer and we ended up with maple candy. Chewy awesomeness.
- March 21, 2011 at 7:27 PM


text:
Department of Biological Flow
Three Lines for Plant Activation
motion study and video
Department of Biological Flow
Department of Biological Flow
Writ Discrete
former Northern Telecom cable production plant
Kingston, ON
- - -
Negentropic gesture. A fragile yarn structure forms a fluid grid of red sensors or offers subtle shade from the surveillant camera above. The two artists, blindfolded and tied to the four directions at the wrists and ankles by jute twine, begin to write or dance.
infrared device
- - -
"The I-R.A.S.C. is an infrared device, which protects against infrared surveillance cameras. It can be made by anybody; no special skills are required. The device radiates infrared light disrupting the reception of infrared surveillance cameras. A sphere of light covers the face of the person under surveillance and as the interaction is invisible to the human eye (at a frequency between 780nm and 1mm), the individual is unaware of what is going on i.e. they don't see the infrared rays emitted by either the surveillance camera or the I-R.A.S.C."
Ryan Tippery
Face Blindness
coloured pencil illustrations
when selene comes
digital photograph
Department of Biological Flow
RGB (Retinal Ganzfeld Bitcast)
reworked sisal and steel wire
in process
- - -
"The Ganzfeld effect (from German for 'complete field') is a phenomenon of visual perception caused by staring at an undifferentiated and uniform field of color. The effect is described as the loss of vision as the brain cuts off the unchanging signal from the eyes. The result is 'seeing black' - apparent blindness. … The Ganzfeld effect is the result of the brain amplifying neural noise in order to look for the missing visual signals. The noise is interpreted in the higher visual cortex, and gives rise to hallucinations. This is similar to dream production because of the brain's state of sensory deprivation during sleep."


text:
10/6/2010, Düsseldorf / Germany
World Conference on Detergents in Montreux
|Download: web print
Sustainable Consumption: Henkel CEO Kasper Rorsted Appeals for Coordinated Action
"The world population is growing, the average standard of living is rising and, with this, so is resource consumption. Given this general trend, the question facing the entire industry is one of abstinence or innovation."
For Rorsted, the key to sustainable consumption lies in innovative products and processes able to offer the same or better performance while consuming ever less in the way of resources. If all those involved – from the raw material suppliers to the end consumers – were to play their part, it would be possible to increase performance by 50 percent while also reducing the ecological footprint by 50 percent – hence improving resource efficiency overall by a factor of 3.
The World Conference on Detergents in Montreux, the seventh of its kind since 1977, ends on October 7. The event sees representatives of all the leading detergent manufacturers and raw material suppliers joining with scientists and academics to discuss "New Strategies in a Dynamic Global Economy".
You can find further information on Kasper Rorsted's presentation, further conference information and photos in the press folder at: http://www.henkel.com/press
Henkel provides extensive information on sustainability and corporate social responsibility, plus all the relevant rankings and ratings, on its website www.henkel.com/sustainability.
Henkel AG & Co. KGaA


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Sodastream: Quick & Easy Sparkling Water at Home
When Sara and I ate at Chez Panisse (in the cafe) two years ago, they brought sparking water to the table. Rather than serve it in glass bottles (i.e. Pellegrino) that would instantly become waste, they carbonated it themselves and served it in lovely glass carafes...
The pics above are actually from our Italy trip last June, where we found a restaurant that did the same thing. This was the most elegant presentation I've yet seen, and one that I wanted to try to recreate at home. Alas, I had no good home solution to do the carbonating.
BUT, today I want to share with you a new fave product, with which I believe I've finally found the answer (so far) to accommodating my love of fizzy water at home (and office), while keeping waste down to a minimum. I was over at Green Depot a few weeks ago and picked up this slim, Sodastream sparkling water maker. The intro pack comes with gas carbonator, two bottles and the thing that holds them all together ($99).
The carbonators last a long time (110 liters - we haven't gone through ours yet) and they are returnable for refills so that you can close the loop and minimize waste. I've been testing them in the office where all of us drink a lot of this stuff.
So far so good! I've finally got a solution that will allow us to replace all the glass sparkling water bottles we used to go through, which have since been replaced by plastic sparkling water bottles. Now all I have to do is find an elegant carafe.
>> SodaStreamUSA.com
>> Sodastream at GreenDepot
>> AT on: Letting Go of Bottled Imported Mineral Water
>> How To: Make Soda Water at Home
posted originally from: AT:New York
4 Comments
for $20 my husband got the valves and tubing necessary to turn his CO2 tank for kegging beer into a sparkling water maker. Very handy, it works best with very cold water. It comes out to about 15 cents a bottle.
We used Sodastreams as kids, adding flavour to the water for fizzy drinks. Nice to see they're coming back into fashion.
This is a great idea; however, I don't really understand how replacing glass bottles with plastic bottles is a "green" solution...
Just out of college, the local bar got one of these. We had plenty of fun carbonating both the well booze and the wine list.


text:
Green Hill Apartments1930 Natchez St, Knoxville, TN 37915 View On Map
For rates, availability, and other information fill out the availability request form and a representative from Green Hill Apartments will contact you shortly
Green Hill Apartments is located in the Knoxville Area in the 37915 zip code. View this apartment on a map.
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Warren-Tricomi Style Volumizing Conditioner
IngredientsWater (Aqua), Behentrimonium Methosulfate, Lactamide MEA, Stearalkonium Chloride, Cetearyl Ethylhexanoate, Cetyl Alcohol, Cetrimonium Chloride, Xanthan Gum, Olea Europaea (Olive) Fruit Oil, Hydrolyzed Wheat Protein, Dimethicone, Polyquaternium-10, Propylene Glycol, Dipalmitoylethyl Dimonium Chloride, PEG-75 Lanolin, Anthemis Nobilis (Chamomile) Flower Extract, Geranium Maculatum (Geranium) Extract, Rosmarinus Officinalis (Rosemary) Leaf Extract, Hydrastis Canadensis (Golden Seal) Extract, Humulus Lupulus (Hops) Extract, Hamamelis Virginiana (Witch Hazel) Root, Methylparaben, Diazolidinyl Urea, Propylparaben, Fragrance (Parfum), Alpha-Isomethyl Ionone, Benzyl Salicylate, Butylphenyl Methylpropional (Lilial), Citronellol, Coumarin, Geraniol, Limonene, Blue 1 (CI 42090), Yellow 5 (CI 19140)
Warren-Tricomi Style Volumizing Conditioner works to condition and thicken hair to add fullness and body in addition to humidity control properties.
- Infuses hair with advanced styling technology system containing humidity control properties with natural extracts of Rosemary, Geranium, Hops and Witch Hazel.
- Designed for fine to normal hair; safe for color-treated hair.
After cleansing with Warren-Tricomi Style Volumizing Shampoo, apply all over, combing through with the fingers from the ends up. Rinse thoroughly.
Folica stands behind the authenticity of everything we sell. Since 1998, Folica has made it our mission to provide you with an outstanding selection of hair and beauty products at highly competitive prices.
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This conditioner is very nice! I used it along with the Warren-Tricomi volumizing shampoo. My fine, thin, dry, color-treated hair feels silky smooth after use, and does not feel weighed down at all.… Read More
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Warren-Tricomi Style Flexible Hairspray
Warren-Tricomi Style Flexible Hairspray provides exceptional all-day hold that leaves hair looking natural while adding strength, volume and shine.New Price:Discontinued
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Warren-Tricomi Fix 2-Pack Hair Strengthening Treatment System is a weekly treatment containing the award winning PURESTRENGTH formula to strengthen the hair shaft and moisturize by infusing hair with natural plant extracts and nourishing vitamins.New Price:


text:
Time to tackle the moss on your lawn
I have a love/hate relationship with grass. I love the look, I love the smell, I hate the cutting. But grass is synonymous with Ireland and I feel every garden should have a patch no matter how small. We are, after all, the Green Isle.


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Was £13.00 - £19.00
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Girl's navy cherry printed playsuit
Item No.2320208002
From our great value range of designer exclusives from bluezoo, this beautiful printed playsuit is an essential. Made from a lightweight jersey fabric, this navy blue playsuit comes with an all over cherry print, short sleeves and part button fastening to the front. Great with chunky jewellery and pumps.
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CHICAGO - AUGUST 03: Singer/songwriter Michael Kingcaid of What Made Milwaukee Famous performs onstage at the 2008 Lollapalooza music festival at Grant Park on August 3, 2008 in Chicago. (Photo by Roger Kisby/Getty Images)
I have been looking forward to this weekend all week. When I first heard that What Made Milwaukee Famous was coming to town, I had to do a double take. Singer Michael Kingkaid has been to San Diego once or twice in the last few years, but it has been so long since the band has toured through town that I didn't think they were still together. The good news is that they are, and it appears the tour was booked so last-minute that the show will actually be an early one, with doors at 6 p.m. at the Soda Bar. That means you can still find time to catch a later show, whether that's Hargo at the Casbah, One I Red at the Void, or just make it a double header and stay for the Seapony show later at Soda Bar. There are great choices all over town, so live a little and see some live music.
Friday, Feb. 8:
Rosemary Bystrak writes about the San Diego music scene, events and general musings about life in San Diego on San Diego: Dialed In. Follow her updates on Twitter or contact her directly.


text:
Bon Marche
This listing is about Bon Marche in Omagh, County Tyrone.
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Bon Marche
- 9 Main Street
- N Ireland
- Omagh
- County Tyrone
- Tel: 02882 258384
- Web: http://www.bonmarche.co.uk
[ report an error ] About the company
Bon Marche is a women's clothing store at 9 Main Street in the County Tyrone town of Omagh. Bon Marche can be contacted on 02882 258384.
[ report an error ] From their website
Find out more from their website. [ disclaimer ]
Bonmarché - everyday great value. With 370 stores in the UK it's so easy to find us.
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Unprofessional Fridays: 09/19/2014
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This odd Wii U collaboration plays like a guided tour of The Legend of Zelda's most iconic locations and characters. The price of admission? Playing a bunch of Dynasty Warriors.
Destiny is a beautiful but hollow experience with most of the pieces you'd expect from a great multiplayer shooter. It just can't find a way to fit them all together.
Whatever steps forward NHL 15 has taken in visual presentation hardly make up for the alarming gutting of many of the series' best features.
Character »
SEAL Attack buggy in SOCOM 3: U.S. Navy SEALs.
The M14 is a powerful rifle that fires 7.62mm NATO ammunition. Introduced in 1957, the M14 saw extensive use as the U.S. Military's Main Combat Rifle for a brief period, and still appears in Military use for specialized roles today.
A modified version of the M16A1. This model features a new adjustable rear sight and a 3-round burst setting instead of the fully automatic setting. It's accuracy, lightweight nature, and easy, tool free maintenance makes it extremely popular with military forces, though it was mostly replaced by M16A4 and M4.
A great spread rifle which on full auto will leave nothing but empty shells! First introduce in SOCOM II: U.S. Navy SEALs.
One of the best terrorist only weapons in SOCOM: U.S. Navy SEALs. Good damage, good fire rate, good accuracy, mediocre range.
The SOC-R is a SEAL Assault boat first introduced in SOCOM 3: U.S. Navy SEALs with a .50 cal on the front, a grenade launcher on the back and several spots for other team members to shoot from.
One of the best automatic machine guns in SOCOM: U.S Navy SEALs, with it's first appearance in SOCOM 3; it goes best with a front grip and suppressor 1.
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If you think the members of the boy band sensation One Direction are shallow pop stars who have no interest in the music of the past, think again: at least one of the five guys in the group was practically jumping for joy because he got to meet the Eagles.
The Eagles were recently in London to promote their documentary History of the Eagles, which is where One Direction member Niall Horan -- he's the blonde Irish guy in the group -- ran into them. The starstruck 19-year-old tweeted , "I met my all time music heroes today 'the eagles' ! Well two of them! Don Henley and Timothy b schmit!" He then added the hashtag "#goosebumps," and included a photo of himself grinning ear-to-ear, standing between Don and Timothy.
Later, Niall checked out the Eagles' documentary, and tweeted , "Sittin at home watching the new eagles movie! Holy crap the eagles are soo good! like, its not even right how good they are!"
It's nice to know that young performers have respect for their elders, especially Niall. Last year, he was spotted at a Who concert in New York City and has said that he also enjoys Bon Jovi .
Copyright 2013 ABC News Radio


text:
Thursday, June 12, 2014
vitatops study
Saturday, May 17, 2014
Fingolimod and atrial fibrillation
Friday, April 04, 2014
IV thrombolysis and renal disease
Studied 4780 ivt treated patients, of whom 25.5 % had a low GFR below 60 mL/min. Low GFR was significantly associated with poor 3 month outcome death and sICH; lower GFR "might be a better risk indicator than age" and a decrease by 10 mL/min/1.73 m@ has a similar impact on death or SIC as one point on the NIHSS
IV tpa is safe in Chagas disease related strokes
editor note: does not apply to those with known Chagas disease vasculitis, and a small number was studied, and positive serology is different than having severe disease
Saturday, February 08, 2014
Monday, January 06, 2014
Syndrome of the trephined
Saturday, July 27, 2013
Abcd2 and stroke risk
Thursday, July 11, 2013
Cardiac papillary fibroelastoma: A comprehensive
An infrequent type of stroke with an unusual cause and successful therapy: basilar artery occlusion caused by a cardiac papillary fibroelastoma recanalized 12 hours after onset [In Process Citation]
Intern Med (Japan), 2013, 52(2) p277-9
Etiology and treatment of ischaemic stroke in patients with (sup)-thalassemia major.
Friday, June 07, 2013
anticoagulation in acute stroke
Tuesday, April 09, 2013
Hemorrhagic transformation in patients with acute ischaemic stroke and an indica
Tuesday, March 05, 2013
MR Rescue NEJM 2013
Whether brain imaging can identify patients who are most likely to benefit from
therapies for acute ischemic stroke and whether endovascular thrombectomy improves
clinical outcomes in such patients remains unclear.
In this study, we randomly assigned patients within 8 hours after the onset of largevessel,
anterior-circulation strokes to undergo mechanical embolectomy (Merci
Retriever or Penumbra System) or receive standard care. All patients underwent
pretreatment computed tomography or magnetic resonance imaging of the brain.
Randomization was stratified according to whether the patient had a favorable
penumbral pattern (substantial salvageable tissue and small infarct core) or a nonpenumbral
pattern (large core or small or absent penumbra). We assessed outcomes
using the 90-day modified Rankin scale, ranging from 0 (no symptoms) to 6 (dead).
Among 118 eligible patients, the mean age was 65.5 years, the mean time to enrollment
was 5.5 hours, and 58% had a favorable penumbral pattern. Revascularization
in the embolectomy group was achieved in 67% of the patients. Ninety-day mortality
was 21%, and the rate of symptomatic intracranial hemorrhage was 4%; neither rate
differed across groups. Among all patients, mean scores on the modified Rankin
scale did not differ between embolectomy and standard care (3.9 vs. 3.9, P = 0.99).
Embolectomy was not superior to standard care in patients with either a favorable
penumbral pattern (mean score, 3.9 vs. 3.4; P = 0.23) or a nonpenumbral pattern
(mean score, 4.0 vs. 4.4; P = 0.32). In the primary analysis of scores on the 90-day
modified Rankin scale, there was no interaction between the pretreatment imaging
pattern and treatment assignment (P = 0.14).
A favorable penumbral pattern on neuroimaging did not identify patients who would
differentially benefit from endovascular therapy for acute ischemic stroke, nor was
embolectomy shown to be superior to standard care. (Funded by the National Institute
of Neurological Disorders
IMS 3 article
t-PA versus t-PA Alone for Stroke
Joseph P. Broderick, M.D., Yuko Y. Palesch, Ph.D., Andrew M. Demchuk, M.D., et al NEJM 2013
Endovascular therapy is increasingly used after the administration of intravenous tissue
plasminogen activator (t-PA) for patients with moderate-to-severe acute ischemic
stroke, but whether a combined approach is more effective than intravenous t-PA
alone is uncertain.
We randomly assigned eligible patients who had received intravenous t-PA within
3 hours after symptom onset to receive additional endovascular therapy or intravenous
t-PA alone, in a 2:1 ratio. The primary outcome measure was a modified
Rankin scale score of 2 or less (indicating functional independence) at 90 days
(scores range from 0 to 6, with higher scores indicating greater disability).
The study was stopped early because of futility after 656 participants had undergone
randomization (434 patients to endovascular therapy and 222 to intravenous t-PA
alone). The proportion of participants with a modified Rankin score of 2 or less at
90 days did not differ significantly according to treatment (40.8% with endovascular
therapy and 38.7% with intravenous t-PA; absolute adjusted difference, 1.5 percentage
points; 95% confidence interval [CI], −6.1 to 9.1, with adjustment for the National
Institutes of Health Stroke Scale [NIHSS] score [8–19, indicating moderately severe
stroke, or ≥20, indicating severe stroke]), nor were there significant differences for
the predefined subgroups of patients with an NIHSS score of 20 or higher (6.8
percentage points; 95% CI, −4.4 to 18.1) and those with a score of 19 or lower (−1.0
percentage point; 95% CI, −10.8 to 8.8). Findings in the endovascular-therapy and
intravenous t-PA groups were similar for mortality at 90 days (19.1% and 21.6%, respectively;
P = 0.52) and the proportion of patients with symptomatic intracerebral hemorrhage
within 30 hours after initiation of t-PA (6.2% and 5.9%, respectively; P = 0.83).
The trial showed similar safety outcomes and no significant difference in functional
independence with endovascular therapy after intravenous t-PA, as compared with
intravenous t-PA alone. (Funded by the National Institutes of Health and others;
ClinicalTrials.gov number, NCT00359424.)
Synthesis trial
In patients with ischemic stroke, endovascular treatment results in a higher rate of
recanalization of the affected cerebral artery than systemic intravenous thrombolytic
therapy. However, comparison of the clinical efficacy of the two approaches is
We randomly assigned 362 patients with acute ischemic stroke, within 4.5 hours
after onset, to endovascular therapy (intraarterial thrombolysis with recombinant
tissue plasminogen activator [t-PA], mechanical clot disruption or retrieval, or a
combination of these approaches) or intravenous t-PA. Treatments were to be given
as soon as possible after randomization. The primary outcome was survival free of
disability (defined as a modified Rankin score of 0 or 1 on a scale of 0 to 6, with
0 indicating no symptoms, 1 no clinically significant disability despite symptoms,
and 6 death) at 3 months.
A total of 181 patients were assigned to receive endovascular therapy, and 181 intravenous
t-PA. The median time from stroke onset to the start of treatment was
3.75 hours for endovascular therapy and 2.75 hours for intravenous t-PA (P<0.001).
At 3 months, 55 patients in the endovascular-therapy group (30.4%) and 63 in the
intravenous t-PA group (34.8%) were alive without disability (odds ratio adjusted for
age, sex, stroke severity, and atrial fibrillation status at baseline, 0.71; 95% confidence
interval, 0.44 to 1.14; P = 0.16). Fatal or nonfatal symptomatic intracranial
hemorrhage within 7 days occurred in 6% of the patients in each group, and there
were no significant differences between groups in the rates of other serious adverse
events or the case fatality rate.
The results of this trial in patients with acute ischemic stroke indicate that endovascular
therapy is not superior to standard treatment with intravenous t-PA. (Funded
by the Italian Medicines Agency, ClinicalTrials.gov number, NCT00640367.)
Tuesday, December 25, 2012
Renal Dysfunction as a Predictor of Stroke and Systemic Embolism in Patients wit
Renal Dysfunction as a Predictor of Stroke and Systemic Embolism in Patients with Nonvalvular Atrial Fibrillation: Validation of the R2CHADS2 Index in the ROCKET AF and ATRIA Study Cohorts; Piccini JP, Stevens SR, Chang Y, Singer DE, Lokhnygina Y, Go AS, Patel MR, Mahaffey KW, Halperin JL, Breithardt G, Hankey GJ, Hacke W, Becker RC, Nessel CC, Fox KA, Califf RM; Circulation (Dec 2012)BACKGROUND: We sought to define the factors associated with the occurrence of stroke and systemic embolism in a large, international atrial fibrillation (AF) trial. METHODS AND RESULTS: In ROCKET AF, 14,264 patients with nonvalvular AF and creatinine clearance (CrCl) ≥30 mL/min were randomized to rivaroxaban or dose-adjusted warfarin. Cox proportional hazards modeling was used to identify factors at randomization independently associated with the occurrence of stroke or non-central nervous system (CNS) embolism based on intention-to-treat analysis. A risk score was developed in ROCKET AF and validated in ATRIA, an independent AF patient cohort. Over a median follow-up of 1.94 years, 575 (4.0%) patients experienced primary endpoint events. Reduced CrCl was a strong, independent predictor of stroke and systemic embolism, second only to prior stroke or transient ischemic attack (TIA). Additional factors associated with stroke and systemic embolism included elevated diastolic blood pressure and heart rate, and vascular disease of the heart and limbs (C-index 0.635). A model including CrCl (R(2)CHADS(2)) improved net reclassification index (NRI) by 6.2% when compared with CHA(2)DS(2)VASc (C-statistic=0.578) and 8.2% when compared with CHADS(2) (C-statistic=0.575). The inclusion of estimated glomerular filtration rate<60 and prior stroke or TIA in a model with no other covariates led to a C-statistic of 0.590. Validation of R(2)CHADS(2) in an external, separate population improved NRI by 17.4% (95% CI 12.1-22.5%) relative to CHADS(2). CONCLUSIONS: In patients with nonvalvular AF at moderate to high risk of stroke, impaired renal function is a potent predictor of stroke and systemic embolism. Stroke risk stratification in patients with AF should include renal function. CLINICAL TRIAL REGISTRATION INFORMATION: ClinicalTrials.gov; Unique identifier: NCT00403767.
FDA: Don't use dabigatran with mechanical valves
ROCKVILLE, Md -- December 20, 2012 -- The US Food and Drug Administration (FDA) is informing healthcare professionals and the public that the anticoagulant dabigatran etexilate mesylate (Pradaxa) should not be used to prevent stroke or blood clots in patients with mechanical prosthetic heart valves.
A clinical trial in Europe (RE-ALIGN) was recently stopped because dabigatran users were more likely to experience strokes, heart attacks, and blood clots forming on the mechanical heart valves than were warfarin users. There was also more bleeding after valve surgery in the dabigatran group versus the warfarin group.
Dabigatran is not approved for patients with atrial fibrillation caused by heart valve problems.
The FDA is requiring a contraindication of dabigatran in patients with mechanical heart valves. Health care professionals should promptly transition any patient with a mechanical heart valve who is taking dabigatran to another medication.
The use of dabigatran in patients with bioprosthetic valves has not been evaluated and cannot be recommended.
Patients with all types of prosthetic heart valve replacements taking dabigatran should talk to their health care professional as soon as possible to determine the most appropriate anticoagulation treatment.
Data Summary
In the RE-ALIGN trial, patients with bileaflet mechanical prosthetic heart valves (recently implanted or implanted more than 3 months prior to enrolment) were randomised to receive warfarin or dabigatran (150, 220, or 300 mg twice-daily). Initial dosing of dabigatran was determined by renal function. In the warfarin group, the target international normalized ratio (INR) was 2 to 3 or 2.5 to 3.5, depending on the presence of risk factors and the position of the mechanical prosthetic heart valve.
The study was terminated early because the dabigatran arm had significantly more thromboembolic events (valve thrombosis, stroke, and myocardial infarction) and major bleeding (predominantly postoperative pericardial effusions requiring intervention for hemodynamic compromise) than did the warfarin arm. These bleeding and thromboembolic events were reported in patients who were initiated on dabigatran postoperatively within 3 days after mechanical bileaflet valve implantation and in patients whose valves had been implanted more than 3 months previously.
Adverse events should be reported to the FDA's MedWatch program:
1-800-FDA-0178 Fax
Report a Serious Problem
MedWatch Online
Download Forms
Regular Mail: Use postage-paid
Mail to: MedWatch 5600 Fishers Lane
Rockville, MD 20857
Tuesday, November 06, 2012
Atenolol improves outcome in ICH
Saturday, September 29, 2012
warfarin v. dabigatran RE-LY trial
Intracranial Hemorrhage in Atrial Fibrillation Patients During Anticoagulation With Warfarin or Dabigatran: The RE-LY Trial; Hart RG, Diener HC, Yang S, Connolly SJ, Wallentin L, Reilly PA, Ezekowitz MD, Yusuf S; Stroke (Apr 2012)
BACKGROUND AND PURPOSE: Intracranial hemorrhage is the most devastating complication of anticoagulation. Outcomes associated with different sites of intracranial bleeding occurring with warfarin versus dabigatran have not been defined. METHODS: Analysis of 18 113 participants with atrial fibrillation in the Randomized Evaluation of Long-term anticoagulant therapY (RE-LY) trial assigned to adjusted-dose warfarin (target international normalized ratio, 2-3) or dabigatran (150 mg or 110 mg, both twice daily). RESULTS: During a mean of 2.0 years of follow-up, 154 intracranial hemorrhages occurred in 153 participants: 46% intracerebral (49% mortality), 45% subdural (24% mortality), and 8% subarachnoid (31% mortality). The rates of intracranial hemorrhage were 0.76%, 0.31%, and 0.23% per year among those assigned to warfarin, dabigatran 150 mg, and dabigatran 110 mg, respectively (P<0.001 for either dabigatran dose versus warfarin). Fewer fatal intracranial hemorrhages occurred among those assigned dabigatran 150 mg and 110 mg (n=13 and n=11, respectively) versus warfarin (n=32; P<0.01 for both). Fewer traumatic intracranial hemorrhages occurred among those assigned to dabigatran (11 patients with each dose) compared with warfarin (24 patients; P<0.05 for both dabigatran doses versus warfarin). Independent predictors of intracranial hemorrhage were assignment to warfarin (relative risk, 2.9; P<0.001), aspirin use (relative risk, 1.6; P=0.01), age (relative risk, 1.1 per year; P<0.001), and previous stroke/transient ischemic attack (relative risk, 1.8; P=0.001). CONCLUSIONS: The clinical spectrum of intracranial hemorrhage was similar for patients given warfarin and dabigatran. Absolute rates at all sites and both fatal and traumatic intracranial hemorrhages were lower with dabigatran than with warfarin. Concomitant aspirin use was the most important modifiable independent risk factor for intracranial hemorrhage.
(no subject)
Dose-dependent effect of early antiplatelet therapy in acute ischaemic stroke; Meves SH, Overbeck U, Endres HG, Krogias C, Neubauer H; Thrombosis and Haemostasis 107 (1), (Dec 2011)
Antiplatelet agents are essential in treating patients with acute ischaemic stroke (AIS) to prevent recurrent ischaemic events. The aim of this study was to evaluate the effectiveness of early antiplatelet therapy with different aspirin (ASA) dosages in patients with AIS. This observational study included 454 patients with AIS in whom antiplatelet treatment was initiated. The antiplatelet effect was determined by whole blood aggregometry within 48 hours after antplatelet therapy was initiated. An impedance change exceeding 0 Ω after stimulation with arachidonic acid was defined as ASA low response (ALR) and ≥5 Ω in ADP-stimulated specimen as clopidogrel LR. Of the study group 53.5% patients were treated with 200 mg ASA orally, 27.5% with 500 mg ASA intravenously, 8.6% with 100 mg ASA orally, and 7.7% with 75 mg clopidogrel. A dose-dependent antiplatelet effect of ASA treatment was found: 18.4% of patients with 500 mg ASA intravenously were ALR, in contrast to 32.5% on 200 mg and 35.9% on 100 mg ASA orally. Clopidogrel treatment without a loading dose resulted in a high proportion of LR (45.7%). Using the propensity score method revealed a three times higher risk for ALR for patients treated with ASA 200 mg [odds ratio 2.99 (1.55-5.79)] compared to treatment with ASA 500 mg. In conclusion, initiating antiplatelet therapy in patients with AIS resulted in a dose-dependent insufficient platelet inhibitory effect. Our findings suggest using a loading dose of 500 mg ASA intravenously as this seems to be favourable when a sufficient early platelet inhibitory effect is wanted.
comment- debate over aspirin dose never ends. However, we treat patients, not lab tests and it would be interesting to know if there were any clinical effects or side effects of high v. low dose aspirin
dual antiplatelet therapy for 7 days in intracranial occlusive disease
The effectiveness of dual antiplatelet treatment in acute ischemic stroke patients with intracranial arterial stenosis: a subgroup analysis of CLAIR study; the CLAIR Study Investigators; International Journal of Stroke (Aug 2012)
Suggestion AGAINST warfarin after 3 months post maze procedure
The impact of CHADS(2) score on late stroke after the Cox maze procedure; Pet M, Robertson JO, Bailey M, Guthrie TJ, Moon MR, Lawton JS, Rinne A, Damiano RJ, Maniar HS; Journal of Thoracic and Cardiovascular Surgery (Jul 2012)
OBJECTIVE: The Heart Rhythm Society, European Heart Rhythm Association, and European Cardiac Arrhythmia Society jointly recommend indefinite warfarin anticoagulation in patients with CHADS(2) (congestive heart failure, hypertension, age, diabetes, and stroke) score of at least 2 who have undergone ablation for atrial fibrillation. This study determined the impact of CHADS(2) score on risk of late stroke or transient ischemic attack after the performance of a surgical Cox maze procedure. METHODS: A retrospective review of 433 patients who underwent a Cox maze procedure at our institution was conducted. Three months after surgery, warfarin was discontinued regardless of CHADS(2) score if the patient showed no evidence of atrial fibrillation, was off antiarrhythmic medications, and had no other indication for anticoagulation. A follow-up questionnaire was used to determine whether any neurologic event had occurred since surgery. RESULTS: Follow-up was obtained for 90% of the study group (389/433) at a mean of 6.6 ± 5.0 years. Among these patients, 32% (125/389) had a CHADS(2) score of at least 2, of whom only 40% (51/125) remained on long-term warfarin after surgery. Six patients had late neurologic events (annualized risk of 0.2%). Neither CHADS(2) score nor warfarin anticoagulation was significantly associated with the occurrence of late neurologic events. Among the individual CHADS(2) criteria, both diabetes mellitus and previous stroke or transient ischemic attack were predictive of late neurologic events. CONCLUSIONS: The risk of stroke or transient ischemic attack in patients after a surgical Cox maze procedure was low and not associated with CHADS(2) score or warfarin use. Given the known risks of warfarin, we recommend discontinuation of anticoagulation 3 months after the procedure if the patient has no evidence of atrial fibrillation, has discontinued antiarrhythmic medications, and is without any other indication for systemic anticoagulation.
asa + plavix decreased MI's, increases fatal hemorrhages, no effect on mortality
Need for extended clopidofrel therapy after intracranial stenting
details of preiprocedural strokes in SAMMPRIS
Tuesday, July 03, 2012
Clinical Outcomes Using a Platelet Function-Guided Approach for Secondary Preven
Depta JP, Fowler J, Novak E, Katzan I, Bakdash S, Kottke-Marchant K, Bhatt DL; Stroke (Jun 2012)BACKGROUND AND PURPOSE: Antiplatelet therapy nonresponse is associated with worse clinical outcomes. We studied the clinical outcomes associated with platelet function-guided modifications in antiplatelet therapy in patients with ischemic stroke or transient ischemic attack. METHODS: From January 2005 to August 2007, 324 patients with ischemic stroke underwent platelet function testing using platelet aggregometry. Aspirin nonresponse was defined as a mean platelet aggregation ≥20% with 0.5 mg/mL arachidonic acid and/or ≥70% with 5 μmol/L adenosine diphosphate. Clopidogrel nonresponse was defined as a mean platelet aggregation ≥40% with 5 μmol/L adenosine diphosphate. A modification was any increase in antiplatelet therapy occurring after testing. Clinical outcomes were compared between patients with and without platelet function-guided antiplatelet therapy modifications using univariate and propensity score-adjusted analyses. RESULTS: In patients with ischemic stroke or transient ischemic attack, 43% (n=128) and 35% (n=54) were nonresponders to aspirin and clopidogrel, respectively. After platelet function testing, antiplatelet therapy was increased in 23% of patients (n=73). After propensity score matching (n=61 in each group), antiplatelet therapy modification was associated with significantly increased rates of death, ischemic events, or bleeding (hazard ratio, 2.24; 95% CI, 1.12-4.47; P=0.02) compared with no modification in antiplatelet therapy and a trend toward increased bleeding (hazard ratio, 3.56; 95% CI, 0.98-12.95; P=0.05). No differences in ischemic events were observed. CONCLUSIONS: Platelet function-guided modification in antiplatelet therapy after an ischemic stroke or transient ischemic attack was associated with significantly higher rates of adverse clinical outcomes.
Tuesday, April 17, 2012
Intracranial Hemorrhage in Atrial Fibrillation Patients During Anticoagulation W
Intracranial Hemorrhage in Atrial Fibrillation Patients During Anticoagulation With Warfarin or Dabigatran: The RE-LY Trial
Diener HC, Yang S, Connolly SJ, Wallentin L, Reilly PA, Ezekowitz MD, Yusuf S; Stroke (Apr 2012)
BACKGROUND AND PURPOSE: Intracranial hemorrhage is the most devastating complication of anticoagulation. Outcomes associated with different sites of intracranial bleeding occurring with warfarin versus dabigatran have not been defined. METHODS: Analysis of 18 113 participants with atrial fibrillation in the Randomized Evaluation of Long-term anticoagulant therapY (RE-LY) trial assigned to adjusted-dose warfarin (target international normalized ratio, 2-3) or dabigatran (150 mg or 110 mg, both twice daily). RESULTS: During a mean of 2.0 years of follow-up, 154 intracranial hemorrhages occurred in 153 participants: 46% intracerebral (49% mortality), 45% subdural (24% mortality), and 8% subarachnoid (31% mortality). The rates of intracranial hemorrhage were 0.76%, 0.31%, and 0.23% per year among those assigned to warfarin, dabigatran 150 mg, and dabigatran 110 mg, respectively (P<0.001 for either dabigatran dose versus warfarin). Fewer fatal intracranial hemorrhages occurred among those assigned dabigatran 150 mg and 110 mg (n=13 and n=11, respectively) versus warfarin (n=32; P<0.01 for both). Fewer traumatic intracranial hemorrhages occurred among those assigned to dabigatran (11 patients with each dose) compared with warfarin (24 patients; P<0.05 for both dabigatran doses versus warfarin). Independent predictors of intracranial hemorrhage were assignment to warfarin (relative risk, 2.9; P<0.001), aspirin use (relative risk, 1.6; P=0.01), age (relative risk, 1.1 per year; P<0.001), and previous stroke/transient ischemic attack (relative risk, 1.8; P=0.001). CONCLUSIONS: The clinical spectrum of intracranial hemorrhage was similar for patients given warfarin and dabigatran. Absolute rates at all sites and both fatal and traumatic intracranial hemorrhages were lower with dabigatran than with warfarin. Concomitant aspirin use was the most important modifiable independent risk factor for intracranial hemorrhage.
Comment: warfarin use by itself was more of a risk than dabagitran + asa, although the combination also increased risk. Age was not a major risk factor. Fall risk was not looked at.
Old studies that panned the use of anticoagulation in stroke, including WASID might need to be restudied, with dabagatran, since in Wasid the real problem was keeping the INR's in range. This point is likely to be incredibly controversial, yet the facts speak: dabagatran has not been studied in the group of intracranial stensosis and the results of warfarin studies cannot be generalized as is clear from this trial.
Thursday, March 01, 2012
Glaucoma and obstructive sleep apnea
Glaucoma is increasingly becoming recognized as a manifestation of both ocular and systemic risk factors. Risk factors in addition to intraocular pressure (IOP) are increasingly being identified and play a critical role in the development and/or progression of glaucoma. Particularly in the lower ranges of IOP, a number of disorders associated with reduced blood flow and ischemia, collectively termed vascular risk factors, such as migraine, Raynaud's phenomenon, atrial fibrillation, and reduced nocturnal blood pressure, lead to decreased ocular perfusion pressure. During sleep, alterations occur in cardiovascular physiology that are balanced by auto-regulatory mechanisms to maintain homeostasis. However, in obstructive sleep apnea (OSA), the normal physiologic balance is upset, leading to hypoxia and sympathetic activation. OSA can range from mild to severe, and, therefore, its associations and their severity may depend on the severity of the sleep apnea. A potentially modifiable systemic risk factor, OSA has recently been increasingly associated with glaucoma, is independent of IOP. Through hypoxia-mediated damage to blood vessels and their compensatory mechanisms, OSA may alter blood flow to the optic nerve head and, in combination with other predisposing factors, lead to decreased ocular perfusion pressure. This in turn may directly affect the optic nerve or it may indirectly increase its susceptibility to other insults. The purpose of this review is to shed light on the association between OSA and glaucoma. © 2012 The Authors. Journal compilation © 2012 Royal Australian and New Zealand College of Ophthalmologists.
Tuesday, February 14, 2012
Dragon score for predicting success of thrombolysis pub in neurology
Objective: To develop a functional outcome prediction score, based on immediate pretreatment parameters, in ischemic stroke patients receiving IV alteplase.
Methods: The derivation cohort consists of 1,319 ischemic stroke patients treated with IV alteplase at the Helsinki University Central Hospital, Helsinki, Finland. We evaluated the predictive value of parameters associated with the 3-month outcome and developed the score according to the magnitude of logistic regression coefficients. We assessed accuracy of the model with bootstrapping. External validation was performed in a cohort of 330 patients treated at the University Hospital Basel, Basel, Switzerland. We assessed the score performance with area under the receiver operating characteristic curve (AUC-ROC).
Results: The DRAGON score (0–10 points) consists of (hyper)Dense cerebral artery sign/early infarct signs on admission CT scan (both = 2, either = 1, none = 0), prestroke modified Rankin Scale (mRS) score >1 (yes = 1), Age (≥80 years = 2, 65–79 years = 1, <65 years = 0), Glucose level at baseline (>8 mmol/L [>144 mg/dL] = 1), Onset-to-treatment time (>90 minutes = 1), and baseline National Institutes of Health Stroke Scale score (>15 = 3, 10–15 = 2, 5–9 = 1, 0–4 = 0). AUC-ROC was 0.84 (0.80–0.87) in the derivation cohort and 0.80 (0.74–0.86) in the validation cohort. Proportions of patients with good outcome (mRS score 0–2) were 96%, 88%, 74%, and 0% for 0–1, 2, 3, and 8–10 points, respectively. Proportions of patients with miserable outcome (mRS score 5–6) were 0%, 2%, 5%, 70%, and 100% for 0–1, 2, 3, 8, and 9–10 points, respectively. External validation showed similar results.
Conclusions: The DRAGON score is valid at our site and was reliable externally. It can support clinical decision-making, especially when invasive add-on strategies are considered. The score was not studied in patients with basilar artery occlusion. Further external validation is warranted.
Risk of warfarin association with bleeding with antibiotics
Saturday, February 11, 2012
sICH after alteplase, on v. not on warfarin
Authors highlight increased risk of alteplase in warfarin patients treated at a single site, irrespective of htn or stroke etiolgy, or INR .
Wednesday, February 01, 2012
NNT and NNH with t-pa by time administered
Time to treat NNT NNH (NNT= number needed to treat or number needed to harm)
0-90 minutes 3.6 65
90-180 minutes 4.3 38
180-270 min 5.9 30
270-360 min 19.3 14
Debates on Intracranial artery disease (ICAD) at ISC 2012, and imaging
Saturday, January 21, 2012
Dissection and i-v alteplase treatment
Authors reviewed database finding about 1 % of 48,000 stroke patients had an underlying dissection. Alteplase was less effective in this stroke type in lowering disability, but the rates of hemorrhage were similar to other stroke types, and the lower outcome was not due to alteplase therapy.
Wednesday, January 18, 2012
Cognitive and Neurologic Outcomes after CABG
Bullet points STROKE
1. 1.6 % rate overall, but rate may increase 10x if radiographic/clinically silent CVA's included
2. Mechanism of micro/macroemboli with cross clamping needs to be modified to include hypotension and inflammatory response. Caplan et al , proposed the combination of hypotension and microemboli leads to more injury because microemboli aren't washed out as readily.
3. risk factors for neurologic morbidity: age, DM, HTN, history of stroke Others: PREOPERATIVE FACTORS (and odds ratio) : athero of ascending aorta (2.0), h/o of TIA/CVA (2.1); h/o of subcortical disease (4.1), carotid stenosis (5.3); PVD (2); DM (1.2 or 2.8);HTN (1.8 or 1.3); high pulse pressure (1.1);prior cardiac surgery (1.4); smoking history (1.6). OPERATIVE FACTORS: Hypotension (8.4); manipulation of aorta (1.8); bypass time > 2 hours (1.4). POSTOP FACTORS: AD (.8 to 2.6). (article gives references for each risk factor).
4. PREVENTION: Use of individualized factors, and use of preop or postop ASA which are both controversial. Use of eipaortic ultrasound to guide decision to cross clamp. Use of carotid screening preop. Avoiding combined carotid/coronary procedures. All of these ideas have limited data. Operative monitoring with TCD or near infraredspectroscopy has been used.
Factors include:
1. preop cognitive abilities/disabilities
Recovery after spinal cord infarcts; long term outcomes in 115 patients
Authors debunk myths of spinal cord infarcts. Retrospective study of patients show many improved over time. Among their findings
1. Gradual improvement was common after hospital dismissal. More than half walked aided or unaided eventually.
2. One third of those catheterised at dismissal did not require catheter long term
3. MRI's were frequently normal initially and even occassionally on followup MRI
4. ASIA A/B predicted a poor outcome, but not invariably. Other predictors of poor outcome included absent Babinski sign, sensory level, longitudinally extensive MRI, and lesions in highest thoracic level. NON RISK FACTORS included age, mechanism, gender were not predictive of a poor functonal outcome
5. There was a fairly high early mortality, around 26 % that was associated with HTN, DM, smoking, PVD, severity of impairment, and age (ie traditional risk factors mostly).
6. Pain especially back pain was a common initial finding and a common longterm problem of survivors.
Lacune subtypes and risk factors
Risk factors for small lacunes (lipohyalinosis) in 1548 patients analyzed included age, African American race, HTN, diabetes, ever smoking. HBA1C could be substituted for DM.
Very small lacunes had similar risk factors as small lacunes. Diabetes was key risk factor here.
8-20 mm lacunes (microatheroma) were associated with ever smoking, age, and LDL levels.
Conclusion is that diabetes leads to disorder of systemic microcirculation leading to very small lacunes. LDL and smoking lead to microatheroma
Tuesday, November 29, 2011
Opioids: Might depress cerebral perfusion pressure
Sedation for critically ill adults with severe traumatic brain injury: A systematic review of randomized controlled trials; Roberts DJ, Hall RI, Kramer AH, Robertson HL, Gallagher CN, Zygun DA; Critical Care Medicine 39 (12),
OBJECTIVES: To summarize randomized controlled trials on the effects of sedative agents on neurologic outcome, mortality, intracranial pressure, cerebral perfusion pressure, and adverse drug events in critically ill adults with severe traumatic brain injury. DATA SOURCES: PubMed, MEDLINE, EMBASE, the Cochrane Database, Google Scholar, two clinical trials registries, personal files, and reference lists of included articles. STUDY SELECTION: Randomized controlled trials of propofol, ketamine, etomidate, and agents from the opioid, benzodiazepine, α-2 agonist, and antipsychotic drug classes for management of adult intensive care unit patients with severe traumatic brain injury. DATA EXTRACTION: In duplicate and independently, two investigators extracted data and evaluated methodologic quality and results. DATA SYNTHESIS: Among 1,892 citations, 13 randomized controlled trials enrolling 380 patients met inclusion criteria. Long-term sedation (≥24 hrs) was addressed in six studies, whereas a bolus dose, short infusion, or doubling of plasma drug concentration was investigated in remaining trials. Most trials did not describe baseline traumatic brain injury prognostic factors or important cointerventions. Eight trials possibly or definitely concealed allocation and six were blinded. Insufficient data exist regarding the effects of sedative agents on neurologic outcome or mortality. Although their effects are likely transient, bolus doses of opioids may increase intracranial pressure and decrease cerebral perfusion pressure. In one study, a long-term infusion of propofol vs. morphine was associated with a reduced requirement for intracranial pressure-lowering cointerventions and a lower intracranial pressure on the third day. Trials of propofol vs. midazolam and ketamine vs. sufentanil found no difference between agents in intracranial pressure and cerebral perfusion pressure. CONCLUSIONS: This systematic review found no convincing evidence that one sedative agent is more efficacious than another for improvement of patient-centered outcomes, intracranial pressure, or cerebral perfusion pressure in critically ill adults with severe traumatic brain injury. High bolus doses of opioids, however, have potentially deleterious effects on intracranial pressure and cerebral perfusion pressure. Adequately powered, high-quality, randomized controlled trials are urgently warranted.
Blogger note: take home message is in bold above. Until the definitive study is done, pay attention if, to nothing else, that one sentence.
Bevacizumab, metastasis, and brain hemorrhage, True, true and unrelated?
Intracranial hemorrhage in patients treated with bevacizumab: Report of two cases; Nishimura T, Furihata M, Kubo H, Tani M, Agawa S, Setoyama R, Toyoda T; World Journal of Gastroenterology 17 (39), 4440-4 (Oct 2011)
Treatment with bevacizumab, an antiangiogenic agent, in patients with metastatic or unresectable colorectal cancer was approved less than 4 years ago in Japan. Bevacizumab improves the survival of patients with metastatic colorectal cancer; however, it may lead to complications such as bleeding, which are sometimes fatal. Bevacizumab should be administered only after careful consideration because the potential risks of therapy outweigh its benefits. Therefore, pharmaceutical companies do not recommend bevacizumab therapy for patients with brain metastases. While some reports support the cautious use of bevacizumab, others report that it is not always necessary to prohibit its use in patients with metastases to the central nervous system (CNS), including the brain. Thus, bevacizumab therapy in colorectal cancer patients with brain metastases is controversial, and it is unclear whether brain metastases are a risk factor for intracranial hemorrhage during anti-vascular endothelial growth factor (VEGF) therapy. We report a 64-year-old man and a 65-year-old man with recurrent colorectal cancer without brain metastases; these patients developed multifocal and solitary intracranial hemorrhage, respectively, after the administration of bevacizumab. Our findings suggest that intracranial hemorrhage can occur even if the patient does not have brain metastases prior to bevacizumab treatment and also suggest that brain metastases are not a risk factor for intracranial hemorrhage with bevacizumab treatment. These findings also question the necessity of excluding patients with brain metastases from clinical trials on anti-VEGF therapy.
Blogger note: Paper intrigues but any number of conclusions could be drawn out of it. Larger experience is required.
Stroke centers and survival
Does primary stroke center certification change ED diagnosis, utilization, and disposition of patients with acute stroke?; Ballard DW, Reed ME, Huang J, Kramer BJ, Hsu J, Chettipally U; American Journal of Emergency Medicine (Nov 2011)
BACKGROUND AND PURPOSE: We examined the impact of primary stroke center (PSC) certification on emergency department (ED) use and outcomes within an integrated delivery system in which EDs underwent staggered certification. METHODS: A retrospective cohort study of 30 461 patients seen in 17 integrated delivery system EDs with a primary diagnosis of transient ischemic attack (TIA), intracranial hemorrhage, or ischemic stroke between 2005 and 2008 was conducted. We compared ED stroke patient visits across hospitals for (1) temporal trends and (2) pre- and post-PSC certification-using logistic and linear regression models to adjust for comorbidities, patient characteristics, and calendar time, to examine major outcomes (ED throughput time, hospital admission, radiographic imaging utilization and throughput, and mortality) across certification stages. RESULTS: There were 15 687 precertification ED visits and 11 040 postcertification visits. Primary stroke center certification was associated with significant changes in care processes associated with PSC certification process, including (1) ED throughput for patients with intracranial hemorrhage (55 minutes faster), (2) increased utilization of cranial magnetic resonance imaging for patients with ischemic stroke (odds ratio, 1.88; 95% confidence interval, 1.36-2.60), and (3) decrease in time to radiographic imaging for most modalities, including cranial computed tomography done within 6 hours of ED arrival (TIA: 12 minutes faster, ischemic stroke: 11 minutes faster), magnetic resonance imaging for patients with ischemic stroke (197 minutes faster), and carotid Doppler sonography for TIA patients (138 minutes faster). There were no significant changes in survival. CONCLUSIONS: Stroke center certification was associated with significant changes in ED admission and radiographic utilization patterns, without measurable improvements in survival.
Blogger note: Small select group of stroke patients, those given alteplase, may be less than 5 percent of the total and are the only ones who would be expected to do better in primary stroke centers. However, the target group is likely to be buried in the statistics of 15,000 patients reviewed. This type of stroke center evaluation might be better suited for evaluating specific populations receiving specific treatments.


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In 2003, police officers received a tip from an anonymous caller for a "large animal" that was biting people in Harlem. The NYPD narrowed down the search to Antoine Yates's apartment and, when they arrived on the scene, the "large animal" turned out to be a 400-pound Bengali tiger. Oh, and an alliga ... More >>
No this isn't a real snake. It's 100% cake. Baker Francesca Pitcher, of the UK's North Star Cakes, posted about the cake on her Facebook page on July 29 and it has since gone viral, doubling her Facebook likes in less than a week.
Go camping with Cheryl Strayed
Seriously.We didn't include snakes, specifically, in yesterday's run-down of most terrifying urban wildlife, but apparently we should have. Put this in the category of Sewer Lizard and raise the threat level to High, 'cause a man in the Bronx stumbled to his bathroom last night to find a thre ... More >>
Yes In My Backyard is a semiweekly column showcasing MP3s from new and emerging local talent. Aaron WojackBrooklyn's Callers make an indescribable, codeine-ready micro-ruckus that straddles some downtown-via-Bedford line between grandiose indie rock gestures, art-jazz slither, dusty folk, an ... More >>
There's a recurring theme that keeps popping up on our radar, and we're going to have to go ahead and mention it for all sorts of reasons, but mostly because, after thinking about it long and hard and engaging in a vigorous session of Rock-Paper-Scissors with Foster to finally settle the issu ... More >>
Crime is reportedly down, so does that mean there are fewer criminals? Maybe criminals are just getting more stupid. Two co-winners of the just-announced 2009 Darwin Awards — "Honoring those who improve the species . . . by accidentally removing themselves from it!" — are evidence. U ... More >>
This Fifth Avenue spot brings a mixed bag of real Southwestern food to New York
Credit: Thomas J Hartnett The Mountain Goats TLA/Philadelphia November 7 For the moment, the Mountain Goats seem to be skewing into power-trio territory. My comment on this is no comment. Setlist: With Peter Hughes and Jon Wurster: Have to Explode Heretic Pride The Mess Inside New Zion Moon Ove ... More >>
Photographer Pieter Hugo captures a strange, roving menagerie
In the exotic pet universe, it's all about whose is weirder than whose.
Our intrepid reporter returns to Texas to sample the real thing


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Jurien Bay District High School (DHS) is located on the Turquoise Coast 215 kilometers north of Perth and 200 kilometers south of Geraldton. It is located in the Mid West Education Region. The school caters for students from Jurien Bay, Leeman, Green Head, Cervantes, Badgingarra and the surrounding farming districts. The school provides an educational program for a range of students from Kindergarten to Year 12. The Senior School program (year 11 and 12) is in collaboration with the Durack Institute of Technology - Batavia Coast Marine Institute, School of Isolated and Distant Education (SIDE), Construction Onsite Training and VETis Consulting. Senior School students are able to complete Certificate I and II courses in a range of industry areas, with year 10 students having access to complete Certificate I courses. Two bus routes service primary and secondary students living on farms in our catchment area.
Jurien Bay District High School boasts a full range of facilities set in well maintained grounds. The school is very well equipped with a range of state of the art technologies, including several computer laboratories, interactive whiteboards, internet access, external and internal E-mail systems. All computers are networked and are supported by a wide variety of other digital equipment. There are specialist area buildings (Science laboratory, Home Economics, Information Technology Centre, Visual Arts Centre and Design and Technology Workshop) with our students reaping the educational benefits of working in modern and well designed learning areas. The school library contains a large range of books, audio-visual resources and computers to access the internet.
With the schools motto being 'Together in Learning' there is a focus on strong community relationships. The development of relationships with staff and students is a priority with mutual respect and high behavioural expectations key components in these relationships.
School Mission
We strive to ensure that the students of Jurien Bay District High School develop the knowledge, skills and confidence to achieve their full individual potential, become lifelong learners and to make positive contributions to society.


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Hillsborough, California is located in San Mateo County. Hillsborough has a population of 10,836 and has shown -0.4% growth since 2000. Of the 3,688 households in Hillsborough, 91.4% are owned, 3.0% are rented and 6% are not currently occupied. The median age of homes in Hillsborough is 41 years and 55.0% of the homes have been occupied by the same residents for more than 5 years. Learn more about Hillsborough, California real estate at coldwellbanker.com.
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248 Main St Ste 200


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BOSTON (AP) - Kevin Youkilis recalled the happy moments and avoided commenting on his time playing under Red Sox manager Bobby Valentine in his return to Fenway Park on Monday.
Boston traded Youkilis on June 24, sending the three-time All-Star and cash to Chicago for utility player Brent Lillibridge and a minor league pitcher.
The 33-year-old Youkilis will be wearing the same No. 20 he had with Boston when he steps to the plate. He played 7 1/2 seasons with the Red Sox and was part of the 2004 and '07 championship teams.
In April, Valentine questioned Youkilis' commitment in his weekly television interview then apologized to him a day later.
Youkilis was a fan favorite during his time in Boston, often drawing loud chants of "Yoouk" for his hard-nosed play.
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'It's Always Sunny in Philadelphia' Season Premiere Review: "Pop-Pop: The Final Solution"
'It's Always Sunny in Philadelphia' has been playful about their eighth season. From the promo teaser - which featured the cast as anime characters - to a trailer which featured a fake cast, this one's been kept close to vest. It's unlikely that there will be big changes for this new season, but perhaps there are surprises in store with "Pop-Pop: The Final Solution." Read on for our in depth recap of 'It's Always Sunny's Season Premiere.


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Associate in Applied Science Degree
Nursing - General Admission-Fall Semester
Program Director: Linda Jo Shelek, MSN, FNP-BC
Academic advisors are assigned according to campus and last name
The Registered Nurse works to promote health, prevent disease, and provide physical and emotional support to cope with illness and restore health. They provide direct patient care and are advocates and health educators for patients, families, and communities. Nurses are employed in the acute and long term care facilities or hospitals, physician office, home health, community, school, business, industry, and in private settings. They must be physically capable to spend considerable time walking and standing; be able to lift fifty pounds; and be required to mobilize quickly to respond to an emergency. Nurses need emotional stability and a caring philosophy in order to cope with human suffering, emergencies, and stress. Because patients in hospitals and facilities require 24-hour care, nurses in these institutions may work nights, weekends, and holidays. The program is a member of the WV Consortium of Associate Degree Nursing Programs of the Community and Technical College System of WV. As a member of this Consortium we will align with the identified Mission and Philosophy. Please refer to the Nursing Program Web page for information.
Program Student Learning Outcomes
At the completion of the Associate Degree Nursing Program, graduates will be prepared to:
Human Flourishing Advocate for patients and families in ways that promote their self-determination, integrity, and ongoing growth as human beings.
1. Collaborate with the patient or designee to plan and provide nursing care that respects the patient's individual values and needs.
Nursing Judgment Make judgments in practice, substantiated with evidence, that integrate nursing science in the provision of safe, quality care and that promote the health of patients within a family and community context.
2. Generate safe and effective patient centered care using the nursing process.
3. Incorporate effective communication strategies to reduce risk and injuries in the healthcare environment.
Professional Identity Implement one's role as a nurse in ways that reflect integrity, responsibility, ethical practices, and an evolving identity as a nurse committed to evidence-based practice, caring, advocacy, and safe, quality care for diverse patients within a family and community context.
4. Create caring relationships with patients and support systems consistent with the ANA Standards of Nursing Practice and the Code of Ethics.
5. Evaluate the utilization of healthcare system resources to efficiently and effectively manage care.
Spirit of Inquiry Examine the evidence that underlies clinical nursing practice to challenge the status quo, question underlying assumptions, and offer new insights to improve the quality of care for patients, families, and communities.
6. Integrate current best practices to plan and implement safe and effective patient care.
Nursing education programs include classroom instruction, supervised and precepted clinical experience in hospitals and other health facilities, and community experiences. Students take courses in biological sciences, behavioral sciences, and liberal arts in addition to nursing courses. Students must complete the required nursing courses in the program on a continuous full-time basis within 2 years or a maximum of 3 years if an interruption in education continuum occurs. The program has a specific application, selection requirements, background and drug screening, standard of progress policies, requirement deadlines, and abides by the WV State Board of Registered Nursing Education requirements for nursing education. Contact the Nursing Program Director for additional information. Upon the completion of this basic accredited nursing education and successful completion of the National Council Licensure Exam the student will apply to their selected state for license to practice. Important information: If you have ever been convicted of a felony or misdemeanor for any reason, State or National credentialing boards, licensing board and agencies which require criminal background checks on potential employees and students may deny you employment or placement in certain settings, even if you have completed all academic requirements. If you have been convicted of a felony or misdemeanor, please contact the Nursing Program Director.
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