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The Return of Dan Coats
Former Indiana senator Dan Coats is running for his old seat again, 12 years after he left Congress and turned the seat over the now-retiring Evan Bayh. Coats says he's very concerned that "our elected officials in Washington continue to run up massive deficits, recklessly borrowing and spending record amounts of taxpayer money with no regard for the future generations of Americans who will inherit this staggering and ever-increasing debt," and he has the support of conservative congressional leader Mike Pence. But I remember a Senator Dan Coats who enthusiastically promoted big, paternalist government. In the Heritage Foundation's Policy Review, I responded to a Coats essay on his "Project for American Renewal," launched with Bill Bennett, this way:
Coats says that the Project for American Renewal "is not a government plan to rebuild civil society" and that he favors "a radical form of devolution [that] would redistribute power directly to families, grass-roots community organizations, and private and religious charities." But in practice he apparently believes that the federal government should tax American citizens, bring their money to Washington, and then dole it out to sensible state and local programs and responsible private institutions. Surely we have learned that government grants do not create strong, creative, vibrant private organizations. Rather, organizations that depend on government funding will have to follow government rules, will be unable to respond effectively to changing needs, and will get caught up in games of grantsmanship and bureaucratic empire-building.
Moreover, nearly every one of his bills would further entangle the federal government in the institutions of civil society. Under the Role Model Academy Act, the federal government would "establish an innovative residential academy for at-risk youth." Under the Mentor Schools Act, the feds would provide grants to school districts wanting to develop and operate "same gender" schools. The Character Development Act would give school districts demonstration grants to work with community groups to develop mentoring programs. The Family Reconciliation Act would "provide additional federal funding . . . to implement a waiting period and pre-divorce counseling" for couples with children.
Many of these bills are intended to address real problems, such as the effects of divorce on children and the terrible plight of children trapped in fatherless, crime-ridden, inner-city neighborhoods. But why is it appropriate or effective for the federal government to intrude into these problems? Surely local school districts should decide whether to build same-sex schools or residential academies for at-risk youth; and if the people of, say, Detroit decide that such options would make sense, any theory of responsible, accountable government would suggest that the local city council or school board both make that decision and raise the funds to carry it out.
Many of Coats's bills deal with symptoms -- they try to reform public housing by setting aside units for married couples or to provide mentors for children without fathers -- rather than dealing with the real problem, a welfare system that guarantees every teenager her choice of an abortion or an apartment if she gets pregnant. Some of the bills accept the federal Leviathan as a given and tinker with it -- for instance, by requiring that every federal dollar spent on family planning be matched by another dollar spent on abstinence education and adoption services. Others just follow the failed liberal policy of handing out federal dollars for whatever Congress thinks is a good idea -- school choice, restitution to crime victims, maternity homes, community crime-watch programs.
Over the past 60 years, we've watched the federal government intrude more and more deeply into our lives. We've seen well-intentioned government programs become corrupted by the ideologues and bureaucrats placed in charge. We've seen schools and charities get hooked on federal dollars. The nature of government doesn't change when it is charged with carrying out conservative social engineering rather than liberal social engineering.
Let's not forget that if, say, Coats's Maternity Shelter Act were implemented next year, Donna Shalala, the secretary of health and human services, would be charged with implementing it. She might appoint HUD assistant secretary Andrew Cuomo to run it, or maybe unemployed ex-congressman Mel Reynolds, or maybe just some Harvard professor who thinks single motherhood is a viable lifestyle option for poor young women. One reason conservatives shouldn't set up well-intentioned government programs is that they won't always be in power to run them.
In the Washington Post, after criticizing various Clinton administration policies that seemed to reveal that Democrats just couldn't give up their addition to big government, I wrote:
Republicans suffer from the same weakness. The latest example is the Project for American Renewal, launched Sept. 6 by William Bennett and Sen. Dan Coats (R-Ind.). Bennett and Coats endorse "devolution of federal authority and funding to state governments" but go on to argue that Republicans "need to offer a vision of rebuilding broken communities - not through government, but through those private institutions and ideals that nurture lives." They stress that "even if government undermined civil society, it cannot directly reconstruct it."
They talk the anti-big government talk even better than new Democrats, which is why the 1994 election saw a historic shift toward GOP. But look at the "be it enacted" clauses that follow of Bennett and Coats's libertarian whereases.
As part of the Project for American Renewal, Coats has introduced 19 bills. They include:
- The Mentor Schools Act, to provide grants of $1 million to school districts to develop "same gender" schools.
- The Role Model Academy Act, to establish an innovative residential academy for at-risk youth.
- The Kinship Care Act, to create a $30 million demonstration program for states to use adult relatives as the preferred placement option for children separated from their parents.
- The Restitution and Responsibility Act, to provide grants to states for programs to make restitution to victims of crime.
- The Assets for Independence Act, to create a four-year, $100 million demonstration program to establish 50,000 Individual Development Accounts, to be used for the purchase of home, college education or small business.
- The Community Partnership Act, to institute demonstration grants for programs to match communities of faith with welfare recipients and nonviolent criminal offenders.
And on and on it goes. Most of the goals are good: Some students do better in all-boys or all-girls schools; children who lose their parents should ideally live with other adult relatives; restitution is a valuable aspect of dealing with a crime. But why does the federal government need to do any of those things? If the 10th Amendment and the new-found commitment to devolution of power mean anything, they mean that residential academies, victim restitution and welfare reform should be undertaken by state governments - if not local communities or even nongovernment groups.
And surely the First Amendment would recommend that such a worthy goal as matching "communities of faith" - that is, churches - with people in need should be undertaken without government support. As for 50,000 Individual Development Accounts, I'd like one - wouldn't you?
Like the Democrats, the Republicans just don't get it. They're still living in the Washington that Roosevelt built, the Washington where if you think of a good idea you create a government program. But conservative social engineering, like liberal social engineering, will fail. Worse, it will create new problems.
Later that year Ed Crane, writing in Cato Policy Report, was perhaps even harsher, referring to the "vaguely Orwellian titles" of Coats's proposed bills:
I mention that little episode because it is illustrative of a certain wide- eyed innocence on the part of many of our conservative friends. The most recent example is the Project for American Renewal being put forth by Sen. Dan Coats (R-Ind.) and neoconservative intellectual Bill Bennett, also of Empower America. It consists of some 19 bills that Coats has submitted in the Senate in an effort "to find some ways to nurture civil society."
Most of the bills have vaguely Orwellian titles like the Compassion Credit Act, the Community Partnership Act, or the Family Reconciliation Act. Almost all of them amount to nothing more than conservative social engineering. The last bill, for instance, "would provide additional federal funding to states under the Family Preservation and Social Services Act, to implement pre-divorce counseling." The Assets for Independence Act "would create a four-year $100 million demonstration program to establish 50,000 Individual Development Accounts."
Never mind that, again, one would search in vain for the enumerated power in the Constitution that says most of those initiatives are within the purview of the federal government. Never mind even that conservatives who celebrated James Buchanan's Nobel Prize for his work in public-choice theory should recognize that those little conservative policy gems will one day grow into the liberal monsters that so disappoint Jack Kemp.
The concern here is that some conservatives have in the post-Reagan era adopted what might be called the government habit. That is particularly true of neoconservatives, who trace their intellectual heritage to the left and who, for the most part, have a fundamentally benign view of the state. The problem to them has not been the power of government but the misuse of that power by wrongheaded politicians and bureaucrats.
Thus, Bill Bennett writes in the introduction to a booklet promoting the Project for American Renewal, "If the liberal fallacy is an abiding faith in the all-sufficiency of government, then the conservative fallacy could easily become an abiding faith in the all-sufficiency of nongovernment." Well, not if Dan Coats has anything to say about it. And Coats is more of a traditional conservative.
The argument one hears from many conservatives, particularly inside the Beltway, is that you can't replace something with nothing. But that sentiment simply reflects the government habit. After all, the American people are not "nothing." Why not rephrase the issue: you can replace a failed government welfare program that has wasted billions, created dependency, and destroyed lives with the responsiveness, compassion, and prudence of a free people.
We can hope that a dozen years out of public office will have restored Dan Coats's traditional Republican skepticism about government schemes. But as has been widely discussed, he's spent those years working as ambassador to Germany and then as a lobbyist on Pennsylvania Avenue, two places where faith in individualism, civil society, and limited government is rare.


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If you are taking care of someone with Alzheimer's disease, you'll need to know about how to keep that person and their environment safe, how to deal with behavioural issues such as delusions, and how to make sure you take care of yourself as well.
Safety in the home
Review the home environment for possible safety hazards. Ensure that a working smoke detector is installed and checked regularly. Place support bars in bathtubs or shower stalls. Lock away sharp objects and dangerous household chemicals.
Even small amounts of alcohol can aggravate the confusion of someone with Alzheimer's disease. Suggest a low-alcohol or, better yet, non-alcoholic alternative. If necessary, hide or remove alcohol from the home.
Someone who is forgetful or confused may be taking too little or too much of an important medication. Remove all out-of-date or unnecessary medications from the home. Ask your pharmacist for a special "dosette" or "bubble pack" to help organize medications. If necessary, seek permission to supervise all medications to ensure they are taken in the proper amounts.
For anyone who has Alzheimer's disease, it will eventually become unsafe to drive. This affects their own safety as well as the safety of others. Their driving ability needs to be carefully monitored with the assistance of your doctor. Aside from accidents, obvious warning signs that a person's driving abilities are deteriorating include "near-misses," traffic violations, getting lost, and slow response times.
Individuals with Alzheimer's disease may become falsely convinced that their possessions have been stolen. These false beliefs, known as "delusions," may lead a person with Alzheimer's to hide his or her possessions in an unusual location, which is then forgotten. When these items cannot be found, this may aggravate the belief of theft that then leads to further hiding of objects. To help with delusions, offer reassurance but do not argue. Try to distract with another activity and look for potential causes (e.g., vision problems, changes in the environment).
Take care of yourself too
Caring for someone with Alzheimer's disease is hard work, physically and emotionally. Be sure that you develop coping strategies that help you. Ask for help from friends and family and make sure you have time for yourself. Support groups for caregivers are also helpful for many people.
Written and reviewed by the MediResource Clinical Team

subset: commoncrawl


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Seneca (the younger, c.3 BC–AD 65, Roman philosopher, dramatist, and statesman)
Seneca, the younger (Lucius Annaeus Seneca) (lōō´shəs ənē´əs sĕn´əkə), c.3 BC–AD 65, Roman philosopher, dramatist, and statesman, b. Corduba (present-day Córdoba), Spain. He was the son of Seneca the elder. The younger Seneca went to Rome in his childhood, studied rhetoric and philosophy, and earned renown as an orator when still a youth. He was exiled to Corsica by Claudius (AD 41) ostensibly because of his intimacy with Julia, Claudius' brother Germanicus' daughter. In AD 49 he was recalled at the urgings of Agrippina the Younger to become tutor of the young Nero. In the first years of Nero's reign Seneca was virtual ruler with Afranius Burrus, and their influence on the emperor was probably for the best. But the ascendancy of Poppaea, Nero's wife, brought about first the death of Agrippina (AD 59), then that of Burrus (AD 62). Seneca asked to retire. He had amassed a huge fortune and wanted no more of court life. Accusations of conspiracy were finally leveled at Seneca, who, instructed to commit suicide, slashed his veins in his bath. His death scene was considered remarkably noble by the Romans.
Seneca was a Stoic, and his writings show a high, unselfish nobility considerably at variance with his own life, in which greed, expediency, and even connivance at murder figured. The nature of his life raises the philosophical question: Can a person be considered good while also engaging with the imperfect world in which he lives? His Epistolae morales ad Lucilium are essays on ethics written for his friend Lucilius Junior, to whom he also addressed Quaestiones naturales, philosophical—rather than scientific—remarks about natural phenomena. The so-called Dialogi of Seneca include essays on anger, on divine providence, on Stoic impassivity, and on peace of soul. Other moral essays have also survived, notably De elementia, on the duty of a ruler to be merciful, and De beneficiis, on the award and reception of favors. The Apocolocyntosis is a satire on the apotheosis of Claudius.
The most influential of his works, at least in so far as European literature is concerned, were his tragedies. For many years it was thought that his extremely violent and gory plays were written for recitation and not for stage performance; now many believe that they were performed in front of audiences. Eight plays, based on Greek models, are accepted as his—Hercules Furens,Medea,Troades,Phaedra,Agamemnon,Oedipus,Phoenissae, and Thyestes. A ninth and tenth, Hercules Oetaeus and Octavia, are now ascribed to a later imitator. Although his drama has been deprecated in modern times, no author had a stronger influence on Renaissance tragedy than Seneca. His atmosphere of gloom, his horrors, his rhetoric and bombast, his stoicism, were all essential contributions to the forming of Renaissance tragedy. The most significant play influenced by Seneca was Thomas Kyd's The Spanish Tragedy.
See S. Bartsch et al., ed., Complete Works of Lucius Annaeus Seneca (2010–); biographies by E. Wilson (2014); studies by M. D. Griffin (1976), V. Sorenson (tr. 1984), D. and E. Henry (1985), and J. Romm (2014).


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I dont know about you, but I've always had a love for school supplies. Doesnt matter the time of the year, a new notebook or set of new inky pens just makes me the happiest. But what to do with those old left over notebooks? The old ones that have lost its shine. Well, make them brand new again!
#1. Old composition notebook
#2. Fabric. This is the perfect time to use any
left overs you have laying around
#3. Scissors
#4. Spray glue
|Step five: Do the same to the other side. Wait for it to dry, and voila
you've got yourself a brand new notebook!


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Ragged Priest denim jacket, Rag & Bone sweater, Urban Renewal paint splattered jeans, Furla 'Metropolis' cross body bag, Michael Kors 'Faye' fur sandals.
To say that I love denim is an understatement, so I'm always on the hunt for unique takes on the human race's favorite textile. This embellished denim jacket and my paint-splattered jeans are both repurposed vintage Levi's pieces, given new life with fun details subtle enough to work together in this look. I reworked these jeans even further by cutting them myself—perhaps a bit uneven and a touch too short, but hey, culottes and raw hems are on fire right now. I added these fur sandals and my blush bag to soften the look of oversized denim on oversized denim, and to pick up on the paint colors. Obviously you could pull off a similar ensemble with a more "practical" shoe, but I think the fuzzy-sandal trend makes for such a sweet statement to amp up your fall/winter style. (Also, these bad boys are adorned with real rabbit fur, and apparently you can just take a blow dryer to 'em if they get a little wet in winter weather. For some reason I found it hilarious when the sales associate told me this.) My new eyeglasses, which are actually just Ray-Ban sunglasses with the original lenses popped out and my prescription popped in, so far seem to go with just about anything, dressy or casual. Quirky and retro but delicate, they bring a little extra something special without dominating the look.
Photos by Regan Cleminson


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Description: Daytime coat of beige linen. Single breasted with three cream colored, circular, plastic buttons and bound buttonholes. Long, raglan sleeves with 4" cuffs. Notched collar. Street length. Side slit pockets. Lined in black silk. Designer's label at inside right seam of lining under arm hole: "Christian Dior / Paris / Made in France"
Date: 1951
Creator: Dior, Christian
Item Type: Refine your search to only Physical Object
Partner: UNT College of Visual Arts + Design


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Phone number: (02) 9986....
URL: https://www.bcf.com.au
Trading/Opening hours:
|Mon: 9:00am - 5:30pm
|Tue: 9:00am - 5:30pm
|Wed: 9:00am - 5:30pm
|Thu: 9:00am - 6:30pm
|Fri: 9:00am - 5:30pm
|Sat: 9:00am - 5:00pm
|Sun: 9:00am - 4:00pm
|Public Hols: ---
Business Info
If you love everything boating, camping and fishing then make sure you get into your closest store and check it out - with over 100 stores nation-wide there is probably one right around the corner from you! We have everything you could possibly need for your next boating camping or fishing adventure under one roof.
We have a boat load of boating gear including paints and chemicals to maintain your boat, fish finders and GPS units to help you find and catch those fish. If you like water sports we have kayaks from beginner to the more advanced and get your adrenalin running with our selection of tow tubes and accessories.
For the campers we have fridge freezers for every occasion, portable stoves and for the four wheel drivers an extensive range of 4x4 recovery gear. We also have you covered when it comes to tents, gazebos and shelters plus more camping gear then you can poke a peg at. (more)
Everything you need for Boating, Camping and Fishing.
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Nearby Businesses within 5 km
- A 3.0 km Fairway Golf International
- B 3.6 km Davis Mark
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- D 4.5 km The Athlete's Foot: St Ives
- E 4.5 km Belrose Bicycles
Nearby Suburbs
- Cromer (1) - 6.18 kms


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Lil Wes - Lil Wes In [Unsigned Hype]
"off of the the self titled mixtape i am lil wes available for download now at http://www.datpiff.com/profile/lilwes561"
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In 1992, two years before Jeff Bezos incorporated Amazon, the Supreme Court struck down a North Dakota law that would have enabled the state to collect sales tax from mail-order office giant Quill Corporation. At the time, the New York Times wrote that the case arose from "fiscally starved states" and "a maddening loss of revenue." For consumers, not paying sales tax "simply add[ed] to the appeal of catalogue shopping." During the intervening two decades, catalogue shopping has moved online and now bricks-and-mortar giants like Wal-Mart and Target, which began collecting sales tax for online purchases in 2003, are joining booksellers in calling for sales tax fairness. Despite some victories for advocates in 2012—most notably in California, where Amazon began collecting sales tax in September, and in Massachusetts, where Gov. Deval Patrick signed a sales tax agreement with Amazon two weeks ago—state-by-state Internet fairness laws, or "Amazon laws," only go so far.
Because the Supreme Court ruling requires sellers with a physical presence, or nexus, to collect sales tax, many bricks-and-mortar chains created separate online operations. As recently as this spring, Barnes & Noble.com was still negotiating with New Mexico over how much sales tax it owes for the period from 1998 to 2005. When states began defining nexus as a store, a warehouse, or an affiliate, both Amazon and Overstock.com dropped affiliates. And in Illinois, a judge voided the state's online sales tax and ruled that it violates the 1998 Internet Tax Freedom Act, which prevents states from taxing Internet access and imposing Internet-only taxes.
To further muddy the waters, Internet sales taxes don't necessarily apply to digital content or even all physical books. Arizona, which will begin collecting online sales tax in February, will delay taxing e-books for five months. And while Amazon currently collects sales tax in eight states, taxes on Kindle books are based on the publisher's tax reporting obligations and the taxability of digital books. Random House Digital charges sales tax in every state, while Hachette Digital does so in 24. As for college textbooks, 21 states have declared them exempt from sales tax, as long as certain conditions are met.
In another twist, the governor of Vermont signed an affiliate tax law in 2011 that can't go into effect until 15 states pass similar measures. The state does require online businesses doing more than $100,000 annually in Vermont to notify consumers in the state that they have to pay use tax—a tax that many states have on their books—but that few consumers pay. South Carolina insists that Amazon provide similar notification for customers there, until it begins paying sales tax in 2016.
The fact that online retailers have dodged the tax through shedding affiliates or threatening to pull warehouses and fulfillment centers is further evidence for some, like David Didriksen, president of Willow Books & Cafe in Acton, Mass., and co-chair of the Massachusetts Main Street Fairness Coalition, that "it's a strategic advantage not to charge tax. I am totally against sales tax. However, I fought for fairness in the application of the law. I applaud Governor Patrick. He stepped up. This is the best solution for now." Didriksen, like many sales tax fairness advocates, would prefer the federal solution offered by the Marketplace Fairness Act, first introduced in 2011 by Senate Majority Whip Richard Durbin (D-Ill.) and senators Mike Enzi (R-Wyo.) and Lamar Alexander (R- Tenn.).
A National Approach
Relying on a state-by-state solution to Internet sales tax, said Richard Hershman, v-p of government relations for the National Association of College Stores, is "a hodgepodge of Band-Aids that won't fix the problems for consumers and retailers." Although members of NACS and the American Booksellers Association continue to actively work on the state level for sales tax fairness, ABA CEO Oren Teicher agreed that a national solution is preferable. "The American Booksellers Association and our members will continue to strongly support legislation pending in Congress to establish a national solution. We've always thought that was best," he said.
Even though Hut Landon, executive director of the Northern California Independent Booksellers Association and of the San Francisco Locally Owned Merchants Alliance, worked for years to get his state to pass the Amazon tax, he still said, "We'd love to have a federal option. As a citizen and someone who cares about quality of life, I want Overstock.com to collect sales tax." He pointed out that California didn't just lose out on sales tax for decades, but that Amazon helped put Bay Area stores like Cody's Books and Stacey's Bookstores out of business, which has cost the state millions in tax revenue.
Ironically, while Amazon fought against legislation on the state level, it is an advocate for a federal solution. In August, Paul Misener, v-p of Amazon global public policy, testified before the U.S. Senate Commerce Committee in support of Marketplace Fairness. "Amazon has long supported an even-handed nationwide framework for state sales tax collection, and only Congress may create this framework. To this end, Amazon believes that Congress should authorize the states to require out-of-state sellers to collect the sales tax already owed," he said.
One of the sticking points over Marketplace Fairness, which has bipartisan support, is fairness for small-volume sellers. Some want the threshold for collecting sales tax to be $500,000 in annual sales. Amazon's Misener would prefer no exemption. He noted that according to research commissioned by Amazon, only 1% of online sellers sell more than $150,000 per year. "In other words," he said, "the $500,000 threshold... would exempt well over 99% of online sellers."
Some believe that Amazon's turnaround on the sales tax issue has much to do with its latest attempt to offer next-day service via its Amazon lockers. The orange post office–style boxes line walls in RadioShack, 7-Eleven, Gristedes, Staples, and other drugstores and grocery stores. Participating cities in the U.S. include New York, San Francisco, Los Angeles, Seattle, and the Virginia suburbs of Washington, D.C. The strategy could constitute nexus in a growing number of states.
It seems unlikely that eBay—which began testing eBayNow, a same-day delivery service, in San Francisco and parts of New York City earlier this year—will join Amazon in advocating federal sales tax fairness. Along with e-commerce businesses like Facebook, it is a member of Netchoice.org, a coalition dedicated to removing barriers to e-commerce, including Internet sales tax.
Time for Change
But change could be coming. As NCIBA's Landon noted, "I'm convinced that in the last year and a half Amazon and sales tax avoidance have become much more part of the public conscience. More and more people are talking about shopping local." A poll released by the International Council of Shopping Centers in the middle of last month certainly bears this out. Fifty-nine percent of those polled support the congressional effort to require online retailers to collect sales tax at point-of-purchase; 71% shop locally because 68 cents of every dollar stays in the community; and 82% support federal legislation because "common sense dictates that if you buy a product online you should pay the same sales tax as if you had bought the same product in a store."
The 112th Congress will likely come to an end without passing the Marketplace Fairness Act. According to Christina Mulka, Durbin's deputy communications director, "Senator Durbin is committed to seeing the Marketplace Fairness Act pass. He will continue to look for opportunities this Congress. But as we are nearing the end, he is also planning to reintroduce [the bill] next Congress with his colleagues Senator Enzi and Senator Alexander." To date, 24 states have passed legislation conforming to the Streamlined Sales and Use Agreement to make it easier for online retailers to collect tax if the law is passed; another nine states have introduced legislation.
Despite the remaining details to be worked out, NACS's Hershman predicted that "between the likely cuts in federal funding to states and the growth of e-commerce, the stars are in alignment for passage of the Marketplace Fairness Act in 2013."


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This past week, straddling the old year and the new, brought some interesting posts.
Kerry Scott of Clue Wagon's first post of the new year exhibits her usual no-nonsense wit with In Which I Assign You A New Year's Resolution. Hint: It's about merging family trees.
Judith Beaman Scott (no relation?) of Puzzles of the Past is Preparing for SLIG (Salt Lake Institute of Genealogy). I admit to some envy. She's taking the Advanced Genealogical Methods track, which is on my list of education to-dos.
The writers at the Augusta Genealogy and Local History Blog just reported that planning has begun to transfer the Georgia Archives to the University of Georgia system. Good news for researchers, I hope.
The new conferences keep a-comin', proving that genealogy is a growing industry. Your Genetic Genealogist just announced that a DNA and Genetic Genealogy conference will be held in conjunction with the Southern California Genealogy Jamboree in June of this year. Looks like there will be a whole passel of good speakers, too, so those of y'all attending the Jamboree are in for a real treat.
The Board for Certification of Genealogists has a new blog, BCG SpringBoard: News and Notes. Great news for us all!
Finally, a touching story out of the Midwest. A Detroit couple found World War II love letters, photos, and discharge papers while remodeling their home. Let's hope an interested family member who will take care of these precious documents steps forward.


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WSA Battling Streatham clotheshorse Naomi Campbell has been charged with assaulting two police officers during an incident aboard an LA-bound British Airways flight at Heathrow's T5 last month which saw the supermodel escorted from the aircraft by armed police.
She will appear at Uxbridge Magistrates' Court on 20 June on a total of three assault charges, the Crown Prosecution Service said. Each carries a maximum sentence of six months in prison and a fine of up to £5,000. She'll also have to answer one count of disorderly conduct likely to cause harassment, alarm or distress, (punishable by a fine of up to £2,500), and two counts of using threatening, abusive words or behaviour towards cabin crew (maximum penalty of £1,000).
The whole sorry affair was provoked by BA mislaying one of Campbell's two checked bags, and then informing her she'd have to leave the flight as a result.
This reportedly didn't go down too well, with the vociferous celeb allegedly screaming: "Why can't you do anything right? Get all my bags on this flight. I'm Naomi Campbell."
Police called to the scene were allegedly called "assholes" by the furious supermodel, while witnesses claim she "spat in the face of one officer and tried to kick and punch others".
Campbell learned her fate when she reported to Heathrow police station just after 11:30 BST this morning, the BBC notes. She refused to speak to reporters, but her lawyer Simon Nicholls described her as "bitterly disappointed" to learn she'd be hauled before the beak.
He said: "Prosecutors in this case have decided she needs to be prosecuted in the magistrates' court. She respects that decision and she hopes this matter is dealt with expeditiously."
In case you're wondering, Campbell wore "a dark pinstriped suit and sunglasses" for her appointment with justice. ®


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Peter Rosenberg Callin Terrence From 106 & Park A Herb While Interviewing Terrence Howard About Rocsi!
Terrence Howard talks about seeing Rosci nude and how he will get her a job on another network on Cipha Sounds & Rosenberg Hot 97
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Blogfest WordPress Magazine News and Blog Theme
Posted on
BLOGFEST is a WordPress responsive theme built in special for blog and online magazines, but it can fit a more wide business profiles. A flexible theme options panel (OptionTree) provide to you the power over all settings needed to customize the theme without to open a code editor, being suitable for a large website content but also and for small online brochure websites and portfolios or regular blog websites.
This template have a HTML version available at $15
OptonTree – Theme Options Panel
With 4 home page layouts, front-end login or register forms (social or standard), most used advertising spots and banners sizes, Google AdSense included, along with a "Customizer" feature, Blogfest still keep the things simple and let the WordPress to be the master.
Front-end login and registration forms
Social login and registration
Blogfest contain three custom post types, for FAQ, Portfolio / Projects and for Pricing boxes. Contain built-in front end login and registration features, social logins and registrations options along with a large advertising options, including here the Google AdSense.
- Fully Responsive
- Valid HTML code
- 4 Home page variations
- 3 Portfolio / Gallery template variations
- Social counters
- Pricing tables custom post type
- Portfolio / Projects custom post type
- FAQ custom post type
- 5 most used banners sizes
- Google AdSense ready
- Infinite color options (colorpicker)
- Theme options panel (OptionTree)
- Front end login and registration forms
- Social login and registration
- Translation Ready (.po .mo included)
- Forms validator
- PrettyPhoto lightbox
- Full browsers compatibility
- Layered PSDs for Customization
Images credit
- Tuomas Ikonen (portfolio section): http://www.tuomasikonen.com/
Theme updates
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Herman Miller Authorized RetailerShop All Herman Miller | Shop All Soft Pad Group
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Seat Height Adjustment | Manual Adjustment
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Herman Miller Eames Soft Pad Executive Chair, Leather Upholstery
designed by Charles and Ray Eames
At A Glance:
The Eames Soft Pad Executive Chair is another example of Charles and Ray Eames combining form and function into one amazing chair. Like other pieces in the soft pad group, this Executive Chair has a sleek base and 2" thick seat pads that provide outstanding comfort. The lightweight aluminum frame sits on a 5-star base with a tilt-swivel mechanism, seat height adjustment and casters for enhanced mobility. This model of the Eames Soft Pad Executive Chair is available in a variety of leather upholstery options. The upholstery provides outstanding comfort and a sleek contrast of materials between metal and supple leather.
This executive chair was made especially for the office, whether it's a home office or in the workplace. Though it could be used effectively in the home, the look and feel of the chair make it clear that this is a serious chair, a work chair, a prestigious chair for any office - as Charles and Ray Eames intended. Featuring a taller back than others in the collection, with three back cushion segments, the chair is never overbearing or intimidating; that's not the way Charles and Ray Eames built their furniture. They didn't believe in exclusion of any kind when it came to design. They believed that all types of people should have access to great design in their homes and offices, and that idea drove them throughout their careers. The Eames Soft Pad Executive Chair is just one more example of design that looks amazing, feels great, and is definitely attainable.
Also available fabric upholstery. See the entire Eames Soft Pad Chair collection.
What's To Like:
The Eames Soft Pad Executive Chair is high backed and stately, but not dated or aged in any way. It looks as fresh and attractive today as it did when it first came off the line in 1969. It's funny; to get a contemporary office chair, one that's modern and cutting edge yet technologically advanced and ergonomic, you can go back four decades and get exactly what you want. The Eames Soft Pad Executive Chair. This is a chair for the corner office the big desk, the important boardroom. While of course it can also be used in the regular office and the meeting room, the grandeur of the chair is best presented in equally prestigious environs. The Eames Soft Pad Executive Chair has in its name its ultimate use; as the chair of the executive. The prestige of the chair and its rich, luxurious leather combines with the shine and newness of the polished aluminum to create a beguiling and undeniably gorgeous chair. It's perfect for the office.
What's Not To Like:
In the home, this chair would really only be of use in a home office setting, as it has casters and doesn't "lounge" (though it does tilt). In that sense, it is limited to work areas, where it shines as a luxurious alternative to run-of-the-mill office chairs. Another slight drawback is that it doesn't have adjustable arms. But they wouldn't look nearly as good, so Herman Miller has done well not to update the chair by changing the arms.
The Bottom Line:
Wherever you use the Eames Soft Pad Executive Chair, it's going to keep you comfortable and exude prestige. And that describes the perfect executive chair. It also meshes well with most design schemes; the materials fit well in nearly any environment. Always comfortable and always beautiful, this is a chair anyone can enjoy.
- 2"-thick upholstered foam cushions
- 5-star aluminum base, lightweight aluminum frame
- 2" casters for carpet or hard floor mobility
- Choose from Manual seat height adjustment or Pneumatic seat height adjustment with tilt lock
Leather Options:
- Stock Leather
Chromium free and from Austria this stock Herman Miller leather is a winner for most. With a matte, soft feel this is the most popular leather used on Herman Miller upholstered items.
- Open Line Leather
Austrian by birth, yours by choice. Open Line leather is closest to the stock Herman Miller leathers but available in a wider array of colors.
- MCL Leather
Italian by birth, MCL has a soft hand and natural touch with great performance; and it's easy on the earth. It will show more wrinkles over time and wear well. Avoid high-wear applications that require high cleanability and those which expose the leather to direct sunlight. It has a medium grain and shine and is a nice upgrade from the standard leather for the price.
- Dream Cow Leather
With a gentle calfskin grain (it's not calfskin though, its European full grain aniline dyed cowhide), this leather is soft and comes in many great colors to accent your decor. This is a leather of great versatility, perfect when Royal Hide is out of budget, but where the look is wanted.
- Metallic Dream Cow Leather
A gentle calfskin grain (again, not calfskin but European full grain aniline dyed cowhide), infused with metals and soft shine, on cowhide for huge versatility. Updated, offbeat, moody colors.
- All Grain Leather
Not too big - not too small - just "All Grain". Color and quality together wedding grain and color, always with a feeling of luxury. European full grain aniline dyed cowhide powered by Crypton, "All Grain" becomes an easy choice for high traffic areas and commercial offices.
- Royal Hide Leather
This versatile leather is the most beautiful of its kind. The color range is huge, reflecting its broad applicability. It will develop a rich patina over time, making it a great heirloom, eliminating the need for reupholstery. A European full grain aniline dyed cowhide leather with no limits - sky, earth, sea.
Caster Options:
- 2" single wheel casters, hard floors or carpet
- 2" chrome soft double wheel casters, hard floors or carpet
- 2" black painted hard double wheel casters, carpet
- 2" chrome hard double wheel casters, carpet
Seat Height Adjustment Options:
- Manual seat height adjustment
- Pneumatic seat height adjustment with tilt lock
The Herman Miller Eames Soft Pad Executive Chair is also known by the following manufacturer Item Numbers: EA437, EA437P.
Design Story
The executive chair is even more rigidly tied to the workplace then the management chair. It has a high back and more padding, making it both more impressive, prestigious-seeming and comfortable. Because the pads go all the way up the back and even to the neck and head, this is a chair meant almost exclusively for the working day. The name, again, says it all; this is a big chair, and it's meant for the big offices, the boardrooms and conference tables. It comes on rollers, like the management, and has all of it's functionality with little of it's ability to go into the home and look inconspicuous.
Read the entire design story behind the Eames Soft Pad Chairs.
About the Designer
Charles and Ray Eames are perhaps the most celebrated designers of the 20th century. Married in 1941, the Eames duo are responsible for some of the most critically acclaimed furniture designs of the modern era. Amongst their most famous designs are the molded plastic chair group and the soft chair group. Although they are most often remembered today for their furniture designs with partner Herman Miller, the Eameses engaged in artistic expression across a broad range of mediums- including architecture and filmmaking.
The Eames Soft Pad Executive Chair is the ultimate office chair; the ultimate desk chair. It has a tall back, a back that renders the chair into a feeling of prestige, importance, and seriousness. It has lovely leather upholstery and high polish aluminum for arms and legs and base, and that all combines to make it a truly impressive specimen of office chair design. The high back is complemented by extra pads (as in more than the management and side chair options) and additional curvature in the back, which cranks up the comfort rating of the chair, cranks it higher than the previous options. This is a big chair, a chair for a big desk, a corner office, and impressive post. The name says it all; this is an executive chair, and it's meant for the executive offices and desks.
Now all of that is certainly very impressive. But it should be noted that this is not a chair that attempts to intimidate. The size of it is not overbearing, nor should it be, and the look of the chair, while definitely giving off an air of prestige, is not meant to be alienating. Rather it should be seen as inviting. Charles and Ray Eames believed in democratic design, in design that could get into the homes of the middle class rather than the moneyed upper class exclusively. Because they believed strongly in that idea, they never created furniture whose purpose was to intimidate with high fashion or size. They wanted the things they made to be comfortable, exciting, and inviting to owners and users and on-lookers alike. The Eames Soft Pad Executive Chair is impressive, yes; but not overbearing.
In the home, you can use this chair best as a piece for you home office. The high back and the extra padding make it great for that. Of course, for the more adventurous home designer, there are always other uses for traditional furniture. This is a chair that could definitely find a home in the right living room, the right family room, or the right bedroom. It could even find a home in the right dining room (though it may be too formal for the kitchen, no matter what kind of space it is). The materials of the chair go well with most home designs, and it's a cooperative piece in that regard. But, as the name implies, this is primarily a chair for the office.
In the office environment, this is a chair that belongs behind a desk or behind a table. It's not quite right for waiting rooms or for informal areas. It's much more suited to boardrooms, to corner offices and big desks, and of course to executive areas and executive suites. This chair is at a bit of a higher level than the management, and it should be deployed accordingly. The sweep of the chair, the extra comfort and the extra height in the back; they all make for a wonderful office chair, one that will serve you a long time. A Charles and Ray Eames design, it will also serve as great conversation fodder and as an historic piece of furniture; literally museum quality.
Read more about the Soft Pad Group's design.
About the Manufacturer
Herman Miller is an industry leader in the integration of cutting edge technology to furniture and other household items to make everyday life more comfortable, convenient, and stylish. Herman Miller stands out at the forefront of such fields as ergonomic technologies, environmentally friendly manufacturing processes, and customizable furniture items.
In addition to producing some of the most outstanding office furniture in the world, Herman Miller has also taken on the responsibility of manufacturing some of the most celebrated furniture designs by some of the world's most famous designs. These "modern classics" include works by Charles and Ray Eames, George Nelson, and Isamu Noguchi. Herman Miller celebrates these famous mid-century designers' works through its extraordinarily precise manufacturing techniques and industry-leading green production processes.
Herman Miller is a global company with operations, sales offices, dealers, and licensees in more than 40 countries in North America, Asia/Pacific, Europe, Middle East, Africa, and Latin America, serving customers virtually anywhere in the world. Herman Miller is headquartered in Zeeland, Michigan, while manufacturing facilities are located in the U.S., China, Italy, and the United Kingdom.
Materials & Measurements
Manual Adjustment
Overall: 41.25" h x 23" w
Seat Height: 19.5-22.25"
Seat Depth: 15.5"
Max Arm Height: 27.5"
Pneumatic Adjustment
Overall: 41.75" h x 23" w
Seat Height: 20.25-22.25"
Seat Depth: 15.5"
Max Arm Height: 27.5"
Lightweight aluminum frame and 2"-thick upholstered foam cushions.
Environmental Information
Herman Miller is and has always been one of the most impressive companies in America when it comes to conservation, environmental initiative, and clean, responsible production. With every product they make, new and old, they continue to push toward a greater goal of total energy independence, the elimination of all waste, especially hazardous waste, and the dramatic reduction of their environmental "footprint." Whether they're re-tooling the Eames Soft Pad Chairs to make them easier to recycle or retro-fitting their building with energy efficient light bulbs and machinery, they're always doing their best to keep the environment safe.
At Smart Furniture, we really respect that, and we also feel a kindred spirit. One of the many reasons why choose to partner with Herman Miller and sell their products online is because we see eye to eye on the importance of being an environmentally safe and responsible company. Herman Miller feels the same way about us; they make it a policy never to work with vendors who don't share their commitment, or who don't take every opportunity they have to be safer, cleaner, and less wasteful. Every step of the way, from production of the Eames Soft Pad Chair in Herman Miller factories, to the shipping of the same chair from our warehouse in Chattanooga, TN, our two companies take every step to lessen the environmental impact of designing, building, selling, and shipping a product.
Herman Miller has always been ahead of the curve when it comes to environmental issues. One of the main reasons that remains true today is that they set ambitious goals for themselves, and then commit to actually achieving them. It takes hard work, forward thinking and an almost artistic creativity to make an older product like the Eames Soft Pad Chair as safe as it can be, but all of those are qualities that have never been lacking at Herman Miller.
The most recent, and the most wide-ranging, of their environmental initiatives is called Design for the Environment. Referred to within the company (both in the offices and in the official documents available online) as DfE, the policies laid out within have guided the company inexorably toward a fully functional and totally green operation by the year 2020. The lastest policy, called "Perfect Vision," has laid out some of the most ambitious goals yet. Again, they are all meant to be met by the year 2020. Remember that these goals apply even to classical furniture like the Eames Soft Pad Chairs:
- Zero landfill
- Zero hazardous waste generation
- Zero air emissions (VOC)
- Zero process water use
- 100 percent green electrical energy use
- Company buildings constructed to a minimum LEED Silver certification
- 100 percent of sales from DfE-approved products
The first goal, zero landfill, is going to be one of the hardest to achieve. Landfills are real burdens on the environment because they are often filled with plastics and other non-biodegradable materials. Not to mention that they are, of course, immense amounts of garbage trapped under land. The odor, the damage, and the difficulty of breaking down waste all make landfills a headache. But Herman Miller is making progress. Over the last few decades, the amount of landfill generated by Herman Miller has been cut drastically. Every year it shrinks at an exponential rate, and ten years from now, it will be totally gone. That's something to celebrate.
The Eames Soft Pad Chair has been made easy to recycle and therefore not likely to end up in landfill. Most of the chair is recyclable, and needs only to be sifted into component parts when the user has decided it's time to part ways for good (though the chairs are very durable and this day should be well ahead in the future). Even though the chair was debuted four decades ago, the designers and builders are Herman Miller were able to update it without changing the look or anything material to it's classic standing.
As consumers, it's important to make responsible choices when you buy products like office chairs. In the marketplace, dollars are the voters, and every dollar that goes toward a green enterprise is a dollar other manufacturers will try and follow, and earn for themselves. When a company is responsible, it's not just good for the environment; it's good for them, and it's good for the business world as a whole.
The Eames Soft Pad Chair is just one of the many comfortable, stylish, beautiful, and creative products that Herman Miller has to offer. But they all have something in common; you can feel good when you buy them, because they came from one of the more responsible green companies in the business. Smart Furniture and Herman Miller are very proud to bring you the best in green furniture, green shipping, and green business. Buy your chairs today.
Shipping & Delivery
White Glove Delivery: Free
If you want your furniture delivered and ready to go, this is the option for you. The shipper will schedule a delivery window with you at least 24 hours in advance. They'll bring the furniture into your home, place it in your room of choice, and assemble any pieces that need to be put together. It's the true white glove treatment!
- Typical transit time is 4-7 business days. Some larger and specialty items may take a bit longer.
- Shipper will arrange a four hour window for delivery at least 24 hours in advance.
- Your driver or delivery team will bring the furniture inside your home and into your room of choice (up to two flights of stairs).
- Delivery folks will unpack your furniture, assemble any pieces needing to be put together, and they'll discard all of the boxes and packaging materials.
- We'll be sure to assist with any damage that may occur. Please call Smart Furniture right away if any issues arise.
- If you're ordering multiple items from the same manufacturer, we might be able to bundle your shipping upgrade costs! Give us a call and we'll make sure you're getting the best shipping price possible!
- Any questions? Chat or call! We're happy to help!
For more information and shipping comparisons, click here.
Questions & Answers
The Eames Soft Pad Executive Chair comes with a 12-year manufacturer's warranty.
Do you have specific questions about what's covered under Herman Miller's warranty for this product? Give our sales team a call at 888-467-6278 to get your questions answered.
Did you purchase a piece of Herman Miller furniture that's not working as expected? Send an email to firstname.lastname@example.com or contact our customer service department at 888-762-7841, and we'll take care of you. We usually ask for a photo or video of the warranty issue that you're experiencing, so if you want to expedite the warranty claim process, you can e-mail us with those attachments, and we'll jump on filing the claim for you right away
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It's time to throw a party! Celebrate a beloved family member's birthday, haunt the neighborhood with show-stopping Halloween costumes, cheer on your team to victory, or plan the perfect bash for your favorite holiday. Whatever your reason to party is, Party City offers supplies for every season, theme and occasion at a price you can afford. With over 850 party stores nationwide, we're America's largest party retailer.
Find a party store near you to browse our amazing selection in person or shop our full collection of products online. We've been in the party business for more than 30 years and are still growing fast, thanks to a loyal customer base. As part of our commitment to value and service, we test all our costumes, decorations, and favors for quality and safety to ensure the best possible customer experience.
We want you to be happy with your purchase, and we're here to help in any way. If you need party ideas, if you can't find an item on our site, or if you have a question about a product, our Customer Service representatives are on call from 7 to 10 EST most business days to handle your questions and concerns. They'll answer your email request or phone call promptly and even place your order for you, if need be. So start your birthday, holiday, and Halloween shopping at Party City, where fun is always the order of the day!
Sacramento4Kids is an online family resource guide for kids within the Greater Sacramento area. From Events, Arts & Music, Birthday Parties, Camps, Child Care, Classes, Deals, Discounts, Schools, Field Trips, Health Providers, Kids Eat Free venues, Places To Go, Sports, and for Special Needs children.
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The tan guy and blonde girl were last seen transporting letters in Berlin, where he didn't look all that tan to me.
Quote from: north09 on December 07, 2012, 03:53:17 PMThe tan guy and blonde girl were last seen transporting letters in Berlin, where he didn't look all that tan to me.Well its mainly derived from this picture on the right with his sunglasses tan but that was the team he said saw in IAD.
OR New Zealand/Bali is the return of the TBC leg and NZ/Bali is 1 leg, explains the NEL and no rest stop,a nd allows Vietnam to be 2 legs..
So after reading what georgiapeach said, does this mean the Hockey Players, Winnie and Cam, possibly the blondes (can't make out who is in that 2nd picture) aren't in the final 3?Edit : or is that the roller derby girls?
Is this the girl who stroche referred to blonde F/F team(keep talking to production during RB)?I think she is one racer from Beth and Mona(you can compare from other pics)still think F3:Hocky players(we know they had camera crew too from stroche),M/F team,Beth and Mona.
she is clearly brunette, and stroche saw brunettes as well. I've seen no evidence of the hockey players having a film crew, they also looked like in the pics they werent taking it seriously. I think it's wishful thinking for the hockey players to be final 3.
After seeing the Roadblock, I came back to Nats Park and clue box was set up at main gate and the hockey team ran out slowly, carrying their briefcase and leaving their camer and sound guy far behind, to their cab and hopped in to head out. One of them commented "It was snug in that thing". Again, they were running slow but they were the only team there at that time, and I knew that the other two teams were still back at the Roadblock. Perhaps they knew they had a lead? Production car followed them out of the park and onto the next destination.
Holy crap Switz/Germany was one leg?
Quote from: Kandace on December 09, 2012, 06:32:06 PMHoly crap Switz/Germany was one leg? Interlaken/Berlin is way too far imo
I'm wondering if we're seeing evidence of a double leg in here somewhere. If there is one that might help reconcile the problems we're having to get the locations that have been reported to fit into 12 legs, (I do mean 13 leg segments with 12 legs as opposed to 12 leg segments with 11 legs.)
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Salaam and Greetings of Peace:
One day many year ago, when Dr. Javad Nurbakhsh, Master of the Nimatullahi Sufi Order still lived in Iran, he sent for Mr. Niktab, who had been made a Shaykh recently, and instructed him to go to a remote khaniqah in another province. It was a three day journey by bus, so Mr. Niktab set out to go at once, and walked to the door of the khaniqah.
"Wait, where is your suitcase?" the Master asked.
"I don't need a suitcase. A darvish travels light and trusts in God" Mr. Niktab said.
"Take a change of clothes," the Master said.
"Really, Master, I will be fine," Mr. Niktab insisted.
The Master shook his head and walked away. "Nafs!" he said.
And so Mr. Niktab began his journey. It was mid-summer and a long and dusty journey in an old rickety bus without air-conditioning. Finally, after three days of travel, getting off the bus feeling very hot and sweaty, he began the five mile walk through the desert-like countryside to the khaniqah.
About a mile from the khaniqah, he came upon a grove of trees and large pond fed by a nearby stream. Since the area was deserted, he decided to take a swim and cool off before walking the rest of the way to the khaniqah. He took off all his clothes and waded into the water, uttering a sigh of relief at the coolness, and washed off the sweat from the long journey.
Just then he heard the voices of women coming up the road. He swam to a nearby reedbed to hide himself, and heard the women stop and talk among themselves.
"Look, someone has left clothes by the water," one said. They looked around, and Mr. Niktab had to duck under the water so as not to be seen.
Eventually, the women, who were dervishes on their way to the khaniqah, could not find the owner, and decided to take the clothes with them in case they had dropped out of someone's luggage.
As they walked off, Mr. Niktab came out of hiding and stood in the center of the pond, naked and alone. "I'm sorry, Master! Forgive me, Master!" he cried.
He broke off a few branches with leaves to cover himself, and stood waiting behind a tree for a long time, until finally a young man came walking down the path. He recognized him as a darvish, and he called him over.
The young man was astonished to find Mr. Niktab, whom they were all expecting, naked and hiding behind a tree. "What happened?" he asked?
"Nafs!" was all Mr. Niktab would say. He told him to run to the khaniqah and bring back clothes for him to wear.
As the boy disappeared down the road, Mr. Niktab sighed, shaking his head at the lesson the Master had taught him.
When the Master tells you to do something, do it.
Ya Haqq!
NOTE: It has been suggested by brother Ruslan in the comments that if Mr. Niktab had taken a suitcase, the women would also have taken it. I repeat that I am certain that if Mr. Niktab had taken a suitcase, no women would have come by. The Master's lessons are designed in the most succinct way, and always for what is necessary at that moment.
For example, read the post on the Miracle of the Angel, which is also a true story.
And Allah knows best :)


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Tarsal Tunnel Syndrome: Can A Minimally Invasive Release Be Advantageous?
Compression neuropathies of the posterior tibial nerve and its branches are a fairly common group of disorders, which are often misdiagnosed.1,2 In order to diagnose lesions of these nerves accurately, one must maintain a fairly high index of suspicion of their presentation. Relying on abnormal findings via electromyography and nerve conduction velocity testing is risky because the incidence of false negatives is quite high.2,3
In contrast, pressure specific sensory testing may produce false positive results. Although the classical presentation of tarsal tunnel syndrome involves compression of the posterior tibial nerve beneath the flexor retinaculum, more commonly, the compressed area is beneath the abductor hallucis muscle and primarily involves the medial calcaneal nerve. Since this nerve is a purely sensory nerve, nerve conduction testing is of little value.
Also bear in mind that tarsal tunnel syndrome is not a single entity. It encompasses compressive or traction injuries to the posterior tibial nerve and its terminal branches, the medial and lateral plantar nerves, as well as the medial and inferior calcaneal nerves.1,2,4,5
Since the site of injury can vary, symptoms will reflect this. For example, compression of the lateral plantar nerve will likely cause pain or numbness in the lateral forefoot while compression of the calcaneal nerves is associated with pain in the heel. Many patients who are diagnosed with plantar fasciitis and treated for that entity often have a poor response to treatment. There is a significant incidence of abnormal neurological findings in patients with chronic heel pain.1,3
Outcomes associated with the treatment of tarsal tunnel syndrome have not been universally favorable. Accordingly, there may be a collective reluctance among foot and ankle surgeons to engage in surgical decompression.3,6 Consider the traditional incision for this operation. The resultant scar follows closely after the incision, there is the course of the neurovascular bundle to contend with and the fact that the postoperative protocol immobilizes the foot and ankle. When one takes an objective view, it is easier to understand the high failure rate associated with this operation.
The development of a minimally invasive approach, which minimizes the risk of perioperative scarring and permits immediate movement with a rapid return to full activities, is something worthy of consideration.1
Salient Diagnostic Insights
When it comes to making the diagnosis of tarsal tunnel syndrome, I prefer to rely primarily on the history and physical examination. While the history may vary, the patient will usually relate a history of pain in the ankle, medial arch, heel or forefoot, which may be present upon first arising in the morning or following periods of rest. Sometimes the patient will describe waking up from sleep with complaints of pain or tingling when lying prone.
Patients may have difficulty describing their symptoms, particularly when it comes to localizing the area of pain or dysthesia. When the patient refers to pain in the forefoot or midfoot, and examination of the forefoot demonstrates a complete absence of confirmatory physical findings, the examiner should maintain a relatively high index of suspicion for the presence of an occult compression neuropathy.
There are four specific physical findings that may present when the posterior tibial nerve or any of its branches are irritated.1,2 One should test for numbness of any part or all of the sole of the foot by comparing the patient's sensitivity to a light touch with the opposite foot. Physicians should regard the presence of a degree of numbness as a positive finding.
However, the absence of numbness while the foot is at rest does not preclude the presence of a compression neuropathy since compression of the posterior tibial nerve or any of its branches may only occur during weightbearing activities.
Like the flexor compartment of the wrist when the hand is flexed, the porta pedis of the foot is subject to an increase in pressure with certain positional changes.7 When the foot is plantarflexed and inverted (or in some individuals when one performs the opposite maneuver), the pressure in the porta pedis increases. For patients who have compression of the posterior tibial nerve or its branches, they may have numbness and sometimes pain when reproducing their complaint. Authors have referred to this as a positive Phalen's test of the foot.1,2
Like carpal tunnel syndrome, the presence of nerve compression is a constant finding in patients with compressive neuropathies. However, the examiner must realize that the injury to the nerve may occur anywhere along the distribution of the nerves. The absence of pain under the flexor retinaculum should encourage the examiner to palpate both plantar nerves and the medial calcaneal nerve.
Use a moderate amount of pressure and hold the nerve for several seconds. If direct pressure over the site of entrapment reproduces the patient's symptoms and/or causes radiation distally, the test is positive.1,2
The presence of a Tinel's sign over any nerve suggests the presence of axonal damage and regeneration. Given the thickness of the muscular layer over the medial and lateral plantar nerves, one should percuss the nerves with a neurological hammer rather than a finger. Furthermore, the physician should ensure slight inversion of the hindfoot so the flexor retinaculum is relaxed and does not dampen the effect of the hammer.
How To Perform A Minimally Invasive Release Of The Posterior Tibial Nerve
Non-operative treatment of tarsal tunnel syndrome or compression of its terminal branches should include the use of therapeutic nerve blocks with a long-acting corticosteroid. One may also consider other modalities such as physical therapy, orthoses and compression stockings. Currently, there is no level 1 or level 2 evidence to support the non-operative treatment of tarsal tunnel syndrome.
Position the patient on the operating table with a sandbag under the contralateral hip. This facilitates external rotation of the limb that you will be treating. Apply an extra wide arm board to the middle of the table, flex the hip and externally rotate it. Flex the knee so the leg is resting on the arm board. Then place a compressive wrap on the contralateral leg and lower the footrest.
Take care to prevent the contralateral hip and lumbosacral spine from being hyperextended by flexing the table and supporting the thigh with a pillow. This positioning affords the surgeon the ability to position him- or herself on three sides of the foot. Apply a pneumatic tourniquet either to the upper calf or the thigh.
Place the incision on the medial side of the heel and carry it from the tip of the malleolus to the point of the heel. Orient the incision so it lays one finger breadth above and behind the upper border of the abductor hallucis. This location gives the surgeon the ability to visualize proximally beneath the skin of the lower leg as well as plantarly into the sole of the foot.
Using a double-pronged skin hook, elevate the upper skin margin and dissect proximally along the plane of the crural fascia, carrying it approximately 7 cm above the line of the incision. Ensure the patient is in the Trendelenberg position to facilitate visualization of the crural fascia.
Insert a malleable retractor under the skin. The neurovascular bundle should be visible through the translucent fascia. Carefully make a small puncture at the level of the upper edge of the abductor fascia and immediately adjacent to the bundle. Insert a grooved director beneath the retinaculum and push it proximally. Release the distal crural fascia as far proximally as you can see. The surgeon should perform this part of the operation while sitting at the foot of the table.
Then reposition yourself so you are at the patient's toes, looking across the foot toward the heel. Insert the grooved director under the fascia of the heel and cut the fascia, taking care to avoid inadvertent injury to the medial calcaneal nerve. Continue the release until the point of the director and the point of the scissors contact the medial surface of the calcaneus.
The medial calcaneal nerve should be visible beneath the cut fascia and is usually located within a bed of adipose. Trace the nerve distally to its bifurcation into posterior and descending branches. The posterior branch innervates the skin of the postero-inferior area of the heel while the descending branch pierces the superficial fascia of the abductor and gives off perforators that innervate the medial and plantar surfaces of the heel. The foramina where these branches perforate the fascia are points of compression and require release.
Then release the fascia over the anterior end of the incision all the way to the sheath of the flexor digitorum longus. The upper edge of the abductor should be free. Grasp the superior edge of the common fascia of the abductor with an Allis clamp and pull the muscle outward. Doing so exposes the anterior and posterior compartments, and the intervening septae. Cauterize the septae with a bipolar cautery. The septae serve as conduits for nerve and vascular pedicles to the muscle. Then cut the septae.
Then remove the deep fascia of the abductor hallucis along with the superficial end of the septum. At this point, the medial and lateral neurovascular bundles are surrounded by the muscle bellies of the abductor hallucis and the quadratus plantae. To ensure an adequate distal release, insert a finger into the porta pedis and lyse any remaining fibers of the septae in the sole of the foot.
Key Tips On Wound Closure And Post-Op Care
Release the pneumatic tourniquet and obtain hemostasis. Close the wound in a single layer with sutures or staples. Apply a non-adherent compression dressing from the toes to the knee. Patients may bear weight on the foot immediately but should have crutches for support.
Remove the compression dressing between the fifth and the seventh postoperative day, and apply a large Band-Aid. The patient should wear a short leg compression stocking for the next two weeks. The patient may wear clogs or any other shoe that does not irritate the incision. Have the patient begin physical therapy at this time as well. Encourage the patient to avoid limping and to go through a normal heel-toe gait progression without shifting his or her weight to the outer border of the foot. Remove sutures or staples between the 14th and 21st days post-op.
In Conclusion
A minimally invasive approach to the tarsal tunnel has an advantage over traditional incisions in that it limits the contact of the resultant scar and the neurovascular bundle to one specific point. In addition, by limiting the soft tissue injury, it permits an earlier return to function. Finally, this technique places the incision within both Langer's and the relaxed skin tension lines, reducing both the amount of scarring and injury to the lymphatic system.
Applying these principles to release of the posterior tibial nerve and its branches significantly improves patient outcomes, reduces the period of disability and reduces the risk of post-op complications.1,2
Dr. Jolly is a Clinical Professor of Surgery at the Temple University School of Podiatric Medicine. He is also a Clinical Professor of Surgery at the Des Moines University School of Podiatric Medicine. He is a Fellow and Past President of the American College of Foot and Ankle Surgeons.
Dr. Burks is a Fellow of the American College of Foot and Ankle Surgeons, and is board-certified in foot and ankle surgery. He is in private practice in Little Rock, Ark.
1. Hendrix CL, Jolly GP, Blume P, DosRemedios E. Entrapment neuropathy: the etiology of intractable chronic heel pain syndrome. J Foot Ankle Surg. 1998 Jul-Aug;37(4):273-9. 2. Jolly GP, Zgonis T, Hendrix CL. Neurogenic Heel Pain. Clin Podiatr Med Surg. 2005 Jan;22(1):101-13. 3. Patel AT, Gaines K, Malamut R, et al. Usefulness of electrodiagnostic techniques in the evaluation of suspected tarsal tunnel syndrome: an evidence based review. Muscle Nerve. 2005 Aug;32(2):236-40. 4. Chang CW, Wang YC, Hou WH, et al Medial calcaneal neuropathy is associated with plantar fascitis. Clin Neurophysiol. 2007 Jan 118(1):119-23. 5. Pfeiffer WH, Cracchiolo A. Clinical Results after tarsal tunnel decompression. J Bone Joint Surg Am. 1994 Aug;76(8):1222-30. 6. Saggine R, Bellomo RG, Affaitati G, et al. Sensory and biomechanical characterization of two painful syndromes in the heel. J Pain. 2006 Sep 30 [e-pub ahead of print]. 7. Bracilovic A, Nihal A, Houston VL, et al. The effect of foot position of tarsal tunnel compartment volume. Foot Ankle Int. June 2006 (27)6:431-7. Additional References 8. Kinoshita M, Okuda R, Morikawa J, et al. The dorsiflexion-eversion test for diagnosis of tarsal tunnel syndrome. J Bone Joint Surg Am. 2001 Dec; 83-A(12):1835-9. 9. Louisia S, Masquelet AC. The medial and inferior calcaneal nerves: an anatomic study. Surg Radiol Anat. 1999;21(3):169-73. 10. Rose JD, Malay DS, Sorrento DL. Neurosensory testing of the medial calcaneal and medial plantar nerves in patients with plantar heel pain. J Foot Ankle Surg. 2003 Jul-Aug; 42(4):173-7. 11. Sammarco GJ, Chang L. Outcome of surgical treatment of tarsal tunnel syndrome. Foot Ankle Int. 2003 Feb;24(2):125-31.


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US Declares Public Health Emergency Over Swine Flu
mallumax sends word from the NYTimes that US government officials today declared a public health emergency over increasing cases of the swine flu first seen in Mexico. Here is additional coverage from CNN. From the Times: "American health officials [say]… that they had confirmed 20 cases of the disease in the United States and expected to see more as investigators fan out to track down the path of the outbreak. Other governments around the world stepped up their response to the incipient outbreak, racing to contain the infection amid reports of potential new cases from New Zealand to Hong Kong to Spain, raising concerns about the potential for a global pandemic. The cases in US looked to be similar to the deadly strain of swine flu that has killed more than 80 people in Mexico and infected 1,300 more." Reader "The man who walks in the woods" sends a link to accounts emailed to the BBC from readers in Mexico. While these are anecdotal, they do paint a picture of a more serious situation than government announcements have indicated so far.
Read more of this story at Slashdot.


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Visit us At 5th and Market Streets on Independence Mall
Have you ever wanted a chance to socialize, eat hors d'oeuvres, and take in one of NMAJH's great exhibitions? That was the opportunity a number of folks had at last Thursday's Young Friends Curated Cocktails event. More than eighty people came to nosh, mingle, and listen to NMAJH's Associate Curator and co-curator of Chasing Dreams: Baseball and Becoming American, Ivy Weingram. She spoke about baseball's importance to many minority and immigrant groups, not just Jews, in becoming American. Ivy also discussed several of the exhibition's most interesting stories, from a current major leaguer's baseball-themed bar mitzvah to a Saint Louis hotdog vendor who did not dish on Saturdays. Ivy was available for questions later as attendees perused the exhibition. Between the cocktails, the Cracker Jacks, and the history, there was something for everybody Thursday evening.Curated Cocktails is organized by the Museum's Young Friends group. NMAJH members and friends between the ages of 21 and 40 receive invitations to many social and networking events planned specifically for young professionals, including Curated Cocktails. If you are interested in getting involved with the Young Friends group, or if a loved one in your life might enjoy what Young Friends offers, mark your calendar for our annual celebration of Tu B'av (the Jewish holiday of love) on Thursday, August 14th. If Curated Cocktails was any indication, this August event will be a blast. I, for one, am very excited for the August event!


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Gastonia�s health insurance fund is hemorrhaging, and the Band Aid beginning this summer will likely involve higher costs for city employees.
Gastonia�s health insurance fund is hemorrhaging, and the Band Aid beginning this summer will likely involve higher costs for city employees.
�The health insurance issue is the most critical thing we�re facing,� said City Manager Ed Munn, during a City Council strategic planning session Saturday. �That fund is losing money. It lost money last year and it will lose money again this year.�
The annual workshop serves as a way for city leaders to talk at length about big-picture issues. And the gloom-and-doom insurance dilemma took center stage this time around, due to the rising cost of health care.
The city has 879 employees. It is now insuring a little more than 1,500 people, counting employees, retirees and dependants.
Employees do not have to pay monthly insurance premiums for their own coverage, but do pay for a spouse or children they choose to have covered.
Gastonia budgeted almost $6.4 million to pay for employee health insurance in the current fiscal year. But total expenses are expected to exceed $7 million, said Assistant City Manager Larry Wood.
City Council members have already set aside $500,000 from their reserve funds to pay for the excess costs, but that may not be enough by the time the fiscal year ends June 30, Wood said.
�We believe it�s going to take that $500,000, but in my opinion, that�s a conservative number,� he said. �It�s probably going to take a couple hundred thousand more than that.�
The problem is that more employees are reaching their insurance deductible limit � and so more quickly � than in the past, Wood said. After that, much of the medical costs falls to the city.
Cost cutting measures
A myriad of options exist for collectively reducing the city�s health insurance costs by about $1.1 million. Those includes approaches such as increasing deductibles and co-pays, requiring pre-authorization for certain diagnostic tests and scans, and decreasing the amount that the city contributes each year to each employee�s health savings account, or HSA.
Increasing deductibles from $1,500 for employees and $3,000 for dependents, to $1,750 for employees and $3,250 for dependents, would �save� the city $143,400, for example. Decreasing the HSA contribution, from $750 per person to $550 per person, would save the city $205,000.
�But that�s on the backs of our employees,� Wood said.
Few of the other solutions will be welcomed by the city�s workers either, he said.
�There aren�t any good answers,� he said. �It comes down to there being some things we can do to hopefully help contain health care costs, but as we all know, they historically have been rising and continue to rise.�
Fees and other impacts of the new national health care law are also having to be considered, Wood said.
Gastonia self-insures its employees, and Blue Cross Blue Shield is administering the plan as a contracted third-party.
The city followed a national trend three years ago by switching to the HSA plan from the more traditional preferred provider organization, or PPO, plan. The change angered many employees because it came with a substantial increase in deductibles, among other things.
The move saved the city money for the first year, dropping total insurance claims from eight million to about 4.6 million in 2011, said Finance Director Melody Usery. City Council members elected to use the windfall to provide one-time bonuses for their employees in 2012, since employees had gone several years without raises.
But as hesitancy lifted and employees learned how to navigate the plan and their health savings accounts to their benefit, claims increased, and the city�s costs went back up. Claims rose to more than 5.3 million in 2012, Usery said.
�(The year) 2011 was probably not a good year to gauge things by,� she said.
Incentivizing good health
To counteract the negatives of the new HSA plan, the city began offering a health clinic, where employees can see a nurse practitioner for $3 and receive basic medical care and prescriptions. That has been successful and helpful, said City Manager Ed Munn.
Michelle Trantham, a client manager for Blue Cross Blue Shield, said HSA plans have become more popular for municipal insurance providers aiming to cut costs. But high-cost claims are still driving expenses up due to health conditions such as diabetes, heart disease, hypertension and high cholesterol, she said.
Some cities, mimicking private employers, are putting pressure on employees to remain healthy by refusing to ensure them if they use tobacco products, or charging them a higher insurance rate, Trantham said.
A greater emphasis is being placed on employee wellness, which is something Gastonia has already begun doing with its own workers.
�The employees have to be more accountable,� said Trantham. �They�re what�s driving the costs up.�
City Council members made no decisions Saturday, but suggested more may need to be done to incentivize employees to lead healthier lifestyles. Councilman Dave Kirlin said it�s all about encouraging people to see the value of that, and getting it to sink in.
�We can do all we want to these numbers,� he said, before tapping on his head. �But it�s all about this right here.�
You can reach Michael Barrett at 704-869-1826 or on Twitter @GazetteMike.


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It's been nine years since the International Man of Mystery graced the silver screen to lukewarm reviews, but Mike Myers is poised to bring him back.
Myers has signed on for "Austin Powers 4," reported HitFix. There's no word yet on who will direct, but it would be shocking if it were anyone other than Jay Roach, the man who helmed the three previous installments.
In his day, Myers was among the funniest men alive, from his time on "SNL" to the birth of Austin Powers, the man consistently crafted hilarious and imaginative characters, but "Shrek," which debuted in 2001, was his last creation that enjoyed any kind of success.
U.S. & World
His film career essentially came to a screeching halt with 2008's "The Love Guru," which scored a 15% on Rotten Tomatoes, took in less than $35 million, and earned seven Razzie nominations, with Myers winning for Worst Picture, Worst Actor and Worst Screenplay.
Other than the unfortunate "Guru," his film work has consisted of a small part in "Inglourious Basterds," voicing "Shrek" sequels and waiting for his eternally gestating Keith Moon biopic to start shooting.
We're not sure the world needs another "Austin Powers" film, but at least Myers is ready to get back in front of the camera--we'll take that as a good sign.


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Property Details
303 212 DAVIE Street, Vancouver West, British Columbia, V6B 5Z4, Ca
Immaculate 2 bedroom/2 bathroom + den at sought after Parkview Gardens. The suite has been completely renovated with quality materials & craftsmanship. The updates are too many to mention but include a brand new reconfigured open gourmet kitchen with extensive quartz countertops, which is perfect for entertaining, stainless steel appliances, new floors throughout, new paint and completely new bathrooms with heated floors. Other features are a functional 'no wasted space' layout with a huge living room and dining area. Situated in the heart of Yaletown the Seawall, Urban Fare & all the trendy shops & cafes are at your doorsteps. Comes with 2 parking stalls and storage locker. Call for your private viewing today!
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KANSAS CITY (AP) � The Kansas City Chiefs will have one half of their fearsome pass-rushing duo available when they face Peyton Manning and the Denver Broncos tomorrow.
Tamba Hali pronounced himself close to 100 percent after spraining his right ankle in last week's loss to San Diego. Meanwhile, fellow linebacker Justin Houston is considered "week to week" after dislocating his right elbow against the Chargers.
Chiefs Coach Andy Reid also said that right guard Jon Asamoah and right tackle Eric Fisher, who missed last week's game with shoulder injuries, will be available against Denver.
It's a crucial game between 9-2 teams that are tied atop the AFC West. The Broncos won their first meeting two weeks ago at Mile High Stadium.
"Asamoah, Fisher, Tamba all practiced today, they all practiced yesterday and they moved around great," Reid said, "so we'll see how they do."
Hali initially thought his injury was more serious when he limped off the field. He was helped into a cart and driven to the locker room, where he watched the rest of the Chiefs' 41-38 loss.
He did work in a pool earlier in the week then worked out on a stair climber, and only then did he start to think that there was a chance he'd play against the Broncos.
"With the pain I had on Sunday, it was like, man, I should probably just great ready for the playoffs," Hali said yesterday. "Tuesday, I came in trying to baby it, but I could move more. That's when I knew that I was going to be able to play."
Hali said he doesn't like to say he's "100 percent," but after spending yesterday's practicing cutting and changing directions, "I'm to the point where I can do what I like doing."
Chiefs trainer Rick Burkholder said yesterday that Houston had an MRI exam � delayed until Wednesday because of swelling � which revealed ligament and muscle damage in his elbow. Burkholder said those injuries tend to be common when there is a dislocation.
"He's going through the process right now," Burkholder said. "We're just trying to get his range of motion, get the swelling down. He's in a brace. He's truly week to week. He won't play this weekend, and we'll treat him, rehab him, and Monday we'll regroup and see where he's at."
Reid said he does not believe Houston's injury will be season-ending.
In other news, defensive tackle Mike DeVito was absent from yesterday's practice for what Reid characterized as personal matters � "All good," Reid added. DeVito missed last week's game with a knee injury, but he's practiced this week and Reid said he should play against Denver.
Reserve defensive back Sanders Commings is listed as out with a shoulder injury.


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Traders are saying the scariest moment of the second quarter will be on April 27, when Federal Reserve Chairman Ben Bernanke will hold the first ever press briefing following a monetary policy decision by the central bank.
This change in the Fed's communication with the markets alone is enough to give investors the jitters, but the nervousness is compounded by the anticipation of a signal by the Fed chief as to whether the quantitative easing that has fueled this bull market will continue past its stated end date in June.
"I think Bernanke wants to continue to 'QE3,' but the rest of the Fed does not, and if he has to admit that on the air, it could be the turn," said Steve Cortes, founder of research firm Veracruz LLC.
Stocks flirted with a new bull market high on Thursday as the first quarter came to a close. Two weeks ago U.S. stocks looked like they were headed for a correction as turmoil in the Middle East, the earthquake in Japan and weak consumer and employment data in the U.S. combined to bring the bears out in force.
But just like every time during this teflon two-year bull market, the bearishness could not even result in a normal 10-percent correction. After a seven-percent pullback in the S&P 500 , the market is back near its highs.
The momentum and durability of this bull market can be traced back to a single event that took place at the end of last August, investors said, when Bernanke first signaled that a second round of quantitative easing was likely coming.
"I believe that additional purchases of longer-term securities, should the FOMC choose to undertake them, would be effective in further easing financial conditions," said Bernanke, in a speech at the Fed's Economic Symposium in Jackson Hole, Wyoming on Aug. 27. In November, the central bank would formally announce plans to purchase $600 billion in long-term Treasury securities by the end of June 2011.
The S&P 500 is up more than 25 percent since that Jackson Hole speech as the second round of easy money inflated asset prices and pushed investors to take more risk. The fate of this program, and the possibility of a third such asset-purchase plan, could be signaled at the April 27 briefing.
"I would anticipate a giant ramp up in volatility ahead of this press conference," said Jon Najarian, co-founder of TradeMonster.com. "Traders react to one word removed from a paragraph in the policy statement and now he's going to hold a press conference?"
To be sure, while just about every trader will acknowledge the added liquidity has played a hand in the bull market, many still see it continuing on when it ends. They cite the improvement in company earnings and the money still on the sidelines following the credit crisis, among other things.
"The negative concern d'jour is that when 'QE2' ends in June, the market will trade sharply lower and the bears will be proven correct," said Laszlo Birinyi of Birinyi Associates, in his monthly newsletter to clients. "Perhaps, we don't know and quite frankly do not think that they do either. Bears, however, attribute the entire rally to the Fed's buying, but we think that is an overstatement."
One fact that points to this rally being primarily Bernanke-based is the amazing breadth of the gains. In the last 12 months, just 50 stocks in the S&P 500 are down more than 5 percent. It is a bull that is essentially lifting all boats, on low volume to boot.
"The end of 'QE2' could induce a 10 to 15 percent correction," said Peter Boockvar, equity strategist at Miller Tabak. Since the second leg of this bull market began so closely to Bernanke's Jackson Hole speech, "to think that the program will end and the market won't anticipate and respond lower, I believe, is wishful thinking."