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Bigger, Stronger, BAMA!
Max Brawn
Join Date: Nov 2010
Location: Virginia Beach, VA
Posts: 5,256
Training Exp: 8
Training Type: ARGH!!!
Fav Exercise: Squats
Fav Supp: Deadlifts
Reputation: 293105
Good Article
Things That Are Good for You by Dan John
Things That Are Good For You
By Dan John
Everybody knows that certain things are good for you. In fact, I am usually amazed at the lists that people can spout off in just a moment or two without really thinking about it. Like my quick list:
* Dont smoke
* Wear a seatbelt
* Floss daily
* Eat veggies
* Get eight hours of sleep.
This is not a bad list and, to be honest, follow that short set of five and you will do well to insure a healthy life. Those of us who lift weights usually have a short list of movements that are good for you. Yet, whenever I enter FastFitness 24/7 Spa and Supplement Superstore, most of the guys are doing Bench Presses, Curls and Lat Pulldowns. Yet, if I sit around with strength coaches, fitness professionals or people that bring fear to the heart of mere mortals, they rarely do those three movements.
So, what are the Big Five that most people recommend? You wont like the list:
* Squat
* Deadlift
* Good Morning
* Bent Over Row
* Plank
Why am I sure you wont like this list? Simply, because I never see the average gym rat doing any of these movements! Or, and this can simply be sad if I do see people squatting in most gyms, frankly, my dear, those arent squats! These movements require a bit of introduction for the body and need usually a few days of orientation to get right. But, wait, whats that last one?
Planks? Yes, Planks. Recently, at a workshop, a guy kept asking me about lunges. Do your athletes do lunges? No. Do you do lunges? No. Finally, he asked the real questions: Why dont you guys (strength coaches) hate lunges? Okay, he had me. Like planks, lunges are one of those exercises. You know, the kind that Jane Fonda does. The kind of exercise that you see the manic aerobics instructors screaming go for the burn and feels good, alright doing with a roomful of mirrors and a disco ball. Then, in the quite of the night, you try them and fail. And the last thing we want to do in a gym is to, one, look like an idiot, and, two, perform poorly looking like an idiot. Planks are the worst kind of exercise they are miserable and just dont look that hard!
So, lets make a goal: one, lets not look like idiots, and, two, lets perform these lifts well.
Lets start with the bane of most lifters life in the gym: squats. Years ago at a clinic, a young man told me squats hurt my knees. I asked him to demonstrate a squat. I said simply, Squats dont hurt your knees, what YOU are doing hurts your knees. Squats can do more for total mass and body strength than probably all other lifts combined. Doing them wrong can do more damage than probably all the other moves, too.
Lets start simple. Find a place where no one is watching and squat down. At the bottom, the deepest you can go, push your knees out with your elbows. Relax and go a bit deeper. Your feet should be flat on the floor. For the bulk of the population, this small movement driving your knees out with your elbows will simplify squatting forever.
Next, try this little drill: I have the athlete stand arms length from a door knob. Grab the handle with both hands and get your chest "up." Up? I have the athlete imagine being on a California beach when a swimsuit model walks by. Immediately, the athlete puffs up the chest which tightens the lower back and locks the whole upper body. The lats naturally spread a bit and the shoulders come back "a little." Now, lower yourself down. What people discover at this moment is a basic physiological fact: the legs are NOT stuck like stilts under the torso. Rather, the torso is slung between the legs. As you go down, leaning back with arms straight, you will discover one of the true keys of lifting: you squat between your legs. You do not fold and unfold like an accordion; you sink between your legs. Dont just sit and read this: do it!
Now, you are ready to learn the single best lifting movement of all time: the Goblet Squat. Grab a dumbbell or kettlebell and hold it against your chest. With a kbell, hold the horns, but with a dumbbell just hold it vertical by the one end like you are holding a Goblet against your chest. (You see Goblet Squats). Now with the weight cradled against your chest, squat down with the goal of having your elbows (pointed down because you are cradling the bell) slide past the inside of your knees. It is okay to have the elbows push the knees out as you descend.
There is the million dollar key to learning movements in the gym .let the BODY teach the body what to do. Listen to this: try to stay out of it! Thinking through a movement often leads to problems let the elbows glide down by touching the inner knees and good things will happen. The more an athlete thinks, the more the athlete can find ways to screw things up. Dont believe me? Shoot a one and one with three seconds to go down by two points get back to me later when you decided thinking was a good idea.
Im not sure I should tell you this, but I think Goblet Squats is all the squatting that most people need. If the bar hurts you in Back Squats (I wont comment), your wrists hurt in Front Squat (swallowing my tongue here) and the aerobics instructor has banned you from using the step boxes for your one legged variations, try the Goblet Squat. Seriously, once you grab a bell over 100 pounds and do a few sets of ten in the GS, you might wonder how the toilet got so low the next morning.
Lets just keep that dumbbell at hand for just a minute. The biggest problem I see with most peoples Deadlift is that they simply have forgotten how to pick things up off the floor. I have been told to not use my back when picking things up. Thats like saying dont use your tongue when talking. You know you can do it but it is just not very efficient.
Stand tall and hold the one end of the dumbbell again this time, though, hold it at arms length pointing straight down to the ground. The bell should be slung right between your legs. These are called Potato Sack Squats and it is a great reminder of how to Deadlift. Imagine picking up a Potato Sack from the floor you want to get down and get your arms around it. Let the bell descend to a point between your feet. Keep your head up and chest proud and simply lower the bell touch and return.
Now, why dont you Deadlift like that? Its the Deadlift the worlds simplest lift! Well, grandmas voice is probably in your head yelling dont use your back. To move on, step on two boxes or even thick 45 pound plates. Descend down again and touch the ground between the two boxes. That is as far as you will probably ever need to go.
Now, always make sure when you Deadlift to use 45 pound plates or plates that leave the bar at the same height as a 45. I have my young athletes do a set of ten Potato Sack Squats, then step over to the bar and try to get the same feel of descending to the bar. After that, it is pretty simple. A couple of key hints:
1. Keep the weight on the heels. To test this, slide ten pound plates under your toes until the balls of your feet are on the plates. It is going to stress your hammies and gastrocs (hey, free stretch!) but push the ground away through your heels. I insist on teaching my athletes to Push your heels to China. It seems the Chinese National Coach is now teaching his athletes to push their heels back to me. I am worried about deforming the earth.
2. Use the standard opposite hands grip from Day One in the Deadlift. I do suggest, though, that you switch your grip often until you find which way allows the most weight.
3. Your arms are steel rods in the Deadlift. Lock em out and leave em.
4. Keep your head up. Many of my athletes upped their Deadlift in one workout by having the chin lead to the ceiling. When ten people tell me something worked in one day I believe them.
Good Morning
Most people who do the Good Morning doom themselves to a lifetime of bad mornings. A few months ago at the after party of a strength clinic imagine something like the after party of a big movie opening, but eliminate free food, free booze, and good looking guys a buddy asked me about Good Mornings. According to the story, I said: I can do Good Mornings, you can do Good Mornings, but that fat dude over there in his overflowing sweatshirt and fanny pack, he cant do Good Mornings.
So, whats the big deal? You toss a barbell on your back and lean forward. Besides the chiropractor industry applauding, whats so wrong with this picture? First, know what we are trying to do here: I teach GMs as a hamstring move, not a lower back builder. Why? Its simple, really, I want my athletes to walk next week. So, before you begin two things.
First, stand up and place your hands in the V that is formed where your torso meets your legs. You know what I am talking about
Simply push your hands into the V and push up butt back as your hands disappear into the folds. That is the movement of a Good Morning. Yes, keep your head up, shoulder blades pinched back, and hold a big chest, but the movement is simply increasing the V. If you do it right even with no weight you will feel the hamstrings stretching. This is good.
I strongly suggest learning the movement with a broomstick first. A nice little adjustment is to stand with your back against the wall and push your butt BACK into the wall. Then, scoot out a few inches and push back again. Keep moving away until you literally cant touch the wall any more. THAT is the position that I recommend you go into on the Good Morning.
Do not make this a Yoga exercise. There is no need, beyond my need to laugh at you, for you to fall on your face. Dont make this a stretching contest and try to go as deep forward as possible. Make it a lift. Surprise me with you ability to do it right.
Bent Over Rows
Stop right there. Yes, I know. I know that some guy named Arnold once said that Pullups are the greatest exercise for the lats, but you need Rows for thickness. I know. I know.
Here is an idea lets do them right.
Before you go any further with Rows, I want you to do a few sets of Bat Wings. Yes, I invented them just after I invented the internet. Lay face down on a standard bench with two dumbbells on the floor. Now, here is where it gets confusing I dont care at all about your range of movement. I only want you to pull about the last four issues of flexion. If you were doing pushups, it would be from the floor to about four inches off the ground. All I want you to do is squeeze those bells as high as you can and cram your shoulder blades together. You cant jump, bounce, swing, hop or do any of that crazy stuff that most guys rowing do. Do a bunch of sets of five.
The next day, that really cramped feeling muscle in your upper back is called the Rhomboids. Oh, and youre welcome. You see, the development of the Rhomboids will save your shoulders, make you stand taller and lead you to a life of wisdom and wealth. Maybe.
Oh, why Bat Wings? It sorta kinda looks like Bat Wings at the top of the squeeze. If you look carefully from the side. Sorta.
Now, back to Bent Over Rows: one of the things missing from those guys with twelve plates on the side doing wide grip bouncing leap shrugs that they call Bent Over Rows is any work for the Rhomboids. They will also soon be missing discs, but that is another story.
When you Row, get into that Good Morning V Position and strive to touch the chest. Ignore the part where you have long arms and focus on the last four inches at the top. A great Rowing exercise is Two Part Rows. Rep One comes up to the belly button and Rep Two comes up to the nipples. Really strive to feel how much more your elbows have to come up to make the lift.
I suggest doing Bat Wings at least every time you do a horizontal push like Bench Presses or Incline Bench Presses. And when you row, row. Finish the stroke!
Like most people, I hate Planks. It was Joshua Hillis who got me to start doing them and I discovered a funny thing. I hate planks.
Why? Well, there you are shaking from stem to stern doing nothing but holding a position. It is very hard to look calm and collected while shaking. So, lets make it harder!
I have one simple drill to assess all kinds of issues with my athletes. It is a one minute plank done as follows:
The first twenty seconds, the right leg is raised as high as it can be raised towards the ceiling an Arabesque right leg, if you will. Without leaving the plank position, do the next twenty seconds with the left leg Arabesque position. Finally, do twenty seconds of the plank. This is how to increase your life: that minute will feel like forever.
So, how do we assess what happened? Many of my athletes who have done far too many Bench Presses and hard baseball throws complain that the planks hurt their armpits. For these athletes, we need Bent Over Rows and Bat Wings. Lots of Bat Wings. If the athlete flops on to the ground and maniacally begins stretching the hamstrings or complains about hamstring cramping, I know that the Goblet Squat and maybe the Deadlift are needed for repairing the Posterior Chain especially a thing called Sleepy Butt Syndrome. (Wake up your Glutes!) These athletes probably should be doing light Good Mornings every day as well as a daily light dose of Goblet Squats. If we just have a shaking torso and screaming in the last ten seconds, well, thats easy: include planks as part of you workouts, usually after you do anything heavy.
The last issue with planks is simply an observation from my experience, but it is worth considering. I had some athletes complain about cramping calves on planks and I just couldnt get my mind around it. In our discussions, it always seemed like the cramping calves were also the same athletes who were missing little things like meals, sensible diet practices, supplements, recovery aids and an understanding that nutrition may have some value for the athlete. Hence, the conclusion: my athletes who get calf cramps are missing something in their diet. Wonder of wonder, miracle of miracles, one or two smart meal choices and a multi-mineral supplement and the problem vanishes. This isnt science, but experience has some value.
These five lifts, the Squat, the Deadlift, the Good Morning, the Bent Over Row, and the Plank, develop the parts of the body that will instantly impact your game on the court, pitch or field. These five lifts will transform your body. These five lifts are hard and take a few weeks to master.
Which is why you rarely see people do these five lifts
David, Husband, Father, Pastor
(Yasen Miroslav Zavadil)
Getting focused to get better.
"If there is nothing you can improve on, your standards are too low!" - BAMA Strength Coach Scott Cochran
1Co 9:27 But I discipline my body and keep it under control, lest after preaching to others I myself should be disqualified
My training Log
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Bearded Beast of Duloc
Max Brawn
Join Date: Jul 2009
Location: Louisiana
Posts: 76,876
Training Exp: 20+ years
Training Type: Powerbuilding
Fav Exercise: Deadlift
Fav Supp: Butter
Reputation: 2774165
Good stuff, and Dan John's book is a must read as well.
Destroy That Which Destroys You
"Let bravery be thy choice, but not bravado."
Bigger, Stronger, BAMA!
Max Brawn
Join Date: Nov 2010
Location: Virginia Beach, VA
Posts: 5,256
Training Exp: 8
Training Type: ARGH!!!
Fav Exercise: Squats
Fav Supp: Deadlifts
Reputation: 293105
David, Husband, Father, Pastor
(Yasen Miroslav Zavadil)
Getting focused to get better.
"If there is nothing you can improve on, your standards are too low!" - BAMA Strength Coach Scott Cochran
1Co 9:27 But I discipline my body and keep it under control, lest after preaching to others I myself should be disqualified
My training Log
Bearded Beast of Duloc
Max Brawn
Join Date: Jul 2009
Location: Louisiana
Posts: 76,876
Training Exp: 20+ years
Training Type: Powerbuilding
Fav Exercise: Deadlift
Fav Supp: Butter
Reputation: 2774165
Never Let Go. A great book on life and lifting.
Destroy That Which Destroys You
"Let bravery be thy choice, but not bravado."
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How do You guys Feel about Appointing 3-4 long term Regular Members to be SPAM Monitors.
The Monitors should be able to remove suspect posts to a holding area until Regular Admin have the time to act. The Monitors should be strictly restricted to only moving posts from newcomers with less than 5 posts in the Forum.

subset: commoncrawl


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(The federal health insurance Open Season ends at close-of-business today. Today's column contains links to earlier columns and radio shows, designed to help you find the best buy for you and your family.)
A friend who does pre-retirement counseling at federal agencies estimates that in every class he teaches, about one-third of those who are married say their spouse is also a fed. He said that is especially true in the D.C. area, in Huntsville, Ala., and at military bases or facilities in relatively remote areas.
Being hitched to a fellow fed presents certain options and choices and a chance to save money on health insurance premiums and deductibles. That's especially true if one is a postal employee. And that presents certain options and choices for a fed family shopping for health insurance.
Health insurance — regardless of your age, health or marital status — is an important topic because today is the deadline for picking your 2013 FEHBP plan. If you do nothing, which is what most people do, you will stay in your current health plan. That's great if it hasn't changed. But if its premiums are going up, its benefits package is changing or your doctor is leaving its PPO network, you could be in for a series of unpleasant surprises in 2013.
What impact will the Trump administration have on feds? Read the latest in our First 100 Days section.
What impact will the Trump administration have on feds? Read the latest in our First 100 Days section.
Many fed couples discover that buying self-only coverage is cheaper because the single premium is less than the family premium — if that family consists of only two people. Two single premiums might be $1,250 each, whereas the family premium might be $2,700. A no-brainer, right? They could save money by having two self-only plans. Do the math. Except….
Walton Francis, author of CHECKBOOK's Guide to Federal Health Plans uses this example: "Suppose the happy couple are in a car going someplace together. It happens, even with married couples. Suppose that car has a serious accident in which both are seriously injured. Lots of hospital time and medical bills. If they had a family plan, they would have to satisfy one deductible. But if they have two self-only plans, their out-of-pocket costs could double."
Worth thinking about.
Another example is if one of you works for the Postal Service and one works for another agency. Who should buy the family plan? In most cases, the postal employee should do it because he or she pays lower premiums (for the same plans and same coverage) as nonpostal workers. Depending on the plan, the couple could save anywhere from a couple of hundred to a couple of thousand dollars a year in premiums. Worth checking out.
Finally, don't forget the five-year rule. In order to take FEHBP coverage into retirement you must be enrolled in the program (any plan) for the five years prior to retirement. Switching to the FEHBP just before you retire won't cut it. Even if your private-sector spouse has better or less expensive coverage (highly unlikely) you should enroll in one of the low-premium federal health plans, just to satisfy the five-year rule.
Best Buys: Looking for the best deals for singles, couples, postal employees and retirees with and without Medicare? Click here.
By Jack Moore
Is a dog's mouth really cleaner than a human's? No, according to Life's Little Mysteries: "In short, a dog's mouth is besieged by its own legions of germs, roughly as huge in population as those living in the human mouth and causing a similar array of dental illnesses."
So think twice before letting Fido give you those sloppy kisses.
Panetta, Shinseki order swifter progress toward joint health records The heads of DoD and VA met on Thursday, and decided they wanted to a plan to speed up the delivery of an integrated health record system.
Mobile computing fuels Arlington Cemetery modernization ust two years ago, Arlington National Cemetery was plagued by mismarked and unidentified gravesites and incomplete paper records. Now, the Army has at its disposal a massive, GPS-enabled digital database of every gravesite. And what's more – the cemetery has made the database available to the public via its website and a mobile application.
Photos of the amazing, moving, important and amusing things happening in the federal community.
A daily update of important moments in the history of the U.S. government.


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JumpStart™ Corded Engine Starter
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This engine starter plugs into a regular household outlet and starts your Troy-Bilt handheld equipment with the push of a button. Simply plug it into the labeled JumpStart port on your engine and press the button. Compatible with all JumpStart capable Troy-Bilt products, including string trimmers, lawn edgers, leaf blowers and cultivators.
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- Compatible with all JumpStart capable Troy-Bilt products as well as prior Press2Start™ capable products
*As rated by engine manufacturer
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*as rated by engine manufacturer


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The Home Room: Umbro's new podcast exploring the world of football by Aaron› 12 Apr 2013
Welcome to The Home Room
What is it? Quite simply, it's a podcast for people who are as passionate about the game as we are. The Home Room brings together a unique mix of guests from inside and outside the game...both familiar faces [well, voices] but also some unfamiliar ones who'll reveal stories you wouldn't normally hear. We're not interested in media-trained answers and areas of the game you hear every day... Instead, we'll cover the good, the bad and the ugly of the topics that matter.
Here's the team of experts who joined us for the debut show:
- Guillem Balague is both an author and authority on European football. A familiar face on shows such as Revista de la Liga, Guillem has written a best-selling biography of Pep Guardiola.
- Mike Rigg is one of the most experienced men in his field. A former head of academy at Sheffield Wednesday, chief scout at Blackburn Rovers, head of player acquisition at Manchester City, Mike was most recently technical director at QPR
- Steve Eyre is a former youth football coach who guided Manchester City to five youth league titles and an FA Youth Cup. More recently, Steve was manager of Rochdale FC and is currently senior professional development coach at Huddersfield Town
- James Beaumont, a former professional footballer on the books at Newcastle United and Nottingham Forest, is now a qualified journalist and sports marketer, which essentially means he travels the world watching football under the guise of "work..."
You can listen to the podcast here or on our Soundcloud page where it's also available to download. Please feel free to tweet us using the hashtag #TheHomeRoom with any comments, ideas, opinions and questions.
We loved putting it together and hope you enjoy listening to it.


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The Joint Chiefs of Staff discover that Special Forces member Mike Banning has infiltrated the enemy occupied White House.
Hollywood's hot new target? The White House.
Hollywood is painting a giant bull's-eye on the White House.
The president's home is the target du jour in three upcoming movies, starting Friday with Olympus Has Fallen. In director Antoine Fuqua's action thriller, North Korean commandos storm the famous Washington, D.C., building and take the president (Aaron Eckhart) hostage. A disgraced Secret Service agent (Gerard Butler) is the one man who can save the day.
Director Roland Emmerich blew up 1600 Pennsylvania Avenue in 1996's Independence Day — courtesy of alien invaders — and attacks it again with a domestic paramilitary group in White House Down (June 28). Channing Tatum is cast as the Secret Service wannabe/hero and Jamie Foxx plays the POTUS.
The White House is taken from within in G.I. Joe: Retaliation (March 28), a sequel that has an evil operative of the Cobra organization disguised and entrenched in the Oval Office as the president (Jonathan Pryce).
TRAILER: Olympus Has Fallen
TRAILER: G.I. Joe: Retaliation
The commander-in-chief has been put in dire cinematic straits before — Harrison Ford was hijacked by terrorists in the sky in 1997's Air Force One — but it's a much different scenario when it's the actual White House being attacked and blood spatters those pristine walls, says Fuqua.
"It's a symbol of our freedom," he says. "That office is supposed to represent the free world. (An assault on the office) is a direct attack right to our heart.''
STORY: Antoine Fuqua makes Olympus an inspired hero's journey
Such images as tanks in front of the White House are disconcerting for moviegoers because of the familiar setting and the history involved, Emmerich says.
"It has beautiful rooms and furniture and everything is very iconic. And when all of a sudden it gets riddled by bullets, it's really weird. People with guns in the Oval Office, it's strange."
G.I. Joe producer Lorenzo di Bonaventura feels it's hard to make a great movie villain these days since there have been so many ego-maniacal agendas. Having the bad guys control the government to enact their plans brings extra heat, though, and when Cobra drapes their flag and trademark seal down the columns of the White House in Retaliation, it's a visual representation of how enormous the stakes are.
"Whether you're American or not, the impact of that moment is quite significant," di Bonaventura says. "We thought it would be cool, and then you saw it and you were like, 'Whoa, that's a much bigger idea than we even thought it was going to be.' "
When developing Olympus, especially the scenario in which a crashing plane turns into the necessary diversion for his movie terrorists, Fuqua thought a lot about 9/11 and United Airlines Flight 93, the hijacked plane that was thought to be aimed at the White House but instead, thanks to the passengers on board, went down in Pennsylvania.
In 2001, terrorism was still somewhat new to Americans, and while it brought us all together, "we had no one to punch, no one to go after," Fuqua says. "So the movie is an opportunity to actually put a face on them and watch them physically go in and show how they would take down our building and get their hands on our president. It punches you in the gut.''
The terrorist forces occupying the White House remove the American flag.


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Introducing the APS RAM R1 (M4A3) (Military Enhanced Training System), the world's first paintball marker that is identical to the legendary M4 rifle used by SWAT Teams, Special Operation Groups, and the U.S. Military. The M4 carbine, the U.S. Military's primary weapon of choice, is known for its solid construction, durability, and sustained reliability, and things are no different with the APS RAM R1 (M4A3). This marker is designed to replicate the look, feel, and action of the real M4. With features that mimic the M4, such as shell ejection after every shot, magazine fed paintball rounds, and the option of a collapsible or solid stock housing and disguising the CO2 cylinder. The APS RAM R1 (M4A3) shoots .43 caliber paintballs which are loaded into alloy or biodegradable plastic shells. The latest improvements to the APS RAM R1 (M4A3) line improve accuracy, range, and overall precision of the marker, not to mention the added realism of real-world functionality.
The RAM marker continues to set the standard for real-world paintball markers. With the release of the new updated and enhanced APS RAM R1 (M4A3), the best marker in the world just got better.
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The Dirt on Kilian Jornet's Tahoe Rim Trail Run [Updated: 9/26 1 pm]
September 25, 2009 by Bryon Powell · 5 Comments
Final details are coming in for Kilian Jornet's Tahoe Rim Trail. Salomon has now revealed that Kilian will begin his attempt at 5 a.m. on Monday, September 28 from Tahoe City, California. As such, everyone in the Americas will have something to follow throughout their workdays Monday and Tuesday. We'll be updating you on Kilian's progress as often as we can on Twitter. [Follow @iRunFar on Twitter] We're not greedy – we'll certainly point out others who'll be providing updates from the trail. [We suspect @Salomon_Running will.] Keep reading to find out more details about next week's Tahoe Rim Trail run, including a weather update, Kilian's projected splits, his pacers and support, and some commentary. [They're for well under record pace.] Up until the run starts, we'll provide any changes to paces, coverage, and other details regarding the run in updates to this post.
First off, the weather forecast appears to be sticking in Kilian's favor. Unlike the sweltering heat of his record breaking run of Corsica's GR20 trail this summer, temperatures will range from warm to cold. The forecast for the start/finish in Tahoe City is for a high of 63F (17C) on Monday, a low of 37F (3C) Monday night, and a high of 49F (9C) on Tuesday. If Kilian's run extends into Tuesday night, he'll face a chilly low of 28F (-2C). Kilian will generally face temperatures that are cooler than those forecast. The forecast is for one of the lowest points on the route, Tahoe City, which sits at approximately 6,500′ (~2,000m). The trail spends much time around 8,000′ (2,500m), which should be a few degrees (5F/3C) cooler, while the high point at 10,319′ (3,145m) could be 10-15F (5-8C) cooler.
There should be partly to mostly cloudy skies throughout the run. There's little chance of rain or snow with only light precipitation possible if it comes. The biggest weather news could be the wind. The National Weather Service forecast for the area notes the passage of a strong weather front on Monday:
We hope Kilian brought one of Salomon's Windstopper jackets for the ridges!
Kilian's Projected Splits
Ok, now on to the juicy stuff… the splits for the full 165 miles (265k). Keep in mind that Tim Twietmeyer holds the record in 45 hours and 58 minutes. First, Kilian's most predictable segment, the first 60 miles, which he'll run during daylight (once the sun comes up) on Monday.
- Brockway Summit (19 miles/32kms) – 2:45 elapsed (7:45 a.m. PDT Monday)
- Tahoe Meadows (38 miles/61kms) – 6:00 elapsed (11 a.m. PDT Monday)
- Spooner Summit (60 miles/96kms) 10:00 elapsed (3 p.m. PDT Monday)
On to the night! Here's what Kilian is looking to do after watching the sun set over Lake Tahoe. (He'll be on the east side of the lake, so he'll have the perfect view of the sunset.)
- Kingsbury South (76 miles/122kms) – 15:00 elapsed (8 p.m. PDT Monday)
- Big Meadow (99 miles/160kms) – 21:00 elapsed (2 a.m. PDT Tuesday)
- Echo Lake (118 miles/190kms) – 25:00 elapsed (6 a.m. PDT Tuesday)
- Dicks Pass (129 miles/208kms) – 30:oo elapsed (11 a.m. PDT Tuesday)
- Barker Pass (148 miles/238kms) – 36:00 elapsed (5 p.m. PDT Tuesday)
That leaves only Kilian's final and most important split – 40 hours to return to Tahoe City after having covered 165 miles (265 kms). If he hits that, he'll come in at 9 p.m. PDT on Tuesday. For those interested, you can download a full map of the Tahoe Rim Trail with Kilian Jornet's projected splits.
Here's what we think. We think Kilian has the tools, trail conditions, and support to finish in the last rays of daylight on Tuesday. He can take 8 hours of this record and finish in under 38 hours. So where's he going to make that up over his projections? At the end. This Catalan gives himself 15 hours to cover the final 47 miles (76 kms). It'd be hard for Jornet to say he's going to run much faster than 40 hours, but his plan for the opening 100 miles (99 miles in 21 hours) is conservative enough for this trail that we think he can keep rolling for awhile after that, especially once the sun comes up on Day 2. We think Kilian can make up the most time in the section from Echo Lake (mile 118/190 kms) to Dicks Pass (mile 129/208 kms). Unless KJ plans on taking a nap, we can't imagine any 11 miles (17.7 kms) of trail taking him 5 hours.
For some more commentary on the splits and some of Kilian's thoughts on the run take a look at Adam Chase's article Poised on the Rim: Kilian is Resting Before He Pounces on SalomonRunning.com.
So far the pacers we know of are Salomon runners Adam Chase and Ross McMahan; Kevin Johnson from Salomon's North American headquarters; and me, iRunFar's very own Bryon Powell. We know of two other probable pacers, but will wait to announce them until we have confirmation. [Update 9/26 1 pm PDT] Josh Korn, a "friend of Salomon" will also be pacing Catalan KJ on the TRT.
Kilian will be well supported by Salom
on folk from the US and Europe. They'll provide him with food and drink at 17 spots along the course and provide you with great images and commentary afterward.


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coal: 25/50 of 181
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India: solar head to head with coal, says KPMG, and getting cheaper all the time
Chris Goodall
3rd January 2015A KPMG study shows that the cost of solar power in India, revealed by public auctions, is barely half a cent above that of cheap local coal , writes Chris Goodall, with generators bids falling well below 5p (UK) / 7¢ (US) per kWh. The idea put about at COP21 that India and other poor but sunny countries need coal to develop their economies is fast running out of steam. more...
Matt Ridley coal mine hit with £100,000 climate protest bill
Brendan Montague / DeSmog.uk
20th December 2015Protestors who closed down the coal mine on climate change denier Matt Ridley's estate faced a claim of £100,000 in losses, writes Brendan Montague. But a judge cut that down by over 90% while declaring the eight defendants of 'impeccable character'. more...
Coal protesters must be Matt Ridley's guilty consience
T / End Coal Now
20th December 2015The coal profits that fill Matt Ridley's bank account come wet with the blood of those killed and displaced by the climate disaster his mines contribute to, writes T. If hgis consicence is no longer functioning, then others must step into that role to confront him with the evil that he is doing. more...
After COP21, Australia's moment in history: will it ban the Carmichael coal mine?
Justine Bell, The University of Queensland
18th December 2015The Paris Agreement is facing its first big test in Queensland, Australia, writes Justine Bell. After a long process beset by legal challenges, the massive Carmichael coal mine is inching closer to approval - which would open up the entire 250,000 sq.km Galilee basin and its 28 billion tonnes of coal to exploitation. Both state and federal governments have the power to ban it. But will they? more...
Coal plant threatens world's largest mangrove forest - and Bangladesh's future
Mowdud Rahman & Greig Aitken
10th December 2015As COP21 reaches its endgame, there are plans to build 2,440 coal-fired power plants around the world, write Mowdud Rahman & Greig Aitken. Their completion would send global temperatures, and sea levels, soaring. Yet Bangladesh, the world's most 'climate vulnerable' large country, has plans for a 1.3GW coal power plant on the fringes of its World Heritage coastal wetlands. more...
COP21: Time to end fossil fuel subsidies!
Tony Juniper
30th November 2015The theme at COP21 today has been the urgent need to cut fossil fuel subsidies that favour dirty energy over renewables, writes Tony Juniper. Sadly the UK is setting all the wrong examples - ramping up its spending on fossil fuels, while slashing its much smaller renewable energy budgets. more...
Lights out? Amber Rudd's disastrous absence of an energy strategy
Oliver Tickell
18th November 2015Amber Rudd's speech today exposes her total failure to assemble a coherent energy strategy, writes Oliver Tickell. It reveals the increasingly certain failure to meet EU renewable energy targets, proposes a new tax on wind and solar generation, and leaves the country facing the real prospect of lights going out in the next decade. The one hard policy? To maximise oil and gas recovery. more...
UK's £10 billion a year fossil fuel subsidies - and rising!
The Ecologist
12th November 2015In 2009 G20 nations pledged to eliminate fossil fuel subsidies. But they are still supporting them with $452 billion a year. Worst offenders include the UK, the only G7 country that's ramping up its fossil fuel spending; and Turkey, host of tomorrow's G20 summit, which plans to double its CO2 emissions with a huge new fleet of coal power plants. more...
Burma goes for coal - but at what cost in pollution, disease and land grabs?
Carole Oudot & Matthieu Baudey
29th October 2015The president of Burma has decided that coal is the way to future wealth and prosperity, write Carole Oudot & Matthieu Baudey. But if the experiences of farmers and village people near Tigyit, site of the country's biggest coal mine and coal-fired power plant is anything to go by, it will bring only poverty, pollution, ill-health and land grabs to rural communities across the country. more...
China's smog kills over a million each year - but there's blue skies ahead
Oliver Wild, Lancaster University
19th October 2015China's smog is an increasing cause of public discontent, writes Oliver Wild - and no wonder! New research shows that the country's air pollution is killing over a million people every year. Thanks to China's geography the problem is hard to solve, but the rapid rise of renewables and the slow demise of coal do offer the promise of cleaner, healthier future. more...
Global South campaigners tell UK planners: no new opencast coal mines!
Anne Harris & Hal Rhoades
7th October 2015Campaign groups from Indonesia, Kenya and Peru have called on planners in the UK to turn down opencast coal mines in Co Durham and Derbyshire, write Anne Harris & Hal Rhoades. Not only do the mines damage local health and environment, say the activists. They also threaten global climate stability - and all countries must play their part in ending the world's coal addiction. more...
Coal ash: America's multi-billion ton toxic legacy
Ben Whitford
29th September 2015America's coal-fired power plants produce 140 million tons of ash a year, reports Ben Whitford, most of it dumped in open storage ponds that contaminate drinking water with arsenic and heavy metals. And now Presidential candidate Jeb Bush is promising to scrap 'new and costly' (actually feeble) EPA regulations before they have even been implemented. more...
coal: 25/50 of 181
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Divestment pledges rise 50-fold to $2.6 trillion
The Ecologist
22nd September 2015Pledges by investors to divest from fossil fuels have soared to $2.6 trillion - 50 times more than a year ago. 'Now is the time to divest', says Leonardo di Caprio, one of the latest to join the movement, which even includes Newcastle, Australia, home to the world's biggest coal port. more...
The solar age is upon us
Chris Goodall
1st September 2015Solar PV costs have fallen by 75% over five years ago, writes Chris Goodall, making it the cheapest new power source for around half of the world's population. Now it's essential to keep incentives to drive demand for a few more years, and make it cheaper than fossil fuels everywhere. more...
Into the heart of the beast - occupying Germany's open cast coal nightmare
Toni Belly
21st August 2015Last weekend Toni Belly was occupying Germany's biggest open cast coal mine in the once lovely Rhineland area, one of thousands of protestors from 350.org and other groups determined to shut the operation down. Nursing his bruises and eyes still sore from pepper spray, he set down his account of an unforgettable day of action. more...
Jeremy Corbyn: Big Six under public control, a solar panel on every roof and no new nukes
Damian Kahya / Greenpeace Energydesk
24th August 2015Despite Labour's 'great purge' of left-leaning voters in the leadership election, Jeremy Corbyn remains the odds-on bookies favourite. So if he comes to power, what policies can we expect in energy and climate change? Damian Kahya asks the questions ... and is astounded at the range and scope of his ambitions. But how much could he really deliver? more...
Campaigners celebrate as Caerphilly councillors vote: the coal stays in the ground
Guy Shrubsole
7th July 2015Caerphilly councillors yesterday refused permission for a huge open cast coal mine in South Wales that's fiercely opposed by local people furious at its impacts on air, landscape, tranquillity and climate, writes Guy Shrubsole. Coming so soon after the rejection of fracking in Lancashire, the message is clear: fossil fuels are best left safely underground. more...
Obama unveils deep cuts to power plant emissions
Dan Roberts / Guardian environment
4th July 2015Obama has delighted climate campaigners with this 'clean Power Plan' that will force states to make deep cut in carbon emissions from power stations, writes Dan Roberts. But not everyone is happy, and legal challenges loom. more...
RBS, Barclays, HSBC ... it's time to get out of coal!
Greig Aitken / BankTrack
4th August 2015There's one big thing that Britain's biggest banks could do to reclaim their grievously impaired reputations, writes Greig Aitken: commit to stop investing in coal projects. As well as reducing climate change and local environmental impacts, it would also 'de-risk' their balance sheets as the global tide, from the US to China, turns against the dirty, carbon-heavy fuel. more...
Indian Treaties are the new front in the battle against coal exports
Jan Hasselman / EarthJustice
16th July 2015The 1865 Treaty of Point Elliot is clear, writes Jan Hasselman: the Lummi Nation has the right to fish, hunt and gather in their accustomed places in perpetuity - and they can't do that if a gigantic coal terminal is built in the Salish Sea's most productive waters. First Nations' treaty rights are now central to protecting the Pacific Northwest from destruction by fossil fuels. more...
OECD chief: World must ditch coal, go renewable
Alex Kirby
5th July 2015The secretary general of the OECD group of the world's 34 richest nations has issued a dramatic plea to its members to act now to end 'unabated coal' burning, writes Alex Kirby, and invest in renewables around the world to prevent climate disaster. more...
Climate change? Let them eat coal!
Brendan Montague / DeSmog.uk
21st July 2015Coal companies and their 'sceptic' shills have almost given up on denying climate change, writes Brendan Montague. The new message is that coal is essential ... to end world poverty! And those who advocate climate action are 'harsh, cold-hearted' beasts. The one thing that hasn't changed? It's all lies. more...
Greece's anti-solar, coal-based energy policies underlie its economic collapse
Takis Grigoriou / Greenpeace EnergyDesk
3rd July 2015As Greece prepares for its referendum, Takis Grigoriou takes Greece to task for its highly polluting lignite power sector, its ditching of a successful solar program in favour of more coal, the minimal insulation in its buildings that locks in high fuel bills, and Syriza's failure to tackle these issues. The good news? Greece's latest €1.4bn coal project looks like going unfunded. more...
China's climate pledge for green growth spells doom for coal exporters
John Mathews
3rd July 2015Renewable energy is all go in China, as set out in its climate pledge this week, writes John Mathews, with huge growth planned for wind and solar. The one big loser - coal exporters who can expect falling sales volumes in coming years. Wake up Australia! more...
Coal closures give South Australia the chance to go 100% renewable
Mark Diesendorf
18th July 2015Moving to 100% clean, renewable energy is a win-win option for South Australia, writes Mark Diesendorf. First of all it's highly doable over a 25-year transition period. It will also bring lower power prices, more employment, better health and a cleaner environment. What's not to like? more...
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b.o.c Klarissa Pump
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Item # dsw12prod4160105
Get the best of both worlds, comfort and style with the b.o.c Klarissa pump! With oxford details and feminine bow, its the perfect choice!
- Leather upper
- Comfort cushioned insole
- ½" platform, 3" stacked heel
- Flexible synthetic sole
- Imported
- View more b.o.c
By: Brilovesshoes
Location: California
October 14, 2013
"I am keeping this shoe and I am truly in love with its looks, the ONLY downside is that it is slightly less comfortable than other Born shoes I own."
By: kkaaz
Location: oregon
February 07, 2013
Super sassy
"Love these shoes wish they had more colors. I wear a 7.5 and initially ordered an 8 and they were way to big. The 7.5 is perfect and the height is balanced with the front."
By: Fram
Location: PA
January 31, 2013
"Great shoes! I bought them in 2 colors, SO comfortable for work! LOVE THEM!"
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In honor of Methos and my favorite pub in New York City I hereby open it's CV location
We finally need a new thread for random chat.
That and I like the bar idea, it's neat.
Introductions, debate, meaningless thoughts, psycho babble.
Good bartenders aren't here to judge.
Welcome chums!


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No. 1 Billikens Take on Charlotte in A-10 Quarterfinal Matchup
The men's basketball team has defeated Charlotte earlier in the season, 76-58, at Chaifetz Arena.
Saint Louis University, the No. 1 seed, will face Charlotte at 11 a.m. Friday, March 15, during the quarterfinals of the Atlantic 10 Conference Men's Basketball Championship at the Barclays Center in Brooklyn, N.Y.
The game will be televised live on KPLR-TV Ch. 11, as well as in additional markets that are listed online. In addition, the game will be streamed for free at www.atlantic10.com.
No. 9 seed Charlotte (21-10), which has won three in a row, is coming off a thrilling 68-63 win that saw the Richmond receive three technical fouls in the final five seconds. The ensuing free throws allowed Charlotte to erase a three-point deficit and post the victory.
The Billikens defeated Charlotte 76-58 earlier this season at Chaifetz Arena. In that game, Cody Ellis led four Billikens in double figures with 18 points. Jordair Jett chipped in 16, Jake Barnett scored a career-high 13 and Dwayne Evans registered 11 points and a team-best seven rebounds.


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Aquaculture Research Projects
Aquaculture Development in Delaware
Although the aquaculture industry in Delaware is currently limited in scale, there is a large potential for growth. A lack of knowledge about growing aquatic species, which species to grow and how to market the products once they are produced, and the lack of a model that fits into the existing farm infrastructure, may in part, be responsible for the limited industry. At Delaware State University we are addressing these issues. Our efforts have largely been aimed at identifying suitable aquaculture species for use in DE and low input methods to raise them profitably.
Baitfish Aquaculture in the Mid-Atlantic
Baitfish aquaculture represents a strong growth area for industry in the Northeast. The necessary technology to culture species such as golden shiners and fathead minnow is well established, and these two species supply much of the freshwater bait market nationally. Conversely, in coastal areas much of the saltwater bait is wild caught. Development of culture technologies for locally popular, saltwater bait species such as mummichogs, Fundulus heteroclitus, can ensure consistent supplies and help avoid over exploitation of the resource. For the last few years we have been working to optimize culture methods for mummichogs.
Temperature and Salinity Dependent Growth of Weakfish
Weakfish, Cynoscion regalis, once supported an important sport and commercial fishery. Within the last twenty years, however, stock assessments and commercial catch of weakfish have steadily declined and have reached an all-time low. Coupled with the plummeting biomass of these fish, global warming poses a significant threat to not only weakfish, but also the entire marine ecosystem. Using aquaculture methods we are studying the effects of water temperature on weakfish.


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Volatile Fervor Wedge Sandal
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Item # 274424
The Volatile Fervor sandal takes flip flops to the next level. The printed straps add a little punch while the wedge heel gives you a little extra bounce in your step!
- Multicolor raffia upper
- Fabric lining
- Soft foam footbed
- 1¼" platform, 2¾" raffia wedge heel
- Synthetic sole
- Imported
- View more Women's Volatile Shoes
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Keitech Live Impact Worm 10pk
The Keitech Live Impact is a ringed body, forked fin tail finesse bait. The Live Impact is a super buoyant worm with natural squid scent. The Live Impact is extremely versatile, Texas rig, drop shot, jig head, wacky and jig trailer are all effective ways to fish this bait. In the middle section of the body, there is a no-ring section that indicates the best position to wacky rig.
Keitech Jig Head Live Impact Video
6 Colors
More From Keitech Soft Plastics
Customer Reviews
Comments: I bought one pack each of the Bluegill and Green pumpkin, the blue gill is the bomb, I have caught fish on both but the Bass seem to really like the BG color better right now. My buddy and I were out the other day he was chucking the Blue gill, I was trying some larger stuff and he was wacking some nice ones. I said I have to stick with that, sure enough, bam, then a few others as well. Saw a few other people on the lake and at the ramp they said the fishing stunk, We just said eh we got a few. lol!! Great bait! just ordered 5 more packs.
From: Joe: PA 6/3/14
Comments: GREAT GREAT GREAT bait for drop-shotting. It always catches fish for me.
From: Ricky: Diamond Valley Lake CA.
Comments: Awesome baits. Very slender and short, which gives them a compact profile. Great colors patterns; superb cold water baits. They've done wonderful for me on a drop shot or shakey head. A lot of people say it's a small bait for a shakey head, but it's phenomenal for filling a limit.
From: Zach: NJ
Comments: I just starting using the Live Impact for drop shotting this spring. It has consistently caught fish when nothing else would work. Great subtle swimming action as the bait suspends in the stike zone. I rig it with a 1/0 Gamakatsu drop shot hook and 1/4 oz drop shot weight with a spinning rod and 8-10lb test flourocarbon line. I highly recommend this bait.
From: Terry: Boston, MA


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Browse by Creator
Group by: Item Type | No Grouping | Creators | Date
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Henken, S., Bohling, A., Ogunniyi, D., James, P., Salisbury, V., Welte, T. and Maus, U. (2010) Evaluation of biophotonic imaging to estimate bacterial burden in mice infected with highly virulent compared to less virulent streptococcus pneumoniae serotypes. Antimicrobial Agents and Chemotherapy, 54 (8). pp. 3155-3160. ISSN 0066-4804
This list was generated on Tue Oct 8 02:52:29 2013 BST.


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Tennessee Health Managment - Rehab America Biomechanics Laboratory (Motion Analysis Lab)
Mission of the Tennessee Health Management - Rehab America Biomechanics Laboratory:
To provide the Memphis medical community with state of the art computer assisted motion analysis; to quantify and advance the understanding of the musculoskeletal system by studying human movement and joint biomechanics.
Clinical: To provide exceptional clinical service to patients referred for evaluation. To integrate physical findings, through motion analysis, in the decision making process for patient care.
Research: To collaborate with multiple disciplines to optimize the effectiveness of evaluation and treatment of motor dysfunction caused by orthopaedic or neurological disorders. Dissemination of results through peer reviewed publications and presentations.
Education: A unique learning and teaching environment for students of all allied health and medicine professions, through education and group projects.
Motion Capture System:
Eight high speed (3,000 frames per second) /high resolution (3 mg pixel) Qualisys cameras are used to record the position of small retro-reflective markers attached to specific bony landmarks. Software processing is manipulated to create a 3-D image of the subject. Kinematic data is generated to identify specific joint movement and/or gross patterns of motion. Additionally, two floor mounted force platforms collect concurrent kinetic information to provide information on joint moments and powers. Finally, muscle activity is collected using up to 16 channels of wireless electromyography. Surface or fine wire electrodes are used to identify the specific muscles active during an activity. The simultaneous application of 3-D capture, force plate data, and EMG activity allows researchers and/or care providers to identify and monitor movement dysfunction.
In addition to Motion Capture technology, the Tennessee Health Management - Rehab
America Biomechanics Laboratory also has:
GAITRite™ System
A portable computer-based system that measures both temporal and spatial parameters of gait based on footfall pressures. The GAITRiteÔ system uses a 12-foot long electronic walkway that contains grids of pressure-sensitive pads encapsulated in a carpet connected to a serial port of a Windows PC. The pressure pads scan thirty five times a second to accurately provide temporal and spatial parameters of gait for subjects weighing over 45 pounds.
The Biodex Offset Unweighing System and Gait Trainer 2 Treadmill
The Gait Trainer 2 Treadmill is a treadmill specifically designed with a true zero starting speed. It has the ability to reverse direction for both forward and retro walking, with an incline and decline range of -12 to 15º. It is can be programmed to monitor temporal and spatial gait parameters and provide the user with real time Audio and Visual Biofeedback. When indicated, the Biodex Offset Unweighing system can be used in combination with the Gait Trainer 2 Treadmill. The Unweighing system provides single point dynamic suspension with the option for pelvic stabilization. The system is suitable for use with children and adults.
The Biodex Balance System SD™
The Balance System is a versatile tool to test and train balance. It allows for both static and dynamic balance assessments and can be used as a training device by providing real time biofeedback.
Contact Us
Audrey Zucker-Levin, PT, PhD, MBA, GCS Emeritus
Department of Physical Therapy
The University of Tennessee
Health Science Center
930 Madison – Suite 636
Memphis, TN 38163


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Changes related to "Microsoft must deliver secure environments not tools to write secure code"
This is a list of changes made recently to pages linked from a specified page (or to members of a specified category). Pages on your watchlist are bold.
No changes during the given period matching these criteria.


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Samantha Jo Hart >> See More Amateurs
Galleries in Full HD!
Galleries in Full HD!
Samantha likes to work out, especially with her dog Anthony Keidis. Samantha is a bartender studying to become a Real Estate agent. She enjoys spending time with friends and family, running, playing tennis and racquetball. To learn more about this ambitious gal check out her...
Get this complete pictorial in stunning resolution & HD video! View Full Gallery!


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Fast, Fasting
See also Alms, Almsgiving; Offering; Poor; Welfare
To voluntarily refrain from eating or drinking for the purpose of drawing closer to the Lord and requesting his blessings. When individuals and groups fast, they should also pray to understand God's will and to develop greater spiritual strength. Fasting has always been practiced by true believers.
In the Church today, one Sabbath day each month is set aside for the purpose of fasting. During this time, Church members go without food and water for twenty-four hours. They then contribute to the Church the money that they would have spent on food for those meals. This money is called a fast offering. The Church uses the fast offerings to assist the poor and needy.
- We fasted and besought our God:Ezra 8:21–23, 31;
- I fasted and prayed before the God of heaven:Neh. 1:4;
- Fast ye for me, and neither eat nor drink for three days:Esth. 4:16;
- I humbled my soul with fasting:Ps. 35:13;
- Is not this the fast that I have chosen?:Isa. 58:3–12;
- I set my face unto the Lord God, to seek by prayer, with fasting:Dan. 9:3;
- Turn ye to me with all your heart, and with fasting:Joel 2:12;
- Nineveh believed God, and proclaimed a fast:Jonah 3:5;
- Jesus fasted for forty days:Matt. 4:2; ( Ex. 34:28; 1 Kgs. 19:8; Luke 4:1–2; )
- Appear not unto men to fast:Matt. 6:18; ( 3 Ne. 13:16; )
- This kind goeth not out but by prayer and fasting:Matt. 17:21;
- Continue in fasting and praying:Omni 1:26; ( 4 Ne. 1:12; )
- They began to fast, and to pray to the Lord their God:Mosiah 27:22;
- I have fasted and prayed many days that I might know these things:Alma 5:46;
- The children of God joined in fasting and mighty prayer:Alma 6:6;
- The sons of Mosiah had given themselves to much prayer and fasting:Alma 17:3, 9;
- A time of fasting and prayer followed the death of many Nephites:Alma 28:5–6;
- They did fast much and pray much:Alma 45:1; ( Hel. 3:35; )
- Let thy food be prepared with singleness of heart that thy fasting may be perfect:D&C 59:13–14;
- Ye shall continue in prayer and fasting:D&C 88:76;


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Bamboo Covina-57 Bootie
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Item # dsw12prod4160216
Glam up your look in this dressy platform bootie from Bamboo. Delicate gemstone patterns on the side of the Covina-57 give this chic ankle bootie the right amount of sparkle.
- Faux suede upper
- Rhinestone floral pattern detailing
- Inside zipper
- 1½" platform, 5¼" stiletto heel
- Synthetic sole
- Imported
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Latico Leather Buckle Tote
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Item # 286843
Experience the luxury of Latico genuine leather handbags. The trendy style of the leather buckle tote by Latico is fun and practical enough to carry you seamlessly from day to evening!
- Leather tote
- Top zip closure
- Rolled handles with 11" drop
- Removable shoulder strap adjusts to 31" drop
- Faux buckle accents and hidden slip pocket at top
- Fabric lining with zip pocket, slip pocket, four credit card slots and two pen slots
- Dimensions 18½" x 6" x 14½"
- Imported
- View more Leather Handbags
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12 Strays of Christmas - Gramdiol has been adopted.
ID#A1673327- Gramdiol is an affectionate 3-year-old male, gray domestic short-hair. His fur is soft and warm, as is his personality and charisma. He would love to lie in a window sill, cuddle on a pillow, or just provide warmth and comfort to his family and friends. Don't miss out on the chance to meet this great guy at Eastside shelter.
Albuquerque Animal Welfare Department will introduce a new pet each day through December 24. Each pet featured in the "12 Strays of Christmas" comes with the special adoption fee of just $12. These pets will be featured on our web site and Facebook page.
The $12 adoption fee includes spay/neuter, vaccinations, microchip, follow up call with an Adoption Counselor to make sure your new pet is adjusting well, a goodie bag with coupons and some toys from Petco.
If you are interested in making one of these adorable animals a member of your family, contact 311 or visit our web site www.cabq.gov/pets


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Search results for 'KORE'
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Korean Red Ginseng Kids
Regular Price: $140.00
Special Price: $120.00
Red Ginseng Vitality & Energy Drink (50ml x 30 packs)
Red Ginseng Vitality & Energy Drink is made with Korean Red Ginseng and is a natural source of energy and many health benefits.Learn More
Red Ginseng Extract FRESH
Regular Price: $250.00
Special Price: $150.00
Add 3 units and you will see the price of 1 deducted in your Grand Total. Your grand total during checkout will indicate the price of 2.
Korean Red Ginseng Extract FRESH (240g)
concentrated pure red ginseng Extract with Chinese Herbs. We select the best 6 years old Korean ginseng roots among the quality assured ginseng roots. We wash and steam the selected ginseng roots for a long time, then we dry and concentrate them for easier consumption.
Learn More
Bulrogeon Korean Red Ginseng Extract 240g
This is a concentrated pure red ginseng extract. To make it, we strictly select those appropriate to a standard quality among 6 year old fresh ginseng roots which have been washed, steamed for a long time, dried, and then concentrate them for easy to consumption.Learn More
Bulrogean Red Ginseng Extract Liquid
Korean Red Ginseng Extract Gold - Hansamin Brand
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Fashion Insiders Share Their Style Resolutions
January and February mean cozy Sundays spent watching the runway come to life on the red carpet at major ceremonies the Golden Globes, SAG Awards and, of course, the Oscars. As long as ladies like Gwyneth Paltrow keep us entertained with gowns like her epic Tom Ford cape dress, Awards Season continues to be a highlight this time of year.
Pictured: January Jones in Zac Posen, Gwyneth Paltrow in Tom Ford, Michelle Williams in Valentino
Pack your opera glasses in your beaded clutch and head to Lincoln Center, but be prepared for pirouettes as opposed to sopranos because it's ballet season — and it's nothing short of magical.
Barksa opera glasses, $45, shopbarska.com
The BAZAAR: Well Red


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Pour La Victoire Morandi Clutch
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Item # 273605
The Pour La Victoire Morandi clutch is the perfect way to add a splash of stylish sophistication to any outfit. With a chic look and a spacious interior this handbag is just what you need!
- Leather oversized clutch
- Top flap with turn lock closure
- Removable flat leather strap with 20" drop
- Back magnetic pocket and side zippers to extend bag size
- Fabric lining with zip pocket and two slip pockets
- Dimensions 13" x 4" x 8½"
- Imported
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A crash on the Minnesota River bridge has traffic on northbound Cedar Avenue crawling from McAndrews Road. It's 20 minutes up to the Crosstown.
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Be ready for longer lines at MSP's security checkpoints this weekend, the TSA warns
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Metro Mobility reports 6 percent ridership gain for 2016
Metro Mobility provided more than 2.23 million rides in 2016, a 6 percent jump over the previous year, according to figures recently released by the Metropolitan Council.


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Conference Information
|Full Title:
|53. Studentische Tagung Sprachwissenschaft
|Short Title:
|53. StuTS
|Munich, Bavaria, Germany
|Start Date:
|08-May-2013 - 12-May-2013
|Stefanie Eckmann
|Meeting Email:
|click here to access email
|Meeting URL:
|Meeting Description:
|We would like to invite all students of linguistics and the philologies with a linguistic emphasis to attend the 53th Students Conference in Linguistics (StuTS).
It will take place from the 8th to 12th of May 2013 at Ludwig-Maximilians-University of Munich.
The purpose of the StuTS is to bring together students of all linguistic subjects and to offer them the opportunity to get to know one another and exchange experiences.
You can also give a short talk or offer a language tutorial or simply listen and learn about the research projects of you fellow students.
Additionally there will be keynote speeches by Professors of the LMU (Keynote Speakers):
Olav Hackstein (Indo-European Studies)
Wolfgang Schulze (General and Typological Linguistics)
Anthony Rowley (German Studies, Dialectology)
Hans-Jörg Schmid (Modern English Studies)
Intermittently individual degree courses will introduce themselves, their premises or their lecturers, so that you can gain insight into the world of linguistics at the LMU.
And finally we will of course be offering a framework programme: Whether it's sightseeing and culture in Munich, typical Bavarian food or partying with the locals you're interested in - you won't be lacking in anything!
For further information and registration please have a look at our homepage.
|Linguistic Subfield:
|General Linguistics
|LL Issue:
|Calls and Conferences main page


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The two likely outcomes if Luffy fails his block are the new crew member emerges or Doflamingo presents Luffy with such a deal as you propose, cross. In my opinion, Rebecca still has the best chance at eating the Mera Mera, whether she succeeds in advancing and winning the whole deal (holy crap if she does!) or simply her vengeful, though subtly hinted at traumatic backstory forces her hand to eat it out of desperation and against the rules. I personally like the latter because it would then force Burgess, Doflamingo and the entirety of Dressrosa and the gladiators to attack Rebecca, which would then prompt Luffy and crew to defend her because of the relationship or kinship the two parties have created.
Doflamingo's deal would pit Luffy in a horrible situation: abandon his brother's will or break his one attitude that rivals his ambition to be Pirate King--friendship. Essentially that is what Luffy views his and Law's alliance, so the inner battle Luffy would face is both tremendously cruel and intriguing. Obviously it would end with Luffy kicking Doflamingo's ass, but I'd sooner see Luffy beat Burgess fairly if Rebecca's story idea doesn't pan out and have Law defeat Doflamingo. Shake it up a bit in who faces the big baddy this arc.


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This Week
Business & Charitable Events Calendar
Organization: TNT Toastmasters International
Free—6:30 - 8:45 p.m.—Legacy at Willow Pond, 40 Willow Pond Way, Penfield—Also offered May 1—Call 346-0227 for additional information.
« Go back to the detailed calendar. Or go to the annual Charitable Events Calendar special section.
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Top Definition
Internet chat abrivation similar to ASAP meaning "Right The F*ck Now".
I need your reply RTFN!
by Robotz February 05, 2006
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Read Shakespeare's Top 50 Love Quotes
We have a romantic soul here are NoSweatShakespeare and would like to share our favourite Shakespeare love quotes with you. The 50 Shakespeare love quotes below are taken from the plays only – if we'd looked into Shakespeare's sonnets and Shakespeare's poems we could easily have doubled the list (and may yet do just that!) So, without further ado, here are the all time top love quotes from Shakespeare:
Shakespeare Love Quotes 1: Twelfth Night – Act 1, Scene 1
"If music be the food of love, play on"
Shakespeare Love Quotes 2: Antony & Cleopatra – Act 1, Scene 1
"There's beggary in love that can be reckoned"
Shakespeare Love Quotes 3: Much Ado About Nothing – Act 2, Scene 1
"Speak low if you speak love"
Shakespeare Love Quotes 4: A Midsummer Night's Dream – Act 1, Scene 2
"The course of true love never did run smooth"
Shakespeare Love Quotes 5: Much Ado About Nothing – Act 3, Scene 2
"Love goes by haps; Some Cupid kills with arrows, some with traps"
Shakespeare Love Quotes 6: Antony & Cleopatra – Act 5, Scene 5
"The stroke of death is as a lovers pinch, Which hurts and is desired"
Shakespeare Love Quotes 7: Henry VI Part 1 – Act 5, Scene 2
"She's beautiful, and therefore to be wooed; She is woman, and therefore to be won"
Shakespeare Love Quotes 8: A Midsummer Night's Dream – Act 1, Scene 1
"Love looks not with the eyes, but with the mind, And therefore is winged Cupid painted blind"
Shakespeare Love Quotes 9: The Tempest – Act 3, Scene 1
"Hear my soul speak. Of the very instant that I saw you, Did my heart fly at your service"
Shakespeare Love Quotes 10: As You Like It – Act 3, Scene 5
"Who ever loved that loved not at first sight?"
Shakespeare Love Quotes 11: Romeo & Juliet – Act 1, Scene 1
"Love is a smoke and is made with the fume of sighs"
Shakespeare Love Quotes 12: King Lear – Act 1, secene 1
"I love you more than words can wield the matter, Dearer than eyesight, space and liberty"
Shakespeare Love Quotes 13: The Two Gentlemen of Verona – Act 3, Scene 1
"Love is like a child, That longs for everything it can come by"
Shakespeare Love Quotes 14: As You Like It – Act 3, Scene 4
"The sight of lovers feedeth those in love"
Shakespeare Love Quotes 15: The Two Gentlemen of Verona – Act 3, Scene 1
"What is light, if Sylvia be not seen? What is joy if Sylvia be not by?"
Shakespeare Love Quotes 16: The Merchant of Venice – Act 2, Scene 6
"Love is blind, and lovers cannot see, The pretty follies that themselves commit"
Shakespeare Love Quotes 17: Twelfth night – Act 3, Scene 1
"Love sought is good, but given unsought is better"
Shakespeare Love Quotes 18: A Midsummer Night's Dream – Act 3, Scene 3
"Cupid is a knavish lad, thus to make females mad"
Shakespeare Love Quotes 19: Romeo & Juliet – Act 2, Scene 6
"Come what sorrow can, It cannot countervail the exchange of joy, That one short minute gives me in her sight"
Shakespeare Love Quotes 20: Hamlet – Act 2, Scene 2
"Doubt that the stars are fire, Doubt that the sun doth move his aides, Doubt truth to be a liar, But never doubt I love"
Shakespeare Love Quotes 21: The Tempest – Act 3, Scene 1
"I would not wish any companion in the world but you"
Shakespeare Love Quotes 22: As You Like It – Act 3, Scene 5
"I pray you, do not fall in love with me, For I am falser than vows made in wine"
Shakespeare Love Quotes 23: Anotony & Cleopatra – Act 3, Scene 5
"Her passions are made of nothing but the finest part of pure love"
Shakespeare Love Quotes 24: Romeo & Juliet – Act 3, Scene 2
"Lovers can do their amorous rites by their own beauties"
Shakespeare Love Quotes 25: As You Like It – Act 4, Scene 3
"Love hath made thee a tame snake"
Shakespeare Love Quotes 26: Othello – Act 1, Scene 3
"She loved me for the dangers I had passed, And I loved her that she did pity them"
Shakespeare Love Quotes 27: The Two Gentlemen of Verona – Act 1, Scene 3
"Oh, how this spring of love resembleth, The uncertain glory of an April day, Which now shows all beauty of the Sun, And by and by a cloud takes all away"
Shakespeare Love Quotes 28: Much Ado About Nothing – Act 2, Scene 3
"I will not be sworn but love may transform me to an oyster"
Shakespeare Love Quotes 29: As You Like It – Act 3, Scene 5
"Mistress, you know yourself, down on your knees, And thank heaven, fasting, for a good man's love"
Shakespeare Love Quotes 30: As You Like It – Act 2, Scene 4
"In thy youth wast as true a lover, As ever sighed upon a midnight pillow"
Shakespeare Love Quotes 31: Macbeth – Act 2, Scene 3
"A heart to love, and in that heart, Courage, to make's love known"
Shakespeare Love Quotes 32: Henry IV Part 2 – Act 3, Scene 2
"For where thou art, there is the world itself, And where thou art not, desolation"
Shakespeare Love Quotes 33: Hamlet – Act 3, Scene 4
"You cannot call it love, for at your age the heyday in the blood is tame"
Shakespeare Love Quotes 34: Much Ado About Nothing – Act 2, Scene 3
"She will die if you love her not, And she will die ere she might make her love known"
Shakespeare Love Quotes 35: As You Like It – Act 4, Scene 1
"Men have died from time to time, and worms have eaten them, but not for love"
Shakespeare Love Quotes 36: Cymbeline – Act 3, Scene 4
"Men's vows are women's traitors"
Shakespeare Love Quotes 37: Romeo & Juliet – Act 1, Scene 1
"Alas, that love, so gentle in his view, Should be so tyrannous and rough in proof"
Shakespeare Love Quotes 38: The Two Gentlemen of Verona – Act 5, Scene 2
"Love will not be spurred to what it loathes"
Shakespeare Love Quotes 39: Romeo & Juliet – Act 2, Scene 1
"This bud of love by summer's ripening breath, May prove a beauteous flower when next we meet"
Shakespeare Love Quotes 40: Love Quotes from Troilus & Cressida – Act 3, Scene 2
"To be wise and love, Exceeds man's might"
Shakespeare Love Quotes 41: As You Like It – Act 5, Scene 2
"They are in the very wrath of love, and they will go together. Clubs cannot part them"
Shakespeare Love Quotes 42: Othello – Act 4, Scene 2
"His unkindness may defeat my life, But never taint my love"
Shakespeare Love Quotes 43: Much Ado About Nothing – Act 5, Scene 1
"What a pretty thing man is when he goes in his doublet and hose and leaves off his wit!"
Shakespeare Love Quotes 44: Troilus & Cressida – Act 3, Scene 1
"Is this the generation of love? Hot blood, hot thoughts and hot deeds? Why, they are vipers. Is love a generation of vipers?"
Shakespeare Love Quotes 45: Hamlet – Act 4, Scene 7
"Love is begun by time, And time qualifies the spark and fire of it"
Shakespeare Love Quotes 46: As You Like It – Act 3, Scene 4
"The sight of lovers feedeth those in love"
Shakespeare Love Quotes 47: Othello – Act 3, Scene 3
"Excellent wretch! Perdition catch my soul, but I do love thee, and when I love thee not, chaos is come again"
Shakespeare Love Quotes 48: The Merchant of Venice – Act 2, Scene 6
"Lovers ever run before the clock"
Shakespeare Love Quotes 49: Love Quotes from Othello – Act 4, Scene 3
"I know a lady in Venice would have walked barefoot to Palestine for a touch of his nether lip"
Shakespeare Love Quotes 50: Love Quotes from Henry V – Act 5, Scene 2
"I know no ways to mince it in love, but directly to say 'I love you'"
Shakespeare Love Quotes 51: Love Quotes from Henry VI part 3 – Act 3, Scene 2
"I'll make my heaven in a lady's lap"
Shakespeare Love Quotes 52: Love Quotes from Henry V – Act 5, Scene 2
"You have witchcraft in your lips"
Shakespeare Love Quotes 53: Love Quotes from Othello – Act 3, Scene 3
"I humbly do beseech of your pardon, For too much loving you"
Shakespeare Love Quotes 54: The Taming of the Shrew – Act 2, Scene 7
"Kiss me, Kate, we shall be married o'Sunday"
Shakespeare Love Quotes 55: Love Quotes from Much Ado About Nothing – Act 1, Scene 1
"I had rather hear my dog bark at a crow than a man swear he loves me"
What do you think of the above Shakespeare love quotes? Let us know at tell us your favorites in the comments section below. If you're interested in more Shakespeare quotes check out some other relevant articles such as Shakespeare quotes, Shakespeare soliloquys and Shakespeare monologues
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Georgia Sanchez says:
Wm. Shakespeare; Alas he has gone … Yes, gone from our earthly realm.
Still, Despait dare notchance entry to mine heart, for my Dearest William hath long ago laid claim such that none save his own missive might penetrate!
The elegiac creations that were engenderd in his brain and thus, flew into the public sphere, have long been the libretti of the opera that is my Life.
Hence, all that I am, belongs irrevocably to him.
And, thus, He Lives!
Georgia Sanchez says:
*still, dispair.
(Flippin auto-incorrect)
suja says:
Shakespeare deserves his place in literary world…….
Iryna says:
Reading Shakespear's "The stroke of death is as a lovers pinch, Which hurts and is desired" from Antony & Cleopatra (Act 5, Scene 5) I remebered "Yet each man kills the thing he loves" from Oscar Wilde…
Leave a ReplyWant to join the discussion?
Feel free to contribute!


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As you may have read a few weeks ago, Celiac Disease has turned my cooking, eating, and food writing life upside down. I'm back to square one, learning all over again how to bake, grocery shop, and eat in restaurants. Avoiding gluten is much trickier than avoiding animal products.
For the first full week of the Vegan Month of Food, I've decided to celebrate foods that are naturally vegan and gluten-free: no altering, veganizing, or substitutions necessary. I'll attempt to rekindle my sense of self-worth in the kitchen (GF baking is not going well), and respond to those who declare, puzzlingly, that they "just don't like vegetarian food." (What these folks are really saying is that they lack imagination and are afraid of lentils; I wonder if they would refuse apple pie, or potato chips, or a bacon-free banana split.) This week I'll highlight autumn foods loved by even the most dedicated carnivores, foods that are easy to find or prepare, and which contain no meat, eggs, dairy, or gluten.
I'll begin with that October classic, homemade applesauce. Apple picking is my all-time favorite: nothing beats a cool fall day, kicking up the dry leaves between the rows of trees. Unfortunately, we've had some rainy weekends and haven't made it to the orchard yet. Instead, I picked up a a half-peck bag of MacIntosh at Saturday's rainy farmers' market (what crazy system of measurement is this?). Without a food mill, I'm peeling and coring and slicing by hand, so I make apple sauce in small batches. It requires no recipe, just a large pot, a vegetable peeler, a paring knife, and some patience.
I put the peeled and sliced apples in a large pot with 2 cups of water (you can use apple juice or cider, I was just being cheap) and a cinnamon stick. No sugar needed. I brought the water to a boil over medium-high heat, then covered the pot and reduced the heat to medium-low. Ten minutes later, I had steaming apple mush. I removed the cinnamon stick, took the pot off the stove, and went at it briefly with a potato masher. Voila! Local apple sauce that's cheaper, healthier, and tastier than store bought.
This made about 8 cups of applesauce. I froze most of it in two cup portions, which I'll bake with all winter. If you want applesauce for snacking or stirring into oatmeal, try tossing maple syrup, lemon juice, or other fruits into the pot (wouldn't pears be nice?).


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Bad Translation Leads to a Slap in the Face
Season 2 - Ep. 02
Eddie's Japanese translation while trying to tow a car is one-hundred percent accurate... sort of.
Up Next
South Beach Tow
Season 2 - Ep. 02
Bad Translation Leads to a Slap in the Face
Eddie's Japanese translation while trying to tow a car is one-hundred percent accurate... sort of.
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- South Beach Tow Seducing J-money These adult entertainers don't take too kindly to getting their car towed.
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- South Beach Tow Hood Tacos Is Open For Business Bernice and her mom open their taco truck, and Kosgrove stops by to sample the goods.


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Oscar As IF: Chris Evans
February 25, 2013 22:10:02 Posted at February 25, 2013 22:10:02 Photos:
Jason Merritt/ Michael Buckner/ Getty
Jason Merritt/ Michael Buckner/ Getty
Chris Evans took his ma to the Oscars. To remind himself that it's a big deal:
"She's so excited. It's nice to remember how exciting and fun this stuff can be. Being with her brings all that back." (Source)
I'm sorry?
So he forgot that it might be exciting to be there?
Chris Evans?
Captain America?
Is the anti-Anne Hathaway now?
Chris Evans is BORED of the Oscars?
Is that what happens when you get a franchise for putting on a leotard? Suddenly the Oscars are like, yeah, whatever, and I'm going so my ma can have a good time but, really, I'm so over it.
OK Chris Evans, we hear you. You're Joaquin Phoenix now. A Marvel Disney man but with the soul of the independent.


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Chapter 19
Jehoshaphat is rebuked for helping ungodly Ahab—He helps the people return to the Lord, sets up judges, and administers justice.
1 And Jehoshaphat the king of Judah returned to his house in peace to Jerusalem.
2 And Jehu the son of Hanani the
3 Nevertheless there are good things found in thee, in that thou hast taken away the groves out of the land, and hast prepared thine heart to seek God.
4 And Jehoshaphat dwelt at Jerusalem: and he went out
5 ¶And he set
6 And said to the judges, Take heed what ye do: for ye judge not for man, but for the Lord, who is with you in the
7 Wherefore now let the fear of the Lord be upon you; take heed and do it: for there is no iniquity with the Lord our God, nor
8 ¶Moreover in Jerusalem did Jehoshaphat set of the Levites, and of the priests, and of the chief of the fathers of Israel, for the judgment of the Lord, and for controversies, when they returned to Jerusalem.
9 And he charged them, saying, Thus shall ye do in the
10 And what
11 And, behold, Amariah the chief


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Tyler Rodan Vassar II Shopper Tote
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Puma TT Super CC Sneaker
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text:
The maxilla is the central keystone of the face. It links the cranial base superiorly with the occlusal plane of the lower jaw inferiorly. The maxilla has 4 processes: zygomatic, frontal, palatine, and alveolar. The maxillary sinus is housed within the maxilla and varies in size depending on the degree of pneumatization.
The fractures can be of significant functional and aesthetic importance. Functional problems can lead to disorders of occlusion, nasal obstruction, and trigeminal-nerve sensation. Aesthetic losses include decreased midface height, facial width, facial projection, and malar eminence. These losses can lead to a dish-face deformity.
Renee LeFort (1901) provided the earliest classification system of maxillary fractures. His model described "great lines of weakness in the face" using low-velocity impact forces directed against cadaver skulls. A discussion of fractures of the maxilla would not be complete without a description of LeFort's work.
LeFort Classification of Midfacial Fxs/Signs/Symptoms
Lefort I or transverse fracture of the maxilla (A in picture)
- The result is a "floating palate" with mobility of tooth bearing segment of upper jaw
- Disturbed occlusion
- Palpable crepitation in upper buccal sulcus
- 'cracked pot' percussion note from upper teeth
LeFort II or pyramidal fracture (B in picture)
- produces a separation and mobility of the midface
- Gagging on posterior teeth
- Anterior open bite
- Periorbital ecchymosis/hematoma
- There may be diplopia and /or subconjunctival hemorrhage
- There may be Infra-orbital nerve damage
LeFort III or craniofacial dysjunction (C in picture)
- Mobile middle third of face
- Similar symptoms as LeFort II
- There may be CSF Rhinorrhea (25-50% of II and III fractures)
Maxillary fractures today are often the result of motor vehicle accidents. These high-velocity injuries many times produce fracture patterns not classified by the standard LeFort system, but are described simply by the anatomic structure fractured and the degree of comminution present.
Ocular injury is also commonly associated with midfacial trauma. In a report by Al-Qurainy in 1991, 90.1% of their 363 patients with midfacial trauma had some form of ocular injury. Of those, 63% had transient or minor ocular injury, 16% moderately severe injury, 12% severe ocular injury (angle recession, retinal or vitreous injury, optic nerve damage). In those patients with ocular injury 2.5% lost vision in the affected eye. This data stresses the need for a high index of suspicion for ocular injuries in patients with midfacial trauma. So a thorough eye exam should be performed including visual acuity, inspection of the anterior chamber and the retina, pupillary reflexes, and extraoccular movements. An ophthalmologic consultation may be indicated.
Plain film x-rays have largely been replaced by CT scans. As with zygomatic fractures, a full facial analysis from the top of the head through the mandible with 1.5 mm axial cuts will allow coronal reformatting without additional scanning. Sagittal reformatting is useful in assessing the effect of a complex orbital fracture on the inferomedial bulge of the orbital floor. If the patient presents with neurologic compromise (head injury or intoxication) and cannot comply with a complete physical examination, it is prudent to obtain a complete scan at the time that the head CT scan is obtained.
Surgical management of Le Fort fractures will require correction of the occlusion and intraoperative intermaxillary fixation. Nasal intubation and tracheotomy are often the preferred approaches, as they will not interfere with the maxillomandibular fixation. The following table was adapted from a flow sheet found in the Stewart text (5th reference):
|Fracture Type
|Nasal Airway
|*Le Fort I Fx
*Le Fort I Fx with Mandible Fx
|Oral Airway through portal cut in Cunning splints or denture
Le Fort I / nasal Injury
Le Fort II Fx
Le Fort III Fx
Panfacial Fx
Oral Airway with tube displace through space
Partially Dentate with Space
Le Fort I / nasal Injury
Le Fort II Fx
Le Fort III Fx
Panfacial Fx
Guided Nasal Intubation
*Fix Maxilla / Mandible
*Switch to Oral Airway for Nasal/NOE reduction
Fully Dentate
Le Fort I/ nasal Injury
Le Fort II Fx
Le Fort III Fx
Panfacial Fx
Surgical Airway
Le Fort I /nasal Injury
Le Fort II Fx
Le Fort III Fx
Panfacial Fx
The goals of surgical treatment 1)re-establish midfacial height and projection, 2) establish occlusal relationship, and 3) maintain integrity of nose and orbits. All patients with midface fractures are given antibiotics, because these fractures are considered open or compound. Violation of the paranasal sinus or alveolus and open soft-tissue wounds are inevitable sequelae of midface fractures. Antibiotics have been shown to decrease the incidence of infection after midface fractures.
Exposure is crucial in repair of the midface fracture. Generally speaking, a Le Fort I fracture is approached from a sublabial exposure, a Le Fort II fracture is approached with a combination of sublabial and periorbital exposure, and a Le Fort III fracture requires a combination of sublabial and bicoronal fracture for adequate exposure.
The surgical approaches to fractures of the midface have changed radically in the past 20 years. The technology has now evolved to allow for miniplate fixation to the midface instead of bulky external hardware. Complex internal wiring used to be the standard of care 10 years ago, but due to poor cosmetic results and extended periods of IMF, newer technologies (mini-plate technology) have replaced it. If large bone deficiencies are present, bone grafting may be necessary.
The following general guidelines are meant for edentulous patients, but are good start for planning for all. Those with teeth can also be treated with arch bars, etc while their general health improves. Remember most of these patients with have serious (head, neck, chest, etc) injuries also.
No Displacement
- Soft Diet for 2-3 weeks
- Incorporation of dentures
Displacement, Patient Stable, Good General Condition
- Open reduction
- Reconstruction of midfacial buttresses
- Miniplate osteosynthesis with simultaneous preprosthetic surgery if necessary
Displacement, Patient in poor general condition
Le Fort I Level--
- No active therapy
- Le Fort I osteotomy later
Le Fort II or III Level--
- Minimal therapy, repositioning of nose and orbital rim
- Le Fort I osteotomy later
- Extensive hemorrhage
- Airway obstruction
- Infection--When given appropriate antibiotics, the risk of meningitis is small (less than 1%). Sinusitis occurs in 1-2%.
- CSF leak
- Ocular Problems -- Approximately 17-25% of patients with severe fractures will suffer some type of ocular problem--blindness (1-2%), diplopia, enophthalmos, epiphora, blurred vision, lacrimal drainage problems.
- Palpable or exposed hardware
- Non-union/ Malunion
- CN V2 Anesthesia -- The incidence of an immediate postoperative infraorbital nerve deficit from Le Fort I and II fractures has been reported at 65%. It is directly related to fracture displacement of 1 mm or more. Patients with less than 1 mm displacement regain normal sensation after 3 months. 30% of those with displacement of greater than 1 mm have a persistent sensory deficit at 1 year.
- Disturbances of Smell and Taste may occur in 23-38% of patients with up to 80% of Le Fort III patients reporting disturbance of smell.
- Extra-Occular Muscle Imbalance
- Malocclusion may result from fixation of improperly reduced fractures or insufficient fixation.
- Secondary Facial Deformities result from inadequate reduction and stabilization of the nasal bones. Nasal deformities are reported in 12-33% of upper midface fractures.
Le Fort Fractures by Anil R Shah, MD and Galdino Valvassori, MD --eMedicine Article, Oct 27, 2006
Facial Trauma, Maxillary and Le Fort Fractures by David W Kim, MD and Kristin K Egan, MD --eMedicine Article, June 8, 2006
Maxillary and Periorbital Fractures by Gordon Shields MD and Francis B Quinn MD; Grand Rounds Presentation, UTMB; January 7, 2004
Atlas of Emergency Medicine; Kevin J. Knoop, Lawrence B. Stack, Alan B. Storrow; Google Books
Head, Face, and Neck Trauma: Comprehensive Management; Michael G. Stewart, MD; Google Books
Facial Fractures; Core Curriculum Syllabus: Emergencies in Otolaryngology-Head and Neck Surgery; Baylor College of Medicine
Facial Fractures: The Upper Face by Dough Humphreys, MD; Dalhousie University (PDF file)
Maxillo-facial Injuries; PatientPlus