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The chain capital of the world just keeps getting richer, doesn't it? In recent weeks, our privileged little hamlet has seen a string of chain restaurants, particularly of the swank-and-swagger variety, open their doors to diners with prosaic palates and bulging wallets. J. Alexander's, a Nashville-based chain, is one such restaurant, and along with the newly opened Ocean Prime (another upscale chain) anchors the Rialto, a 350,000-square-foot mixed-use development complex on the corner of Turkey Lake and Sand Lake roads. If you've dined at places like the Village Tavern, Houston's or Stonewood Grill, you'll be familiar with what J. Alexander's has to tender ' a consistent offering of quality fare dished up in comfortably modern environs. In fact, the décor is a notch above the others; not only does its minimalist, polished cherrywood interior fuse nicely with the hushed lighting, it also ties into the restaurant's credo of simplicity, that being a vow to serve 'straightforward American food.â?�
Sides feature prominently on their menu, and one can make a meal from small plates alone, as a group of friends and I did on one occasion. Glistening wedges of comforting iron-skillet cornbread ($4) will have you coming back for more. 'Not-your-ordinaryâ?� mac and cheese ($4), with gruyère and bacon, lives up to its name, as do the 'colossalâ?� buttermilk onion rings ($7) resembling deep-fried gaskets from an aircraft engine. Salads here are more than just an afterthought. I enjoyed Alex's salad ($9), a simple yet stimulating assemblage of field greens, grape tomatoes, cukes, cheese, bacon and croutons draped with an invigorating cilantro vinaigrette. Bursts of blue cheese in the Palm Beach salad ($10) were balanced out by a house-made basil vinaigrette, but if you're talking about 'straightforwardâ?� and 'American,â?� the old-fashioned cheeseburger ($10) with Tillamook cheddar best exemplifies the restaurant's motto. If you opt for the roti chicken dip ($12), don't expect any Indian flatbread. The 'rotiâ?� here refers to pulled rotisserie chicken stuffed in a baguette and served with a dunk-worthy chicken jus.
Mains place the focus on steak and seafood, and on this particular evening, the two specials proved irresistible. The peppery rub of the perfectly grilled Cajun grouper ($26) made it a little easier to digest the price tag, as did an attractive heaping of Israeli couscous (minuscule pasta orbs, not grains of semolina). Filet kebabs ($25) featured a fleshy foursome of melt-in-your-mouth morsels glazed in a Maui marinade of pineapple, garlic, brown sugar and soy. Jasmine rice and a variety of thick-cut veggies rounded out the meat-lover's feast.
The sugary finales won't astound you, but won't disappoint you either. The circle of hot fudge surrounding a scoop of vanilla ice cream was just eye candy compared to the enormous wedge of chocolate cake ($7), served warm with a molten chocolate center. A mascarpone cheese finish made mush of the crème brûlée's ($7) custardy filling, while carrot cake ($6) was a slice, rather than a slab, of life.
Service can't exactly be described as 'straightforwardâ?� when a cadre of white-shirted waiters serve, pick up, clean, refill and tend to your table. It's pretty clear that customer service is of the utmost importance here, though the wait staff's coordinated performance, while impressive, can be distracting at times.
J. Alexander's doesn't wholly segregate itself from the stigma associated with corporate eateries, but that doesn't warrant a negation of their efforts in the front and back of the house. What they do, they do well. Here in the city of chains, that's enough to set them apart from the rest.
It's a great temptation to spend too-much time describing the fun of J.B.'s Fish Camp or the pleasure of eating fresh seafood along the Indian River with boats docking and pelicans flying overhead. This is not exactly the type of place to reel in hordes of yuppies. This is a real fish camp, where you can buy bait and tackle. Look elsewhere for architectural monuments or fancy atmosphere.
The restaurant itself is simply a medium-sized wood shack with a tin roof. You park your car on a dirt road that may have a few hungry dogs hanging around. When you get inside J.B.'s, it gets a little spiffier; Tiffany-ish lamps hang from the ceiling -- but they're actually beer ads.
Apparently the place is not too friendly to kids. A sign warns that "unattended children will be used as crab bait." Not likely, because you don't generally see a lot of children around J.B.'s. What you do see is a lot of locals and bikers and others who are fishing for fresh seafood, well-prepared and well-served.
On several visits, the lightly breaded crabcake sandwich ($5.25) has never disappointed me. The apparently home-made tartar sauce in large bottles is subtle enough not to overwhelm the tender crabmeat.
One evening for dinner, I tried the pompano fillet ($14.95) which was a fine piece of perfectly grilled fish. Corn on the cob was not available, but sweet corn served as a side dish was fine, if not very unusual. The rice came with red peppers that gave it just the right sort of peppery taste. And the crunchy, slightly sweet hush puppies were among the best I've ever had.
One time, to test the waters you might say, I decided to try one of J.B.'s two steak offerings. The 8-ounce sirloin ($8.95) was a perfectly good piece of lean, juicy meat, well-cooked as ordered.
The only criticism I had that night was that the "Cajun onion strings" ($2.50 as a side-order) were limp, flabby and unappetizing.
The only dessert offered is Key lime pie ($3). This home-made pie was a pale yellow, had a great crust and wasn't sickeningly sweet.
Service here has always been brisk and efficient. Good Canadian Molson beer is on draft ($1.60 a glass or $6.50 a pitcher).
Cold beer and simply prepared fish, briskly served in a fun atmosphere -- some may prefer something fancier and it's admittedly not to everyone's taste, but it's enough for me to take the bait anytime.
One of my favorite manhattan restaurants is Sardi's where celebrity caricatures on the walls are fun to study, and the food is good, too. On a recent visit to Jack's Place in the Clarion Plaza Hotel on International Drive, I discovered an establishment with a remarkably similar ambience.
Soft light from wrought-iron chandeliers enhance dark woods, marble room dividers and shadowy archways. Tables are draped with linen and feature brass oil lamps.
Upon our arrival for dinner, we were promptly seated in a cozy corner surrounded by sketches of world-class luminaries, many of whom autographed the works. The art was created by Jack Rosen during his 30-year tenure with the Waldorf Astoria and is believed to be the largest collection of its kind. (Jack's son, Harris, owns the Clarion.)
Entrees range from steak and seafood to pasta and chicken. All come with baked potato, vegetable and a basket of garlic French bread, with whipped butter and "Texas caviar" -- a novel accoutrement of cold (and undercooked) black-eyed peas, cilantro, onion and bell peppers in a mild vinaigrette. Although the mixture was refreshing, we found it impossible to keep the concoction on the bread.
The escargot ($6.95) ordered by my guest was served with angel-hair pasta and a delicious roasted-red pepper sauce.
I found the house salad ($2.95) of mixed greens to be nice and fresh; the lovely presentation included diced tomatoes and cucumbers, plus a nest of bean sprouts. The creamy peppercorn house dressing, however, was pretty bland.
The 10-ounce filet mignon ($18.95) that my guest chose was an excellent cut, perfectly prepared. It was delicately topped with a pat of seasoned butter (we suspected rosemary).
My grilled yellowfin tuna ($14.95) was fresh, though disappointingly overcooked. The generous portion was crowned with an adequate béarnaise sauce, which helped mask the fillet's dryness.
Large baked potatoes came wrapped in gold foil, along with a lazy Susan bearing scallions, fresh bacon bits and shredded cheddar cheese. Sour cream and butter were included. Generous squares of corn soufflé were flavorful, light and airy.
The server promoted Jack's fried ice cream ($4.25) for dessert. A fried pastry jacket hid a relatively small scoop of ice cream that was just enough to share. Sprinkled with confectioner's sugar and cinnamon, the dish was complemented by sliced strawberries and plenty of whipped cream.
Be forewarned that an 18 percent gratuity is included in the bill rather than allowing diners the right to tip in direct correlation to the service rendered. But, all in all, it was a pleasant evening that was worth the expense.
Franchised Mexican restaurants tend to have lots of thematic architecture, lots of young preppy servers and lots of boring food. I've had my fill of chimichangas and fried ice cream.
But I do like Jalapeño's, which advertises and delivers "home made" Mexican food. Here they offer traditional items like mole and menudo. The menu even includes lengua ("slices of beef tongue seasoned with our own spices") for $7.25.
Of course they have tacos and fajitas, but the emphasis here seems to be on authenticity rather than marketing savvy.
Great music more than made up for a modest interior decorated with bullfight ads, travel posters of Chichen Itza, glossy photos of Selena and other assorted art. Piñatas hang from the ceiling, and colorful blankets serve as tablecloths. We were quickly served chips and a fresh salsa with a pleasant hint of cilantro, and service remained good throughout.
As an appetizer we enjoyed the sopes, three tortillalike shells -- half the size but twice as thick as usual -- topped with beans, beef, and chicken ( $4.25). There was plenty of food for two people to share. Among the other appetizers are nachos, melted cheese with pork sauce, and chicken or tortilla soup.
Our entrees were flautas de pollo ($5.50) and chile poblano ($7.95), which were both good. Each was served with refried beans, a scoop of mildly seasoned rice and shredded lettuce with dressing. The flautas were quite large, with shredded chicken wrapped in corn tortillas the texture of puff pastry. My large green chili was stuffed with cheese, battered, fried and served alongside an enchilada. Each item on our plates had a clear, fresh and distinct flavor.
Other interesting options are carne asada a la Tampequina (grilled steak), camarones a la Veracruzana (sautéed shrimp with tomatoes) and Chicago-style burritos made with strips of steak. There are several combo platters as well as children's plates. Everything is affordable with the most expensive entree topping out at $8.95.
The menu includes margaritas, common Mexican beers and imported soft drinks. The prepared-to-order sangria ($1.95) was particularly good.
Jalapeño's is fun, cheap, and filling. It doesn't have the atmosphere and conviviality of the big chain restaurants, but it has a style of its own.
You can quibble and kvetch all you want about how Jason's isn't a real deli ' where's the matzo ball soup, you'll ask? The nova lox? Fair enough. I'll cede that this chain based out of Beaumont, Texas, doesn't conform to Delancey Street standards, but it's pretty much unrivaled on Colonial Drive. In fact, not since the days when Schlotzky's occupied a small space across from the Fashion Square Mall has there been a deli worth visiting in the area.
And no matter what time you go, you're sure to witness some sweaty gym-rat spillage from the L.A. Fitness next door. But you can't blame them, considering Jason's guarantee of a trans fat'free dining experience, highlighted by a section of the menu devoted to 'healthy heart slimwichesâ?� ' wraps and sandwiches low in calories, fat, cholesterol and sodium. A decent salad bar ($6.59), properly attended to and always stocked with fresh vegetables, is another popular option for the health- conscious, not that the rest of the menu, with its paninis, wraps, salads, soups, po'boys, traditional sandwiches and muffulettas, is an artery-clogging affair. Muffulettas, by the way, are waggishly referred to as 'muffâ?� sandwiches, and those of you with enough gumption to order the 'whole muffâ?� ($10.99) with a straight face will be rewarded with an enormous 9-inch muffuletta filled with layers of provolone, olive mix and your choice of ham, salami or oven-roasted turkey (half- and quarter-muff sandwiches are also offered).
I opted for the slightly less obscene-sounding Reuben the Great ($7.29). The corned beef wasn't hot, as advertised, but it was warm and piled high on Swiss-laid, doughy rye. What I really liked was that the sauerkraut was still crunchy and not overly sharp, likely because of a shorter fermentation cycle. My only complaint, and it's a small one, is that the soft bread ultimately succumbed to the beefiness and tore. The cup of chili-thick vegetable soup ($2.59) felt particularly comforting on this rainy evening with its heart-healthy broth of plump lima beans, corn and carrot wedges. The Sergeant Pepper po'boy ($6.59), a Texas take on the French dip sandwich layered with thin slices of roast beef, sauteed onions, bell peppers and a provolone smother, had a surprising kick, and a dunk in the jus made it all the more mouthwatering. Again, the only complaint was the texture of the bread; it could've used a bit more toasting. The barbecue brisket sandwich ($6.99), one of their daily specials, wasn't anywhere near as enjoyable as the others, primarily because of the overwhelmingly sweet sauce. Of course, you're free to custom-build your own sandwich from the assortment of meats, breads, fillers and dressings available.
The gargantuan baked potatoes seem like byproducts of a nuclear accident, but the secret of their girth, I later found out, is the fusion of two large spuds to create an Atkins nightmare. Potatoes are baked for an hour, then microwaved when your order is placed. The spud au broc ($5.79), a meal in itself, is loaded with broccoli heads, green onions, bacon and gooey cheddar, though a petite half-size is available for $1 less.
The sizable dining space is accoutred with ceiling fans and photographs of European cityscapes (which I thought slightly odd), and is designed to handle large numbers of patrons. Their system ' place your order, take a number, have a seat and wait for your food to be brought out ' isn't without its flaws. My strawberry shortcake ($2.99) failed to materialize, so I had to retrieve it myself from the counter. And I'm glad I did. The two layers of cake filled with cream, flavored with vanilla and topped with strawberry slices was a light and not-too-sweet capper.
But there's no harm in saving your cash and settling for a cup or two of complimentary low-fat ice cream. Like most of the offerings here, it's a suitable antidote to guilty consciences.
How to describe Jeremiah's Original Italian Ice? It's like a sorbet only more slushy. It's not a snow cone, although it does come in a cup. And it's more fun than an Ice-ee, with not-too-sweet and refreshing flavors such as mango, kiwi, tangerine, watermelon, red raspberry and passion fruit. Whatever you call it, it's different and delicious.
Jeremiah's drive-through or walk-up stand usually has a dozen or so flavors on hand on any given day. Order them straight (85 cents to $1.65 per cup) or mix them into fruity combos. Better yet, boost the fat-gram quotient and the guilt-index by ordering a "gelati." That would be one of the above-mentioned non-fat Italian ices layered with vanilla soft-serve ice cream, parfait style.
Sometimes having unlimited resources is a good thing. Where else but at Disney can you stay in a hotel overlooking 33 acres of savannah filled with 200 African animals? The Animal Kingdom Lodge is an impressive feat of design, and within it is an equally impressive new culinary treat: Jiko-The Cooking Place.
Walking through the front door means emerging from a low-ceilinged entryway into the hotel's grand, six-story main lobby. The thatched, arched expanse above you is like a beautiful ancient grass cathedral. You can spend an hour appreciating details -- the giant mud chimney of the fireplace, the immense ostrich lamp framed by a wall-length picture window, the Zulu shield chandeliers -- and still miss things. Designer Peter Dominick calls it "an architecture of emotion," and he is quite correct.
In the restaurant, mosaic-covered columns are accented by large copper-colored rings echoing Yoruba neck rings. Suspended from the midnight-blue ceiling are metal-mesh "birds of fortune" flying toward a distant sunset (the sun sets every 20 minutes; watch the back wall change).
The staff, which comes from many African countries, is both courteous and gracious, wearing beautiful jalabas and kitenge dresses, clothing originally from Kenya and the berbers of Morocco. That Pan-African mix shows up on the menu in most delightful and surprising ways.
Breads come from the red, open ovens in the center of the room (the "jiko") and are superb, particularly flatbread with yogurt and onions ($6.25). The maize tamale appetizer ($5.50) may look like Mexican food, but unwrapping the corn husk reveals creamy corn-custard cubes spiced with caraway and truffle oil. You will sit in wonder at the flavors. Try the "One Soup," a sweet and spicy mixture of black beans, apples and celery ($6.50). The South African wine list may be unfamiliar but, according to Wine Spectator, can challenge any in the world.
Accompanying a generous beef tenderloin ($27.50) is what's listed as "macaroni and cheese." I heard every other table ask about it, which may be the idea, but to call oven-baked fusilli with three cheeses "mac and cheese" is grand understatement. "Baked chicken and mashed potatoes" is another misleading description for a slow-cooked Moroccan "tagine" (a stew of meat, fruit, vegetables and spices) that's presented in a mini enameled oven, crisp and delicious with a sauce of olives, grapefruit juice and garlic that's tart and sweet. The salmon ($20.50) comes perfectly seared on a bed of purple rice and orange dressing. It's one of the best fish dishes in town.
When you want to soak up the flavor of Key West -- the last link in the archipelago that reaches from south Miami to the open seas -- but don't want to travel, a visit to Jimmy Buffet's Margaritaville might satisfy at least the drink-and-be-merry craving. Some tricky navigation is necessary, though, to find the way through the maze of parking garages and electronic people-movers at Universal Studios Escape. Just when you're ready to give up, you arrive in the heart of glitzy CityWalk, where the Jimmy Buffet-inspired party house fits right in.
For another paradigm shift, step inside the re-created Margaritaville, which is steeped in the icons of Key West. If you could accuse this restaurant of any one thing, it would be the cartoonish, commercialization of the romanticized hideaway Buffet paid homage to in his '70s song. Witness the margarita volcano that erupts over the bar periodically and the well-stocked gift shop. The sherbet shades of gingerbread houses are perfectly refabricated here, minus the morning-after stench of Duval Street and the stray pop-tops underfoot. Safe, clean and wholesome, it's certainly not the real Key West, but then we went there for the food.
On a previous visit, the conch fritters ($6.45) were in top form: sizzling, sweet, meaty and blissfully free of chewy, unidentified objects. This time, they were a disappointment -- overly battered and weak on the conch. Fortunately, the "pink crustaceans" crab cakes ($16.95) were loaded with blue crabmeat, pan-sautéed with spices, fresh mixed vegetables and potatoes to perfection.
While my guest loved "Jimmy's jammin' jambalaya" ($12.95), I thought the spices were far too tame. Still, there were generous amounts of shrimp, chicken, andouille sausage and Cajun rice.
When dessert arrived, my guest was skeptical. True Key lime pie ($4.95) should never be weighed down with a cream-based preparation, she said, as was the case here -- it makes it too heavy and oily. This version was prepared with a 100-year-old lime-juice recipe from the famed Joe & Nellie's factory in Key West, and it was properly tart and tangy without too much of the pucker factor. It sported a fluffy meringue and crisp graham-cracker crust, but I had to admit it didn't pass the ultimate dessert test, which is to say, I probably would not order it next time.
Our waiter was knowledgeable about the menu, and he had a casual, friendly efficiency without interfering. In the end, our trip to the theme-park Margaritaville was all flash with just a little substance. It was noisy. It was crowded. The food was OK. But there was an ocean of margarita varieties. What more could a Parrothead want?
To use the word "tacky" to describe the looks of Joe's Crab Shack is underkill. My friend summed it up as soon as we walked through the door of this wildly popular restaurant. "It looks like they have a toy store hanging from the ceiling in here," she said.
It was true. It looked like a decorating team with multiple-personality disorders had swept through. Every square inch was plastered with dangling skateboards, dolls, Frisbees, in-line skates, teddy bears, model airplanes, Barbies and toy trains. A life-size replica of Jaws was suspended over the middle of the restaurant. The theme carried through to loud top-40 music and an army of waiters who were trained to drop everything and do the Hustle every so often -- many of them wearing T-shirts bearing the mantra "Peace, Love and Crabs."
"Come on, folks, have a good time!" seemed to be the message they were screaming. And the capacity crowd -- packed into booths and lined up out the door and into the parking lot -- was eating it up.
Despite the decorative disarray, the kitchen is focused when it comes to delivering moderately priced chow fests on the double. There are more hits than misses on the menu -- presented in such a rambling fashion that it's like reading the classifieds -- and Joe's Crab Shack is probably the best choice for seafood if you're in the South Semoran Boulevard area, considering they stock many sea species.
There's shrimp (popcorn, rock, jumbo) and yellowfin tuna, lobster tail, north Atlantic salmon, mahi mahi, grouper, calamari and clams. And, as the menu reads, theres "crabs, crabs and more crabs" in the form of "crab balls," crab fingers, crab cakes and soft-shell crabs. Then you got your crab legs: snow, Alaskan king, Dungeness. Despite the sheer volume, dining adventurers won't find much to explore. Everything is safely fried, steamed, grilled and broiled, with little in the way of funky sauces or presentations to mess things up.
"Crab balls" fritters ($4.99) have potential, but the ones we were served were too heavily breaded. A much better appetizer is the jumbo crab cake ($6.99), packed with lump meat and a hint of spices.
Seafood mixed grill ($13.99) offers an adequate skewer of grilled shrimp, but you can get perfectly adequate shrimp at a hundred other restaurants. The garlic-steamed snow crab legs were more alluring, packed with tender white meat and plenty of clean flavor. But the main thing this plate has going for it is a moist, delicate salmon fillet -- ask for it to be prepared with the lemon-pepper seasoning.
The shrimp platter ($12.99) offers a big, messy tumble of the staple, the best of which are jumbo sized, fried in a shredded-coconut batter and served with barely sweet plum sauce. The medium-size fried Gulf shrimp and popcorn shrimp are fine, but they pale in comparison. Skip the snoozy shrimp cocktail in favor of the coconut-shrimp dinner ($9.99), which is cheaper.
Service was friendly, but it was so sporadic that we finally resorted to flagging down a staff member who wasn't our waiter in order to ask for the check.
As we exited into the night, we knew our table wouldn't stay empty for long. Joe's Crab Shack may come up short in a couple of areas, but a lack of customers is definitely not one of them.
Sometimes it seems like beef lovers might end up with smokers and cell phone users -- out on the sidewalk (the cell phone part is wishful thinking). But there is at least one place where the burger connoisseur can indulge without fear of vegan reprisal.
Johnny's Fillin' Station (2631 S. Fern Creek Ave., 407-894-6900) has been serving beer, burgers and baseball for over a decade. And those who throw oaths at such things swear by the half-pound bombers that come off Johnny's grill. Everything from patties plain and bacon-laden, to those served on Texas toast or grilled rye bread, to "The Roy," complete with sour cream, jalapeños and cheese, is on the menu.
The odd few customers not accustomed to beef on a roll can order the Philly-cheesesteak-like "Station chicken," salads or nachos. But eight beers on tap should keep everyone happy.
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December 4-10, 2019
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- Clinical science
Cardiomyopathies are diseases of the muscle tissue of the heart. There are four major morphological types: dilated, hypertrophic, restrictive, and arrhythmogenic right ventricular cardiomyopathy.
In dilated cardiomyopathy, the most common type, ventricular output decreases eventually leading to failure of the left and right heart. The dilation can be seen on echocardiography, the most important diagnostic tool for all cardiomyopathies. Treatment is mostly similar to that of heart failure from other causes.
Hypertrophic cardiomyopathy can occur with or without left ventricular outflow obstruction. It is often asymptomatic, although arrhythmias and even sudden cardiac death can occur. The obstructive type is also notable for signs of reduced blood flow (dyspnea, vertigo, syncope). It is also diagnosed on echocardiography as manifests with an increased ventricular wall thickness, systolic anterior movement of the mitral valve, and an increased outflow tract pressure gradient. It is important that patients avoid strenuous exercise. Symptomatic patients should be treated with beta blockers.
Restrictive cardiomyopathy is caused by the proliferation of connective tissue with subsequent atrial enlargement (but normal ventricles). Like dilated myopathy, restrictive cardiomyopathy produces left and right heart failure. Ejection fraction is usually normal, but diastolic filling is reduced on echocardiography. There are different drugs that can be administered, based on individual factors.
Arrhythmogenic right ventricular cardiomyopathy affects primarily the right ventricle and is characterized by cellular breakdown and subsequent ventricular dilation. Symptoms are very variable although the hallmark finding is arrhythmia. There is no general best treatment as it depends entirely on individual factors such as the extent of the disease. All patients should avoid strenuous exercise.
Overview of major types of cardiomyopathy
|Dilated cardiomyopathy
|Restrictive cardiomyopathy
|Arrhythmogenic right ventricular cardiomyopathy
|Distinctive clinical features
|Other characteristics
Dilated cardiomyopathy
- Most common cardiomyopathy
- Incidence: 6/100,000 per year
- Sex: ♂ > ♀ (approx. 3:1)
- Idiopathic (approx. 50%)
- Secondary cause
- Coronary heart disease
- Arterial hypertension
- Peripartum cardiomyopathy
- Valvular heart disease
- Coxsackie B virus myocarditis
- Rheumatic heart disease
- Chagas disease
- Genetic predisposition
- Gene mutation with familial incidence
- Hemochromatosis
- Systemic lupus erythematosus (SLE)
- Toxic chemicals
- Alcohol use
- Cocaine
- Chagas disease
- Cardiotoxic drugs (anthracyclines such as doxorubicin/daunorubicin, and trastuzumab)
- Malnutrition
- Chronic tachycardia; (e.g., atrial fibrillation)
Mnemonic for etiology of dilated cardiomyopathy: ABCCCD: A = Alcohol use, B = Beriberi, C = Cocaine, C = Coxsackie B virus, C = Chagas, D = Doxorubicin/Daunorubicin
- Structural damage to the myocardium or valves; → compensatory mechanisms (Frank-Starling law) are activated to maintain cardiac output → ↑ left ventricular end-diastolic volume; (preload) → LV myocardial remodeling → eccentric hypertrophy (sarcomeres added in series) and dilation of the left ventricle ; → reduced myocardial contractility → systolic dysfunction and ↓ ejection fraction → heart failure
Clinical features
- Early signs: palpitations, exertional dyspnea, a feeling of pressure in the chest
- Later stages
- Progressive left heart failure and right heart failure
- Relative mitral valve regurgitation
- Patient history (especially family history)
- ECG: Left bundle branch block (unfavorable prognosis)
- B-type natriuretic peptide (BNP)
- Troponin, creatine kinase (CK)-MB to rule out myocardial infarction
- Left atrial and ventricular dilation
- Reduced left ventricular ejection fraction (LVEF)
- Wall motion abnormalities
Chest x-ray
- Cardiomegaly → left-sided hypertrophy with a balloon appearance
- Signs of heart failure decompensation: pulmonary edema
- Eccentric hypertrophy: dilated left ventricle with normal or decreased wall thickness (sarcomeres are added in series).
- See treatment of heart failure
- Avoiding cardiotoxic agents
- Abstain from alcohol
- Anticoagulation
- Treat the underlying disease
- Interventional/surgical
- If LVEF < 35%: an ICD might prevent sudden cardiac death caused by ventricular fibrillation
- Main indication for heart transplantation
- Progressive left ventricular failure → global heart failure
- Systemic thromboembolism → stroke, pulmonary embolism, mesenteric infarct
- Ventricular tachycardia → ventricular fibrillation
- Sudden cardiac death
Hypertrophic cardiomyopathy
Prevalence: 200/100,000
- Obstructive type/hypertrophic obstructive cardiomyopathy (HOCM): ∼ 70% of cases
- Nonobstructive type: ∼ 30% of cases
- Alongside myocarditis, hypertrophic cardiomyopathy is one of the most frequent causes of sudden cardiac death in young patients, especially young athletes.
- Primary hypertrophic cardiomyopathy (60–90% of cases)
- Most common hereditary heart disease
- Most commonly due to mutations in genes encoding myosin heavy chain → causes disorganized myocyte architecture characterized by myofibrillar disarray and fibrosis
- Autosomal dominant inheritance with varying penetrance (familial occurrence in > 50% of cases)
- Secondary hypertrophic cardiomyopathy; (e.g., in Friedreich ataxia; , Fabry disease, Noonan syndrome, or amyloidosis)
- Pressure related hypertrophy
- Chronic hypertension → increased afterload → increased myocardial wall tension → changes in myocardial gene expression → sarcomeres laid down in parallel → increased left ventricular thickness → decreased left ventricular size → diastolic dysfunction.
Obstructive and nonobstructive types: hypertrophy of the left (possibly also the right) ventricle resulting in:
- Reduced diastolic compliance and filling of the ventricle → reduced diastolic filling volume → reduced systolic output volume
- Impaired cardiac contractility with reduced systolic output → reduced peripheral and myocardial perfusion (myocardial ischemia)
Obstructive type (HOCM) also involves
- Left ventricular outflow tract obstruction (LVOT) due to interventricular septum hypertrophy and systolic anterior motion (SAM) of the mitral valve
- Increasing mitral regurgitation
- Obstruction exacerbated by
Clinical features
- Frequently asymptomatic (especially the nonobstructive type)
- Obstructive type
- Obstructive and nonobstructive type
- Cardiac arrhythmias and palpitations
- Sudden cardiac death (particularly during or after intense physical activity)
HOCM is an important cause of sudden cardiac death in young patients!
Auscultation findings
Systolic ejection murmur (crescendo-decrescendo)
- Increases with valsalva maneuver and standing
- Decreases with hand grip, squatting, or passive leg elevation
- Extended area of Erb point, left sternal border (laterally displaced due to myocardial hypertrophy)
- S4 gallop due to thickened, non-compliant ventricle
- Possible murmur from mitral regurgitation
- Signs of left ventricular hypertrophy (see Sokolow-Lyon criteria)
- Left bundle branch block
- Ventricular tachycardia or atrial fibrillation
- Confirmatory test
- Asymmetrically thickened left ventricular wall ≥ 15 mm
- Systolic anterior motion: protrusion of the anterior mitral valve cusp towards the septum
- ↑ LVOT pressure gradient via doppler echocardiography
Concentric hypertrophy: increased left ventricular wall thickness and decreased left ventricular size (sarcomeres are added in parallel).
- All patients should avoid strenuous exercise.
- Asymptomatic patients usually do not require further treatment.
- Symptomatic patients
- Beta blockers; (1st line) or verapamil (2nd line).
- Treat possible ventricular tachycardia or atrial fibrillation
- If there is high risk of sudden cardiac death consider an implantable cardioverter defibrillator (ICD)
- If symptoms persist after medical therapy:
- Myectomy
- Transcoronary ablation of septal hypertrophy (TASH)
Positive inotropic and afterload-reducing or preload-reducing drugs (e.g., digitalis, glyceryl trinitrate, calcium channel blockers of the dihydropyridine class, ACE inhibitors) are contraindicated in cases of obstructive hypertrophic cardiomyopathy!
Restrictive cardiomyopathy
- Very rare
Proliferation of connective tissue → ↓ elasticity of myocardium → ↓ ventricular compliance; → ↓ diastolic filling → atrial congestion → atrial enlargement and severe diastolic dysfunction
- Idiopathic
- Secondary to endomyocardial fibrosis (e.g., eosinophilic endocarditis, postradiation fibrosis, endocardial fibroelastosis) or systemic disease (e.g., scleroderma, amyloidosis, sarcoidosis, hemochromatosis )
Mnemonic for etiology of restrictive cardiomyopathy: Puppy LEASH: P = Postradiation fibrosis, L = Löffler endocarditis, E = Endocardial fibroelastosis, A = Amyloidosis, S = Sarcoidosis, H = Hemochromatosis
Clinical findings
- Symptoms of left-sided heart failure
- Symptoms of right-sided heart failure
- Atrial enlargement and dilation
- Ventricular volume is normal or decreased, diastolic filling is reduced
- Wall-thickening is possible (symmetric )
- ECG: left bundle branch block, nonspecific abnormalities, low voltage (in amyloidosis)
- CXR: pleural effusions
- Cardiac catheterization with pressure measurements
- Possible myocardial biopsy to identify underlying cause
- Treatment of underlying condition (to avoid progression)
- Symptomatic: beta blockers, cardioselective calcium channel blockers, diuretics, ACE inhibitors
- Anticoagulation and maintenance of a sinus rhythm in patients with a history of AF
- Heart transplant (ultima ratio)
Arrhythmogenic right ventricular cardiomyopathy (ARVC)
- Especially young adults
- Various genes (e.g., plakoglobin gene)
- Autosomal recessive and autosomal dominant inheritance
Right ventricular myocardial cell death (due to myocyte apoptosis, inflammation and fatty/fibrotic tissue replacement) → thinning of the ventricular wall → dilation of the right ventricle → ventricular arrhythmia and dysfunction
Clinical findings
Very variable, many patients remain asymptomatic
- Exercise-induced ventricular arrhythmias → palpitations, syncope, possibly sudden cardiac death
- Atypical chest pain
- Dyspnea, edema, hepatic and splenic congestion
- Family history
- Repolarization disturbances in the right precordial leads (V1-3) → possibly epsilon wave (at the end of a widened QRS complex)
- Right bundle branch block
Echocardiography and/or cardiac MRI
- Right ventricular enlargement, wall motion abnormalities
- Avoid intense physical exertion
Anti-arrhythmic treatment
- Pharmacologic: beta blockers (e.g., sotalol), amiodarone, calcium channel blockers
- Interventional
- ICD implantation
- Radiofrequency ablation
- Heart transplant (ultima ratio)
Unclassified cardiomyopathies
Takotsubo cardiomyopathy
- Definition: : acute, stress-induced; , reversible dysfunction of the left ventricle
- Epidemiology: especially postmenopausal women > 60 years
- Pathophysiology: emotional/physical stress → massive catecholamine discharge; → cardiotoxicity, multi-vessel spasms and dysfunction → myocardial stunning
Clinical findings:
- Acute chest pain (retrosternal)
- Dyspnea
- Syncope
- Arrhythmias, signs of heart failure and/or cardiogenic shock (e.g., hypotension)
- ECG: ST elevation , QT interval prolongation, T wave inversion, abnormal Q waves, nonspecific abnormalities
- Laboratory: ↑ troponin T; , ↑ BNP
- Echocardiography: apical left ventricular ballooning , ↓ LVEF
- Coronary angiography: usually no pathological findings
- Avoid triggers of physical and/or emotional stress
- Symptomatic: beta blockers or ACE inhibitors
- Prognosis: spontaneous recovery if stressors are avoided
Arrhythmia-induced cardiomyopathy
- Definition: recurring or persistent atrial or ventricular arrhythmias causing structural cardiac changes; and left ventricular dysfunction (potentially reversible)
- Atrial tachycardia, atrial fibrillation, atrial flutter, supraventricular reentry tachycardia
- Ventricular tachycardia
- Atrial or ventricular ectopy
- Clinical features: : signs of heart failure and arrhythmia (e.g., dyspnea, edema chest pain, palpitations, syncope)
- ECG: tachycardia/tachyarrhythmia, detection of ectopic foci
- Cardiac monitoring (e.g., Holter monitor)
- Echocardiography and/or cardiac MRI: evaluation of cardiac structure and function (e.g., LVEF measurement)
- Exclusion of other causes (e.g., coronary heart disease)
- Treatment of heart failure (e.g, beta blockers)
- Treatment of tachyarrhythmias: rate control (e.g., beta blockers) or rhythm control (e.g., amiodarone, catheter ablation)
- Treatment of ectopic foci (e.g., catheter ablation)

subset: commoncrawl


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Kat Schliemann and Jennifer Kobert open Truckee's first all-female co-working space. The Tributary Collective was founded by two local entrepreneurs, Kat Schliemann and Jennifer Kobert. Before moving to Truckee, Jennifer had created a similar workspace in Marin County for her business, Sefte Living, and found that women working together is more than the sum of its parts. When she met Kat, founder of Clear Unity, they knew they were the perfect team to start the same model (and magic) again in Truckee.
Kat and Jennifer believe that community and collaboration are inextricably linked to inspiration, creativity and success. With The Tributary Collective they have created an open and inviting atmosphere where both hard work and personal growth is celebrated. They are dedicated to their mission to promote female business owners and will be hosting networking events and advocating for the lady bosses of tomorrow.
Located in the heart of Truckee, the Tributary Collective is accepting new memberships for female professionals starting January 2019. Memberships vary from monthly options to annual commitments and are scaled depending on your space requirements, (i.e. – dedicated desk, inventory storage etc.)
To learn more go to www.thetributarycollective.com or by following them on Facebook and Instagram at @thetributarycollective.


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Prom 29: National Youth Orchestra of Great Britain: a robust defence for the importance of youth orchestras – review
As shown by the recent scare – now happily resolved – over funding to the European Union Youth Orchestra, these can be fragile times for our youth ensembles. Such orchestras are not a luxury, so it was good that their incalculable value was celebrated this weekend in three concerts at the BBC Proms. The centrepiece was this highly anticipated annual visit by the National Youth Orchestra of Great Britain, which proved a brilliantly robust defence of their part in our cultural fabric. If space was at a premium inside the Albert Hall – few orchestras enjoy quite the same level of support here, or manage to get more players on stage – the overall theme of the evening was outer space.
The concert opened with the premiere of Iris ter Schiphorst's specially commissioned Gravitational Waves, reflecting last year's discovery of a collision over a billion years ago between two black holes. Her sound-world (developed in conjunction with Uros Rojko) may run through a slightly predictable repertoire of cosmic effects, yet it was so tautly performed that it got the evening off to a start full of youthful energy. The choreographed actions for the orchestra, including a symbolic donning of masks, worked well on such a densely packed stage.
You could argue that the main work of the first half, Richard Strauss's Also sprach Zarathustra, had only a tenuous link with space. It is a piece reflecting Nietzsche's philosophy of the universe, and only its appropriation for Stanley Kubrick's 1968 film 2001: a Space Odyssey linked to the evening's theme.
Still, everyone likes an excuse to hear it, especially a performance as good as this one under Edward Gardner, who communicated a strong sense of the sprawling tone poem to orchestra and audience alike. Conducting with a suspenseful baton, Gardner got his young players to deliver the musical sunrise thrillingly, helped in particular by the steel-nerved organist Joseph Beadle. The NYO may not have the punch of a grown-up orchestra, but they lack nothing else and the strings caught the yearning quality of this music. The solos from the leader, Millie Ashton, soared rapturously in the Tanzlied section.
Holst's The Planets was perhaps the first masterpiece of British musical modernism, as Gardner and the players reminded us here. All sections of the orchestra drove this performance along with great attack and complete absence of anything routine, before coming to rest with the mercurial virtuosity of Colin Matthews's recently added Pluto – the dwarf planet had yet to be discovered when Holst wrote the music a century ago. Matthews's scoring dovetails with Holst's even to the extent of using wordless female voices, and this performance extended the concert's youthful theme by drawing them from the CBSO Youth Chorus. Everything added up to make this one of the NYO's best evenings.
Hear this Prom for 30 days on the BBC iPlayer via the Proms website. The Proms continue until 10 September 0845 401 5040


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Arora Hotels
Business Address: Arora Hotels – Head Office, World Business Centre 2, Newall Road, London Heathrow Airport, Hounslow, Middlesex
Country: England,
Business Email: Send message
Social Media
About Arora Hotels
Arora Hotels is one of the fastest growing privately owned hotel companies in the UK.
Arora Hotels is one of the fastest growing privately owned hotel companies in the UK and is the largest provider of hotel accommodation and conference facilities at Gatwick and Heathrow Airports.
Arora Hotels offer luxury bedroom accommodation at London Heathrow Airport, in Crawley close to Gatwick Airport and in Manchester City Centre. In total today the Arora Hotels portfolio represents 6 hotels with 2,200 bedrooms providing luxury accommodation, and 83 meeting and conference rooms, in 3 key locations in England.
When it comes to customer service, creating a truly welcoming environment and combining this with superb facilities for our guests whether travelling on business or leisure, Arora Hotels really do stand out from the crowd.


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Yellow Mountain Mao Feng Green Tea
Yellow Mountain Mao Feng Green Tea is one of the top famous green teas in China. Produced in the Huangshan (Huizhou) area of Anhui Province, it is also known as Huicha. It is a well-known green tea in the history of China. It has a good promotion effect. It can treat some cardiovascular diseases in the elderly. For patients with enteritis, it has a certain therapeutic effect.
1. Invigorating the nerve
The caffeine in tea can excite the central nervous system, thereby relieving nerve fatigue, promoting thinking and improving work efficiency.
2. Diuretic detoxification
Theophylline in tea can increase urine discharge, eliminate edema, and treat acute jaundice hepatitis.
3. Relieving bronchospasm
The nutrients in the tea can increase the function of the heart and relax the smooth muscles, thereby promoting blood circulation and relieving bronchospasm.
4. Activating blood circulation
Tea polyphenols and nutrients in tea can play a role in promoting blood circulation and removing blood stasis, thereby reducing the incidence of prevention of arteriosclerosis and coronary heart disease.
5. Antibacterial anti-inflammatory
It has the effect of eliminating and inhibiting single-cell bacteria and can be used to treat gastrointestinal diseases, stomatitis and the like.
6. Lose weight
The multi-purpose biological substances in tea can regulate fat metabolism, break down fat, and play the role of cellulite and weight loss.
7. Prevention of dental caries
The tea contains fluorine and forms a protective layer on the teeth to reduce the corrosion of the teeth.


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Things to Look Out for When Choosing Benefits of Virtual Office?
Congrats! And furthermore on the grounds that your business is still little, and you need to limit your costs value, you may have resolved to attempt to locate a virtual office to begin with. The worry remains: that will offer you the absolute best worth for your money? The arrangement is: it depends on what you are searching for. The accompanying driving 10 agenda is never comprehensive, and furthermore what might be critical to you, probably would not be that fundamental to other individuals.
5 reasons to use a virtual office require organizing your necessities and picking your ideal bearer dependent on your needs:
- Address:
The primary reason you are thinking about the utilization of a virtual office is to profit by their location and have a lofty work environment area on your business card and advertising item. In this manner you may like a location like: Level 14, Rockefeller Plaza to something like: No 7, Lorong Manis, off Jalan Teh Tarik.
- Phone reacting to support:
A fantastic location on your business card without a land-line seems suspect. While clients normally may contact you on your cell phone, your call data should dependably incorporate an essential working environment line. What is more, an essential office line is regularly tended to by a secretary. That is the stamina of a virtual office, so pick an office that gives that arrangement.
- Partner noting your telephone calls:
Before you commit to a particular supplier, call them. The individual tending to your call will absolutely most presumably be likewise the person who will surely react to approaching requires your firm. You may want somebody whose English talking abilities relies upon your desires, as this will positively make the initial introduction for individuals calling your business.
- Fax:
Some virtual office organizations give you a fax number; read more where inbound faxes are quickly sent to your email.
- Parlor offices:
Some virtual office transporters have communities for you to use when you stay in the area. This may incorporate a working room, a gathering region, or WIFI association and espresso/tea. In the event that you remain in Malaysia, and furthermore look for a virtual office in Korea for local clients to contact you, this probably would not be significant
On the off chance that a virtual office supplier has meeting room, this can be amazingly valuable. In such cases you can welcome customers ahead and furthermore observe you at your working environment; all you require to do is book the meeting space for the time and furthermore date you need it, and you are a great idea to go. Make sure you view the gathering rooms before you devote to a specific specialist co-op to guarantee they are up to your suspicions.


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Serviio as a client for something different?
However in the world of Linux there is much going on which is much more interesting and could in future be setup to do things that right now I can only dream of achieving on a Windows machine with limited budget and no access to a pro studio or heavy funding.
I have played around with the recording and realtime encoding capabilities of ecasound and other software in Linux...now I am playing around with the possibilities of network broadcasting from encoded recording in real time. Writing scripts to launch and setup things and even dabbling in a little simple ui building...though I am xml challenged.
Serviio seems to be a good choice on the client side of things as it can sit there and happily send multimedia to upnp devices and transcode if necessary.
On the server side of things Linux excels...
The recent changes to pulse audio are very interesting
From my standpoint audio quality and reliability is much more important than video capabilities so developing a stream server for audio first and getting it to send a decent 128 bit stream in several different formats on demand is the primary first step.
Full video capabilities can come later. Why a DLNA client you might ask...the reason is very simple being able to send to better audio equipment from a laptop or simply an Apple IPAD or other cheaper multimedia toys like the pad is a good idea.
Quality internet discoverable network streaming audio is a challenge in real time but I am sure that in the near future it will become a real possibility even for poor musicians and teachers.


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Tackling Life's Obstacles
by Tomi Thompson
Photography by Justin Eiler
At some point in most athletes' careers, obstacles arise that leave them with the task of finding a way to take it on.
Some obstacles are smaller and easy to tackle, and some are beyond what most people can imagine. When facing an obstacle, some make the choice to rise up and overcome, and some who think they can't make it, turn and retreat.
Through overcoming obstacles he didn't have a choice but to conquer, Ricky Reep has taken an approach to being involved in athletics that is all his own.
After suffering a traumatic injury as a two year old, the Barnesville, MN native lost partial motor skills in his right arm and suffered other injuries that left him unable to play contact sports. For most people, involvement in athletics might have been nothing more than a thought.
However, Reep has proven to everyone who has met him, he isn't most people. Being faced with a disability didn't stop him from joining in and finding his niche in Trojan athletics.
"Everything that he does, no one's really surprised about, because that's just Ricky being Ricky," Barnesville head golf coach Matt Askegaard said.
Reep's passion for sports started early in life. Growing up just blocks away from the golf course outside of Barnesville, Reep has always been close to the sport. Reep remembers being young when he picked up a club and took his first swing. He started golfing competitively as a 7th grader on the junior high team, and this past season was the junior's first year golfing as a part of the varsity program.
For those that know Reep, watching him golf isn't unusual, but Reep thinks the question "How can he swing a club?" crosses the minds of people seeing him golf for the first time.
Since Reep can't use his right arm to swing, he's learned to golf using only his left arm. Reep says that driving is definitely his strong point, but golf isn't something that comes easy. "It sometimes can be hard, it all depends on the day."
Askegaard said the first time he took Reep to compete at a varsity meet, he was nervous. But Reep's performance proved to others that he's earned his spot golfing at a varsity level.
"As a golfer, they're surprised with what he can do and how well he does it. He does shoot very well," Askegaard stated.
Askegaard notes that Reep steps onto the course with the intention to do his best. "He is a competitor, so he does show that on the golf course."
Reep's one arm approach to golf is unique, but coaches and other athletes agree, what really makes him different is his passion to be a part of the team, and to motivate others around him.
"He's probably more generous and outgoing than most. He's just a generous, genuine person that would be willing to give the shirt off his back," Askegaard said.
His pleasant and hardworking disposition also makes Reep a strong manager for the varsity football and wrestling teams.
Head football coach and high school principal Bryan Strand asked Reep to join the football program as a manager when Reep was an 8th grader.
Strand said Reep is a self-motivator and doesn't need extra direction to successfully accomplish tasks. "He does things without being told, he sets up stuff without being told."
Strand believes Reep's spirit brings an extra spark to practice and games. "He's always high fiving. He's always in a good mood."
Strand says Reep wholeheartedly embraces his role as manager and being part of the team. "He can high five, he jumps up and he celebrates, he experiences the highs and lows with the team," Strand continued, "If he had his way he'd be playing catch the entire time, throw the ball as far as he can and catch the ball with one hand. When we kick, Ricky is always the one that's in the end zone catching the ball, trying to catch it with one arm."
According to Strand, Reep's ability to be a caring manager comes naturally. "He's got a heart of gold, he'll do anything for anybody. He cares, and that's what makes him a good manager."
Head wrestling Coach Art Meyer says Ricky goes above and beyond for the team and is always willing and excited to help with everything. From cleaning mats, to towel tapping at tournaments, Ricky values his part in the program's success.
"He's an awesome kid with a big heart, always willing to help," Meyer noted, "He is caring and a great friend to all the wrestlers and coaches."
Barnesville Senior quarterback Ethan Ishaug says Reep is always the first one to get the football team excited about an upcoming game. "Even like a week before he's saying, 'Next Friday, we're going to win, we're going to do this.' He motivates us in school, at practice and at games."
Reep says he likes to keep the teams spirits up, "I tell my friends on the football team that we're going to make this."
Ishaug says Reep's uplifting comments and commitment to the team make him not only a great manager, but someone that the athletes appreciate being a part of the program.
"He's a fun kid to be around because he's always so happy, and he makes others happy around him," Ishaug said. "He loves being out there. He respects us, so he does pretty much whatever we need him to, and we respect him as well."
Even when faced with a disability that doesn't let Reep play sports the same way that others do, his passion for participating in athletics is something few can match. "It's nice to be with the team on the field and cheering them on," Reep said.
Through coaching and teaching, Askegaard has gotten to know Reep well, and believes Reep is a guy that leaves a lasting impression on those he meets. "He's special, just a neat kid. Very genuine, very outgoing, always positive," Askegaard noted.
Reep points to his love of sports as a reason for his positivity. "It keeps me in a good mood," he says.
Askegaard believes that having a disability doesn't stand in the way of Reep's contagiously good outlook on life and willingness to help others. "Just because he has a physical disability, that doesn't hold him back from being successful at golf and all of the other things that he does in his life," Askegaard said.
Reep's attitude about how to treat others is simple, and serves as a lesson to those around him. "I try to be really nice to people," he says.
Strand said the outstanding qualities that Reep has exhibited through athletics prove that having a climb-and-conquer mentality and remaining positive is the key to overcoming obstacles, rather than to let them be defeating.
Concluding his thoughts on Ricky, Strand says "He knows that he's different, but the thing is, he doesn't care. He's going to do what he has to do, he's not worried about what anybody else thinks, and he's just out to have a good time and make others happy."


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£75.00 £49.00
Fabulous flamboyant Moose garden ornament (or for indoors too!) Part of our new, popular range of wooden animals! His body is made from MGO (weather resistant wood) which is hand carved and he has a beautiful metal head and large antlers
Quirky design and finished with amazing detail!
Matching range available
W: 55cm H: 50cm D: 28cm


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Here's today's Final Jeopardy (in the category Presidential Irony) for Wednesday, November 21, 2018 (Season 35, Episode 53):
1 of the 2 Presidents who offered Daniel Webster the VP slot; he declined both, thinking the job went nowhere
(correct response beneath the contestants)
Today's contestants:
|Abby Roughton, a lawyer from Boston, Massachusetts
|Casey Amspacher, a senior data engineer from Brooklyn, New York
|Mary Ann Borer, a a marketing coordinator from Pomona, California (2-day total: $53,400)
The Jeopardy! Book of Answers is out now! Here's my review.
Did you know that you can play trivia daily every weekday with Confetti on Facebook Watch? Canadians can play at 5:30 PM Eastern (link only accessible in Canada) and Americans can play at 9:30 PM Eastern! (U.S. link only accessible in the United States)
Are you going on the show and looking for information about how to bet in Final Jeopardy? Check out my new Betting Strategy 101 page!
On the most recent episode of #JeopardyLivePanel, I interviewed Ali Hasan! Check out the interview here (or on Apple Podcasts!).
I recently updated my tournament wild card models with as much tournament data that I've been able to find! If you're playing in a tournament, you'll want to check this out!
(Content continues below)
If you appreciate the work I do here on The Jeopardy! Fan and would like to make a one-time contribution to the site, you may do so here!
Correct response: Who are William Henry Harrison or Zachary Taylor?
Did you know that you can now find game-by-game stats of everyone, including Austin Rogers, who has won 10 or more games on Jeopardy!, here on the site?
More information about Final Jeopardy:
Daniel Webster was seen in the 19th century as one of the leading constitutional experts of the era, and often was instrumental in shaping the Supreme Court's thoughts. When offered the Vice Presidency by Zachary Taylor, Daniel Webster was reported as saying, "I do not propose to be buried until I am really dead and in my coffin." He later became a Whig politician and twice served as Secretary of State (for the Harrison-Tyler presidencies and then again for Millard Fillmore).
Of course, the irony is that both William Henry Harrison and Zachary Taylor, the first two U.S. Presidents to die in office (in 1841 and 1850 respectively), wanted Webster as their VP, a position that while Webster thought was dead-end, would have elevated Webster to the Presidency.
There's always something new coming into The Jeopardy! Fan Online Store, including something perfect for Boston baseball fans! Here are our top-selling items!
Looking to find out who won Jeopardy! today? Tonight's results are below!
Scores going into Final:
Mary Ann $19,400
Casey $5,600
Abby $800
Tonight's results:
Abby $800 – $790 = $10 (Who is
Casey $5,600 + $3,999 = $9,599 (Who was Zachary Taylor?)
Mary Ann $19,400 – $5,000 = $14,400 (3-day total: $67,800) (Who is Lincoln?)
Scores after the Jeopardy! Round:
Mary Ann $8,000
Casey $2,600
Abby $1,600
Opening break taken after: 15 clues
Daily Double locations:
1) SMALL BUSINESS SATURDAY $800 (26th pick)
Casey 2800 -1200 (Mary Ann 7000 Abby 1600)
2) 5 SAINT'S DAYS $1200 (23rd pick)
Mary Ann 16000 +3000 (Casey 9400 Abby 800)
3) U.S. LAKES & RIVERS $800 (30th pick)
Casey 12600 -7000 (Mary Ann 19400 Abby 800)
Overall Daily Double Efficiency for this game: -80
Unplayed clues:
J! round: SMALL BUSINESS SATURDAY $200 & $400
DJ! Round: None!
Total $ Left On Board: $600
Game Stats:
Mary Ann $17,600 Coryat, 26 correct, 4 incorrect, 52.73% in first on buzzer
Casey $13,800 Coryat, 15 correct, 2 incorrect, 23.64% in first on buzzer, 2/2 on rebound attempts
Abby $800 Coryat, 6 correct, 2 incorrect, 12.73% in first on buzzer, 1/1 on rebound attempts
Combined Coryat Score: $32,200
Lach Trash: $12,000 (on 9 Triple Stumpers)
Coryat lost to incorrect responses (less double-correct responses): $7,600
Mary Ann Borer, stats to date:
76 correct, 11 incorrect
3/3 on rebound attempts
45.18% in first on buzzer (75/166)
5/6 on Daily Doubles (Net Earned: $12,000)
1/3 in Final Jeopardy
Average Coryat: $19,467
Mary Ann Borer, to win:
4 games: 72.07%
5: 51.94%
6: 37.44%
7: 26.98%
8: 19.45%
Avg. streak: 5.581 games.
Become a Supporter now! Make a monthly contribution to the site on Patreon!
Contestant photo credit: jeopardy.com
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If you are going to quote any statistics from this page or this website, attribution is required.
Have you had a chance to listen to our new podcast game show, Complete The List, yet? Check it out! It's also available on Apple Podcasts.


text: HomeOverseas property for sale Property Details Bedrooms: 1 Bathrooms: 1 Habitable space: 82 m2 Features Quiet location Close to shops Frontline golf Air conditioning Solar power Community garden Garage Underground parking Communal pool Alarm system Video entry system Fitted wardrobes Double glazing Gymnasium Store room Full Description The new residential complex consists of 1, 2 and 3 bedrooms in 8 low-rise buildings with a contemporary and attractive design based on modern straight lines. The southern orientation of the buildings has made it possible to design very bright homes that benefit from the daylight hours. The exceptional living rooms seem to extend toward the horizon and enhance the feeling of spaciousness and brightness. The design of the ground floor properties is outstanding as they have private gardens. The second-floor properties and the penthouses also have solariums; ideal places to enjoy the sun and the stunning Costa del Sol sunsets. All the homes feature a garage space, storage room and large terraces. This exclusive residential estate includes communal facilities: two pools with solarium, a gym and, gardens with native plants that convey the beauty of living in a unique location in Estepona. More Make an enquiry This property listing (ref: CSP-ND989) is an advertisement supplied by Crystal Shore Properties and does not constitute property particulars. While aplaceinthesun.com (APITS Ltd.) requests all advertisers supply correct details, it does not carry out checks on the information supplied and cannot be held responsible for any inaccuracies. Aplaceinthesun.com recommends seeking independent legal advice prior to any overseas property purchase. *Based on an exchange rate of 0.8415 from Euro to GBP. This rate is updated daily and is an indicative market rate supplied by A Place in the Sun Currency. Actual trading rates vary.


text:
Cuisine: Japanese
Category: Rice ingredient
Preparation time: 5 minutes
Cooking time: 30 minutes
Yield: 4 cups
Difficulty: 1
Cost: $ 2.99
• 6 sheets nori
• 4 cups cooked sushi rice
• ¾ Lb. medium shrimp, poached and halved
• 1 ½ medium avocados, sliced into thick slices
• 6 green onion tops, each about (7 inches Batonnets)
• 1 cucumber, peeled, halved (7 inches Batonnets)
1. Cut off top quarter of each nori sheet along short end.
2. Place one sheet of nori with the shiny side down on a sushi mat, horizontally.
3. Moisten your hands and mold ¾ cup rice in a tube like line over nori, leaving a 1-inch border on one long end of the sheet.
4. Place ¼ cup shrimp, 2 slices avocado, 1 green onion top, and 2 cucumber strips along top third of the rice-covered nori sheet.
5. Lift the edge of the nori closest to you and fold it over the filling.
6. Lift the bottom edge of the sushi mat and begin to roll toward the top edge and press firmly.
7. Continue rolling to the top edge and press the mat at the top to seal the roll.
8. Slice each roll into 8 pieces and serve.


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From our organizers:
Readers of Content!
New Year √
New Books √
New Bites √
Same Biscuits √
We can't wait to see y'all at our first TOC reading of 2019 at Egg! 2018 was a special year for us, and we have a LOT in the works for 2019 that we can't wait to tell you about. But we must wait. So we'll just tell you about our dope upcoming reading on January 30th instead.
Idra Novey (THOSE WHO KNEW), Krystal Sital (SECRETS WE KEPT: THREE WOMEN OF TRINIDAD) and Anna Pitoniak (NECESSARY PEOPLE) will be kicking off our year, and chef Evan Hanczor will pair each reading with a textually-inspired snack. A Q&A and discussion between Evan and the authors will round out the night.
For THOSE WHO KNOW (see what we did there?), we're changing things up a little this year. One frustration we've noticed in the past is an RSVP attrition rate that leaves us with sad, empty seats, a bummer for us and our authors alike. To try to avoid that, we're now selling tickets online! We've also nudged the price up to $15 , which still covers the readings, snacks, and one drink ticket per person (and is still, in our minds, one of the best deals in town). We'll reserve a handful of seats for walk-ins, but since the readings have been in the habit of filling up quickly we highly recommend snagging those tickets ahead of time.
Additional drinks (beer, wine, and local hard cider from Eve's Cidery) will be available for purchase, and McNally Jackson will be in the house selling books as usual!
Feel free to write us at email@example.com with any questions. Hope to see you at the table.


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Sales Movement in the West
July 11, 2019
We are pleased to announce that Tom Peak has been appointed the Regional Sales Manager in the Western United States covering all of our products. Tom has been with Encon for just over 5 years and is well versed in the industry. He covers all of our PPE, Shower and Eyewash, and Wall Case products. Please feel free to contact Tom directly for any business related inquires via e-mail at email@example.com.


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The applications may be as diverse as can be, Bosch Rexroth can cover it all. Bosch Rexroth customers receive standardized control and drive solutions for higher productivity, increased energy efficiency, flexibility, and optimized process safety. Especially the open system architecture of the electrical controls facilitates continuous communication of the conductor via the control level to the drive. In this context, we offer best-in-class components in a broad range of technologies for excellent performance - perfectly aligned with each other and manufactured in accordance with the most stringent quality guidelines.
Rexroth realizes cross-technology solutions for many applications in the industry:


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Welcome! Find a AP Physics Tutor Near You Today ~Are you having a hard time with AP Physics this year? We've got thousands of tutors that help students excel in any subject! Our tutors cover elementary, middle school, high school, college prep & beyond. We're certain to have a private AP Physics tutor near you that can help now!
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Advanced Placement Physics is a course that cover various physics topics and is broken down into AP Physics 1 and AP Physics 2. It is a challenging subject, but one that will put you in good standing for college Physics if you wish to study physics further. Both courses are very much algebra based and explores subjects such as:
- Newtonian mechanics
- Work
- Energy
- Power
- Mechanical waves and sounds
- Circuits
- Thermodynamics
- Electromagnetism
- Quantum, atomic and nuclear physics
Like many subjects, success in AP Physics will depend on a variety of factors. These include the quality of your high school physics tutor and teacher plus how much time you are able to dedicate to the subject. Be careful not to choose too many AP subjects in a year so that you will be able to dedicate the appropriate amount of time to each subject. Using a tutor means that you will have time set aside each week to learn and review your tests and homework in the course. A tutor offers valuable one-on-one time and will cater each session to suit your individual needs and struggles.
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Diskripsi :
3D match
A special highlight this year is the 3D game option of FIFA MANAGER 12. This area of the game representation is a matter close to the heart for a lot of fans of the franchise, so that this year a whole team consisting of designers, graphic artists and programmers have put the entire logic of the 3D mode to the test and completely reprogrammed large sections of it.
A new player AI, for instance, and marked improvements in terms of the substitutions, tactics and the conduct of opposing managers, e.g. after players are sent off, results from this. The new intuitive user interface makes it possible for you to retrieve all the data relevant to the game within seconds and to issue precise tactical instructions.
25 buildings with a total of 289 configuration levels are reproduced in detail. In addition there are up to three stadia with up to 120,000 seats directly on the club grounds.
Buildings age and have to be renovated. Each configuration level has specific impacts in other areas of the game. As a player you are thus constantly faced by decisions to make and must develop a genuine strategy in terms of how you want to set up your club in the future.
A whole range of new options will be available to you in the calendar. From the charity event to direct friendly match queries and extending to lactate tests, no wishes are left unfulfilled.
In FIFA MANAGER 12 the training can once again be planned and implemented on a daily basis in individual units. The player development was made more realistic here which makes the games even more challenging especially at the higher difficulty levels. A special fitness coach will now also offer you his services from the start of the season.
In the Weekly Progress sequence that can now be configured you can select your favourite statistics in a targeted manner and, for instance, precisely track the training or the building progress on the club facilities.
The instant calculation, the cooperation with your Board, the player talks, interviews and the Personal Life feature were also extended.
Screenshot :
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ato YM : qmpchosting
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Untuk list pc game, software dan psp game updatean bulan ini bisa dilihat dimari :
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Ingredient DetailsView All Ingredients
Low hazard for health, although care should be taken during the manufacturing process.
Propanediol is a thick clear liquid used as a visocity modifier.
|INCI Name
|Viscosity Modifying Agent
|EWG Rating
Learn more on the EWG website
Products using this Ingredient
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S.B. 39 Substitute Allowable Use of County and City Resources -- Buttars, D.C.Drafting Attorney: Robert H. Rees
Bill List | Bills by Representative, Senator, or Subject
Similar Bills: Utah Municipal Code Counties County Government Political Subdivisions (Local Issues)
This bill has been substituted. The substitute is S.B. 39 Second Substitute
This bill is a substitute bill. The bill that was substituted is S.B. 39
Bill Status
Last Action: 26 January 2001, Senate/substitute
Last Location: Senate Substituted Bill
Bill Status Last Updated: 16 March 2001, 9:00 AM
Bill Text
Introduced HTML | PDF | WP Zipped 5K Last Updated: 19 January 2001, 9:13 AM
Fiscal Note
Fiscal Note HTML | PDF Last Updated: 25 January 2001, 6:10 PM
Printed copies of bills may be obtained from Legislative Printing.
Last Revised: 16 March 2001, 9:12 AM


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It's that time of year. The roads are clear of ice and snow, and the weather is getting nicer. It's time for a trip. Whether it's to visit family or friends, or a vacation, it's always a good idea to have a budget.
Setting up a trip budget is simple and saves so much money.
At the end of this post you can get my budgeting for trips worksheet for free.
There are 3 sections to figuring out a budget.
The cost of the trip there, while you are there, and the cost of the trip back.
It's going to be different for some but here's a list of the more common things you should budget for:
The trip there and back:
- Fuel costs (Or tickets)
- Food and drinks
- Entertainment
- Lodging
While there:
- Tickets (for admissions)
- Lodging
- Food and drinks
- Activities
- Shopping
- Other transportation
Under each category you should list the details.
- So and So Hotel in So and So Cost: $120 a night
- Whatsit Hotel in Whatsit Cost: $98 a night
Food and Drinks:
- Stopping in Whatsit for dinner Cost: About $50
- Stopping in So and So for lunch and dinner Cost: About $75
Total all sections and you have your budget.
A few tips for taking a trip on a budget:
- Check fuel prices with apps like Gas Buddy to find the best prices before filling up.
- Book hotels ahead of time.
- Stay with friends and family when available.
- Purchase and pack food and drinks in a cooler before you leave:
- Sandwiches, wraps, and hoagies work well for this, along with some chips or crackers.
- Snacks as well, like fruit snacks, raisins, apples, etc.
- Lots of bottled water and juice
- Use a packing checklist to avoid unnecessary purchases.
Click the link below for your free budgeting for trips worksheet and a bonus how to figure your fuel cost instruction sheet.
If you found this post useful don't forget to share, like, or comment! Thanks for reading!
If you'd like to receive weekly email updates from alwaysdoinsomething.com, sign up here!


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In March 1968 American Motors Corporation introduced the AMX which stood for "American Motors Experimental". This was a high performance car that was a rare two-seat car that came from a car manufacturer that was not known for producing high performance cars.
The AMX had styling that was very similar to the American Motors Javelin which had gone on sale a few months earlier in September, 1967. The main difference between the Javelin and the AMX was that the wheelbase of the Javelin was 109 inches, while the AMX had a wheelbase of only 97-inches.
Only V8 engines were available in the AMX. The standard AMX engine was a four-barrel carburetted 290 cubic inch engine that produced 225 horsepower. The intermediate option was the 343 cubic inch V8 engine that produced 280 horsepower, while the big option was the 315 horsepower 390 cubic inch V8 engine.
The AMX was produced only from 1968 to 1970. In 1970, the base engine was the 290 horsepower 360-cubic inch V8 engine with a floor-mounted 4-speed with a Hurst shifter. The optional V8 engine was a 325 horsepower 390 cubic inch engine.
The highest performing AMX was the 1969 AMX SS model which was either 52 or 53 AMX cars that were shipped to Hurst Industries to have their performance upgraded. These cars had two four-barrel carburetors on an Edelbrock cross-ram intake as well as Doug's Headers. These modifications reportedly increased the horsepower of the 390 cubic inch engine to 340 horsepower.
The AMX had a relatively short lifespan. It was dropped by American Motors in 1971, as they turned their attention to other cars like the Javelin, Hornet and Gremlin.
As shown in the above image, the 1970 AMX had a few more styling lines and gimmicks as compared to the 1968 AMX.
I have included a road test of a 1968 American Motors AMX that was published in Canada Track & Traffic.


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It doesn't matter how many times or where they are, I still get a great buzz out of visiting French markets. I just want to keep walking around and look and soak up the colours, the aromas and sheer abundance of beautifully displayed produce which really feeds the soul.
Now as we approach June asparagus and strawberries are plentiful and the cherries are starting to come in. With so many beautiful plants also craving my attention, I am wondering if I can shoehorn a few more onto my terrace. Maybe not……….then again.


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The University of Findlay volleyball team improved to 9-3 on the season and 3-1 in the Great Lakes Intercollegiate Athletic Conference (GLIAC) on Saturday, Sep. 26 after they defeated the Northwood University Timberwolves 3-1 (22-25, 27-25, 25-21, 25-15).
Junior Hannah Tong and freshman Amanda Winner both reached double digits kills, smashing 16 and 11, respectively. Winner also added 10 digs.
Senior Julie Lyons and sophomore Nickyla Garverick contributed on both sides of the net for the Oilers. Lyons had six kills and six blocks, while Garverick chipped in with nine kills and seven total blocks.
Senior Becca Shoemaker led the team with 14 digs and three aces.
Freshman Hailee Olson accounted for 46 assists, 10 digs, and seven blocks.
The Oilers will be back in action Tuesday, Sep. 29 as they host Hillsdale College in Croy Gymnasium. The match is scheduled to begin at 7pm.


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Plymouth Athenaeum – Reborn
A series of bespoke icons were created to represent each of the Athenaeums facilities.
An avatar was created for across social media channels that symbolises the 1960s architecture of the Athenaeum building.
The Plymouth Athenaeum is about to be 'reborn', again.
The theatre was founded in 1812, and since 1819 has been located on its present city centre site next to The Reel Cinema. The 1819 building, known as 'The Athenaeum', was destroyed in the 1941 blitz, together with the museum, library and lecture room. The current building was opened in 1961, when its name was changed from 'The Plymouth Institution' to 'The Plymouth Athenaeum'. It includes a local interest library, lecture room, large lounge and a 340 seat auditorium.
New funding means the theatre will undergo a much needed upgrade of its facilities and in turn, be able to host bigger and more regular theatre performances, strengthening its partnerships with the Barbican Theatre and University of Plymouth.
Studiose have created an interim website for The Plymouth Athenaeum to help raise their profile during the transition period with special care taken to make the website responsive and easy to use by audiences of all ages.
Studiose have also created a new logo which echoes the buildings 1960s architecture but will also appeal to their broad audience. The start of a fresh new brand is also being developed that will roll out across social media and beyond in time to come.
Very exciting times to come – we'll keep you posted.
Project Included
- Branding
- Web Design
- Web Development
- Illustration
- Photography
"Studiose provided first-class class service and an excellent revamp of The Plymouth Athenaeum's website. They also designed fantastic new logos. The post handover service has been superb too, resolving problems very speedily. I would strongly recommend Studiose for website and design work."
Owen Ryles FRSA Honorary General Secretary


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Can you tell us in a few words about the mission of Croix-Rouge insertion (Red Cross integration) and about your own mission as its manager?
Croix-Rouge insertion is a branch of the French Red Cross dedicated to integration through economic activity. Boasting 9 establishments located throughout France, the organisation is developing by offering technical expertise and solutions to meet the requests and needs in this area specified by agents of the French Red Cross.
My main missions as Managing Director are to manage the various establishments of Croix-Rouge insertion in line with the principles and goals of the Red Cross and to implement all actions that will allow us to improve the quality of our services, both with regard to employees on integration schemes and our business clients.
Could you describe the career of an employee at Croix-Rouge insertion? How do you support them?
Jobseekers are directed to our establishments by the organisations that traditionally arrange social work and by public employment services. Based on the subsidised integration jobs available in our establishments, we offer them a part-time contract of employment (fixed-term integration contract) for paid manufacturing work that includes training.
Throughout the duration of their contracts, they are offered personalised support, aimed at helping with the social problems that limit their employability and prevent them from acquiring those skills that could help them to achieve their career goals.
In addition, more than half of our employees find work within under two years thanks to the job shadowing, individual interviews, training and work placements we offer.
What is your best memory of your time with Croix-Rouge insertion?
Of course, there have been many great moments. Signing the contracts securing the sustainability and development of one of our establishments, for example, or the creation of a new business that has great social value like LogisCité, an integration company dedicated to helping families experiencing fuel poverty, are all events marking collective success that I take great pleasure in sharing with the permanent teams. But the times that definitely stand out most in my job are those when we offer a concrete solution to a problem or help one of our integration employees achieve a life goal. Like the family of one of our employees, who we have supported in finding a new home after a fire in their apartment, or the amateur photographer who can exhibit and sell his works in one of our establishments and eventually set up his own business.
To know more about this organization : Croix-Rouge


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LONDON (MarketWatch) -- Credit Suisse downgraded airline operator Copa Holdings CPA, +0.25% to neutral from outperform, citing the impact of swine flu and higher oil prices. The broker said Copa's load factor -- a measure of passengers against available seats -- fell by 11.6 percentage points in May. "We believe disappointing numbers for May are likely to weigh on the stock, especially because the airline indicated that June figures, although normalizing, are also being affected," Credit Suisse said.
Copa Holdings cut to neutral at Credit Suisse
Quote References
+0.26 +0.25%


text: August 26, 2017 In News By Igor Polyakov Just posted! Free Adobe XD resource: iOS Picker https://crwd.fr/2veeIc0 Free Adobe XD resource: We recently published our free resource for the UX designers who are working in Adobe XD, follow this link. View on Instagram https://ift.tt/2gdKsu9 Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Like this:Like Loading... Tags: IFTTTInstagram


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The following graphic predicts the global extinction of newspapers (in their current form), starting with publications in North America, followed by Europe and East Asia, and reaching South Asia, Africa and South America last. Internationally, some of the factors contributing to the death of newspapers include huge losses in advertising revenues, ad-supported search engines, the rise in availability of mobile phones and other mobile devices; the increase in paid content and paywalls; and increased technology adoption and economic development around the world.
What do you think of the timeline? Will newspapers really be extinct in the USA, UK, Canada, Norway, and Singapore by 2021? Is it more likely that they will be diminshed but not gone completely?
The dates for newspaper extinction are based on estimates that consider current trends.
Source: Future Exploration Network, for a larger image, click here.
The graphic was originally created by futurist Ross Dawson
Newspapers have already faced
Newspapers have already faced "new modes of circulating intelligence". They successfully overcame the gloomy prediction of James Gordon Bennett, the editor of the New York Herald who predicted in 1845 that the telegraph - the disruptive tech of the time - would put many newspapers out of business. While prophets of doom constantly predict their extinction, newspapers are actually enjoying the largest audiences ever, continue to play a critical role in our communities, are still making money, and remain a good investment. They are attractive enough to engage with emerging technology providers and research centres around the world.
Collective programmes like NextMedia in Finland, NxtMedia in Norway, Stimuleringsfonds voor de Journalistiek in the Netherlands, and iMinds in Belgium are accelerating the process on an industry-wide scale. Sacramento Bee with Stanford University and the University of Southern California, Trinity Mirror and News Corp in the UK, The Irish Times, Alma Media in Finland, RBS with the University of Porto Alegre in Brazil, The New York Times, Schibsted, and Springer are just a few outstanding and visionary examples of ambitious and smart individual programmes. Research and innovation is key to the future of the news media value chain and over the past two years, I met with a growing number of publishers experiencing new models of creativity and innovation. They are investing in innovation, and are bravely reclaiming ownership over the cycle through a diversity of partnerships with traditional suppliers, start-ups, research centres, and innovation clusters. Why now ? The fact that our industry's business model has changed dramatically in the early 2000s is one strong motivation. In 2007, 80% of newspaper media revenue in the US was generated from advertising. In 2013, less than half of total revenue (46%) was from advertising in daily and Sunday print newspapers. Another driving force in this reclaim process comes from the traditional industrial and technology ecosystem itself. For decades, almost centuries, innovation has been mostly driven by publishers' traditional industrial partners. With so many big tech providers impacted by the weak market conditions in print, the vital innovative input from traditional industry providers has dried-up dramatically and publishers have been forced to look for alternative sources of innovation. Many publishers and journalists are now seizing power over technology. It's a challenge of long-term development. Similar to the environmental challenge, you can still survive without taking it into account, but you cannot hope to build your future.
WAN-IFRA's mission is to help news media businesses, their technology officers, reporters and marketers to tap into this potential. In October 2013, we launched the Media Innovation Hub (miHub) and an International Alliance for Media Research and Innovation in June this year to serve that goal: helping publishers to connect and engage with research centres and the new generation of tech providers from around the world.
Media companies must now work intensively on the incoming disruption generated by the Internet of Things, wearable and hyper connected personal devices, mobile big and small data, to name just a few incoming revolutions that will accelerate the consumer technology disruption already experienced over the past decade. If mobile has been the major disruptive factor during the past ten years, the hyper connected world will be the next big wave. Answers will come from closer collaboration between research and experts who focus on these issues and deliver both business and tech solutions.
Why is it vital to embrace collective thinking on how to better connect media businesses with start-ups and research centres ?
Tom Negrete, Director of Innovation & News Operations at Sacramento Bee, California, provided me with the best arguments. Like many of his colleagues he understands the "need for traditional news publishers to evolve from a culture that is insular, guarded and top-down in its decision making to one that is collaborative, intellectually curious and data-driven in its decision making." Innovation produces value only if it is part of an ecosystem. You do not innovate if you are isolated and every media company needs suppliers and partners to accelerate the technology transfer from innovation to business. Exponential growth and adoption of consumer technologies drives new levels of service demands, including news. To really address this challenge, media companies must increase their experimenting curve and move fast; follow and anticipate. The more they cooperate as a community to support start-ups, and work upstream with research centres, the more they will have a chance to bridge the needs of their readers and engage them with powerful technologies.
If you want to build on better economy of scales in developing/acquiring tools you need and find news publishers with similar goals and needs to collaborate on potential projects.
If you want to build relationships, follow-up and communication tools needed to execute successful collaborative projects.
If you want to develop technology and road maps skills sets so publishers can self-assess where they are compared to similar publications, and better see the steps they could take to improve capabilities or execution on engagement and/or revenues.
If you want to identify academic expertise and interest so you can best marry it to right news publishers/projects, and are interested in developing interdisciplinary teams of academics to help tackle some the more complex problems and ambitious projects.
Then, I encourage you to join our growing community of advanced operations worldwide. We would be delighted to send you more information about our project for innovation and how it can help your businesses.


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Oakridge Cork Coaster (Round) 112967250
Description: Natural non-marking cork coaster with the choice of round or square options.
Colour: Natural.
Dimensions: Diameter 100mm × 4mm.
Packaging: Loose packed.
Price: from NZD$0.40 unbranded. See your price—use the price calculator below.
Printing template (PDF file):
Screen Print 80mm circle (one colour).
Laser Engraving 80mm circle.
Stock Levels
(Quantity = currently in stock; Next Shipment = when even more stock arrives with supplier)
|Next Shipment
|Natural Coaster
|25,000 - Mid February
Leadtime: Allow around 2 weeks from artwork approval/payment receipt to delivery to your attended courier address (depending on stock availability and branding methods).
Other products like this:
Oakridge Cork Coaster (Round)—Set of 4
From $1.90
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Oakridge Cork Coaster (Square)—Set of 4
From $1.90


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Physical Therapy
Specialists in Orthopedic and Sports Physical Therapy
Accelerated Physical Therapy is a physical therapist owned orthopedic and sports therapy practice located at the Cambridge Athletic Club. The company was started by the former New England Revolution Pro Soccer and Boston Blazers Pro Lacrosse therapist/trainer, Ara Sakayan. The practice is comprised of licensed physical therapists, athletic trainers, and massage therapists in addition to NASM and NSCA certified fitness trainers. Patients are referred here by Boston's most prestigious hospitals such as the Massachusetts General Hospital, Children's Hospital, New England Baptist, Boston Medical and Beth Israel.
Since 1979, we have treated a varied population, from pediatric, adolescent and adult orthopedic conditions to high school, college and professional athletic injuries. Our practice utilizes state-of-the-art equipment, and employs the latest techniques so patients can regain maximum function.
CAC members receive free injury screenings. Get back to health with Ara and his team at Accelerated Physical Therapy!
To make an appointment contact Ara Sakayan: (617) 523-1701. firstname.lastname@example.com.


text: SAN FRANCISCO (MarketWatch) -- Ralcorp rah, maker of Post cereals and private-label foods for retailers, reported Tuesday afternoon fiscal fourth-quarter profit rose to $79.9 million, or $1.40 a share, from $41.1 million, or 90 cents a share, in the year-earlier period. Sales rose 13% to $983.2 million. Excluding a gain on the sale of securities and Post cereal integration costs, Ralcorp said it earned $1.14 a share, compared with 84 cents a year ago. Analysts had forecast Ralcorp to earn $1.25 on sales of $982.7 million. Ralcorp shares closed at $54.39 ahead of the report.


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Synod considered Motion 19, entitled the Sexual Identity and Pastoral Care Motion. This motion was proposed by Neill Ballantyne, a member of the St Peter's on Willis parish, and seconded by one of that parish's co-vicars, Archdeacon Stephen King. The motion was amended at the beginning of Synod, from the one found in the Programme of Business book, with the adapted text as follows:
Neill Ballantyne, Archdeacon Stephen King
NOTING the desire in the recommendations accompanying Motion 30 to General Synod Te Hinota Whanui in 2014: "…to make further response pastorally and prayerfully to LGBT people in [their] faith communities"
AND, noting the current public concern in Aotearoa-New Zealand about the pastoral practice known as 'gay conversion therapy', including the call for it to be outlawed by Parliament,
AND, noting that in July 2017 The Church of England passed a motion condemning said practice,
WHILE recognising the challenging nature of conversations around human sexuality in a community that has different perspectives,
AND also remembering that regardless of our differences we are called to responsible pastoral care of each other in the Body of Christ,
THAT this Synod:
- Call upon the Church to be sensitive to, and to listen to, contemporary expressions of gender identity and sexual orientation; and
- Acknowledge differing and strongly-held perspectives on the matter, and therefore call upon the Church to make room for careful and honest conversation that is safe for all participants; and
- Stand against any denigration of the character or personhood of those who hold a differing perspective on matters of human sexuality; and
- Condemn any pastoral practice which is coercive and/or disempowering of the recipient; and
- Call on all church leaders to engage in constructive dialogue with each other and government on ways of protecting vulnerable minorities, especially those who identify as gender and sexual minorities, from these harmful practices; and
- Remind all ministers of the obligations incumbent on them, and the principles to be upheld, when offering pastoral care, as outlined in the Diocesan Codes of Conduct and Ethics, especially that,
- Every person, being created in God's image, has infinite worth and unique value, irrespective of origin, race, ethnicity, gender, age, belief, social or economic status, sexual orientation, marital status, contribution to society or present psychological, physical or spiritual state;
- All ministry, regardless of its form, should seek to bring glory to God, and further the best interests of those who receive it;
- Every person may expect to be supported in the development of their God-given potential, while recognising the same expectation in others;
- Every person, whether or not presently a member of the Church, may expect to receive objective and disciplined knowledge and skill, to enable that person to grow in the Christian faith; (Code of Ethics, (2) (a)-(d))
- Ministers must respect the ethnic and cultural background, gender, class and sexual orientation of those to whom they minister;
- Ministers should question practices in the church community that appear to be harmful or abusive (Code of Conduct, (3) (vi) (e), (g)).
Neill spoke to the motion and told of his experience of being a gay man devoted to Jesus Christ. He shared of his experience of being asked to attend counselling sessions by his pastor, and how he deemed this to be a form of harmful gay conversion therapy – a set of practices based on the "deep dark days" of psychology, when electro-convulsive therapy and chemical castration were some of the methods used to attempt to "convert" people to a heterosexual identity. He said that such practices assume that homosexuality can be fixed, and asserted that this was not the case, and that such practices do not work. Other members of Synod shared of their own experiences of minority sexual and gender identities, whilst also affirming their parishes' moves to provide a safe community in which they can freely belong, and freely worship.
There was concern raised by some Synod members that the obligation of ministers to respect the sexual orientation of those to whom they minister would prevent them from holding to an orthodox biblical view, however members were reminded that to respect someone does not equate to agreeing with them on a matter.
One member reminded Synod that there are and have been ministries in which Christians have been empowered to leave behind brokenness, hurt and trauma in their lives, and in doing so, have been able to leave behind homosexuality as they journey with Christ towards wholeness. He asserted that if people want to leave behind a homosexual lifestyle, then we all have a duty to help them. He lamented that it seemed taboo to talk about such ministries, which have worked. Yet other ministries were highlighted where the approach taken had led to Christians being further hurt in the process.
Bishop Justin thanked the Synod for their courage. He spoke of the courage of all speakers to share their thoughts, regardless of the viewpoint from which they came. He also mentioned the work undertaken to re-word the motion prior to Synod to make it more appropriate for our situation, in which multiple biblical integrities are upheld.
A verbal vote was undertaken, and the motion was carried.