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WEST VALLEY CITY, Utah English teacher Kevin Leatherbarrow holds a license to carry a concealed weapon and doesnt see anything wrong with arming teachers in the aftermath of the deadly Connecticut school shooting.
Were sitting ducks, said Leatherbarrow, who works at a Utah charter school. You dont have a chance in hell. Youre dead no ifs, ands or buts.
Gun-rights advocates in Utah agree and were offering six hours of training Thursday in handling concealed weapons for 200 Utah teachers in the latest effort to arm teachers to confront school assailants.
In Ohio, a firearms group said it was launching a test program in tactical firearms training for 24 teachers. The Arizona attorney general is proposing a change to state law to allow an educator in each school to carry a gun.
The moves come after the National Rifle Association proposed placing an armed officer at each of the nations schools after a gunman on Dec. 14 killed 20 children and six adults at Sandy Hook Elementary School in Newtown, Conn.
There are already police officers in some of the nations schools. Parents and educators, however, have questioned how safe the NRA proposal would keep kids, whether it would be economically feasible and how it would alter student life.
Some educators say it is dangerous to allow guns. Among the dangers are teachers being overpowered for their weapons or students getting them and accidentally or purposely shooting classmates.
Its a terrible idea, said Carol Lear, a chief lawyer for the Utah Office of Education. Its a horrible, terrible, no-good, rotten idea.
Utah educators say they would ban guns if they could, but legislators left them with no choice. State law forbids schools, districts or college campuses from imposing their own gun restrictions.
Educators say they have no way of knowing how many teachers are armed. Gun-rights advocates estimate 1 percent of Utah teachers, or 240, are licensed to carry concealed weapons. Its not known how many do so at school.
Gun-rights advocates say teachers can act more quickly than law enforcement in the critical first few minutes to protect children from the kind of deadly shooting that took place in Connecticut.
Were not suggesting that teachers roam the halls for an armed intruder, said Clark Aposhian, chairman of the Utah Shooting Sports Council, the states leading gun lobby. They should lock down the classroom. But a gun is one more option if the shooter breaks into a classroom, he said.
The council said it would waive its $50 fee for the training. Instruction will feature plastic guns and a major emphasis will be for people who are facing deadly threats to announce they have a gun and retreat or take cover before trying to shoot, he said.
Mass shootings may still be rare, but that doesnt help you when the monster comes in.
At the class, teachers offered their fingerprints for a permit as an instructor in the psychology of mass violence kicked off the gun class.
I just bought a bra holster, said Jessica Fiveash, a 32yearold Utah teacher and wife of a retired Army sergeant who grew up shooting and said she had no hesitation packing a gun at school. Women cant really carry a gun on their hip.
Utah is among few states that let people carry licensed concealed weapons into public schools without exception, the National Conference of State Legislatures said in a 2012 compendium of state gun laws.
Leatherbarrow said he often felt threatened while working at an innercity school in Buffalo, N.Y., where he got a license to carry a pistol. He moved less than a year ago to Utah, where he feels safer.
But he said gun violence can break out anywhere. He said he was highly trained in handling guns and was taking criticism from parents who dont appreciate his views on school safety.
Im in agreement not everybody should be carrying firearms in school. Theyre not trained. But for some parents to think were cowboys, that frustrates me, he said. I wish parents would understand.
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This online software package for diabetes educators allows you to collect and track your patients' behavior change goals, clinical indicators, and medications; administer online patient self-assessments and follow-ups; track information about the educational services you provide; generate reports on individual patient progress and your facility's progress; and more.
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This is the same cut of beef from which we cut our world-class USDA Choice Filet Mignon. Marbled for remarkably subtle flavor and extremely easy to prepare, our superior Chateaubriand celebrates any occasion with grandeur and unsurpassed luxury. Shown with our "Haricot Vert" Green Beans and Rosemary Roasted Redskin Potato Halves.
Serving Suggestions: Remove from package and preheat oven to 325°F. Place roast in baking pan with 1/4 cup water. Cover and bake 15 minutes per pound.


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Product Catalog > Jewelry > Rings > SZ 6 Rings > 14K Hwge 11Ct New Tanzanite Diamond Simulated Sz6 Ring
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We have recently purchased a huge lot of gorgeous designer dinner/cocktail/right hand fashion rings from a well known West Coast Manufacturer. Most of these gorgeous rings are one-of-a-kind, and will not be available again, so if you see something you like, don't hesitate, because when they're gone, they're gone!!!
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Smokefree Birmingham - FAQs
An up-to-date copy of the legislation can be obtained from http://www.smokefreeengland.co.uk/
Can I be fined for smoking outside?
No. The smokefree legislation covers enclosed and substantially enclosed public places and workplaces, in other words places that are essentially indoors. But remember that cigarette packaging and stubs are litter just as much as other items like crisp packets, sweet wrappers, drink cans etc. and failing to dispose of litter properly can mean you being issued with a fixed penalty notice (£80).
Do I have to provide smoking shelters for my staff?
No. Employers are not obliged to provide smoking shelters for their staff. However, employers do have an obligation to control the amount of litter and noise which could result from staff / members of the public congregating outside.
What action does my business need to take?
Businesses need to display no-smoking signs at entrances to buildings and in work vehicles and ensure that people do not smoke in any enclosed and substantially enclosed areas of the premises
What does enclosed and substantially enclosed mean?
Enclosed and substantially enclosed workplaces are those with a ceiling or roof and more than 50% of their perimeter consisting of walls (including windows and doors). This effectively means all indoor areas.
What do the no smoking signs look like and where can I get them?
An A5 size sign displaying the international no-smoking symbol (at least 70mm in diameter), together with the words 'No Smoking. It is against the law to smoke in these premises.' This sign will have to be displayed in a prominent position at each entrance to your premises. Smaller signs will also be required for vehicles.
Signs can be obtained FREE OF CHARGE from http://www.smokefreeengland.co.uk/ or by calling Smokefree England information line on 0800 169 169 7.
What penalties will there be for people who break the law?
1. Anyone found smoking in a smoke free place would be served a Fixed Penalty Notice of £50
2. Failure to display the appropriate No Smoking signs would result in a Fixed Penalty of £200
3. Failing to prevent smoking in a workplace will result in prosecution of the manager on duty with a fine of up to £2,500
Who will enforce the new law?
The manager on duty will be expected to ensure that staff and visitors do not smoke in the premises. Enforcement Officers from Birmingham City Council will be responsible for enforcing the smokefree legislation across the City. It is likely that compliance checks will be carried out as well as the investigation of any complaints.
What are the benefits of the new law?
Clearly, there are many benefits to the new legislation including; reduced exposure to second-hand smoke and proven associated health risks, reduced employers costs in terms of productivity and absenteeism and increased non-smoker business. It is estimated that thousands of lives will be saved over the next decade.
My business is already smokefree will I have to do anything?
Yes. Most businesses that are already smokefree do not have the correct A5 signs on all public entrances, and signs on staff entrances. These signs are available from the Department of Health. Failure to display the correct signs can result in a Fixed Penalty of £200.
What about sole traders?
Sole traders also need to comply with the law, unless they are working from home.
Can I have a designated smoking room?
No. If you own premises that the public can access or which more than one person works in then all enclosed and substantially enclosed areas must be Smokefree. This essentially means that all indoor areas must be Smokefree.
Are there any exceptions?
Yes. There are likely to be limited exemptions for premises that act as private dwellings such as residential care homes and adult hospices together with other premises such as prisons, designated hotel rooms and some private vehicles
How am I supposed to stop someone from smoking in my business?
It is recommended that your company produce a Smokefree policy to deal with such situations. The manager on duty will be expected to take all reasonable measures to ensure that the person stops smoking.
I have a small business with only a couple of employees who both smoke. Does the law still apply to me?
Yes. If your workplace is wholly or substantially enclosed (basically if it is indoors) then it must be Smokefree.
Do I need planning permission for a shelter?
If you are planning to erect a permanent structure you should contact the Planning Department as you may require Planning permission. It should be noted that planning permission can take up to 8 weeks. You should also consider if the shelter will affect your license, and if the structure needs permission from the Highways Department.
Planning- 0121 303 1115
Licensing- 0121 303 8222
Highways- 0121 303 6644
Can I set up a street cafe / put tables and chairs out on the street ?
Yes. In general, all parts of the public highway may be used for Street Cafes, assuming all safety and non-obstruction requirements are met. Applicants will need to obtain permission from the Highways Department (which includes getting written permission for the proposls from the Planning Department). If alcohol is to be consumed outside you then you should contact Licensing - alcohol and entertainment in order to clarify whether you need a new license or variation to any existing license.
What about hire cars and work vehicles?
All leased cars are exempt. Vehicles being primarily used for businesses purposes should be smokefree and display the appropriate no-smoking signs.
Can I smoke in taxis, trains and public transport?
No. All public transport must comply with the smokefree law. This includes when the driver is in the cab on his/her own.
Is there any help for employees, staff and customers who want to stop smoking?
Yes. The Primary Care Trust (PCT) has a range of services across Birmingham. They run support groups and most GP surgeries have trained staff that can offer one to one appointments. The PCT will also run support groups for your employees, staff and customers in your business premises. For further information you may wish to contact the local NHS Stop Smoking Service on 0800 0525 855.
Who should I contact if I require further information?
Visit our webpages at http://www.birmingham.gov.uk/smokefree
email us at: Environmental Health contact us
Telephone: 0121 303 6007


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Friday, December 27, 2013
The Georgetown Police Department, Georgetown City firefighters and the tracking dog team from the Georgetown County Sheriff's Office are searching for a man who is missing from a nursing home. Police Capt. Nelson Brown says 89-year-old James Bassett is the man they are looking for in the areas around South Island Assisted Living. Brown said Bassett has dementia and a pacemaker. He walked away from the facility at about 5:30 a.m. He is about 5-foot-7-inches tall and weighs about 200 pounds. He was wearing khaki pants when he left the facility. The search has been taking place all around the facility, especially in the area of Glenwood Street. Anyone with information should call police at 546-4300 or call 911.
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IMAST Transition Information
Background Information
Under existing U.S. Department of Education regulations, states were allowed to develop alternate assessments aligned to modified academic achievement standards (AA-MAAS) for some students with disabilities and use the results of those assessments for accountability purposes under Title I of the Elementary and Secondary Education Act and the Individuals with Disabilities Education Act. Indiana's response to those regulations was the development and implementation of the Indiana Modified Achievement Standards Test (IMAST). Indiana schools have administered IMAST to eligible students since the spring of 2010.
The U.S. Department of Education has provided regulations to transition away from AA-MAAS to college- and career-ready standards and general assessments that are aligned to those standards and accessible to all students. States that administered alternate assessments based on modified academic achievement standards are no longer permitted to administer such assessments after the 2013-14 school year.
Local Implications
In response to the change in Federal regulations currently undergoing the rulemaking process, the IMAST assessment will "sunset" after the Spring 2014 administration. As a result, Case Conference Committees will need to determine the most appropriate assessment in which students will participate during the 2014-15 school year.
Additional Resources
Karen Stein
Special Programs Assessment Specialist
Email: email@example.com
Telephone: (317) 232-9050
Toll Free: (888) 544-7837


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UT Again Named to President's Honor Roll for Community Service
Published: Mar 15, 2012
For the fifth year in a row The University of Tampa has been named to the President's Higher Education Community Service Honor Roll for distinguished community service. The award recognizes UT as a leader among institutions of higher education for its support of volunteering, service-learning and civic engagement, and highlights its work engaging students, faculty and staff in meaningful service that achieves measurable results in the community.
UT, through the PEACE (People Exploring Active Community Experiences) Volunteer Center, actively recruits students, staff and faculty to participate in co-curricular service-learning projects, such as Big Brothers and Big Sisters mentoring, the annual Into the Streets Orientation Service Project, Martin Luther King Jr. Day of Service and alternative break programs. More than 2,800 students, faculty and staff participated in these community outreach programs during the 2010-2011 year.
UT is among 642 institutions of higher education that were recognized as honor roll members by the Corporation for National and Community Service (CNCS).
In its application, UT focused on the development of the Service-Learning Committee, the Martin Luther King Jr. Day of Service, two alternative spring break trips (environmental conservation at Zion National Park, and the migrant worker population in Apopka, FL) and a curricular service-learning project at Glazer Children's Museum.
Megan Frisque, UT's director of community engagement, said she was pleased that UT received the designation for the fifth year.
"The honor roll designation conveys UT's commitment to service-learning and community service." Frisque said.
Launched in 2006, the Community Service Honor Roll is the highest federal recognition a college or university can receive for its commitment to volunteering, service-learning and civic engagement. Annual honorees are chosen based on a series of selection factors, including the scope and innovation of service projects, the extent to which service-learning is embedded in the curriculum, the school's commitment to long-term campus-community partnerships and measurable community outcomes as a result of the service.
CNCS oversees the Honor Roll in collaboration with the U.S. Departments of Education and Housing and Urban Development, Campus Compact and the American Council on Education. For a full list of recipients and descriptions of their service, visit
. For more information about the community service efforts at UT, see
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Constance Fowler, Heceta Lighthouse, c. 1938, oil on canvas, 22 in. x 18 in., collection of the Hallie Ford Museum of Art, Willamette University, Salem, Oregon, gift of Connie Battaile, BAT97.001.
Constance Fowler, Waller Hall, 1938-40 (reprinted 1969), wood engraving, 6 ½ in. x 6 in., gift of Constance Fowler, FOW92.003.
As a printmaker, Fowler made her name with the publication of her book The Old Days in and Near Salem, Oregon (Seattle: Dogwood Press, 1940), which presents twenty wood engravings of historic structures and sites in the Willamette Valley. Created as her master thesis project at the University of Oregon, the prints combine historical documentation with emotional intensity conveyed by means of heavily incised chisel marks, distortion of form, and brooding light and dark contrasts.


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Thelma Jean Hamilton was born April 19, 1927 in Moore, AR., to Eddie and Dora (Kindlyn) Humphrey. She passed from this life September 17, 2011 in Antlers at the age of 84. Thelma Humphrey married Burnerd Hamilton November 6, 1943 in Lodi, CA., and together they raised three children. Thelma was an Associate Pastor with Reverend Andy Reed at the Finley Assembly of God for 10 years. She was a member of the Pentecostal Church of God where she was licensed to preach. Thelma enjoyed singing gospel music with the Hamilton Family Group, which she founded, and playing the guitar. She was an outstanding cook. She loved to fish and spend time with her family and friends. Thelma was preceded in death by her husband: Burnerd Hamilton; parents: Ed & Dora Humphrey; one brother: Elsie Humphrey; three sisters: Lois Shew, Nina Maggard, and Alta Durham; and a grandson: Matthew Cooper. She is survived by her son: Stanley Hamilton of Antlers; daughters: Peggy Caves of Antlers and Brenda Cooper & husband Erv of TN; grandchildren: Rhonda Pearson & husband Kenny of CA, Glenna Cooper Ramage & husband Carl of TN, Tiffany Hamilton of CA, Shane Hamilton of Antlers, Kelly Gibson & husband Paul of Tulsa, and Shelly Webb & husband Travis of Mannsville; great grandchildren: Ryan Miller of TX, Cole Miller of CA, Cassia Dennis and Collin Dennis both of OK, Shelbye Webb of OK, Zachary Ramage, Bobbie Sue Ramage, Jessie Jo Ramage all of TN, Steven Hamilton and Taylor Hamilton both of OK, and Austen Hamilton of CA; sister: Pauline Curnutt of CA; numerous nieces and nephews; as well as many other relatives and friends. Funeral services were held at 2:00 p.m. on Monday, September 19, 2011 at Mills & Coffey Chapel in Antlers with Reverend Andy Reed and Pastor Joyce Luman officiating. Musical selections included "Poor Rich Man," "Let Me Talk to the Father" and "Stand Still and See His Mercy." Pallbearers included: Keith Reed, Travis Webb, Paul Gibson, Shane Hamilton, Stanley Hamilton, Hollis Simpson and Erv Cooper. Interment followed at the Antlers City Cemetery in Antlers. Family and friends may send online condolences at www.millscoffey.com.
Funeral services conducted by Mills & Coffey Funeral Home in Antlers.


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UFC champ Ronda Rousey warns 'TUF 18' cast to avoid $100,000 sexual encounters | News
"I think the series, itself, has kind of gone away from the attention-grabby reality TV-esque kind of genre and more into just a documentary series on the toughest, most competitive tournament in martial arts," Rousey told MMAjunkie.com (UFC blog for UFC news, UFC rumors, fighter interviews and event previews/recaps) following Saturday's TUF 17 Finale event in Las Vegas. "I think that it's going to be very similar in this season, at least on my team. I'm going to have to remind these girls that this is the first impression you're setting for women MMA fighters because this is a lot of exposure that they're going to be getting.
"If they're the chick that was screwing around the house, for the rest of their career they're going to be known as the chick that was screwing around the house. Sponsors are going to be looking at that. Everybody's going to be looking at that."
Rousey and undefeated bantamweight Cat Zingano (8-0 MMA, 1-0 UFC) have been selected to head coach "TUF 18," which will be the first season to include women contestants. They'll compete alongside a group of 135-pound male fighters, as well, with all competing for a pair of six-figure UFC contracts.
Rousey knew prior to Saturday's event that she would be facing the winner of the night's Zingano vs. Miesha Tate contest. After dropping the opening two frames on two of the three judges' cards, Zingano powered back in the final frame to score a somewhat-controversial TKO win, which some believe was halted a bit early.
Rousey, who attended the event and watched the fight from cageside, said she enjoyed the bout and looks forward to facing Zingano.
"It kind of went the way I expected," Rousey said. "Cat looked a lot better at workouts. Miesha is usually the type that really fights above herself in competition, which is one of her better attributes. Miesha looked really good. I thought the fight was stopped maybe a little prematurely, but Cat looked amazing, too. I don't want to take anything away from her. She was lighting her up.
"If Miesha wants to complain the fight should have been stopped, then she shouldn't have been in that situation in the first place. I was really impressed with Cat tonight. I saw a lot of things that were helpful, so I'm glad I came and saw it live. So yeah, I'm looking forward to 'TUF.' It's going to be cool."
It's fair to think the show may end up with less hype than if Tate had served opposite Rousey, as the two have a longstanding rivalry that dates back to their time in Strikeforce. However, Rousey said she's happier to be fighting another undefeated athlete and compared the booking to the 2009 bout between Lyoto Machida and Rashad Evans.
"I always said the fight that I wanted the most was Cat, so I'm glad that we're actually going to be fighting," Rousey said. "On the show, you never know. I think I would have enjoyed tormenting Miesha, whereas Cat seems pretty cool. I don't really know her at all, but she seems cool. It's going to be cool regardless of who I'm coaching against. It's such a unique and historical situation, which seems to be coming up a lot these days.
"Technically, Cat has a better record than I do right now. She's 8-0. I'm 7-0. Who was it? Was it like Rashad and Lyoto who were the only two undefeated people fighting for a championship before? So this is something very uncommon and very special, and I'm happy to be a part of it. I always think of myself as the underdog regardless of what other people think."
But Rousey doesn't see her fight as the only important task on the horizon. She also wants to help groom the next crop of UFC fighters, even if they wind up being competition. And while two sexes will intermingle in the "TUF" house, Rousey isn't expecting excessive copulation.
"If you think it's $100,000 worth of that lay (in potential lost sponsorships), then go for it, but I'm just going to remind them that there's a lot of very permanent consequences to how they carry themselves in the house," Rousey said.


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at College Green Westmoreland Street • Dublin, 2 • Ireland • Map
Renewal awaits in the heart of historic Dublin at The Westin Dublin hotel. Located directly opposite Trinity College and within just a few minutes walk of Grafton Street, College Street and Dublin Castle, we are ideally situated for your stay in Dublin. Take a look at our best current offers below. Alternatively, please contact the hotel directly, on +353 1 645 1129, or via email at email@example.com.
Flexible room rates, with no cancellation fee until 6PM the day before arrival with breakfast included.
The Exchange restaurant breakfast buffet menu offers a wide range of variety of international and Irish ingredients to start you on your day.
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text:
Couple of nice pizza cutters too!!!
Couple of nice pizza cutters too!!!
In order to make delicious food, you must eat delicious food. Jiro Ono
Applewood smoked bacon
Whatever is in the fridge special. Leftover delivery pizza meets leftover braised pork shoulder, heirloom tomato, pickled red onion, micro arugula and franks red hot.
Gnarly flavor overload
Burgers w/ Guacamole, Queso Fresco and Roasted Poblanos with Elotes.
Twitter: @PeterDaEater
Pan roasted duck breast salad, bacon wrapped goat cheese stuffed roasted pears, watermelon radish, enoki mushrooms, sweet apricot/ soy vinaigrette, blueberry vinaigrette.
Don't touch my d!ck. Dont touch my knife. ~ Anthony Bourdain ~
Breakfast: Juevos con Chorizo served on tortilla chips.
Twitter: @PeterDaEater
Winning Pete!
One thing you can give and still keep...is your word.
K-Fed, that duck salad looks amazing, I mean duck breast and bacon wrapped goat cheese stuffed pears!!!
Twitter: @PeterDaEater
K-Fed was that duck cooked Sous Vide? Looks proper. Well done sir!
One thing you can give and still keep...is your word.


text:
Douglas Biow, Director MEZ 3.126, Mailcode A1800, Austin, TX 78712 • 512-232-3470
Le Cercle Français meets to practice French
Fri, March 16, 2012 • 3:00 PM - 4:00 PM • Cactus Cafe
Informal conversation practice Fridays 3-4pm in the Texas Union's Cactus Café. Open to all students of French. Contact Dr. Nancy Guilloteau for more information.


text:
Perhaps the most highly anticipated BMW 1 Series M Coupe review has finally just aired – in episode 1 of Top Gear's newest season (Season 17). Jeremy Clarkson takes the helm of the 1M coupe in the review and absolutely loves the car, calling it a brilliant brilliant car! It's also put into the hands of The Stig for runs around the Top Gear track.
How did the 1M do in the performance measures? Well, it only managed to outdrag the Cayman R and Lotus Evora and … CONTINUED
Top Gear returns for season 17 this Sunday, the 26th and one of the first features will be their BMW 1M coupe review, the review everyone has been waiting for. It looks like Jeremy Clarkson will be the reviewer so expect plenty of entertainment and extreme opinions, as well as the some great looks at the 1M, as only the Top Gear produces can do.


text:
BEST Diversity Program
The Biostatistics Enrichment Summer Training (BEST) Diversity Program introduces undergraduates from under-represented populations to research in the areas of biostatistics and cardiovascular and pulmonary disease.
The Epidemiology and Population Health Summer Institute at Columbia (EPIC) offers more than 25 intensive week-long courses for healthcare professionals seeking advanced skills for population health research and program evaluation.
Columbia Summer Research Institute
The Columbia Summer Research Institute offers an intensive five-week program of full-time study where participants gain fundamental skills in research methods, as well as additional training in comparative effectiveness research and grant writing.


text:
Two women were charged for a burglary, as well as drug offenses Sunday, according to the Aiken County Sheriff's Office.
Angela Garcia, 44, of Warrenville, was charged with two counts of possession of other controlled substance (schedule I-V) first offense and second degree burglary and Ann Morgan, 35, of Graniteville, was charged with second degree burglary and simple possession of marijuana, according to the detention center.
Deputies responded to a burglary in progress on Barway Drive when they were advised by dispatch that the victim was following the subjects' vehicle, according to a sheriff's report. The victim was located by the responding deputies on Whiskey Road near Sharyn Lane, and the vehicle he was following was stopped.
The victim stated that when he arrived at his property, he noticed a black Jeep parked in the yard.
He then saw two people come out of his residence and leave. He proceeded to follow them.
The driver of the vehicle, identified as Garcia, told the deputy that they had permission to enter the home from an unknown person to obtain several items, according to the report.
The passenger, identified as Morgan, stated the same thing, and both said they entered the home through the front door, which was unlocked.
The items that were found in the Jeep included wine, yard decor, household items and hand tools. The victim identified the items as his property.
Morgan's and Garcia's purses were searched by deputies. According to the report, Garcia's purse contained two small, green bags containing a "clear, crystal-like substance." She stated that she didn't know how that got into her purse, according to the report.
Three cigarettes containing a green, leafy substance were found in the vehicle, which Morgan claimed belonged to her, according to the report.
Both women were transported to the Aiken County detention center, and the stolen items were returned to the victim.
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Gian Villante vs. Fabio Maldonado set for UFC event in Natal, Brazil
The UFC has another trip planned for Brazil, and the unannounced fight card already has a fight.
Fabio Maldonado announced on his Facebook page that he will face off against Gian Villante in Natal, Brazil in March. The card, yet to be officially announced by the promotion, is expected to take place on March 23 at Nelio Dias Gymnasium. MMA Sun first reported Natal as the possible city for the event.


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A method of minimally invasively reducing a volume of a hyper-inflated target section of diseased lung comprising the steps of introducing a bronchoscope into a patient's airway to a position adjacent the target section and equilibrating air within the target section with atmospheric air to at least partially deflate the target lung section; injecting an inflammation-causing substance into the target section to precipitate adhesion of the walls within the target lung section, preventing substantial re-inflation of the target section by occluding an airway upstream of the target section for a period of time, and removing the airway occlusion after the target section has substantially permanently been reduced in volume. The injected substance can be autologous blood or a constituent thereof.
1. A method of delivering a gas to a lung region comprising:
steering a bronchoscope through an air passageway to position a distal end of the bronchoscope near a diseased target region, wherein the diseased target region comprises a hyper-inflated cavity in a lung;
inserting a catheter through a lumen of the bronchoscope to position a distal end of the catheter near or in the diseased target region;
at least partially deflating the diseased target region by exposing the diseased target region to an ambient environment through the catheter to equilibrate the diseased target region with the ambient environment such that the diseased target region is at ambient pressure;
placing, using the catheter, an occlusion device within the air passageway leading to the diseased target region after equilibrating the diseased target region with the ambient environment; and
delivering, using the catheter, the gas to the diseased target region, wherein the gas is an inflammation-triggering gas for treating the diseased target region wherein the diseased target region is maintained substantially at ambient pressure during the placing and the delivering.
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The present application is a continuation application of U.S. application Ser. No. 11/417,944, filed on May 3, 2006 now abandoned, which is a continuation of U.S. application Ser. No. 10/409,785, filed Apr. 8, 2003, now U.S. Pat. No. 7,100,616. The foregoing application and patent are hereby incorporated by reference in their entirety.
1. Field of the Invention
The invention relates in general to the field of pulmonary disease treatments, and specifically to a bronchoscopic method of performing lung volume reduction surgery using an obstruction or one-way valve.
2. Description of the Related Art
The lungs deliver oxygen to the body by directing air through numerous air passageways that lead from the trachea to respiratory bronchiole to small sacs called alveoli. These alveoli are generally grouped together in a tightly packed configuration called an alveolar sac, and surround both alveolar ducts and respiratory bronchiole throughout the lung. The alveoli are small, polyhedral recesses composed of a fibrillated connective tissue and surrounded by a few involuntary muscular and elastic fibers. These alveoli inflate and deflate with the respiration of air. Oxygen and carbon dioxide are exchanged through the ultra-thin walls between alveoli and capillary sized blood vessels.
During inhalation, as the diaphragm contracts and the ribs are raised, a vacuum is created in the chest, and air is drawn into the lungs. As the diaphragm relaxes, normal lungs act like a stretched balloon and rebound to the normal relaxed state, forcing air out of the lungs. The elasticity of the lungs is maintained by the supportive structure of the alveoli. This network of connective tissue provides strength to the airway walls, as well as elasticity to the lungs, both of which contribute to the lung's ability to function effectively.
Patients with chronic obstructive pulmonary disease or emphysema have reduced lung function and efficiency, typically due to the breakdown of lung tissue. Lung tissue and alveoli are destroyed, reducing the supportive structure of the airways. This reduction in strength of the airway walls allows the walls to become "floppy," thereby losing their ability to remain open during exhalation. In the lungs of an emphysema patient, the walls between adjacent alveoli within the alveolar sac deteriorate. This wall deterioration is accelerated by a chronic inflammatory state with the production of mucus in the lungs. Although the break down of the walls of the alveoli in the lungs occurs over time even in a healthy patient, this deterioration has greatly accelerated in people with emphysema so multiple large spaces with few connecting walls replace the much smaller and more dense alveoli in healthy lung tissue. When many of the walls of the alveoli have deteriorated, the lung has larger open spaces (bullae or air cavity) and a larger overall volume, but has less wall tissue to conduct gas exchange.
In this diseased state, the patient suffers from the inability to get the air out of their lungs due to the loss of elasticity of the lungs as well as the collapse of the airways during exhalation. Heavily diseased areas of the lung become hyper-inflated. Within the confines of the chest cavity, this hyper-inflation restricts the in-flow of fresh air and the proper function of healthier tissue, resulting in significant breathlessness. Thus, the emphysematous patient attempts to take in a greater volume of air to achieve the same amount of gas exchange. With, severe emphysema, when patients take in as much air as their chest cavity can accommodate, they still have insufficient gas exchange because their chest is full of non-functional air filling large cavities in the lungs. Emphysema patients will often look barrel-chested and their shoulders will elevate as they strain to make room for their hyper-inflated lungs to work.
A wide variety of drugs are available for treating the symptoms of chronic obstructive pulmonary disease, but none are curative. Chronic bronchitis and emphysema are typically treated with antibiotics and bronchodilators. A large number of patients are not responsive to these medications. In selected severe emphysema cases, lung volume reduction surgery (LVRS) is performed to improve lung efficiency and to allow the patient to improve breathing function and quality of life. In lung volume reduction surgery, the most diseased portion of an emphysematous lung having a large amount of alveolar wall deterioration is surgically removed. LVRS is performed by surgically entering the chest cavity then stapling off and resecting the diseased portion(s) of the lung(s). This allows the remaining healthier lung tissue to inflate more fully and take greater advantage of the chest mechanics to inhale and exhale. Because there is more air and more gas exchange in the healthier portion of the lung, lung efficiency is improved and patients feel better.
Traditional lung volume reduction surgery is an invasive procedure requiring surgically entering the chest cavity and removal of lung tissue. This surgery has substantial risks of serious post-operative complications, such as pneumonia, and requires an extended convalescence. There have been more recent attempts to achieve lung volume reduction through minimally-invasive procedures. For example, U.S. Pat. Nos. 6,293,951 and 6,258,100 to Alferness et al. describe methods of collapsing a lung portion by obstructing an airway. U.S. Pat. No. 6,488,673 to Laufer et al. describes a method of increasing gas exchange of a lung by causing tissue damage within a diseased airway in order to cause the airway to remain open. U.S. Patent Application Publication No. 2001/0051799 to Ingenito teaches another method of non-surgical lung volume reduction that involves injecting a polymerizable sealant into a diseased lung section. Notwithstanding the benefits of the above methods, minimally invasive lung volume reduction may be performed utilizing other advantageous methods.
The present invention comprises methods of performing lung volume reduction to address a diseased lung section. One method comprises the steps of deflating a target lung section minimally invasively, causing inflammation of the walls of the target lung section, and placing an occlusion device within an airway leading to the target lung section to temporarily prevent re-inflation of the target section. By causing inflammation of the target lung walls, that portion of the lung will seal at a smaller volume. The method comprises guiding a catheter to the target lung section via the patient's trachea and bronchi, exposing the cavity within the target lung section to the ambient environment to deflate the air cavity, and injecting an inflammation-causing substance, preferably the patient's blood or analogous compatible fluid, onto walls of the air cavity. The volume of the cavity of the target lung section will be permanently maintained in a reduced state because the walls of the cavity come into substantial contact with one another, eventually substantially adhering to one another. Temporary re-inflation is prevented during the adhesion process by placing an occlusion device in an airway upstream of the portion of the lung to be treated, as close to the cavity as feasible, although general proximity is not critical. The catheter is then removed while temporarily leaving the occlusion device in the airway.
In one application of the present method, the distal end of a bronchoscope is used to guide the catheter to a diseased lung section, where an inflammation-causing substance is injected into the diseased lung section. In one variation, the present method comprises using the distal end of a bronchoscope to guide a multilumen catheter to a position adjacent the target region, inserting a puncturing tip through a section of diseased lung tissue and into the target region, and equilibrating the target region with atmospheric air. The target region air is equilibrated through a lumen extending from a distal opening of the lumen to the atmosphere. With the target region at atmospheric pressure, one or more occlusion devices may then be deployed in airways leading into the target region, thereby isolating the target region from inspiratory air flow. In one application, the obstruction is a one-way valve, such as those described in the '951 and '100 Alferness patents, or those described in pending U.S. patent application Ser. No. 09/951,105 to Alferness et al. filed on Sep. 11, 2001, Ser. No. 10/104,487 to Alferness et al. filed on Mar. 30, 2002, and Ser. No. 10/124,790 to DeVore filed on Apr. 16, 2002. The entire disclosures of the above patents and applications are incorporated herein by reference and made part of the present disclosure. The advantage of an obstruction device is reduced risk of reinflation during the adhering process, resulting in more effective lung volume reduction. Another advantage, among others, is precluding migration of the injected substance to non-targeted regions of the lung.
The methods described herein involve minimally invasive procedures for reducing the volume of a diseased target region of a patient's lung. Referring to
The cavities 30 (otherwise called bullae) are typically larger than 10 mm in diameter, and in some cases can be much larger (up to 6 cm or more in diameter). The airways leading to the bullae 30 are often not obvious or easily located, and can often be smaller than 1 mm in diameter. Additionally, there may often be multiple small airways leading to a single cavity 30.
With reference to
The occlusion device is configured to substantially preclude inspiration downstream of said device, and in one application comprises a one-way valve that allows the flow of fluid, whether gas or liquid, in one direction and substantially precludes fluid flow in an opposite direction. Suitable occlusion device deployment structures are described, for example, in co-pending U.S. patent application Ser. No. 10/052,875 to Rimbaugh et al. filed on Oct. 10, 2001, the entire disclosures of which is incorporated herein by reference. By way of brief summary, one example of the one-way valve may be configured in the shape of an umbrella comprising a frame that is configured to exert radial forces against the wall of the airway passage. Such an arrangement would preclude substantial inspiration to the lung downstream of the placement of the device, but permit some limited fluid flow upstream, such as experienced with mucocilliary transport. In another configuration, the one-way valve may comprise a stent-supported valve.
With reference to
Suitable means for reducing the volume of a target region often further includes one or more elongate, flexible catheters 60 with one or more lumens extending therethrough. Suitable catheters preferably have as small an outside diameter as possible, while maintaining sufficient column strength for the catheter to be advanced through a patient's airways without buckling or kinking. For example, in some embodiments catheters may be provided with an outer diameter of about 2 mm, although larger and smaller catheters can also be used. At least one lumen of at least one catheter is preferably adapted to allow airflow therethrough. Additionally, at least one lumen of at least one catheter is typically adapted to transmit a liquid therethrough. For example,
If desired, the airflow lumen 62 can include a valve for limiting airflow in one or both directions through the airflow lumen 62. The airflow lumen 62 can also optionally include a pressure gauge or sensor for indicating an air pressure level or a change in air pressure at the distal end of the catheter 60. If desired, a proximal end of the airflow lumen can also include a fitting for receiving a pump, such as a vacuum pump, to force airflow in one or both directions. The liquid-carrying lumen 64 can include a syringe, plunger, or other device for injecting a liquid substance through the liquid-carrying lumen 64.
A distal end 70 of at least one catheter 60 can also include a puncturing tip 72 as shown in
Such puncturing can be accomplished with a device such as a needle or tapered tip mounted on a distal end of a bronchoscope. Alternatively, a suitable tool can be mounted on a distal end of a catheter that can be passed through a lumen 54 of a bronchoscope 50 to extend beyond the distal end of the scope in order to be used to puncture the tissue as desired. A catheter 60 with at least one lumen configured to carry a liquid or a gas therethrough can be fitted with a substantially rigid puncturing tip 72. Puncturing tips 72 can include a variety of shapes, and typically have a hollow central lumen 74 therethrough. The puncturing tip generally has as small an outer dimension 'Do' as possible in order to minimize the size of a hole created in the lung tissue, an inner dimension 'Di' that is large enough to transmit an inflammation-causing substance therethrough, while maintaining a wall thickness 't' sufficient to provide the puncturing tip 72 with sufficient columnal strength for the tip to puncture a desired segment of lung tissue. For example, in some embodiments, a puncturing tip with a circular cross-section can have an inner diameter 'Di' of between about 0.5 mm and about 2 mm, often between about 0.75 mm and about 1.5 mm, and in one embodiment, the puncturing tip has an inner diameter 'Di' of about 1 mm.
In one embodiment, the puncturing tip 72 can be a stainless steel needle affixed to the distal end of a catheter 60. If desired, the needle can have either a sharp tapered tip 82 or a substantially blunt tip 84 as shown in
Alternatively still, the puncturing tip 72 can be made of any suitable material, such as other metals or a molded or extruded plastic, provided that the puncturing tip has sufficient columnal strength to allow the tip to puncture the lung tissue to a desired depth. Thus, a section of rigid material having any hollow tubular cross-sectional shape can be used to puncture into a target region. Thus, a catheter 60 with a puncturing tip 72 can then be introduced through lumen 54 of means 44 for reducing the volume of the target region 32, and the tip 72 can be punctured through the lung tissue into the target region 32, as shown in
Occlusion devices 40 can generally be deployed using any suitably configured catheter. For example, an occlusion device deployment catheter can include a distal cavity for retaining at least one occlusion device to be deployed in a patient's airway and a means for deploying the occlusion device. The means for deploying the occlusion device can include any suitable structure such as a push wire that is extendable through the length of the catheter and can be operated by a clinician to push the occlusion device out of the catheter. Alternatively, the means for deploying the occlusion device could include a retractable sheath that can be retracted relative to the occlusion device, thereby releasing the occlusion device.
The occlusion device can be one of many devices recognized as being suitable for occluding the flow of air in an anatomical lumen. For example, the '951 patent to Alferness et al. shows and describes a number of devices for unidirectionally and bidirectionally occluding airflow through an airway. Additionally, co-pending U.S. patent application Ser. No. 10/143,353 filed on May 9, 2002 shows and describes embodiments of a one-way valve that can also be used to prevent re-inflation of the target region while advantageously allowing mucous and other fluids to be moved proximally past the valve. PCT publication WO 98/48706 to Sabanathan shows and describes a number of plug-type occlusion devices that will occlude both inspiratory and expiratory air flow. The above-mentioned patents and applications are incorporated herein by reference and made part of the present specification.
Suitable occlusion devices can be provided in any size or configuration as desired. For example, in some embodiments, one-way valve occlusion devices having expanded outer diameters of between about 3 mm and about 8 mm can be used. Alternatively, valves having outer expanded diameters as small as 1 mm or less could be used.
The occlusion devices for use with the present inventive method can generally be adapted to be removed from a patient's airway after the volume of the target region has been permanently reduced. A means for removing the occlusion device 40 can include an elongate, flexible removal catheter with an occlusion device receiving space, and a means for gripping the occlusion device. The occlusion device receiving space can simply be a lumen of sufficient diameter to allow an occlusion device to be drawn into the space. If desired, the occlusion device receiving space can be sized to receive a plurality of occlusion devices, thereby eliminating the need to remove and re-introduce the removal catheter when removing multiple occlusion devices 40. A means for gripping an occlusion device 40 can include any suitable trans-luminal gripping tool, such as forceps, etc. Alternatively, a means for removing an occlusion device could simply include a bronchoscope. Accordingly, the occlusion device could be drawn into a lumen of the scope, thus allowing the occlusion device and the bronchoscope to be simultaneously removed. In an alternative embodiment, portions of the occlusion devices 40 can be made from a substantially bioabsorbable polymer which will be substantially dissolved and absorbed by a patient's body fluids and tissue, thereby eliminating the need for bronchoscopic removal of the occlusion device(s).
The methods of the present invention can be carried out with the above devices or any other tools or devices recognized as suitable by the skilled artisan. Once accessed, the hyper-inflated target lung portion 32 can be deflated by opening an airflow lumen 62 to bring the distal end of the lumen 62 (including any puncturing tip) in fluid communication with the ambient air at atmospheric pressure, thereby allowing the air in the target lung section 32 to equilibrate with atmospheric air pressure. In one preferred application, the target region 32 is maintained at atmospheric pressure throughout the procedure described herein. In some cases it may be desirable to further extract air from the target region 32 by applying a net negative pressure to an airflow lumen 62. In either case, the walls of the opposing side of the cavities within the target lung regions will be brought sufficiently close to permit adhesion. Where no net negative pressure is applied to the cavity or cavities, the residual air will eventually be absorbed or be drawn out through expiration, permitting the opposing walls to move closer and accelerating the adhesion process.
With reference to
Alternatively still, other organic and non-organic, inflammation-triggering, substances, gaseous or liquid, heated or cooled, may be used to cause inflammation of the lung tissue surrounding an enlarged cavity. For example, U.S. Patent Application Publication No. 2001/0051799 to Ingenito (incorporated in its entirety herein by reference, shows and describes a number of fibrosis-causing substances. Hot saline solution or very cold liquids or gasses may also be used.
The volume of an inflammation-causing substance to be injected into the target region cavity 34 will depend upon a number of factors, such as the type of substance being used (e.g. whether the substance is blood, another liquid or a gas), the approximate volume or inner wall surface area of the target region cavity, and other variables, such as the viscosity of the liquid substance used. In the case of liquid inflammation-causing substances, a sufficient volume of liquid to coat a substantial portion of the entire surface of the tissue 46 surrounding the target region cavity 34 should be used. It is generally preferred, that the substance 36 injected into a target region 32 be kept from causing inflammation of any adjacent healthy lung tissue. Deployment of the obstruction device upstream of the target region is beneficial in that regard.
If blood or a blood constituent is to be used as the inflammation-causing substance, a volume of blood that is between about 1 and about 100 percent of the volume of the target region cavity 34 can be used, where the volume of blood is preferably between about 5 and about 15 percent of the volume of the target region cavity 34. In one preferred application of the present invention, the volume of blood is about 10 percent of the volume of the target region cavity 34. For example, in order to reduce the volume of a cavity 30 with an interior diameter of about 6 cm (which can have an interior volume of about 113 cc, assuming a sphere), a volume of about 10 to about 20 cc of a liquid substance such as blood could be injected to coat the interior walls of the cavity. If necessary, any excess liquid can be removed from the target region by drawing a vacuum through a catheter lumen, or any other suitable method. In order to ensure a greater coating of the walls of the target region cavity 34 with the substance, the patient may need to roll over a few times, or make other similar movements.
In some cases, the walls 42 of the target region 32 can take a substantial length of time to permanently grow together. Depending on factors such as the size of the target region cavity 34, the inflammation-causing substance used, etc, complete adhesion of the walls of the target region can take anywhere from a few days to about a month or more. During this time, it is important that the target region be substantially protected against re-inflation. In many cases of advanced emphysema, a particular target region cavity 34 in the lungs can have a plurality of airways 18 (e.g. bronchioles) leading into the cavity 34. If all of these airways remain open to air flow after injection of the substance 36, the cavity 34 can become re-inflated, thereby potentially frustrating the objective of the lung volume-reduction procedure. Thus, either before or after injecting the inflammation-causing substance into the target region cavity 34, the airways 18 leading into the cavity 34 can be at least partially occluded by deploying one or more occlusion devices 40 into the lumens of the airways 18. It may not be necessary, however, to occlude every individual airway leading into the cavity, as this may prove to be prohibitively difficult in some cases.
In order to successfully prevent re-inflation, an occlusion device 40 may be deployed in an airway 18 substantially upstream from the target region 32. Occasionally it may be necessary to occlude an airway that feeds healthy lung tissue in addition to the target region 32. It is preferred that the placement of the occlusion devices 40 will occlude a minimum of airways extending through healthy lung tissue.
Once the occlusion device deployment and substance-injection procedures have been completed, the bronchoscope and any other trans-bronchial tools can be withdrawn from the patient, thus leaving the injected substance and occlusion devices in place relative to the target region. The inventive procedures allows the patient to be ambulatory while the walls 42 of the target region substantially completely sclerose. Depending upon the patient and the particular substance injected, the time required to sclerose will vary. The occlusion device(s) can be removed after a clinician has verified that the volume of the target region has been substantially permanently reduced. Verification of volume reduction can be accomplished by evaluation of a patient's symptoms, testing a patient's breathing function (e.g. breathing effort, etc), and/or by imaging of a patient's lungs such as by x-ray or MRI scans.
Once the volume of the target region has been permanently reduced, a suitable means for removing an occlusion device 40 can be introduced through the patient's airways to a position adjacent an occlusion device 40. Once in position, the means for removing an occlusion device can be operated in an appropriate manner to remove one or all of the occlusion devices 40. Multiple occlusion devices 40 can be removed in any suitable sequence, and if desired, without removing the bronchoscope 50 with each occlusion device 40. Alternatively, it is contemplated that one embodiment of an occlusion device comprises a bio-absorbable polymer, which can be left in place and allowed to deteriorate, thereby "removing" the occlusion device without introducing a bronchoscope or a removal catheter.
In an alternative application of the present method, the substance-injection step can be omitted, where one or more occlusion devices are left in place for a sufficiently long period of time that the walls surrounding the cavity substantially permanently adhere naturally.
Although certain embodiments and examples have been described herein, it will be understood by those skilled in the art that many aspects of the methods and devices shown and described in the present disclosure may be differently combined and/or modified to form still further embodiments. Additionally, it will be recognized that the methods described herein may be practiced using any device suitable for performing the recited steps. For example, the target region volume could be reduced by the present method using conventional open-chest surgical procedures. Such alternative embodiments and/or uses of the methods and devices described above and obvious modifications and equivalents thereof are intended to be within the scope of the present disclosure. Thus, it is intended that the scope of the present invention should not be limited by the particular embodiments described above, but should be determined only by a fair reading of the claims that follow.
Patent Citations
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text: Networking Reset Reset Select Product Filter by 0 Keep up to date! Download and install the latest router firmware to keep your network secure and reliable Product Finder We help you choose what\^ds best for you. ASUSWRT Latest router interface innovation for fast and easy network setup. ASUS AiCloud Access, stream, share, and sync all your data on the go. Wireless Routers Wireless Routers ASUS offers wireless routers for every purpose. No matter you are at home, on business trip, or other circumstances or environment, you can always find a ASUS router suitable for you. RT-N18U 2.4 GHz 600 Mbps High Power Router RT-AC66U 802.11ac Dual-Band Wireless-AC1750 Gigabit Router RT-AC68U Dual-band Wireless-AC1900 Gigabit Router Wireless AP/ Range Extender/ Bridges Wireless AP/ Range Extender/ Bridges You can also expend your signal coverage to share signal to more devices through bridges. If you want to improve the speed and range of the current wireless network, you can find the access points, range extenders, and bridges here. RP-N53 Dual-Band Wireless-N600 Range Extender EA-N66 Dual-Band Wireless-N900 Gigabit 3-in-1 AP/Wi-Fi Bridge/ Range Extender WL-330NUL All-in-One Wireless-N Pocket Router Wireless Adapters Wireless Adapters A good wireless adapter is important for Internet connection. You can find different kinds of adapter here for your PC, NB, and other devices. PCE-AC68 802.11ac Dual-band Wireless-AC1900 PCI-E Adapter USB-AC56 Dual-band Wireless-AC1200 USB 3.0 Wi-Fi Adapter USB-N66 Dual-band Wireless-N900 USB Adapter Wired Networking Wired Networking Wired networking can provide stable connection. In this category, you can find wired routers and switches. GX-D1081 V3 8-Port 10/100/1000Mbps Desktop Switch with Green Network GX1008B Desktop Unmanaged Switch for Home/SOHO RX3041 V2 Broadband Router with 4-port switch Bluetooth & Antennas Bluetooth & Antennas The high-gain antennas can help you upgrade your routers, find different kinds of antennas here. WL-ANT150 Omni High Gain Antenna WL-ANT151 Omni High Gain Antenna xDSL Modem Routers xDSL Modem Routers Your home gateway that integrates xDSL modem and router. ASUS xDSL modem routers offer high-speed and reliable connection to the Internet that is always on and connected. DSL-N12U Wireless-N300 ADSL Modem Router DSL-N55U Annex A Dual-Band Wireless-N600 Gigabit ADSL Modem Router DSL-N66U Stylish Concurrent Dual-Band Wireless-N900 Gigabit Modem Router


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Montreal Town Hall, July 30, 2009
This site provides an overview of materials related to the Government of Canada's public consultations on copyright, which ran from July 20, 2009, to September 13, 2009.
Events: Information on the round tables and town halls that took place during the summer of 2009. View by location or by date.
Discussions: Records of the discussions that took place on the copyright consultation website, under five topics:
Submissions: Full text of all formal submissions that were made during the consultation process.
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I'm more of a Ho Hos guy.
Oh, well, at least there's still Tastykakes and Little Debbies. All hope is not lost.
I always think of twinkies as those little sponges filled with creme. Not thinking I will miss them. Certainly won't be hoarding any.
Seen on Facebook: "If Hostess can't make it in America, what hope do vegetables have?"


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No cooking or smoking within the cabin.
Only select cabins allow pets.
Fees accommodate only one Motor Vehicle Entrance Fee, all others must pay upon arrival at the park
You must contact the park one week to 48 hours in advance of your arrival in order to confirm key pick up, access codes, etc. Please call (208) 683-2425 for your cabin access information. Failure to contact the park may result in inability to obtain entry into the cabin.
No refunds are given for failure to make arrangements with the park. Water is shut off from mid October through mid April.
Furthermore no showers are available prior to mid-May or after mid-September.
Customers who stay in Farragut's camper cabins between November 1 and March 31must be prepared to hike, snowshoe, or cross country ski up to one third of a mile into the cabins.


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Harwood Union will celebrate the addition of its new woodchip boiler facility on October 2, at 5 p.m. behind the school.
School representatives invited community members to attend the ceremony that recognizes "our commitment to be both environmentally and fiscally responsible."
The dedication will honor the student leaders who initiated an energy efficiency lighting retrofit and will host students, staff, school board members as well as state representatives and Governor Jim Douglas.
The 1,200-square-foot building is currently being constructed outside the maintenance receiving area on the east side of the school to house the woodchip heating system and chip storage.
Once the facility is completed, school board members anticipate burning 850 tons of woodchips, according to recent meeting minutes.
Harwood Union Principal Duane Pierson reported, "After a long series of negotiations, permit filing and applying for the 90 percent construction reimbursement from the Department of Education, work has begun and is expected to be completed by the 2008-2009 heating season.
"The construction project will utilize some of the parking areas behind the school and may at times affect the traffic flow around the school," he continued.
Voters approved the $1.68 million project for the South Duxbury school in November 2006. Harwood opted to put the initiative on the November ballot in order to take advantage of a state program that pays for 90 percent of construction costs.
The remaining 10 percent of the cost, about $168,000, is the school's responsibility.
The debt could be paid off in a few years without "any net impact on the tax rate," by using the money saved in heating expenses -- expected to be about $50,000 annually -- to cover the local share of the capital cost, school board member Scott Mackey said in the weeks leading up to the vote.
The project has been touted as a way for the school to save on heating costs as well as reduced dependence on foreign oil and boost the local economy.


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Cloud computing is transforming the business world, allowing companies of all sizes to implement advanced software and embrace innovative IT trends with fewer concerns and bigger savings. At the same time, however, not everything that can benefit from the cloud is doing so, as there are many technologies that have yet to make the transition to the hosted environment.
Unfortunately, the transition of many technologies, such as office systems and email, is slower than many advocates predicted. Gartner recently highlighted this occurrence, noting that only 8 percent of all office system users are in the cloud. Still, analysts believe this is a progressing market, noting that 33 percent of these tools will be in the cloud by 2017.
This market will gain significant momentum after 2015, Gartner noted. This is likely because the cloud will be more familiar to most organizations by then and employees will demand the ability to access mission-critical resources from anywhere.
"Despite the hype surrounding migration to the cloud, big differences in movement rates continue, depending on organizations' size, industry, geography and specific requirements," said Tom Austin, vice president and Gartner Fellow. "While 8 percent of business people were using cloud office systems at the start of 2013, we estimate this number will grow to 695 million users by 2022, to represent 60 percent."
What factors weigh into cloud decisions?
Analysts noted that email is one of the world's most significant collaborative tools, as it provides individuals with the ability to share information across networks and platforms. In many organizations, the option to move email to the cloud is among the biggest decisions, weighing into moving the entire office system to the cloud or not. Gartner believes that at least 10 percent of all email users will be based in the cloud by the end of next year, a number that will triple by the end of 2017.
(more…) «Report: A third of office systems will be in the cloud by 2017»


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New Delhi: Prime Minister Narendra Modi's close aide Amit Shah may be named the next BJP president on Wednesday, party sources said. The parliamentary board of the BJP, its top decision making body, will be meeting in the national capital Wednesday. Shah, who has been credited with the party's impressive ..
Sitamarhi (Bihar): A total of 54 students of a government middle school in Bihar's Sitamarhi district fell ill on Saturday after eating mid-day meal in which a 'snake' was found. Sursand block development officer Vinod Kumar said the children Meghpur Middle School at Sursand developed symptoms of nausea ..
New Delhi: Two men arrested for raping two Tanzanian women here were Saturday sent to 14 days' judicial custody, police said. Kunal Singh, 27, and Satish Singh, 28, residents of Shastri Nagar and R.K. Puram, respectively, were arrested from the house of a common friend in south Delhi's Sarojini Nagar ..


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Let's $#@!ing do this!!!
Let's $#@!ing do this!!!
That banner is pretty goddamn cool. Especially liked the names of all the players on the fringe
Let's do this!
Missed the banner ceremony cause I was waste deep in presents... If anyone has a link please share!
Just rewound the banner raising ceremony. Awesome. Love this team.
Liking what I'm seeing out of Lamar so far.
Also clever how stern has pieces of flair he's making the players wear.
Defense has definitely taken a hit with no Tyson in the middle.
Mavs are done, why oh why did they not spend the $ to keep TysonChandler? Yes, he's asking way too much but the window is razor thin for the Mavs, now or never to win another one. Otherwise Mavs fans will need to wait another 30 years for title.
18 points in the paint in the first quarter alone. That's brutal. Also, what's the point of crying now? It's literally the first game of the year against the NBA final teams. Plenty of games to go. But I am scared of our defensive abilities.
Last edited by Esque; 12-25-2011 at 02:17 PM.
Damn. I didn't expectg to win this game with new pieces and limited practice time, but Heat are making a f'n statement. This is a beatdown.
Did everyone else not see this coming? Bunch of new players, no practice time, against a team that thinks winning today will prove something.
These Mavs do have a pre-2010 look to them especially on defense. I'm confident Donny and Mark will make a trade to shore up the defense. Nevermind this team is facing the Heat with their core returning. Mavs lost Tyson and JJ.
Not surprised by the first half. I did not feel the Mavs were ready. Lots of roster adjustments, lost Coach Casey who was the force behind the defensive mind set last year, and much weaker in the front court. Miami is one of the top teams in the league so this is a good measuring stick for the progress that is needed. Dallas will come together and work things out but there will be some bad losses mixed in throughout the season.
Probably shoulda seen this coming. Mavs success is predicated on execution. Heat gameplan is to have better affoletes. Mavs have had about a week to practice, and Miami's guys were primed and ready to run and jump.
All that said, I'm not exactly encouraged by what I've seen from the center position so far. Somebody is gonna have to step up.
we have no inside presents (christmas pun), offensively or defensively.
sent from my phone. so what, big whup. wanna fight about it?
That was a world class flop by lebron.
This isn't intended as smack.
I always said Mavs would not win a championship as long as Cuban was owner.
*He was more interested in putting fannies in the seats
*He was more interested in getting flashy players that put fannies in seats than the players that address needs such as defense and toughness, (More likely to pursue a Tracy McGrady instead of a Shane Battier)
*Big spender, who would go cheap when it came time to go max contract on anyone not named Dirk (see: Steve Nash)
Sooooo......time to eat my words. I was proved wrong. Mavs won, congrats, and he did it by getting Chandler, addressing needs, even I said "Oh $#@!!" when he was signed.
But what the $#@!? I just found out yesterday.......Chandler gone.....Barrea gone.......picked up Vince $#@!ing Carter.....headcase Lamar Kardashian?
So while I give props to the Mavs for their 1st championship.......there won't be a back to back repeat, thanks to Cuban. He refused to pay Chandler, the one guy that got them over the hump, loses Barrea that gave every team nightmares and sparked his teammates, and brings in "put fannies in the seats" players like Carter (over the hill ball hog, needs too many shots, does not play Defense.) and Mr. Kardashian (soon to be over the hill, defensive liability head case) And if there was ever a time to not bring in new players or retool, and instead maintain the status quo and player familiarities, it would be a short season without a real training camp.
Like I said, not trying to talk smack, only found out about Mavs personnel moves yesterday. And up until yesterday, I $#@!ing thought Mavs were set to two-peat. I'm back to the mindset Mavs will not win another ring as long as Cuban is around, as Cuban took apart or let fall apart a championship team for all the reasons I've previously been critical of Cuban.
Last edited by To be named later; 12-25-2011 at 03:28 PM.
We need training camp. I like what I have seen from my man Beaubois so far, not so much Haywood, Odom, and Carter
We started the season 2-7 three years ago. We climbed out of that hole. I think something like that could happen this year.
Last edited by fellside; 12-25-2011 at 03:20 PM.
Still pissed about not resigning Chandler, makes no sense to me after we have been through Shawn bradley, erick damper and a bunch of other scrubs at center
Lots of knees jerking out of sockets on this thread.
WTF was that weak call? Lamar back to back ejections?
Some things don't change:
- NBA officiating is dog $#@!
- Lebron is a flopping bitch
Losing Tyson (and to a lesser extent JJ, Caron, etc) was due to the new salary cap/luxury tax structure. The reasons have been hashed out in this thread as well as most media outlets that cover the Mavs. Blaming Cuban is laughable, IMO.
Last edited by CBT; 12-25-2011 at 03:44 PM.
last Feb, I thought the Mavs had a great chance to win the title, where they won 22 or 23 games IIRC (with 1 loss by 1pt). Wow, greatest chemistry I'd seen in many years. Anyway, too hard to repeat in the NBA - only Kobe, Shaq, Jordan, Hakeem, Magic and Isaiah have done that in the last 30 years (not even Larry Bird).
Agree with all that the banner is $#@!ing pimp. Getting our $#@! pushed in puts a slight damper on things, but I'm happy the Mavs and the NBA is back in my life.
2012-2013 Dallas has only Dirk, Marion, Haywood, Roddy B and DoJo on the book. And Haywood could be amnestied. The plan is to pursue Dwight and/or DWill. And while it sucks at this moment to not have Chandler here, I'd rather throw money at young studs like Dwight and DWill than a 30 yr old Chandler whostruggles to stay healthy. Half the people here are freaking out of 12/25/2011 - there's a big picture to consider as well
when DelonteWest (one word) is on Lebron, is that Father-Son?
Breen and JVG both just commended Haslem on committing a flagrant foul in a 30 point blowout because he didn't like the way he got bumped?!? That's real smart since those can cause suspensions later on.
The window is closing. Dirk only has a couple more years. The future is now. Cubans mindset should be how to get that next championship this year, and the last couple years of Dirk's career.
You telling me New York can roll with the contracts of Amare', Carmelo and Tyson Chandler and any (?) salary baggage of the Isaiah Thomas mis-management years, yet Cuban can't deal with Dirk + Chandler?
Now if Cuban has his eyes on Dwight Howard and can pull it off, this season......Executive of the year award will be due Cuban, but if that can't be pulled off until next off-season, then no ring this year.
Last edited by To be named later; 12-25-2011 at 04:01 PM.
First of all...$#@! Miami. But they look great and should be considered the favorite.
Only 15 or so practice days this year, so we are gonna look raggedy for a while.
As a mavs fan, I look at it like this: thank god we won it last year, or we would really be frustrated right now
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Research Rising
Take This Job and Love It
Where Do We Go From Here?
USF Helps Students, Tightens Belt Amid Worldwide Recession
Jesuit Superior General Visits USF
Alumna Nominated As Undersecretary of Education
Do You Know Your Human Rights?
USF to Award California Prize to Alice Waters
Nursing Alumna Wins Fulbright Grant
Irish President Receives Honorary Degree
Business School Goes Global
"Quote Me"
After School
Master's Thesis Idea Raises More Than $2 Million for Ovarian Cancer Research
Alumnus Fights Global Hunger
USF Sports
Legendary Coach Pete Newell Dies
Little Wishes Come True
The Newspapering Life
Why Teaching Literature Matters
Master's Thesis Idea Raises More Than $2 Million for Ovarian Cancer Research
OVER THE PAST four years, Kelli Sargent, MA '04, has raised more than $2 million for ovarian cancer research through an annual 5k race, an idea she first came up with while working on her master's thesis project.
"My mom had ovarian cancer and I was always into doing 5k events and running, so I thought, 'How about doing my thesis on putting on a 5k run/walk for ovarian cancer?'" said Sargent, who received her master's degree in sport management from USF's Orange County campus.
While working on her thesis, Sargent initially thought of the fundraising run simply as a project for class. But as she researched the idea further, she began wondering if she could really make it happen despite receiving a "B" on the assignment.
"I'm glad I got a 'B,' because I think there's always room for improvement," Sargent said. "I'm glad my professor didn't say, 'Everything is great, everything is good,' because there were things I needed to work on to actually make it happen."
In fact, Sargent worked on the idea for another 18 months before the inaugural Run For Her 5k Run and Friendship Walk was held in November 2005. That first year, about 1,000 runners and walkers participated in the Los Angeles event; last November, more than 3,000 did so. In addition to paying a registration fee, participants can choose to raise additional money for ovarian cancer research, with all proceeds going to the Cedars-Sinai Women's Cancer Research Institute.
Sargent also views the race as an opportunity to raise awareness about ovarian cancer, which is often called the "disease that whispers" because the early warning signs often mimic those of many other common conditions. It is one of the deadliest forms of cancer and most women diagnosed with ovarian cancer live only up to five years after their diagnosis.
Sargent's inspiration for the race, her mother Nanci, lost her own battle with ovarian cancer in April 2008. Sargent said that although her mother never wanted the race to be about her, she was an integral part of it, serving on the organizing committee, speaking on stage at the post-race celebration, and triumphantly crossing the finish line each year. Last November's race was the first one without her.
"It was definitely a difficult thing, but it inspired me even more that I will never stop doing anything I can to contribute to ovarian cancer research," said Sargent, who now works as business manager for the Women's Cancer Research Institute and continues to organize the race in her free time.
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Monday, January 14, 2013
Cross football coach Shaun Wright understands history, and he tells his team to be mindful and respectful of the rich history and tradition that is Cross Trojans football.
The 2012 Trojans made a little history of its own this fall, becoming the first team from Cross to play for and win a state championship.
This team will be the answer to many a question offered in quiet conversation over lunch, a haircut or family dinners around the holidays. First and foremost being, Do you remember when?
The future of Cross Trojan football now rests in the hands of these 30 young men, and their achievement will be immortalized in banners hung from the gymnasium rafters and on display high above the grandstand at Arthur Ravenel Stadium.
Young football players will emulate these guys. They will copy their style of running and wear their numbers on team football jerseys, wanting to be the next number 3, or 5, 9 or 50. They will be the subject of pregame speeches about resilience, overcoming adversity and a never-say-die attitude.
Attitude is everything, coaches will say, and these Cross Trojans had it. And this celebration of their first ever state championship is for everyone who calls Cross home.
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