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Once you optimize your body and prime it for beard growth, focus on keeping your beard healthy from the outside. Only use beard shampoos and conditioners, which will contain the right pH for your beard and face. Beard moisturizer and beard oil are two of the best products you can use to promote healthier hair grow. Try something like this Beard Oil Conditioner from Urban Prince; not only does it condition your beard, but it moisturizes it and treats it with protective oils. Using products like this before your beard becomes damaged is crucial to growing an overall healthier beard.
Jump up ^ "7 F.3d 795 (8th Cir. 1993) 68 Fair Empl.Prac.Cas. (Bna) 245, 62 Empl. Prac. Dec. P 42,611 Langston Bradley, Plaintiff, Equal Employment Opportunity Commission, Intervenor-Appellant, v. Pizzaco of Nebraska, Inc., D.B.a Domino's Pizza; Domino's Pizza, Inc., Defendants-Appellees". United States Federal Circuit Courts Decisions Archive. vLex. Archived from the original on 4 December 2013. Retrieved 5 June 2012.
Another common thing is the selling of beard supplements. Most commonly these are just low-quality kitchen-sink multivitamins with huge price tag (like Vitabeard or Beardilizer), they can slightly help (just like normal multivitamin would), but the fact that they're grossly overpriced and not any different than grocery store multi's is sickening.
Product Cost- The product cost is ultimately one of the most important factors which need to be compared before we buy a particular product. Enquire the cost of different products lined down, and compare the same taking into relevance the product features as well. To find the best cheap beard trimmer, you need to carry on a comparative analysis taking the product price into consideration.
The 3500's self-sharpening titanium blades are second to none. They cut hair cleanly, efficiently, and without skin irritation. They provide lasting sharpness and are ready to provide a clean shave whenever you need it.
In this post will look at what is the best beard trimmer available, as well as others that rate pretty damn close. We'll also discuss things to look for when buying a beard trimmer, how to use a trimmer and the difference between a beard trimmer and other grooming tools.
There are also two types of hair that grow on your face, vellus (the light, blond, more youthful hair) and terminal (the darker, coarser hair). As you age your vellus hairs will convert into terminal hairs and those are the hairs that become a beard in a traditional sense.
The first thing you'll need to decide is when to apply your beard balm. We're assuming that you're like most men and that it will be part of your morning routine. And we suggest you apply your balm after your morning shower when your beard is warm and damp. This is when your hair – and skin – will most absorb your balm's key ingredients.
Congratulations for joining us at the finish line! We hope you've learned some useful information today. There are a multitude of options when it comes to maintaining a great-looking beard. With the right products and the right techniques for using them, we believe that your beard will be a source of pride, confidence, and the envy of many. Beard on, friends!
Quality Construction: This model is clearly one that was designed with longevity in mind—you can tell by just looking at it. Paired with its two-year warranty, you can rest assured that this model will serve you for the long haul.
The ancient Semitic civilization situated on the western, coastal part of the Fertile Crescent and centered on the coastline of modern Lebanon gave great attention to the hair and beard. The beard has mostly a strong resemblance to that affected by the Assyrians, familiar from their sculptures. It is arranged in three, four, or five rows of small tight curls, and extends from ear to ear around the cheeks and chin. Sometimes, however, in lieu of the many rows, there is one row only, the beard falling in tresses, which are curled at the extremity. There is no indication of the Phoenicians having cultivated mustachios.[18]
Grape seed oil is pressed from the seeds of grapes and is a by-product of the wine-making process. It has a higher concentration of linoleic acid than most carrier oils, and linoleic acid has anti-inflammatory, moisture-retentive, and acne-reductive properties.
That being said, there are some ways how to grow a beard faster – to help produce a fuller beard and we can say under good authority that this can be achieved in as little as thirty days time. let these be some tips and suggestions for establishing long-term results that can be tracked on a month-to-month basis. There will be no potions consumed or any kind of ritual sacrifice required. What these steps will do is assist you in grooming a fuller and healthier beard, along with a more confident you.
The ancient text followed regarding beards depends on the Deva and other teachings, varying according to whom the devotee worships or follows. Many Sadhus, Yogis, or Sannyasi keep beards, and represent all situations of life. Shaivite ascetics generally have beards, as they are not permitted to own anything, which would include a razor. The beard is also a sign of a nomadic and ascetic lifestyle.
To grow a healthier beard, it's important to become a healthier you. Ditch empty carbs and go for protein instead, like omega-3-containing fish and other lean protein. Get on a vitamin regimen and be sure to devote at least 7 hours a night to sleep. And as always, exercise—it promotes beard growth.
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Bro, I didn't get my beard n mouthstache properly I'm shaving my beard weekly still it doesn't started to grow it has strtd at just over chin so please suggest me an oil or balm or jel and my age is 19
Ive recently started growing beard to the goal of a full one or a hipster beard now i know from my barber that i have thik beard hairs and im almost 3 weeks in now and im having a good beard but i have this small area at my cheek that has a little shorter hairs in it so will beard oil help me ?,
Did you know the beard is a historical emblem of power? That's why influential men sport this style. From Abraham Lincoln, Chuck Norris, to ZZ Top, even Santa and Jesus know how to rock a good, thick beard. It doesn't matter if you can't grow super long facial hair, you can make sure that the hair you grow is healthy and growing at its own max capacity. The biggest mistake men make is focusing on the belief that they cannot grow a beard at all, which is extremely rare.
Now, how thick your beard is and how fast it grows vary a lot based on genetics. But the important thing for young guys to know is that if you're under 21, you're nowhere near the mature phase of beard growth, so if you're expecting fine beard hair or patchiness, know that this isn't a sign that you can't grow a beard. Give it a few years, and you'll likely be pleasantly surprised.
Hi. Which is the best oil or cream available online for beard growth. I could not find any oil or cream related to facial hair growth online other than few hair nourishment products. I have a beard but its not thick. Also does age has to do anything with the growth of the beard.
In order to buy non-prescription medicines you must be a registered user of our site as we are obliged to record your transaction history. We also ask that you complete our questionnaire so our pharmacy team can check that this product is suitable for you to buy.
Use your clippers to evenly trim your beard: If you don't have a lot of experience using clippers, it's always best to start with a bigger guard. This ensures you don't accidentally trim too much and you can always go smaller if you find you need to.
Much like our suggestion to keep your beard clean, making sure both your facial hair and skin are well lubricated and moisturized will help ensure a fuller looking beard over time. By using beard softener and beard oil as part of your larger grooming regimen, your skin and facial hair will avoid the irritating dryness that creates beard dandruff and the build-up the clogs pores and reduces facial hair production. Aesthetically too, using beard oil and softener can help make your beard simply look fuller because of their abilities to help evenly distribute the denser parts of your facial hair throughout your beard.
The balm is easy to work with and mold in your hands prior to application (it has exceptional softness) and therefore is easier to spread in your beard hair. You'll also love the scent: it's mild and woodsy, manly yet sophisticated.
You do not need to wash your beard every day – that'll dry it out! We recommend washing your beard about 2-3 times a week, but you can do it more or less depending on your body chemistry and how active you are. Facial hair has a coarser, unique structure when compared to the rest of your hair, so using a specially designed wash is necessary to keep it healthy and clean, without damaging your hair or skin. Using regular shampoo will dry out your beard and skin – causing it to become brittle and break while your skin flakes.
Most guys know all about the awesomeness of cocoa butter. If they're already proud papas, but for those who don't, cocoa butter is an excellent base for conditioners and lotions (hence Honest Amish's choice to use it as an ingredient), because it softens skin (and hair) without making it greasy. It can also help lessen the look of scars and stretch marks, which is why dads know all about it because their wives and girlfriends will have been all about the cocoa butter while pregnant. Shea butter, another ingredient in Honest Amish, has similar effects as well.
Beard oil and beard balm are also great beard softeners and should be among your beard care essentials. This beard oil and beard balm kit from Topher's Beard Company come in their Drunken Pirate scent, which is their interpretation of Bay Rum.
Beard oils may claim to make your beard grow faster, stronger and thicker, and that may well be an added benefit, but it's not the whole story. David Pirrotta of David Pirrotta Brand Management (a distributor for grooming brands including Grown Alchemist and Sachajuan) put it this way: "Think of beard oil as cologne, but one that doubles as a hair and skin moisturizer on top of adding shine and body to your beard. Quality beard oils will soften your facial hair, as well as moisturize the skin, reduce itching and create the conditions for healthy growth and smoother beard trimming."
Biotin is a natural hair growth supplement that you can take to help improve the hair quality and growth. This is especially helpful in men who suffer thin, patchy beards. Biotin contains Vitamin B6, C, and E, which will help keep your hair and skin in top shape. The downside to this supplement is that hair and nails are much alike, and accelerated nails and other bodily hair are likely to occur. So make sure you can deal with this potential before going forward.
I've used coconut oil as a softener for my beard several times. I'm using a virgin organic brand. Smells great when I put it in. However, after it has been left in for about four or five hours, it starts to smell (and taste) like soap. I find this fairly unpleasant. Anybody else have this sort of issue?
Go easy on your beard. You don't to always be touching it, grabbing at it, brushing, or combing it. Let it breathe. Cotton sheets and pillowcases can also be a cause of the friction pulling at your beard, so maybe consider satin sheets. They are much smoother and less likely to lead to those lost hairs you find in the morning.
When you trim your long beard, keep it simple. Do only what you need to do to maintain the shape you want and no more. By practicing adequate nutrition, good beard care and some common sense, you'll be able to get your beard to your desired length in no time.
"Be very, very careful because you can clog your pores if you put too much on," said Harvey, the founder of The BarberStars, who shapes hair for the likes of rapper Nas, and athletes like Stephen Curry, Klay Thompson, Grant Hill and Chris Webber among others.
Usually you should shampoo your beard with the same shampoo you already use for your head. Some may prefer to wash their beards with soap instead. You could try out soap and shampoo to see which you like best.
Let's face it, we've all monitored the clock, our watches, and the calendar days go by while trying to grow a beard. Shaving your beard will NEVER make it grow back faster or thicker, it's an urban legend. The ability to grow a full beard is something that most men, both beardsmen and those who shave regularly, covet. Whether they actually act on this desire is a whole other story, but regardless, most men want to know that they could grow a thick and dense beard if they so desired. In reality, beards are almost never perfect and although we all wish our beards were perfectly distributed and fertile enough where you can't see the facial skin below, these desires are simply not the reality for most beardsmen.
Jump up ^ Soykut, Mustapha (2005). "Chapter Nine: The Ottoman Empire and Europe in political history through Venetian and Papal sources". In Birchwood, Matthew; Dimmock, Matthew. Cultural Encounters Between East and West, 1453–1699. Newcastle upon Tyne: Cambridge Scholars Press. p. 170. ISBN 9781904303411. Retrieved 2014-10-28. […] Bessarion later embraced the Catholic faith and in 1455 lost the election to become Pope with eight votes against fifteen from the cardinals. One of the arguments that was used against the election of Bessarion as Pope was that he still had a beard, even though he had converted to Catholicism, and insisted on wearing his Greek habit, which raised doubts on the sincerity of his conversion.
How much should you apply? A couple of drops will usually do the trick, but you may need more depending on the length of your beard. If you are new to the game and your beard is shorter than half an inch, a couple of drops will work just fine.
The Series 3500 comes with a high-performance battery that some reviewers say provides up to 90 minutes of cordless use on a full charge (a full charge takes one hour). But the trimmer is good for both cordless and corded use. A battery light indicates when the trimmer is charging.


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Hallmark Inn is managed by Hallmark Group in Malaysia. The hotel is well connected and centrally located in the heart of Melaka (Malacca) city center with convenient access to major historical attraction and popular shopping mega malls such as Dataran Pahlawan, Hatten Square and Mahkota Parade. Hallmark Inn offers business and leisure travelers a refined experience with our 48 guest rooms in vibrant tones and fully equipped with modern amenities. A variety of rooms categories are available, ranging from Deluxe Double, Deluxe Twin, Deluxe Single and Premier Executive Suites
Ideal to relax and unwind as Hallmark Inn sits elegantly beside Melaka River with the romantic view of Melaka's riverfront. The Stadhuys, A'Famosa, Jonker Street and other delightful attractions are only a leisure walk from us. Which ever room you pick you'll finfd that Hallmark Inn ensures a comfortable and relaxing stay in this historic town of Melaka.


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Postoperative outcomes. APR indicates abdominoperineal resection; LAR, low anterior resection; LOS, length of stay. *Statistically significant at P < .05.
Postoperative complications in 2002 to 2004 (first period) vs 2005 to 2007 (second period). LAR indicates low anterior resection. *Odds ratio (OR), 0.34; 95% confidence interval (CI), 0.13-0.88; P = .03. †OR, 0.52; 95% CI, 0.31-0.87; P = .01. ‡OR, 0.31; 95% CI, 0.12-0.80; P = .02. §OR, 0.40; 95% CI, 0.21-0.76; P = .005.
Association between adherence to the enhanced recovery after surgery protocol and postoperative outcomes. *Statistically significant at P < .05.
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Gustafsson UO, Hausel J, Thorell A, et al. Adherence to the Enhanced Recovery After Surgery Protocol and Outcomes After Colorectal Cancer Surgery. Arch Surg. 2011;146(5):571–577. doi:https://doi.org/10.1001/archsurg.2010.309
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Although interventions within enhanced recovery after surgery (ERAS) or fast-track programs have been shown to improve postoperative recovery in colorectal surgery,1-4 universal implementation has not yet occurred.5 One reason could be that ERAS programs are considered complex and resource demanding.6 Another is that the ERAS concept as such possibly appears elusive because the relative contribution of each intervention in the program remains uncertain. Nevertheless, some of the elements in the ERAS program, such as omission of routine bowel preparation for colonic resections, no routine use of postoperative drains, early removal of nasogastric tubes, and early feeding and mobilization, have already been incorporated in traditional care.5,7 Recently, a modified fast-track protocol (RAPID) with only 4 interventions,8 instead of 20 in the ERAS program,9,10 was also presented.
Introducing ERAS protocols usually requires a major shift in clinical routines, and many units may have difficulties in making all these changes at once. The effect of the different perioperative ERAS interventions as well as the importance of adherence to the protocol in terms of clinical outcomes, such as postoperative symptoms, morbidity, and length of stay (LOS), remain unclear.
In this prospective cohort study, we assessed the effect of an ERAS protocol relaunch project on protocol adherence and clinical outcomes. The aim was to investigate the importance of protocol adherence and the influence of different ERAS components for clinical outcomes following colorectal cancer surgery.
Ersta Hospital in Stockholm, Sweden, is one of the original centers in the European ERAS Study Group. The ERAS protocol for colon and rectal surgery of this collaborative group9,10 was first implemented in 2002. Clinical data, including protocol adherence and clinical outcomes, have been prospectively captured in the Web-based international ERAS Database from the start.11 At Ersta Hospital, all patients undergoing elective major colorectal surgery are consecutively included in the ERAS protocol, which has been the standard of care since 2002. Because of unsatisfactory compliance, the ERAS protocol was relaunched on March 1, 2005, to improve several aspects of the protocol itself and the adherence to the program. Preceding the relaunch, during autumn 2004, a site visit to the pioneering unit at Hvidovre Hospital, Hvidovre, Denmark, helped identify key areas of potential improvement. These improvements concerned a large number of details in the perioperative care protocol, as well as strategies to increase adherence (eTable). All patients who underwent a colon and/or rectal cancer resection in the period from 2002 to 2004 (January 1, 2002, to February 28, 2005) and 2005 to 2007 (March 1, 2005, to December 31, 2007) were registered in the database and are included in the study. During these 2 periods, the surgical staff, consisting of 7 senior consultants, anesthetists, and nursing staff, has remained largely unchanged. The research protocol was approved by the ethics committee at the Karolinska Institutet and carried out in accordance with the 1989 World Medical Association Declaration of Helsinki.
All patients were treated according to a standardized ERAS protocol.9 Key components in this protocol were thoracic epidural analgesia (activated before onset of surgery and discontinued on postoperative day 2-4), preoperative oral carbohydrate treatment (a carbohydrate-rich, clear beverage, Nutricia Preop [12.5 g/100 mL−1 carbohydrates, 12% monosaccharides, 12% disaccharides, 76% polysaccharides, 285 mOsm/kg−1]; Numico, Zoetermeer, the Netherlands)12 up until 2 hours prior to surgery, and avoidance of preoperative oral bowel preparation and perioperative fluid overloading. Early oral diet (4 hours after surgery) and early mobilization (2 hours out of bed on the day of surgery and then 6 hours daily) were also part of the protocol. Altogether, 114 variables, including 21 key ERAS adherence variables, were recorded. Clinical data, including extent of postoperative mobilization, symptoms delaying discharge, length of hospital stay (LOS), and 30-day morbidity and mortality, were prospectively captured in the ERAS Database.11 Daily dietary intake and fluid/energy balance were recorded.13 Patients were considered fit for discharge using the following discharge criteria: postoperative pain adequately controlled with oral analgesics (visual analog pain score <40 of 100), intravenous nutrition or fluids no longer needed, mobilization (out of bed ≥6 hours daily), return of bowel function (stool or repeated flatus), and no complications in need of treatment in the hospital. Complications were diagnosed following the Veterans Administration Total Parenteral Nutrition Trial definitions and classifications.14 All patients were examined by a surgeon at Ersta Hospital 2 weeks after discharge and interviewed by a trained nurse on postoperative day 30 to register any late-occurring complications. The definition of postoperative symptoms was symptoms that were not part of a complication and that clearly caused prolonged LOS (unspecified fever, pain, fatigue, constipation, dizziness, or diarrhea).
Altogether, 464 consecutive patients in the first period (2002-2004) and 489 consecutive patients in the second period (2005-2007) were included in the study. Adherence to the ERAS protocol was assessed among these 953 patients and analyzed with regard to postoperative outcomes, both between as well as across the 2 periods.
Results are presented as mean (standard deviation), median, odds ratio (OR), and 95% confidence interval (CI) when appropriate. A 2-tailed t test was used for crude group comparisons of continuous variables and multiple linear regressions, for adjusted comparisons. Crude associations between categorical variables were analyzed with χ2 tests or the Fisher exact test, as appropriate. Baseline characteristics were analyzed to determine the univariate predictors of the different outcome variables: postoperative symptoms, LOS, and 30-day postoperative morbidity including infection rates. Multiple logistic regression was then used to assess the adjusted association between specific interventions and each outcome.
The adjustment variables were age, sex, body mass index, American Society of Anesthesiologists score, surgical interventions, and laparoscopic/open surgery. When calculating adherence to the 12 preoperative and perioperative (day 0, day of surgery) ERAS interventions, the cut offs for adherence to the continuous variables were set as follows: intravenous fluid, colon, peroperative 2000 mL + postoperative 1000 mL = 3000 mL and rectum, peroperative 2500 mL + postoperative 1000 mL = 3500 mL; per oral fluid, more than 0 mL; intravenous kilocalories, less than 200 kcal; and per oral kilocalories, more than 0 kcal.
Adherence was calculated as the number of interventions fulfilled/12 (total number of preoperative and perioperative interventions). When calculating impact on an outcome, preoperative and perioperative interventions were added in the multiple regression model using stepwise modeling including all variables with a P value < .15. A P value < .05 was considered statistically significant. All data were analyzed using Stata version 10.0 (StataCorp, College Station, Texas).
First, to assess the impact of increased adherence to the ERAS protocol, baseline characteristics and type of surgery were compared between periods. The 464 consecutive patients treated in 2002 to 2004 were at lower anesthetic risk compared with the 489 operated on in 2005 to 2007 (American Society of Anesthesiologists score of 1: 21.6% vs 14.5%; P = .007; American Society of Anesthesiologists score of 3: 14.6% vs 19.7%; P = .048). Another significant difference was a small increase in the proportion of patients operated on laparoscopically (Table 1).
A smaller proportion of both low anterior resection and Hartmann operations were performed in the second period compared with the first period, which in turn had a lower proportion of abdominoperineal resections (P < .05). Fewer patients underwent pelvic surgery in the second vs the first period (40.5% vs 47.6%; P = .03) (Table 1). In both periods, the surgical procedure with the highest rate of complications was abdominoperineal resection (46% vs 58.1% in the second and first periods, respectively).
Overall, the mean preoperative and perioperative (day 0) adherence to the 12 specific elements of the ERAS protocol increased from 43.3% among patients undergoing colorectal surgery in 2002 to 2004 to 70.6% in 2005 to 2007 (P < .001). Adherence to most of the postoperative intervention parameters also improved significantly (Table 2).
Following an overall increase in mean preoperative and perioperative adherence to the ERAS protocol from 43.3% to 70.6% between study periods, the number of patients with at least 1 complication declined from 203 (43.8%) in 2002 to 2004 to 165 (33.7%) in 2005 to 2007 and the number of patients with symptoms delaying discharge also declined from 307 (66.2%) to 247 (50.5%) (Figure 1 and Figure 2). Thus, a 27% increase in overall adherence to the ERAS protocol was associated with a 27% reduction in relative risk of any 30-day postoperative morbidity (OR, 0.73; 95% CI, 0.55-0.98) and a 47% reduction in relative risk of symptoms delaying discharge (OR, 0.53; 95% CI, 0.40-0.70), adjusting for confounding. Although the median LOS went from 7 days to 6 days with higher adherence to the ERAS protocol, this was not statistically significant (P = .14). However, the proportion of patients with LOS within the clinic target for abdominoperineal resections (<7 days) increased significantly from 35.4% to 46.8% (OR, 2.34; 95% CI, 1.01-5.38) between the first and second periods (adjusted for confounding) (Figure 1). The difference in proportion of patients with LOS within the clinic targets for colonic surgery (<3 days) (9.0% vs 12.7%) and low anterior resection (<5 days) (17.4% vs 22.7%) was not significant. No significant difference was found in the proportion of reoperations (10.6% vs 8.8%), readmissions (10.6% vs 10.2%), or 30-day mortality (1.3% vs 1.2%) between the first and second periods, respectively.
The effect of overall adherence to the ERAS protocol, regardless of period, was also analyzed comparing patients with an overall adherence of more than 90% (n = 76), more than 80% (n = 183), and more than 70% (n = 284) with patients with a low overall adherence less than 50% (n = 333). Across periods, the proportions of patients with symptoms delaying discharge and 30-day morbidity were significantly reduced with higher levels of ERAS adherence using multivariate logistic regression adjusting for age, sex, American Society of Anesthesiologists score, body mass index, type of operation, and laparoscopic surgery (Figure 3). The ORs for postoperative symptoms were 0.35 (95% CI, 0.25-0.51), 0.34 (95% CI, 0.22-0.52), and 0.31 (95% CI, 0.17-0.55) with more than 70%, more than 80%, and more than 90% adherence, respectively. The ORs for 30-day morbidity were 0.62 (95% CI, 0.43-0.89), 0.57 (95% CI, 0.37-0.89), and 0.33 (95% CI, 0.16-0.66) with more than 70%, more than 80%, and more than 90% adherence, respectively, and the ORs for readmissions were 0.36 (95% CI, 0.17-0.76), 0.38 (95% CI, 0.15-0.95), and 0.16 (95% CI, 0.02-1.19) with more than 70%, more than 80%, and more than 90% adherence, respectively, vs less than 50% adherence.
In univariate analysis, mean LOS was significantly shorter in patients with high ERAS protocol adherence (>70%, 7.4 days; P < .001; >80%, 7.0 days; P < .001; and >90%, 6.0 days; P < .001) compared with patients with low adherence (<50%, 9.4 days). Multiple regression revealed a significant difference in LOS among patients with adherence more than 90% (P < .03) vs less than 50% adherence, while the difference among patients with adherence more than 70% (P = .07) and more than 80% (P = .08) was borderline significant.
The effect of each intervention on postoperative symptoms, complications, and LOS was analyzed across periods. Multiple regression analysis adjusted for basic characteristics and other protocol interventions revealed that perioperative intravenous fluid management (intravenous day 0 = day of surgery) (Table 2) and receiving a preoperative carbohydrate drink were major independent predictors of postoperative outcomes. The amount of fluids given the day of surgery was concurrently associated with preoperative oral bowel preparation. Patients receiving bowel preparation had a mean amount of 1000 mL of additional fluids given during the day of surgery (OR, 1.33; 95% CI, 1.14-1.54) while patients given preoperative carbohydrates received a mean 450 mL less fluids on average (OR, 0.75; 95% CI, 0.66-0.87). For each additional liter of fluids given during the day of operation, the risk of postoperative symptoms delaying recovery increased by 16% (OR, 1.16; 95% CI, 1.02-1.31) and the probability of postoperative complications increased by 32% (OR, 1.32; 95% CI, 1.17-1.50). In particular, fluid overload increased the risk of cardiorespiratory complications (OR, 1.20; 95% CI, 1.10-1.31). If patients were treated with preoperative carbohydrates, the risk of postoperative symptoms was reduced by 44% (OR, 0.56; 95% CI, 0.40-0.77). In particular, preoperative carbohydrates significantly reduced the risk of postoperative nausea and vomiting, pain, diarrhea, and dizziness. Also, the risk of postoperative wound dehiscence was reduced by the preoperative carbohydrate drink (OR, 0.16; 95% CI, 0.05-0.50). Most of the other preoperative and perioperative ERAS interventions had a positive effect on the different outcome parameters, but the majority did not retain statistical significance in multivariate analyses adjusting for confounding.
In this large prospective observational study of more than 900 consecutive patients undergoing major surgery for colorectal cancer within an ERAS program, we found an association between improved protocol adherence and improved postoperative outcomes. Patients with high adherence to the ERAS protocol had a 25% lower risk of postoperative complications and nearly 50% lower risk of postoperative symptoms delaying discharge. They also had a higher tendency toward reaching LOS within the target limits compared with patients operated on under less optimal ERAS protocol adherence. Overall, there was a strong indication of a dose-response relationship between enhanced adherence to the protocol (>70%, >80%, and >90% compared with <50%) and improved surgical outcomes, reducing the relative risk for postoperative symptoms delaying discharge, 30-day morbidity, and readmissions between 38% and 69%. Nearly all preoperative and peroperative ERAS interventions influenced postoperative outcomes beneficially, but intravenous fluid management and intake of a preoperative carbohydrate drink were the major independent predictors.
It is possible, although unlikely, that factors other than improved adherence to the ERAS protocol could explain the observed differences in outcomes between periods. However, the turnover of surgical staff was minimal between periods. Second, although the mix of surgical procedures and the frequency of laparoscopy differed slightly between periods, the proportions of patients who underwent pelvic and laparoscopic surgery were adjusted for in the multivariate analysis. Also, because abdominoperineal resection, the procedure with the highest morbidity and longest recovery, was more frequent in the late study period, this would reduce the observed improvement in outcomes over time. However, the strongest argument for an independent association between overall adherence to the ERAS protocol and improved clinical outcomes is the indication of a dose-response relationship between level of adherence and postoperative morbidity, independent of study period.
The main explanation for the apparently high overall morbidity is that both major and minor complications were prospectively recorded, the patients were relatively old, and a large proportion underwent major pelvic surgery.
Several studies have demonstrated that the ERAS protocol is associated with earlier recovery and discharge after colonic resection,15-22 while the recovery benefits following pelvic surgery remain uncertain.20,23,24 It has not previously been convincingly shown that an ERAS protocol reduces postoperative complications after colorectal surgery, although 2 systematic reviews and 2 smaller uncontrolled studies1,2,18,24 indicate a decline in surgical morbidity. It was recently found that a modest improvement in ERAS protocol adherence does not improve postoperative outcome,25 but the present study shows a decline not only in complication rates and postoperative symptoms delaying recovery but also a shorter LOS following enhanced protocol adherence.
The ERAS protocol includes approximately 20 evidence-based care elements aimed at reducing surgical stress and postoperative catabolism.9,10 We prospectively audited 21 index elements to assess protocol adherence, 18 of which were significantly improved after the program relaunch. Randomized studies on the importance of the different ERAS components are lacking and evaluating the impact of each single intervention is cumbersome since they influence each other, confounding interpretation. However, in the present study, most of the ERAS elements were found to significantly improve outcome parameters in univariate analysis but failed to do so after adjustment for confounding in the subsequent multivariate analysis where only 2 factors remained independent predictors: perioperative intravenous fluid management and preoperative carbohydrate treatment. Preoperative carbohydrate loading to avoid preoperative fasting reduces postoperative insulin resistance by approximately 50%26 and attenuates postoperative nitrogen losses, lean body mass, and impairment of muscle function.27-29 The carbohydrate drink, in addition to its metabolic effect, improves patient well-being (thirst, hunger, and anxiety) preoperatively.30 We found that a carbohydrate drink not only reduced the need for perioperative intravenous treatment but also lowered the risk of postoperative symptoms delaying discharge by 44%. Moreover, fluid overloading in patients also played a major role, increasing the risk of postoperative complications by 32% for each additional liter of perioperative intravenous fluid administered. This is in line with previous reports of deleterious effects of fluid overload,31,32 but our data show that controlling intravenous fluids is important even within an ERAS setting.
Despite the fact that the more complex multimodal ERAS programs repeatedly have been found to improve recovery after major surgery, old traditions prevail. Hoping to reach the same results with less effort, some clinics select a few components of the ERAS program and incorporate these into traditional care.8,10 The RAPID protocol8 is an example of a modified fast-track protocol where most of the enhanced recovery interventions are omitted. Using only 4 intervention arms (removal of tubes, ambulation, analgesia, and diet introduction), the protocol resulted in enhanced recovery after surgery. However, the target of removal of intravenous fluids on postoperative day 2, ambulation of more than 100 m on postoperative day 2, a patient-controlled analgesia pump instead of epidural anesthesia, and introduction of diet on postoperative day 2 is a clinical pathway that differs from the multimodal pathway previously described by the ERAS Study Group.10 As the enhanced recovery field develops, certain interventions may turn out to be nonessential. However, before omitting specific components in the protocol, such a decision should be based on a closer understanding of the importance of each element in the program. This study has shown that adherence to the ERAS protocol as a whole results in improved outcomes and identified some elements of the protocol as being more crucial than others. However, our findings reflect the specific circumstances that prevailed during the study and do not contradict that it may be the combination of each of the different elements that makes an effective regimen rather than the single element on its own. This may also be worth considering when implementing the ERAS protocol in other abdominal surgical procedures.33,34
In conclusion, better adherence to the elements of the ERAS protocol is crucial to improve surgical outcome. In this study in particular, restricted perioperative intravenous fluid management and a preoperative carbohydrate drink were found to be of specific importance for beneficial outcomes.
Correspondence: Ulf O. Gustafsson, MD, PhD, Centre for Gastrointestinal Disease, Ersta Hospital, Box 4622, 116 91 Stockholm, Sweden (firstname.lastname@example.com).
Accepted for Publication: October 26, 2010.
Published Online: January 17, 2011. doi:10.1001/archsurg.2010.309
Author Contributions: Dr Gustafsson had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: Gustafsson, Ljungqvist, Soop, and Nygren. Acquisition of data: Gustafsson, Hausel, Ljungqvist, Soop, and Nygren. Analysis and interpretation of data: Gustafsson, Thorell, Ljungqvist, Soop, and Nygren. Drafting of the manuscript: Gustafsson, Ljungqvist, Soop, and Nygren. Critical revision of the manuscript for important intellectual content: Gustafsson, Hausel, Thorell, Ljungqvist, Soop, and Nygren. Statistical analysis: Gustafsson and Nygren. Obtained funding: Gustafsson, Ljungqvist, and Nygren. Administrative, technical, and material support: Gustafsson, Hausel, Ljungqvist, and Nygren. Study supervision: Gustafsson, Thorell, Ljungqvist, Soop, and Nygren.
ERAS Study Group Members: Members during the study period were C. H. C. Dejong, Maastricht University Medical Centre, Maastricht, the Netherlands; M. F. von Meyenfeldt, University Hospital Maastricht, Maastricht; K. C. H. Fearon, Royal Infirmary, Edinburgh, Scotland; and K. Lassen and A. Revhaug, University Hospital Northern Norway, Tromsö, Norway.
Financial Disclosure: Prof Ljungqvist is the holder of a patent for the preoperative carbohydrate drink used in this study. This patent is licensed to Numico AS, a Dutch commercial company that sells a product based on this patent in Europe and Australia.
Funding/Support: This work (design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, and approval of the manuscript) was supported by grant 09101 from the Swedish Research Council; Stockholm County Council (SLL); the Torsten and Ragnar Söderberg Foundation; Karolinska Institutet; Hans Mellström; and the Familjen Erling-Persson Foundation.
Previous Presentations: Preliminary results from this study were reported at the Congress of the European Society of Parenteral and Enteral Nutrition (oral poster number 0056); September 15, 2008; Prague, Czech Republic; and at the Congress of the European Society of Coloproctology (oral poster number OP58); September 25, 2010; Sorrento, Italy.
Additional Contributions: We express our gratitude to the ERAS Study Group and the ERAS group at Ersta Hospital for excellent nursing and technical assistance. Dr Gustafsson made all the statistical calculations supervised by biostatisticians at Karolinska Institutet.
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Read this tip to make your life smarter, better, faster and wiser. LifeTips is the place to go when you need to know about Cat Behavior and other Cat topics.
Bury citrus rinds in the soil of your house plants to keep cats from digging. Orange, grapefruit, lemon, lime rinds are all unpopular with felines.
You can do this for your outdoor garden as well to prevent the neighborhood cats from treating your garden as the litter box.
Be aware that the rinds will break down into the soil (composting) so you will need to replace them from time to time.
|Guru Spotlight
|PJ Campbell


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Oh it has been some time, hasn't it?! Yikes. I have clearly still been slacking when it comes to creating a more regular blogging habit.
I've decided to do more book review posts here. I often have many thoughts on a book, and when I rate them using the GoodReads app and don't always feel like writing anything very lengthy there since I'd be typing on a phone.
I just finished reading A Darker Shade of Magic by V.E. Schwab, and I thoroughly enjoyed it! Sometimes I want to rate a book based on how emotionally invested I was in the characters, and if I were to rate it based on that I would have to give it a slightly lower rating than I did. I gave it 5 stars on GoodReads for a few reasons, but I have to admit that I didn't necessarily experience "the feels" with this book.
***Spoilers Warning starting now! ***
What I did love was the world-building, for one. I could very clearly see these multiple Londons and the magic within all the worlds. The writing here was wonderful and almost made this fictional world feel like a real place!
Also, I surprised myself by being SO HAPPY that the two MCs did not fall in love. This doesn't mean that I would be upset if they fall in love later in the series because I wouldn't. I loved them both on their own as individuals and they did have an easy chemistry between them.
However, there are far too many times where I'm reading a book with some big action-packed mission and two characters fall for each other during it and have constant flirtation and romantic/sexual tension, and I always kind of go, "But really though?"
Realistically, if you are in the middle of a big, all-consuming, life-or-death mission the chances of even having time to THINK about being flirtatious would be fairly slim to none, I would think. All too often I'm left sitting there thinking, "Who would even have the energy left to flirt?!" Particularly when there is a time crunch on the mission. I suppose if it's a long game kind of thing, then whatever, that's different. But when they have mere days… well, ain't nobody got time for that.
So, I fully appreciated that the MCs in this book were focused on their mission and didn't dink around to be coy and flirtatious with one another and worry about whether or not the other one liked them.
I really liked Lila. I liked that she was genuinely fearless. Well, not fearless exactly, but able to think past her fear. She is not as afraid of death as she is afraid of a boring life devoid of adventure, and I just really loved that about her. It came across as quite genuine and not like some cheap "front" she was putting up in front of her tortured soul. She was much more self-aware and confident than Kell — she already knows what she wants out of her life.
Personally, I felt that Lila didn't fall into the "strong female character" trope because to me despite the fact that she was physically tough and could fight, her strength of will and her confidence is what really stuck out. She seemed emotionally strong and well-adjusted, even though she was mistreated as a child and lived an incredibly difficult life. It didn't seem to me that was "wounded" by those things. She's too straight-forward for that, I think. She accepts things as they are and doesn't worry herself or waste her energy with fretting over things that she cannot change.
I'm kind of sick of seeing characters who beat themselves up or feel sorry for themselves FOR THEIR WHOLE LIVES over things that happened in their pasts.
In this way, I can personally relate to Lila and that's probably why I liked her so much! I'm not a thief or cut-throat, haven't killed anyone (I promise! Haha), and haven't lived on the streets… but I can relate to that emotional willfulness and ability to spend energy on what I see as more productive things than fretting about the past or the future.
I'm so excited to read the next book now! I'm pretty sure I figured out a "secret" and I think it was supposed to be pretty obvious… the whole glass eye thing… yeah? Yeah?! I'm very intrigued to read more.
I do hope that maybe in the next book I'll get more of "the feels" while reading. I love to have a book just wreck me thoroughly. It hasn't happened in quite some time! Probably since The Wrath and the Dawn.


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Windows 8 is currently in its consumer preview, and aside from being g-g-gorgeous, it's also going to be home to a lot of beautiful new Metro-optimised apps through the Windows Store. Which are the best? Which do you need to download first? Here are the most essential Windows 8 apps on day one.
Let's be up front: the Windows Store is barren right now. There's just nothing there yet, a rough count pegs the number of apps at less than 100, and you'll obviously need to download Windows 8 before you can nab even those. But you know what makes it worth it? During the preview period, every app in the Windows Store is free. Yup. FREE. So even though there aren't that many apps, there aren't any apps that'll cost you any money. That's a win.
Here are the best we've found so far.
Wordpress: Got a blog? Chances are you built it with Wordpress. And if you want to share stuff to your Wordpress blog from your snazzy new Windows 8 tablet/computer, you'll probably want to use the WordPress app. It lets you to browse orignal content on Wordpress.com and share photos, links and quotes from any app. Free.
Ashampoo ImageFX: If pictures are worth a thousand words, then pictures tweaked with effects and filters are worth EVEN MORE. OK, maybe not, but all the cool kids are making their pictures look snazzy these days so you might as well too with Ashampoo ImageFX.
SketchBook Express: You've heard of SketchBook on other platforms, but now it brings its drawing expertise to Windows 8. It doesn't pack quite as many options as SketchBook Pro but you can still draw with a variety of tools: pencil, pen, airbrush, etc.
Grantophone: Turn your Windows 8 device into a musical instrument (great for tablets, especially). You can tweak settings to create sounds to pretend you're the digital age Mozart or a technologically inclined Dr Dre.
Vimeo: No app from that other video sharing site yet, but it's OK; Vimeo videos are always higher quality, always more fulfilling and always more tasteful. Well, almost always. Either way, watch videos on Vimeo.
Pirates Love Daisies: An addictive tower defence game that puts two things you don't think fit together (pirates and daisies) and make it super fun to play. The original game was actually built with HTML5, so this Windows 8 version runs swimmingly on any device.
Cut the Rope: The premise of the game, if you've been living under a rock, is to feed Om Nom his candy by cutting ropes in strategic fashion and also gathering as many stars as you can. Trust me, it's not as boring as it sounds. You'll be addicted in no time.
Wordament: It's an addictive word game in the lines of Boggle. You get a grid of letters and you find as many words as you can from adjacent letters. The game pits you against other players in real time so you get to see how quick your finger is, and how vast your vocabulary.
Elements Weather Forecast: You can't always stay inside; sometimes you'll have to venture out to the big bad world. When you do, it's good to know the weather. Elements gives you seven-day forecasts, and you can pin a live tile to your homepage. That way you can keep tabs on the forecast without having to jump into the app.
Evernote: Evernote, the do-everything-and-anything note-taking app, is also available for Windows 8. It syncs with all your other Evernote apps and works just as you'd expect: write notes, search notes, map notes, share notes, etc.
Dictionary.com: Words. Don't play around, we all know that you don't always know what they mean. Dictionary.com will tell you. Essential, right? And very cromulent.
Cookbook: Cookbook taps into 200,000+ recipes from Big Oven and shows you delicious pictures and full cooking instructions for everything from main dishes and sides to bread and desserts. You'll become a Michelin starred chef soon enough.
USA Today: Keep up with the news of America with USA Today. Sure, it might not be my go to source for news, but it does cover everything pertinent in easily skimmable nuggets and will let you easily keep track of the news on your Windows 8 device.
LA Times: The LA Times is a solid newspaper with a horrible website (those ads, ugh). So how is the LA Times app? Surprisingly good! The Metro interface works really well with news, showing images and stories as grabby tiles.
MSNBC: Keep track of all of MSNBC's content — from Today to the various blogs under its umbrella — with the Windows 8 app. And like every other Windows app, the MSNBC app makes everything a lot mo' pretty.
Kayak: Sometimes it seems like the internet can make travelling even more of a hassle, what with all the different rates to sort through and confirmation numbers to manage. Kayak actually makes the process easier — from booking your flights and hotels to organising your itinerary.
See any other great apps that we missed? Let us know in the comments!


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The group was formed in September of 1966 in Oldham, Lancashire. Lees and Wolstenholme were classmates who played together in a band called the Blues Keepers; that group soon merged with a band called the Wickeds, which included Holroyd and Pritchard.
They became Barclay James Harvest in June of 1967 and began rehearsing at an 18th century farmhouse in Lancashire.
The psychedelic era was in full swing, and the era of progressive rock about to begin -- the Moody Blues, in particular, were beginning to cut an international swathe across the music world. BJH cut a series of demos
In April they issued their first single, a folky, faux-classical song called "Early Morning." The group got caught up a year later in a corporate change at EMI, and it was decided to move the more progressive-sounding groups on the label onto a new label, coincidentally named Harvest. Their first release on the new label was the single "Brother Thrush."
The band recorded two more albums for Harvest,"Short Stories" (1971) and 'Baby James Harvest" (1972), and spent much of 1972 on the road, including an unsuccessful tour of the U.S. They also released a pair of singles, "When the City Sleeps" and "Breathless," under the pseudonym "Bombadil" (a name taken from a J.R.R. Tolkien short story), all to no avail. 1973 saw them part company with EMI after one last single, "Rock and Roll Woman."
It seemed at first as though BJH was locked once again into a cycle of failure. Finally, in late 1974, their double-album "Barclay James Harvest Live" broke through to the public -- the group was rewarded with a Top 40 placement in England and more sales activity on the European continent than they'd previously seen.
A year later, "Octoberon" reached the Top 20.
In 1977, they released "Gone to Earth", their most accomplished album to date, and by the end of the year the group found themselves playing to arena-sized audiences.
Their 1979 album "Eyes of the Universe" was a modest hit in England, but its release marked a flashpoint in Barclay James Harvest's career in continental Europe, especially Germany; on August 30, 1980, the band performed a free concert in front of nearly 200,000 people at the Reichstag in Berlin, which was filmed and recorded. A subsequent live album, Concert for the People, became the group's biggest-selling album in England, rising to number 15 in 1982.
"Turn of the Tide" (1981) and "Ring of Changes" (1983) were less successful, although the latter did spawn their last charting single, "Just a Day Away." Their subsequent Polydor albums, Victims of Circumstance, Face to Face, and Welcome to the Show, charted ever lower in England, even as the group's popularity grew in Europe. In 1988, they released a new live album, "Glasnost", cut at a concert in East Berlin.The group marked the 25th anniversary with a concert in Liverpool, and toured to support a British Polydor compilation, "The Best of Barclay James Harvest".
(all music)
01. Crazy Over (You)
Written-By – Les Holroyd 4:17
02. Delph Town Morn
Written-By – John Lee 4:48
03. Summer Soldier
Written-By – John Lees 10:27
04. Thank You
Written-By – John Lees 4:23
05. One Hundred Thousand Smiles Out
Written-By – Les Holroyd 6:04
06. Moonwater
Written-By – Woolly Wolstenholm 7:30
Bonus Tracks
07. Child Of Man
Written-By – John Lees 3:21
08. I'm Over You
Written-By – John Lees 3:52
09. When The City Sleeps
Written-By – Lester Forest 4:15
10. Breathless
Written-By – Terry Bull 3:08
11. Thank You (Alternative Version) - Previously Unreleased
Written-By – John Lees 4:27
12. Medicine Man (Single Version)
Written-By – John Lees 4:29
13. Rock And Roll Woman
Written-By – Les Holroyd 3:17
14. The Joker
Written-By – John Lees, Les Holroyd 3:32
15. Child Of Man (BBC Session 15th March 1972) - Previously Unreleased
Written-By – John Lees 3:36
16. Moonwater (2002 Remix) - Previously Unreleased
Written-By – Woolly Wolstenholme 7:20
I feel sorry for the soldier who is shot and stoned in anger
I feel sorry for his wife and child at home
I feel sorry for the bomber who all life and limb dishonours
For the people that he's maimed and left alone
The Lord God said love thy neighbour
Though in human life he trades, he's still a man
I feel sorry for the children who with open mind are willing
To fight for ideals aged and past their time
I feel sorry for the children who will join the vicious circle
Of instinct fear bred from their parents' minds
The Lord God said love thy neighbour
Break the circle, free the hater, call him a friend
Wake up, wake up, there's a man by your side
With a knife and a gun in each hand
Wake up, wake up, you're one and the same
It's time to stop and decide
Label:Harvest – 07243 538408 2 2, EMI – 07243 538408 2 2
Released:27 May 2002
Style:Prog Rock, Symphonic Rock


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Oklahoma Neuigkeiten. (Perry, Okla.), Vol. 10, No. 18, Ed. 1 Thursday, August 24, 1911
Description: Weekly German newspaper from Perry, Oklahoma that includes local, state, and national news along with advertising.
Date: August 24, 1911
Creator: Pietrusky, G.
Item Type: Refine your search to only Newspaper
Partner: Oklahoma Historical Society


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Unexpected discovery from the 15th Century
A fascinating discovery has recently been made during work on the wall of Amsterdam's Singel canal. Below the water lay 27 stones which archaeologists have identified as being part of an original wall from 1480. The wall can even be seen on the oldest map of Amsterdam by Cornelis Anthonisz.
This is the first time that a piece of wall of this scale has been discovered in Amsterdam and the City is working closely with City Archaeologist Jerzy Gawronski to determine where best to display the stones in order to preserve them.
Read more about the discovery (in Dutch)


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Glamping in Central America & Caribbean
Where do you want to go?
The Villa Gauguin
boquete, panama
Located just a 10-minute scenic drive away from Central Boquete at an elevation of 5,269 feet awaits Panama's Alto Quiel area, where this beautiful vacation rental hides. Surrounded by lush plant life, a garden, and other amenities, this home away from home has everything anyone would need for a ...View Details
Vida by Selina
puntarenas, costa rica
Disconnect to discover a new level of inspiration, energy, and harmony at Vida by Selina. Leave the noise behind and find peace at our 65-acre retreat. Host a yoga or meditation retreat, plan and produce your music and arts festival, or bring your community into nature for a little R&R. The e...View Details
puntarenas, costa rica
This yurt style cabin, inspired by the ancient Mongolian dwellings, overlooks the Canas River and the virgin rainforest as the ancient backdrop. Guests will be just steps away from natural swimming holes, waterfalls and various nature hikes. This is a true immersion in Mother Nature and a real re...View Details
Villas del Lago Lake Resort & Campground
puerto plata, dominican republic
Villas del Lago Lake Resort & Campground is a becautiful nature resort located by a private lake. The property offers comfortable accommodations in Glamping Tents for campers who wish to enjoy the outdoors without having to bring and pitch their own tents. The lodge houses the restauran...View Details
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compass image by Sid Viswakumar from Fotolia.com
Balsa is a very light and soft wood used primarily for scale modelling and other crafts and hobbies. Due to its light weight and open grain, balsa is easily damaged and can be challenging to cut. There are several hand tools that work well, but for cutting accurate circles a band or scroll saw works best. You will need a thin blade with very fine teeth to make accurate cuts. Both band and scroll saws function in much the same way. There are specific details for different brands, but much of the process is the same.
Make a template by using a cup, can or other round object of the correct diameter to trace your circle on the surface of the balsa wood with a felt tip pen. Set the template on the balsa wood and trace the outline. Draw precise circles of a particular size with a compass. To draw a circle with a compass, open the legs of the compass to the correct diameter and tighten the nut to hold it firmly. Set the metal scribe point where you want the centre of your circle to be and drag the compass pencil around the scribe to draw the circle.
Adjust the blade guide on the saw. Place the balsa on the saw table. Turn the wing nut on the guide counterclockwise and drop the guide down onto the balsa. Lift the guide slightly to allow the balsa to move freely and then turn the nut clockwise to tighten it in place.
Start the saw and allow the blade to come up to full speed. Guide the piece through the blade, turning it as it goes. Remember that the blade is stationary and you are driving the piece, not the blade as with hand-held power saws. Keep the piece moving steadily and stay on the line. Continue turning the piece through the blade until the circle is completed. Sand the edges of the cut circle with 200-grit sandpaper to smooth the edge.
Most recent
- "Band Saw Fundamentals"; Rick Peters; 2006
- compass image by Sid Viswakumar from Fotolia.com


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Papa Dukes - Paris Grill
1515 Kennedy Blvd, Aliquippa, PA 15001
Phone: (724) 375-7621
Hours of Operation:
Monday - Saturday 11AM until ?
Kitchen closes at 11PM
Sunday - Closed
About: Located on Kennedy Boulevard in Aliquippa, Pa., Papa Duke's Paris Grill has been a favorite spot for great food and drinks since 1982. Offering casual dining and family-friendly atmosphere, our great service and wonderful dishes are sure to please! We are a non-smoking establishment with a full bar, and have plenty of large-screen TVs so you can enjoy the game while having a great meal!


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Instead of getting a paid job at age 16, many teens have turned to volunteering as a way to find inspiration and give back to the community.
Working with children is an accessible way for teens to help out. One possibility is to volunteer as a camp counselor. St. Luke's Mission of Mercy is a charity mission in Buffalo. Along with its other yearly services, St. Luke's runs a children's summer camp called "Kids of the Kingdom" from the St. John Kanty school off Broadway.
This program, a free camp for area children, takes the campers on field trips and provides them with meals.
Benjamin Brownell, a 2013 graduate of St. Joseph's Collegiate Institute and a freshman at Hobart College, volunteered as a counselor for one week in July.
"Well, my sister Maeve actually signed me up without notice," Benjamin said. "But I decided to stay on because I thought it would be a good experience, helping to make some kid's summer fun and memorable."
Each counselor had the task of keeping track of one to two kids each day. Field trips throughout the four-week program ranged from roller skating, to the beach, to the carnival at Old Home Days in Williamsville.
Benjamin said that even though sometimes the younger kids had trouble listening to him, he ultimately found the camp rewarding.
"I was inspired by the fact that even though these kids don't have much, they can look past all those troubles and just have a good time with their friends," Benjamin said. "Would I do it again? Most likely, if time allows."
Elizabeth Kane, a sophomore at Nardin Academy who also volunteered at St. Luke's, found time later in the summer to volunteer at the Elmwood Avenue Festival of the Arts. The arts festival also provides an excellent opportunity for volunteers who have limited time, since the festival takes place over one weekend.
The Kidsfest, a small part of the annual festival, is located in the parking lot of the Lexington Co-Op. It has become a family favorite among festivalgoers. While the Kidfest houses many events, such as live dancing and arts and crafts stations, a staple of the festival has always been face painting.
Elizabeth faced the unique challenge of being a face-painter at this year's festival in August. As a face painter, Elizabeth had to be able to create all of the designs (about 50) in the sample book. However, some designs proved to be more difficult to complete.
"Well, when kids asked for a panda, I couldn't really make it look like a panda. It looked more like a raccoon," Elizabeth said. "I was under a lot of pressure when the parents would stand there."
Although the work was demanding, Elizabeth didn't let this discourage her.
"This experience, along with St. Luke's, inspired me to continue volunteering with kids at different, various camps," she said. "I would volunteer at the fest again, because the face-painting aspect of volunteering wasn't too hard with a little practice. I was a pretty rocking face painter."
Some area teens took very careful consideration when they decided where to volunteer.
Ricki Chen, a junior at City Honors, has recently begun volunteering with the Aquarium of Niagara because of her passion for marine life and conservation.
"I've loved animals since I was really small, probably about 5 or 6," Ricki said. "My mom always encouraged me to explore the natural world," said Ricki.
Her love for marine life "grew as I got older, and I understood more about the animals and how they were actually extremely complex creatures that live lives as important as mine."
Ricki has now translated this lifelong passion into a career path.
Ricki dreams of someday becoming an exotic species veterinarian, having a specialization in aquatic animals. She is also focused on animal conservation.
Her passion for marine life motivated Ricki to seek a volunteer position at the aquarium, where she now volunteers every Saturday. Ricki can only say positive things about the experience she has had so far.
"This opportunity to be a volunteer at the aquarium is something that I am extremely lucky to have," she said. "I've only just begun and I'm no way an expert on it, but so far I've had an amazing experience and met some wonderful people who are all very compassionate and hard-working. This opportunity is definitely helping me build a foundation in this career field."
Ricki also plans to take an advanced biology class at City Honors to help enhance her understanding of animals.
An organization very special to the hearts of many Western New Yorkers is Camp Good Days and Special Times, which provides a free camp for children affected by cancer. It is located at Keuka Lake in the Finger Lakes. Activities provided at the camp include woodworking, music, drama and arts and crafts.
Valerie Mueller, a junior at Mount St. Mary Academy, has been a camper at Camp Good Days for seven years, and has a remarkable story that has inspired her to become a volunteer at the camp next year.
When Valerie was very young, she had a Wilms tumor, which is a type of kidney cancer. She had to have one kidney removed, and has now been free of cancer for 15 years.
Volunteers at Camp Good Days must be 17 and older, so next year is the first year that Valerie will be a volunteer instead of a camper. She is excited about this new challenge.
"Volunteering at Camp Good Days means a lot to me because I don't pay anything to go every year," she said. "I'm most excited about meeting new people and hearing their incredible stories about surviving cancer."
As a cancer survivor herself, Valerie finds it easy to relate to the other campers.
"We all understand what each other has been through," she said.
Most importantly, Valerie draws inspiration from those who surround her during the camp.
It "shows me how many other cancer survivors there are, and it allows us to try new things and not be underestimated because of our past."
Tracy Werick is a junior at City Honors.


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The Best Soccer Defenders of All Time
List Rules Only defense players, no mid-fielders. Please rank the players based on their on-field accomplishments
The best soccer players of all time aren't always the ones right in the action, sometimes all it takes is a step back and a bit of appreciation to realize that the grunts who are defending the goal are the best. These best football defenders (as they're called everywhere besides the US) are in the ranks of the best athletes in the world, and have earned their spots by being the best footballers in the world.
What are the qualities of the best defenders in soccer? These men are equal parts the best defense men in soccer, the top players in soccer, and the best conditioned athletes in the sport of soccer. To truly be the greatest, defenders must be quick runners and possess the ability to kick the ball FAR, all the way to the other side of the field. Defensive soccer players must also have a mastery of fancy footwork - lest they let an offensive player weave past them. All these factors and more combine to determine who should be called the best defenders in soccer.Who are the best soccer defenders of all time? Who are the top defenders in soccer? Who are the best football defenders of all time? SO MANY QUESTIONS, all which need to be answered in this compilation of the top soccer defenders ever. If your favorite soccer player in the position of defender isn't on the list, make sure to add them so others can vote for them as the best football defender ever. If you don't add them, they won't get any play.


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"Grey"s Anatomy" and "Scandal" return up from the fall
Both Shonda Rhimes dramas attracted 9.3 million viewers on ABC. PLUS: CBS timeslot-swap pays off for "Two and a Half Men" and "The Crazy Ones."
CW unveils "The Flash" in costume
Here"s your first look at Grant Gustin's suit.
Seth Meyers' numbers fall below Fallon"s "Late Night" premiere week, Kimmel pulls closer to "Tonight"
Kerr Washington helped deliver big numbers for "Jimmy Kimmel Live."
George Stephanopoulos will cut back on hosting "This Week"
He"s going from hosting three times a month to twice a month, with Martha Raddatz subbing.
Watch the "Orphan Black" Season 2 trailer
The April 19 premiere features more clone-on-clone violence.
"Bachelor Pad" to return this summer?
When asked if there will be a new season, "Bachelor" creator Mike Fleiss responded: "Could be…"
"Duck Dynasty"s" ratings keep declining, but don"t blame Phil Robertson
The A&E reality show is still a big hit, but its viewership has been going down since the fall, before Robertson"s homophobic comments.
Prince is taking over "The Arsenio Hall Show"
Prince sent a lookalike to announce that he will be Arsenio"s sole guest on Wednesday.
Buffy & Angel reunite
Sarah Michelle Gellar posed for a photo with David Boreanaz and his "Bones" co-star Emily Deschanel.
Ex-"SNL" star Chris Kattan charged with driving under the influence of drugs
He faces a maximum six months in jail and $1,000 fine.
Michelle Dockery: I"m staying with "Downton Abbey" till the end
"I am sticking with the show for however long the producers want it to go," she said on a UK chat show, adding: "We don't know how long it's going to go on for."
What will "The Walking Dead" do to the Oscars?
AMC is planning its normal schedule on Sunday, including "Talking Dead" with guests Norman Reedus, Emily Kinney and JB Smoove.


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One of the topics I remember former Padres CEO Tom Garfinkel talk about most was the importance of fans having a good ballpark experience on days our Padres don't win. This goal became evident in, among other improvements, the restaurants and events he and his team brought to the ballpark. But there's another less discussed, at least less discussed by team by team executives, aspect of a game experience that makes watching losing baseball at the park an excruciating ordeal. Sharing the stands with lots of loud fans of opposing teams is absolutely awful.
This is an issue somewhat unique to San Diego as it's a great place to visit and live. Transplants and visitors bring team allegiances from other cities with them. It's those visitors and transplants that flood Giants, Dodgers, Cubs, and other games and often turn attending a losing Padres game from a disappointing but fun experience into emotionally charged challenge to our honor as San Diegans.
Ron Fowler refreshingly characterized attending Tim Lincecum's no-hitter against the Padres at Petco Park half full of cheering Giants fans. "It SUCKED," he said. We needed to hear it, as various Padres ownership groups have been busy playing pull my finger tournaments the past four and a half seasons while fans turned over our dollars in exchange for watching a not so great baseball team.
I don't remember any Padres executive address this issue directly, at least until Fowler did. Maybe those owners appreciate the extra revenue from visiting fans? This is probably partially true, but you have to think (and figure ownership agrees) that this thinking is shortsighted, as a strong support base of friar faithful will generate more revenue in the long term.
Maybe they don't think anything can be done about it? Please stop yelling, I'm hearing your thoughts loud and clear. If the team wants a loyal Padres following to drown out and convert visiting fans, they need to establish a tradition of winning. Tom Garfinkel understood this, and also understood that fans wanted to hear that he understood it. I would also like to think that other ownership groups are pretty aware of how important winning is as well.
So aside from the obvious answer of not fielding a terrible baseball team, is there anything else that can be done? I have a few ideas:
- The Padres can't win every game against the Dodgers, but they can create the feeling of doing so. Using the magic of television (and video tapes, and probably some other electronic things) the Padres should play clips of past victories over visiting teams. They do this sometimes for historical games, but should a lot more often. Sure you can't repeat highlights from the Padres clinching the 96 division over the Dodgers all the time, but how about come from behind wins? Or walk off wins? The Padres have played hundreds of games against their rivals, lets get Padres fans reliving the feeling of beating them every time they play.
- The Padres need to establish more fun traditions of crowd involvement. Red Sox fans sing Sweet Caroline. Braves fans have the (admittedly not so appropriate) Tomahawk Chop. It needn't be complicated, and considering the often subdued Padres crowds, probably shouldn't be. "Beat LA!" is a decent start, but focusing on other teams isn't the best idea. Playing Bro Hymn by Pennywise after wins is nice as well–high energy and tradition are awesome. Even leading a simple chant like "Keep the Faith!" at opportune times could work. The Pad Squad leads cheers by bribing fans with free stuff, have them get a tradition started a few sections at a time if need be.
- This final suggestion is the most important. The Padres need to establish the message that being in San Diego means rooting for the Padres. Real San Diegans root for the Padres. Bringing your team's loyalties to San Diego makes you an outsider, even if you do live in our city. This directly addresses cultural issues that marketing folk who haven't lived in San Diego long don't understand. Identifying rooting for the Padres as a core part of being a San Diego "local" really resonates. A couple years ago I introduced a shirt for The Sacrifice Bunt that said "Your City Is So Great? Go HOME!" It absolutely struck a nerve. I get tons of comments wearing it to games because San Diegans identify. Of course that isn't the wording the Padres can use, they simply can't be as rude as I like being. And visitors to the stadium should feel welcomed by the team. But the message also can't be whitewashed. In the early 2000s the Padres used the slogan "Our Team, Our Town." That's along the right lines, but it's missing emotion! Marketing is about connecting with people emotionally, and this is the emotional string the team needs to hit to grow their fan base.
Different executives have differing views I'm sure, but I'm suspicious that too many top Padres executives don't understand the unique situation of the San Diego sports fan. Many marketing decision-makers were born and raised in other cities, which makes some amount of sense as baseball positions are hard to come by. You take these jobs when you get the chance.
I originally wrote about the importance of connecting emotionally in the third bullet point above, but it applies to the others as well. Creating an emotional response is a requirement of effective marketing. Watching a huge group of opposing fans take over what's supposed to be our house, our home, our polis, is emotional. Use that emotion to create loads of passionate Padres fans, and don't let your competitors ruin the fire of current fans.
I'd feel left out if I didn't politely suggest following me on Twitter.
Update: Thanks to Russ in the comments.


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World of Photonics Congress 2019: Structure
The World of Photonics Congress covers the entire world of photonics in a single event: Seven scientific conferences with plenaries and joint sessions and a practice-oriented lecture program address all aspects of optical technologies.
Clear conference structure to transparently depict all topics
To depict all aspects of optical technologies, the conferences at the World of Photonics Congress are oriented to the research sector's close proximity to industry on the one hand and to photonics applications in the industrial and medical sectors on the other.
|CLEO®/Europe – EQEC 2019
The European Conference on Lasers and Electro-Optics and the European Quantum Electronics Conference (CLEO®/Europe – EQEC) is the largest, most comprehensive and prestigious gathering of optics and photonics researchers and engineers in Europe. CLEO®/Europe will showcase the latest developments in a wide range of laser and photonics areas, EQEC, on the other hand, features the fundamentals of quantum optics.
|Lasers in Manufacturing (LiM 2019)
LiM focuses on the latest developments as well as future trends in the field of laser material processing including process engineering, system technology and process optimization. The conference consists of three sub-conferences—one for macro applications, one for micro applications, and one for additive manufacturing.
|EOS Optical Technologies
"EOS Optical Technologies" covers two sub-conferences: the "Conference on Manufacturing of Optical Systems" and the "Conference on Optofluidics". Manufacturing of optical systems will highlight technology trends and technologies in the field of optics fabrication and testing. The latest trends in the integration of optics with microfluidics will be explored at the optofluidics conference.
|Imaging and Applied Optics
Imaging and Applied Optics provides a comprehensive view of the latest developments in imaging and applied optical sciences, covering the forefront advances in imaging and applied optics as well as the application of these technologies to important industrial, military and medical challenges. The scope of the research presented in ranges from fundamental research to applied.
|Digital Optical Technologies
Digital Optical Technologies reflects trends in recent technologies such as 3D sensors, immersive multimedia, novel displays, light sources and imaging systems. Digital optical technologies include optics designed by digital means, fabricated by digital means, with functionalities enhanced or altered by digital techniques (computational optics or dynamic optics).
|Optical Metrology
Optical Metrology focuses on the latest research in measurement systems, optical metrology, modeling, videometrics, inspection and machine vision with applications for solving measurement and inspection problems in industrial design and production engineering, vehicle navigation, multimedia technology, architecture, archaeology and the arts.
|European Conferences on Biomedical Optics (ECBO)
ECBO covers basic science, new technology and applications in the fields of advanced microscopy, clinical and biomedical spectroscopy, diffuse optical imaging, molecular imaging, optical coherence tomography and other coherence techniques, therapeutic laser applications, laser-tissue interactions, opto-acoustic methods, and other new biophotonics techniques.


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The month of May places us square in the middle of spring and on the fast track towards the summer months. Very little can prepare us to change our mindset from being stuck inside during the cold weather months to getting ready for the warm air and sunshine like the right music. To help you get geared up for the most exciting time of the year, let us introduce you to a trio of talented, up and coming artists to help revamp your favorite playlist.
Muscadine Bloodline
If you could share the stage with any musician, who would it be?
Gary Stanton: Ray Price. He was my grandpa's favorite artist and he is the reason I started liking country music.
Charlie Muncaster: Chris Stapleton. I admire him as a vocalist and I'm not too sure there is another vocalist in the male country genre who can hold a candle to him.
Who is currently on your playlist?
GS: Everything from Chance the Rapper to James Taylor.
CM: The Steel Woods. Wade Town. Jason Isbell. American Aquarium. Adam Hood. Dierks Bentley. Cody Johnson. Johnny Paycheck. Doug Stone.
Musically, who influenced you growing up?
GS: I listened to a lot of 2000's alternative. I would have to say bands like Fall Out Boy, Hawthorn Heights and Silverstein.
CM: I always looked up to my Papa (grandfather). Musically speaking, I was in many choirs growing up and I found my love to sing in church.
Spencer Crandall
If you could share the stage with any musician, who would it be?
SC: Definitely Justin Timberlake. He is my man crush, idol, hero (the list goes on for a while) so I would love to get to share the stage with him for an evening.
Who is currently on your playlist?
SC: Walker Hayes, Old Dominion, Sam Hunt, Ed Sheeran and Maren Morris. They are all sooooo good!
What was the moment where you felt like you had "arrived" as a musician?
SC: I really don't feel like I have hit that moment quite yet, but the closest I have come was opening up for Chris Lane in Denver (my hometown) last October. It was a crazy moment for me because just a year earlier, I went to see Dustin Lynch and Chris Lane at the same venue as a fan!
Playlist Recommendations:
Clayton Anderson
What song is the most personal to you?
CA: It changes, but right now probably "What Ya Get" from the new Only To Borrow EP, because it is my middle finger song to all those people telling me I need to have an edge or be different. I think nice guys can have a huge edge, so just go listen to it. You'll get the picture.
Who is currently on your playlist?
CA: I've been jamming to a lot of Nathaniel Rateliff and the Night Sweats.
What is the craziest story from touring that you would let me write about?
CA: The key there is what you can write about… I'll just say that when I first started playing music, we used to have a lot of epic hot tub parties. Our neighbors loved us.


text: Hi, My today attempt to fight with over-memory usage in my IronPython server application, reveal a very strange behavior of IronPython (both 1.1 and 2.0b) I'll demonstrate with the following script: "loopit.py" ##### loopit.py ########################### import clr #clr.AddReference('System') class MyObj(object): def __del__(self): print 'gone' def run(): from System.Threading import Thread from System import GC while True: MyObj() Thread.Sleep(100) GC.Collect() run() ########################################### try to run this script you'll see a stream of 'gone' print out. However, if you uncomment the line "clr.AddReference('System')" and rerun it again the system will simple halt, memory usage will keep raising. Until you press Ctrl-C, then the you will see the pending 'gone' stream out. I've tried with clr.AddReference('System.Data') clr.AddReference('System.Xml') and the behaviour is the same for any Assembly. This is really weird. Why should clr.AddReference effect how GC work ? And I believe this is indeed the true source of memory problem I'm facing. Hope someone explain me why. Thanks -------------- next part -------------- A non-text attachment was scrubbed... Name: loopit.py Type: text/x-python Size: 261 bytes Desc: not available URL: <http://mail.python.org/pipermail/ironpython-users/attachments/20080423/129d5e9d/attachment.py>


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Nestling in a pretty garden a few kilometres from Trou aux Biches and Grand Bay, Mont Choisy Coral Azur overlooks a delightful beach of golden sand bordered by filao trees.
A good part of its success is due to the atmosphere skilfully created by local staff, always respecting the traditional welcome, hospitality and gastronomy of the island.
48 standard rooms double occupancy with possibility of third and fourth bed (with supplement) – all rooms can be garden view or sea view (with supplement). All rooms have a balcony or terrace. Individual air conditioning, telephone, satellite, télévision, safe, minibar. Fitted shower room with hair dryer and washing line.
40 Deluxe rooms double occupancy all rooms can be garden view or sea view (with supplement). All rooms have a balcony or terrace. Individual air conditioning, telephone, satellite, télévision, safe, minibar. Fitted shower room with hair dryer and washing line.
"Le Cotomili"
High quality international buffets are served in the hotel
*Continental breakfast from 07:00 to 10:00
*Dinner from 19:30 to 22:00
"Le Wahoo" - Bar & restaurant
open to half-board and full-board guests from 12:00 to 14:30 serving Creole, seafood menus
"La Baie des Pirates" - Pizzeria open every day from 08:30 to 23:00
"La Canne à Sucre" - Baropen every day from 08:30 to 23:30
"Case Ti Pima" - Grill Bar open everyday from 12:00 to 18:00.
Coral Azur Spa offers a range of massages to its clients ranging from relaxation massages to therapeutic massages. The other services available include skin care, manicure, pedicure and hair dressing. A team of professionals, endowed with many years experience, provide a high standard of service.
Coral Azur Spa is opened everyday from 9 a.m to 5 p.m.
"Coral Azur Cosí Holidays" nestles in the midst of its tropical garden surrounded by the tropical plants & trees like Coconuts, Bananas, Hibiscus, Bougainvillea, Frangipani, and many more which co-exists with the chirping of birds. It is ideally situated on the North Coast of Mauritius, between its two famous beaches, the Mont Choisy beach, which is 2mins walk away and the Trou Aux Biches. It is well situated with shops, taxi stand, car rentals, super-market, money changer and various water-sports and diving centers are found in the vicinity. It is just 10min drive away from the famous Grand Bay village. The hotel consists of Egyptian-mosaic tiled swimming-pool; you can enjoy the nature and breeze of fresh natural air in our tropical garden at the pool side while sipping the exotic cocktails specially blended for you, fresh from our bar or just sun-bath on the lounge-chairs.
Contact us for booking