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Ever found yourself wandering around your favourite boutique, uncertain which rail was menswear and which was aimed at the fairer sex? That shouldn't be a problem come next Spring as, if Saint Laurent Paris's New Year menswear range is anything to go by, androgyny is in. The newly rebranded ready-to-wear arm of the legendary Yves Saint Laurent fashion house has …
Topman turn to tweed for AW12 Premium Suiting Collection
Looking for a new suit to see you through the winter months? Topman's newly revealed AW12 Premium Suiting Collection doffs its cap to traditional styles, using coloured herringbones and houndstooth, multi flecked birdseye, tweed and fine Italian fabrics for a classic, nostalgic look without breaking the bank. Consisting of the Harris Tweed line, the Made in England range and the inaugural …
Nine Two Five reveal "Debut" designer cufflinks range
Nine Two Five have revealed their Debut cufflink collection, pulling together a range of nine pairs based on the famous 925 hallmark. Starting at £160 and going up to £200 for the most expensive cufflinks in the range, the sterling silver sets strive to "produce classic designs with a modern twist, manufactured with true craftsmanship." In the same way you …
Reiss "The Great Tailoring Movement" lookbook shows off A/W 2012 suit trends
The nights are pulling in, our tops are getting thicker; Autumn is now in full swing. Reiss are the latest brand to reveal their Autumn/Winter collection, showing off their late-season suits under the heading "The Great Tailoring Movement". Taking its cues from the continued retro-renaissance, Reiss are getting in early on The Great Gatsby style-shift that's sure to follow Baz Luhrmann's …
Frencheye reveal Men's Autumn/Winter 2012 tailoring collection
We've just experienced our allotted two days of British summer (barely enough time to shake the cobwebs off our deck shoes and shorts!), and so it's now time to turn our attention to the Autumn Winter trends for 2012. Frencheye, a London-based tailoring brand who take their inspiration from continental brands like Zegna and Canali, are touting their latest range of …
Make your eco friends green with envy with "sustainable" M&S suit
Marks and Spencer have today revealed what they're calling the world's first "sustainable" suit, putting the planets health on an equal footing with our sartorial needs. The suit (the one pictured here is for illustrative purposes only) is a "revolutionary step forward for a clothing retailer" according to M&S, who have ensured the suit is made from the most sustainable …
A suit for your sport sir?: M&S tailoring tips for all shapes and sizes
Summer 2012 will be filled with plenty of huge sporting events including the FA Cup, Wimbledon and some other thing that includes a lot of chasing after gold medals. All eyes will inevitably be on the the world's top sports stars, so as well as having to play well, the pressure will also be on them to look good off the …
Attack of the Clothes: Star Wars fashion prints by John Woo
We all know that Lando "Billy Dee Williams" Calrissian is a sharp dresser. Heck, even his Cloud City pad would be a dead cert for the title of "Best Intergalactic Crib" should the MTV show ever spread among the stars. But what of the rest of the Star Wars cast? With a whole empire at his disposal Darth Vader would surely …
Choosing the right suit
With Christmas parties just around the corner, many of you will be looking for the perfect suit for the night. To help you pick the right suit for your shape, we spoke to Nicholas Charles Tyrwhitt Wheeler – Founder & Owner of the London based menswear brand, Charles Tyrwhitt. As Tyrwhitt says "a suit should make a gent look smarter, …
Sneak peak: Disorder features Example on the cover of the Dapper issue
One of our favourite independent magazines, Disorder, just sent us an exclusive sneak peak at the October/November Dapper Issue…. and damn it is good. Some how they have managed to get urban musician, Example, out of his trademark bomber jackets, t-shirts, into tailored suiting!!! If you have ever need proof that a little tailoring can do wonders, here it is. …
Paris Menswear: Lanvin SS10 Catwalk Show
You can rely on Alber Elbaz and Lucas Ossendrijver to deliver a great collection and they did. This collection for Lanvin was typically elegant affair, with the très chic suits and kimono-style jackets. Irreverent touches like trousers and suits made from tie silk reinforce Elbaz's gentle sense of humour and sandals worn with socks gave a geeky twist to the look.
Shia LaBeouf and Josh Duhamel at the Transformers Premiere
While the whole world (ok, a bit of an exaggeration) is going crazy over Megan Fox over at Brandish our eyes are trained on the menfolk.
Josh Duhamel and Shia LaBeouf both turned up to the Transformers première in grey suits; LaBeouf wins points for opting for a three-piece suit, while Duhamel's jacket looks like its been moulded to his body.
Menswear: Jill Sander catwalk show SS10
Clean, clean, clean. The Jil Sander show featured neat boys with bowl cuts in pale summer colours and dark, sharp suits.
Shoulders are wide, fabrics are sheer and there is only the merest hint of print in a few drawn-on pieces. Raf Simons focused on details, but they were never bitty, things like pockets visible through shirts, short shorts and racer back singlets all added definition to this simple collection.
Brandish Watch + WISHLIST: 'Priceless' S/S 09- Topman Tailoring by Antony Price
Topman is great for its designer collaborations and its 'Priceless' range, designed by celebrated fashion designer and tailor Antony Price, delivers every season. The range has just gone up on Topman.com and with its wonderful waistcoats, brilliant blazers and perfectly pleated pants (in the American sense of the word,) I can't wait to get a piece of the action!
Stella McCartney Menswear? Yes, Please!
Since turning up at the Met's Costume Institute Gala with a trinity of her Hollywood girlfriends, Stella McCartney has had a whirlwind week involving everyone from Simon Doonan (creative director of Barneys) to Michelle Obama.
While chatting to the gloriously over-the-top Doonan, Stella was asked about lending her ethical hand to a menswear collection…
Eco Chic or Recycling Freak? Coke Can Tux
When you see a photo of a teen wearing a prom tuxedo jacket fashioned entirely from Coke cans, you have to wonder what the teen in question does with their free time. This guy, a Napoleon Dynamite-lookalike with a penchant for commercialism, has decided to venture into eco-friendly fashion and after the jump you can witness the entire creation of the waistcoat and jacket (plus bowtie!) from metal to masterpiece. Sadly, this look is more Sideshow Bob than Stella McCartney.
Mad Men get the Playboy treatment
Cast member of hit TV series "Mad Men" get the Playboy treatment in this photoshoot. Check out some highlights, such as the Phineas Cole suit Michael Gladis is wearing after the jump and check the full shoot here with details of all the outfits worn.
Albert Hammond Jr. wants us all to look sharp
Now that the Strokes seem to be on indefinite hiatus, guitarist Albert Hammond Jr. has decided to turn his hand to suits. Working together with stylist Ilaria Urbinati, the suits will be available from autumn at Urbanati's LA based store.
men.style.com suit you up
If you are in need of something a little smarter and a lot more expensive than the Topman suit you bought for your court appearance then there is a guide to the coolest cool suits of A/W 08 over at men.style.com with this seasons theme being broad shoulders and wide legs, are we venturing back into the realm of shoulder pads? Sweet lord let us hope not.
Celeb Style: Wallace & Gromit in Harvey Nichols Adverts!
Zooey Deschanel, Agy Deyn, Irina Lazareanu, Vanessa Paradis; the fashion world is known for it's adopting of a different muse for each different season. However, while most muses can be linked by their quirky style, elfin features and statement look, Wallace & Gromit really stand out from the crowd.
That hasn't stopped Harvey Nichols from enlisting their modeling talent for their latest campaign and decked out in D&G shirts, Alexander McQueen suits, Paul Smith scarfs and Ray Ban Wafarers, I'm actually quite jealous!
Read on for more details and pictures- it's worth it, trust me!
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Changes related to "Uploading a license file can result in a warning message"
From DocWiki
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subset: commoncrawl


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Family, friends doubt Manchester shooting victim was targetedBy KATHRYN MARCHOCKI
New Hampshire Union Leader
December 30. 2012 10:35PM
MANCHESTER - Family and friends want to know why Daniel Langlois was fatally shot near Central High School early Thursday and say they doubt the even-keeled, hard-working father was intentionally targeted.
"It doesn't make sense," Langlois' boss, Brendon McQuaid, said Sunday.
"He was a good, hard-working kid - pretty mellow. He was not a confrontational kind of guy. This is not what you would expect would happen to somebody like that . the family is trying to figure out what happened and why it happened and who could have done it," the Manchester businessman added.
Langlois, 25, of Manchester, was shot once in the head near Jane and Nashua streets while driving a friend home about 3 a.m. on Dec. 27.
Langlois was driving his friend home because the man apparently was intoxicated, McQuaid said. The friend was sitting in the front passenger seat of the SUV. The vehicle belonged to Langlois' friend, whose name authorities have withheld.
Senior Assistant Attorney General Jeffery A. Strelzin would not respond on McQuaid's claim that Langlois likely was not the shooter's intended target.
Strelzin said investigators determined Langlois had been involved in a confrontation with several individuals at a bar earlier in the evening. Strelzin would not name the bar, but said it is located a "short distance away."
Langlois worked part-time as a bouncer for Club Realm at 23 Amherst St.
Authorities would not say if Langlois was at Club Realm the night he was shot. Attempts to contact Club Realm Sunday were unsuccessful.
McQuaid, who owns Master Hardware Installers of Manchester, said Langlois has been working for him nearly three years. Langlois worked part-time for about two years before coming on as a full-time carpenter, and most recently was a foreman.
Langlois currently was part of the crew installing doors at Paul Hall, a new dormitory under construction at the University of New Hampshire in Durham, McQuaid said. The project is a large one and involved installing 420 doors, he said.
"The only thing I can say is (Dan) was a real, hard worker who I considered a good friend. Anyone who had the key to my house and all my business vehicles is somebody I trust. He is going to be missed all around," McQuaid said.
"I had to make a bunch of phone calls to the job supervisors ... They are all shocked because he is such a good worker," he added.
Langlois was the father of a 3 1/2-year-old girl, Mariah. He and his girlfriend, Katrina Warren, are expecting their second child - a boy. The couple were unaware the child would be a boy until after Langlois' death when Warren, concerned about the impact the stress on the baby, had a check-up and ultrasound.
"He was a very good father," McQuaid said.
Strelzin said investigators have assembled a time line of the events that occurred that night, including what happened between about 1 a.m. - the typical closing time at city bars - and when the shooting occurred at about 3 a.m.
"Manchester (police) have been making good progress," Strelzin said. He would not comment on suspects or if arrests are imminent.
McQuaid said he gave his crew Dec. 26 off. He said he last contacted Langlois about 10 that night when he texted him to say he called work off Dec. 27 because of the snow storm. Langlois, he said, often helped a friend with his snow plowing business during storms.
Some friends posted condolences on the Club Realm Facebook page.
"To my boy Dan Langlois - A Father, Son, Grandson, Friend and great loss to all," Beth Spilliotis wrote.
Another friend suggested the club a benefit to raise money to help Langlois' children.


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Submit a feature for consideration on the home page of Simtropolis!
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University Update


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The Behr Ultra 8 oz. Snowy Pine Interior/Exterior Paint Tester # UL200-12 lets you try a color before you buy it. The sample amount will cover up to 16 sq. ft., allowing you to test a large area. The paint can be applied to almost any indoor or outdoor surface, features a low VOC number and is a high-performance paint and primer in 1 so you use fewer coats.
WARNING! Cancer and Reproductive Harm - https://www.p65warnings.ca.gov/
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- Liquid samples are not returnable but are an invaluable resource to help you select the right paint color
- Actual paint colors may vary from on-screen and printer representations
- GREENGUARD Certified products are certified to GREENGUARD standards for low chemical emissions into indoor air during product usage. For more information, visit ul.com/gg.
- Click here for a project checklist


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Careers in FSIS
|FSIS offers excellent career opportunities for citizens who strive to work for a world-class organization.
Opportunities and Types of Jobs
Find information about the major career categories in FSIS: Food inspector, veterinary medical officer, scientific positions, administrative and professional positions. (If you are a current FSIS employee, InsideFSIS is the preferred site for HR and career planning information.)
Student Employment Program: FSIS offers students and recent graduates internships and externships that benefit the participants as well as the Agency.
Current Job Openings
See the FSIS jobs currently open for application, as listed on the USDA Jobs, The Federal Government's Official Jobs Site (http://www.usajobs.gov).
Incentives and Benefits: Why Join FSIS?
Learn more about the many benefits of working for one of the largest public health regulatory agencies in the U.S. Government.
Apply for a Job
This section describes the process of applying for a job as a:
- Food inspector,
- Consumer safety inspector, or
- Veterinary medical officer/public health veterinarian.
These pages also include information on any currently available recruitment/retention incentives for these job series.
Onboarding: Information for New Hires (usda.gov)
Veterans Employment Program (usda.gov)
Disability Employment Program (usda.gov)
Short URL for this page: http://www.fsis.usda.gov/careers


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Thank You, Readers
Posted by John Hitchcock on 2012/11/07
Truth Before Dishonor had a record shattering day for page views. The September, 2011 NY-9 and WV-GOV special election provided the previous record day of 1,530 page views, according to this site's internal count. November 6, 2012 came in at 4,947 page views, according to the site's internal count.
While it has been a very distressing day for Freedom, Liberty, Religious freedom, economic success in the US, it has been a banner day for viewership for TBD.
Sorry, the comment form is closed at this time.


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The United Nations-sponsored International Year of Quinoa raised the crop's profile in the U.S. and elsewhere, backers say, but hurdles remain before it can be widely grown.
The UN Food and Agriculture Organization declared 2013 the International Year of Quinoa, heralding the crop's nutritional value and adaptability.
Quinoa is unique in that its popularity in the U.S. and elsewhere has driven up its price to the point where some people in the nations where it is commonly grown can no longer afford it.
Farmers in Bolivia receive about 75 percent of the export price, about $1.36 per pound, compared to the consumer price, which ranges from $6.36 to $8 a pound in U.S. supermarkets, said Salomon Salcedo, senior policy officer for the year of quinoa.
"Quinoa has been, and still is, a family farming crop," Salcedo said. "We very much would like to keep it that way, because quinoa demand has been growing exponentially over the past years. Quinoa prices have skyrocketed, so we believe this is a big opportunity for farmers who are quinoa producers to take advantage of this growing market."
Quinoa, a species of goose foot, produces a gluten-free seed that can be substituted for wheat and other grains. It is commonly grown in parts of South America but is being adapted for cultivation in the Pacific Northwest and other regions of the world.
University of Copenhagen professor Sven-Erik Jacobsen, who delivered the keynote address during an international quinoa symposium at Washington State University in Pullman, Wash., says the next steps to satisfy market demand have not been defined.
"There are more questions than answers at this point," said Albion, Wash., farmer Ian Clark, who raised 2.5 acres of quinoa last summer.
Clark considers cleaning and processing of the crop to be the biggest unknown. Without a specialized cleaning plant, it's difficult to remove the saponin coating from the seed. There's interest in building a plant, but that would be a major investment, Clark said, and the location remains to be determined.
"Without a practical way of cleaning it, we have no way to send the crop to market," he said.
Other unknowns include dealing with quinoa's low heat tolerance and weed control.
"We're linking up farmers with distributors and consumers," said Washington State University breeder Kevin Murphy. "We're trying to get entrepreneurial interest in development of a quinoa processing facility, somewhere in Washington or the Pacific Northwest."
Murphy will continue his work to find a variety suited for the region. Future research efforts will include insect and disease resistance. Murphy is collaborating with researchers who will examine quinoa's nutritional value and end-use quality, and where it would fit into crop rotations and soil microbial activity.
Even with all the unknowns, quinoa is on more people's radar.
Frank Morton, breeder and seed dealer at Wild Garden Seed in Philomath, Ore., said his company has received orders for quinoa varieties from around the world.
"Not a day goes by that we aren't sending out quinoa planting stock to someone in the U.S. or elsewhere," he said. "Most of these orders are from folks who have never tried growing quinoa, in regions where it has never been grown."


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BLM releases Oregon sub-region management plan draft impact statement
By Debby Schoeningh
For the Capital Press
BAKER CITY, Ore. — Predator control needs to be part of the plan to protect the greater sage grouse, ranchers said at a recent meeting.
"If this is truly about the bird, make it about the bird, not an environmental push to exclude livestock and people," said Fred Phillips at the Jan. 20 Baker County Natural Resources Advisory Committee meeting. To that end, he said, if the Bureau of Land Management doesn't address the No. 1 problem facing sage grouse — predators — other preservation strategies will not have an effect on the bird's population.
Phillips, a Baker County rancher and BLM grazing permit holder, represented the interests of area ranchers in the committee's discussion with Vale BLM District Manager Don Gonzales regarding the Oregon Sub-Region Greater Sage-Grouse Management Plan Draft EIS that was recently released.
According to the U.S. Fish and Wildlife Service, the greater sage-grouse warrants protection under the Endangered Species Act, but the agency has determined that proposing the species for protection is precluded by the need to take action on other species facing more immediate extinction threats. The bird lives in 11 states and two Canadian provinces.
Gonzales said the current plan doesn't address wildlife predation of sage grouse because there is nothing BLM can do in that regard. And, he said, the sage grouse does not lend itself to breeding in captivity so re-population of the bird has to occur in breeding areas, which increases the need to preserve their habitat.
"As the habitat goes, so will the birds," said Gonzales.
Gonzales said the Oregon Department of Fish and Wildlife calls for maintaining the sage grouse levels at 2003 populations. He said Oregon sage grouse numbers are declining on average by about 3 percent per year. Forty-nine percent of the birds' habitat is on federal land and encompasses BLM gazing allotments.
The draft plan describes and analyzes alternatives for managing approximately 12 million acres of BLM-administered lands in Oregon and Washington. Areas east of Baker City are considered a "priority habitat" along with portions of Oregon's Crook, Deschutes, Grant, Harney, Lake, Malheur and Union counties.
There is a 3 percent allowance cap on private and federal ground limiting disturbance in prime sage grouse habitat and breeding areas, meaning no more than 3 percent of the total landscape can be altered.
"This would include all human-caused disturbances except for fire," said Gonzales. Additions to the landscape such as power lines, woven wire fences and cell towers would be considered human-caused.
"These all take away from the ability to have sage grouse habitat," he said. "When the disturbance hits 3 percent, there can be no more impact to the property."
In terms of habitat disturbance, Baker County is already at 2 percent, said Gonzales.
He said other larger habitat areas in Oregon are at 1 percent, Wyoming is at 4 percent and Colorado at 5. There are 11 states involved in the sage grouse issue.
The amount of habitat disturbance would be evaluated every five years to allow BLM to take measures to mitigate their activities. However, he said, they want to avoid imposing activity restrictions on private lands, if possible.
Gonzales said although BLM's goal is to limit the impact on the sage grouse to avoid having the bird listed, the odds are that if sage grouse are listed as endangered in other states, they will be in Oregon as well.
Gonzales said although no grazing alternatives have to be evaluated in the Sage Grouse Draft EIS, if ranchers utilizing grazing allotments don't stock an area to capacity, BLM usually doesn't have a problem with that unless it looks like the land is not being utilized at all. He said on the Idaho side of the Snake River BLM recently took away a couple of allotment grazing privileges because ranchers weren't using them.
Currently the only Research Natural Area — a monitored ecosystem — on BLM ground in Baker County that is closed to grazing is 203 acres in the Keating Creek area, north of the Powder River. That allotment totals 5,626 acres.
Gonzales said the sage grouse plan will eventually — in about five years — be developed into the Travel Management Plan for the entire BLM Vale District where areas will be labeled "open," "closed" or "limited." He said he expects the TMP to take about three years.
He said the Resource Management Plan, which is considered in the EIS, incorporates looking at Baker County's Virtue Flat area's full range of variables; this would include the designated off-highway vehicle area and possibly the Powder River Sportsmen's gun range, which are in grazing allotments and primary grouse habitat.
"We would have a hard time closing these areas because it doesn't seem to be detrimental to the bird," he said.
He said background noise doesn't seem to bother the sage grouse but because of the noise the birds can't hear predators approaching.
To comment on the draft impact statement
Comments on the Sage Grouse Draft Environmental Impact Statement will be taken until Feb. 20.
There will be another opportunity to comment when the final EIS is released. Vale Bureau of Land Management District Manager Don Gonzales said BLM is shooting for a March 7 release of the final Draft EIS with the comment period for that ending the beginning of May. BLM is required to have the draft available for evaluation by the U.S. Fish and Wildlife Service before the end of 2014.
BLM will also develop a restoration plan by December that includes invasive species. Gonzales said that will require them to look at wild horses and burros to determine if they are detrimental to sage grouse. He said they will also be looking at planting sagebrush seed in some primary grouse habitats.
To view the draft, visit www.blm.gov/or/energy/opportunity/sagebrush.php
The final decisions on the BLM Draft will be made by BLM State Director Jerry Perez. However, before he signs off, it will go to Washington for review, and other states affected will submit their drafts at the same time.
Six alternatives in plan
The U.S. Bureau of Land Management and the U.S. Forest Service have identified six alternatives for consideration. Vale BLM District Manager Don Gonzales said BLM has chosen Alternative D as its preferred option.
• Alternative A: A no-action alternative which would retain the management goals, objectives and direction specified in the current resource management plans for the state.
• Alternative B: Analyzes management actions outlined in the multi-agency National Technical Team report, which includes such protections as right-of-way exclusion areas and a fluid mineral leasing closure.
• Alternative C: Analyzes management recommendations submitted by conservation groups, which includes the creation of an Area of Critical Environmental Concern covering approximately 4,547,043 acres of Greater Sage-Grouse habitat and removal of grazing in the planning area.
• Alternative D: Called the Oregon sub-regional alternative, it incorporates local adjustments to the NTT report that were developed with cooperating agencies. The BLM has identified Alternative D as its preferred alternative. Although the BLM has identified a preferred alternative, it will consider the entire range of alternatives when developing the proposed plan.
• Alternative E: Is based on recommendations included in the ODFW Sage-Grouse Conservation and Assessment Strategy (2011), which includes an emphasis of protecting core areas with no development permissible for major surface disturbing activities.
• Alternative F: Analyzes other management recommendations submitted by conservation groups, which includes creation of an Area of Critical Environmental Concern covering approximately 4,040,202 acres of Greater Sage-Grouse habitat and reduced grazing in the planning area.


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Contest: Keep reading for your chance to win an Edifier Tick Tock Bluetooth Clock!
I'm a big fan of using Bedside Mode on my BlackBerry. My phone acts as my alarm clock, I don't get bothered with notifications all night and my alarm wakes me up on time every day. Taking things one step further, the cool new Edifier Tick Tock Bluetooth Clock connects to your BlackBerry via Bluetooth and syncs up your alarm clock, giving you an even more awesome solution. You can play music thanks to the built-in speakers and even connect directly via the 3.5mm jack. Overall it's a great way to geek out your alarm clock. Grab it now at ShopCrackBerry.com or keep reading for your chance to win one!
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Ufo. Alien. Wall DecalITEM NUMBER : FOT-38674309
Please select size
- Step 1: Remove your Wallmonkeys Decal from the tube and unroll it. Let your Wallmonkeys Decal sit at room temperature unrolled for at least an hour before application.
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Cryoablation uses extremely cold temperature to destroy cells. Cardiac catheter cryoablation is used to destroy selected heart cells.
Reasons for Procedure
This procedure is done to disable heart cells that are creating an irregular heartbeat called arrhythmias . After the procedure, normal heart rhythm should be restored.
Possible Complications
Complications are rare, but no procedure is completely free of risk. If you are planning to have cardiac catheter cryoablation, your doctor will review a list of possible complications, which may include:
- Bleeding
- Infection
- Pain at the catheter insertion site
- Blot clot formation
- Injuries to blood vessels or the heart
- Abnormal heart rhythm
- Heart attack
- Heart tear
Factors that may increase the risk of complications include:
Your level of risk may be related to the specific arrhythmia that you have and any underlying medical conditions.
What to Expect
Prior to Procedure
Your doctor will likely do the following:
- Perform electrophysiology studies to pinpoint the location of the abnormal rhythms
- Instruct you to stop taking medications previously used to control your arrhythmia
- Prescribe medication to prevent clotting
Leading up to your procedure:
- Do not to eat or drink anything for up to 8 hours before the procedure.
- Follow your doctor's instructions.
A local anesthetic will be given by needle. It will numb the area where a tube called a catheter will be inserted. You will also receive a mild sedative through an IV in your arm. This will help you to relax during the procedure.
Description of Procedure
The special ablation catheter will be inserted into a blood vessel in the groin, upper thigh area, arm, or wrist. The area will be cleaned. It will also be numbed with anesthesia.
The catheter will be passed up the blood vessel to your heart. Your doctor will be able to see the catheter with a special x-ray machine. It will be seen on a nearby screen.
Your doctor will locate the origin of your arrhythmia. This will be done by setting off the arrhythmia with a special catheter tip. When the location is found, the area will be cooled with the tip of the catheter. If it is the right area, the cold will temporarily stop the arrhythmia. If it is not the right area, the tip is removed and the tissue will not have any damage.
When the right area is found, the tip of the ablation catheter will be cooled down to -70°C. This extreme cold will freeze and scar the heart tissue. The damage will eliminate the arrhythmia. Your doctor will then try to reproduce the arrhythmia. The tip will be applied again until the arrhythmia can no longer be reproduced.
Immediately After Procedure
You will be moved to a recovery room. The staff will observe you for a few hours for symptoms, rhythm problems, and bleeding from the catheter sites. You may feel groggy from the sedative.
You will likely need to lie still and flat on your back for a period of time. A pressure dressing may be placed over the area where the catheter was inserted to help prevent bleeding. It is important to follow directions.
How Long Will It Take?
3-6 hours or longer
How Much Will It Hurt?
You may feel some minor discomfort as the catheter is inserted. You may feel light-headed, experience a rapid heartbeat, or experience chest pain during the freezing process.
Average Hospital Stay
Most patients stay overnight for further observation. Your doctor may choose to keep you longer if complications arise.
Post-procedure Care
- If the groin area was used as the insertion site, you will be instructed to lie in bed with your legs out straight.
- If the wrist or arm was used as the insertion site, you will not need to stay in bed.
- The insertion site will be monitored for signs of bleeding, swelling, or inflammation.
- Your vital signs will be monitored.
When you return home after the procedure, do the following to help ensure a smooth recovery:
- Take aspirin as prescribed. It is often recommended for 2-4 weeks. This will help to reduce the risk of clot formation at the ablation sites.
- Schedule a follow up visit with your doctor. The catheterization sites will need to be checked.
- Follow your doctor's instructions.
This procedure has an extremely high success rate and a low recurrence and complication rate. But, if you:
- Have atrial fibrillation or ventricular tachycardia , you may need to continue antiarrhythmic therapy
- Are undergoing cryoablation of the AV node, you may require a pacemaker
Call Your Doctor
Contact your doctor if your recovery is not progressing as expected or you develop complications such as:
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge at the point of catheter insertion
- Your leg feels cold, turns white or blue, or becomes numb or tingly
- Cough, shortness of breath, chest pain, or severe nausea or vomiting
- Discomfort in the jaw, chest, neck, arms, or upper back
- Lightheadedness or weakness
In case of an emergency, call for emergency medical services right away.
Revision Information
- Reviewer: Michael J. Fucci, DO, FACC
- Review Date: 06/2016 -
- Update Date: 05/11/2013 -


text:
This section features a collection of videos demonstrating some of the vast sound possibilities of Moog gear. These videos are a great way to learn how you can connect to the world of creativity and expression available with Moog musical instruments.
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« Back to people
Hsiao-Ho HsuAlumni, Class of 2006
Monica comes from a background in industrial design and recognizes the importance of design as function and form. She took an SCPS class in computer art one summer which peaked her interest in new media. She worked as graphic designer and helped local artists combine Chinese culture into modern art. She wants to explore new forms for better communications and to link public interfaces with urban planning.


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Desserts change daily FYI.
Friday, March 08, 2013
William Lamagnere - Chef Pâtissier
Desserts change daily FYI.
34 comments:
What an extraordinary opportunity for you to be able see him at work like that. And great for us too. It all looks very delicious. We'll be staying quite close to the restaurant later in the year- I might need to check out his work in person!ReplyDeleteReplies
It has a very nice atmosphere...I wanted to show moreDelete
Perhaps another post soon..
Incredible! This post was better than watching a cooking show. And I'm just trying to imagine the mix of flavors....with pepper on top!ReplyDeleteReplies
Funny William has done cooking shows...quite a few teasers on Youtube to get you salivating as I was looking on yesterdayDelete
I almost got lost in your images, such precision and intricate work shown by chef pâtissier Lamagnere, chapeau! I am intrigued by the two different shades of cream coming out of those pastry bags, wonder of physics in my eyes. I am sure if I tried, they'd start to mingle in unwanted ways.ReplyDeleteReplies
Precision is the key word.Delete
Yet I could see William was having fun throwing powdered sugar on the pastry leaves, painting the gougeres, cutting up the leaves of feuillette almost like paperdolls.
Very hands on satisfying work.
Chef Lamagnere seems to be quite an artist. His imaginative creations are beautiful...but I am sure also perfectly delicious.ReplyDelete
Does he make some of these pastries every day? Or perhaps the sweet pastries differ daily? I would hope that Chef would stay inspired to greatness six years on.
different desserts every day of the week at La CloserieDelete
! ! !
Most people just put the two icings in the bag..I always thought what a mess mine would be..His idea is genius:)ReplyDelete
You already probably know, but just in case: La Closerie des Lilas is of great historic importance. Hemingway associations, Stein and Toklas lived in the neighborhood, etc.ReplyDelete
Those pastries are gorgeous enough to be of historic importance too!Replies
Ah ha...I should have guessed. that was their neighborhood...some blocks down La coupole and la Select...Delete
Thanks Judith
La Closerie des Lila's is one of our favorite places. I dearly love the tartare. The best in Paris and therefore the world! Thanks you for letting us see the inside work. JeannieReplyDelete
Lucky, lucky you!!ReplyDelete
How wonderful to have been allowed in the chefs kitchen and being able to follow the process from beginning to end, and the question I'm sure we all want an answer to, were you given a few samples to take home with you ?ReplyDeleteReplies
Yes I was given many many small samples that added up to a lot.Delete
I was mostly looking through a small window - the pastry kitchen is small enough with two people working in it.
I think the entire staff at Closerie came down to take a look at me!
Many bonjours yesterday morning ahem
OK, this confirms it. This is the best blog there is about life in Paris. One day it's farm animals, the next it's city nights in the rain, the next it's in the basement with a pastry genius. You never know what you're going to get but it's always fun, fabulous, and freaking awesome.ReplyDelete
Merci mucho!Replies
You are wonderful Vivian.Delete
You win a FREE subscription and a free trip to Paris with lunch at La Closerie!
- Anonymous11:33 AM
Carol, thank you for the wonderfully sweet adventure. Went to William Lamagnere's blog. Even though it's in French, what a treat for the eyes (and taste buds)!! He's even on YouTube. Magnifique! Merci!ReplyDelete
Yr so very welcomeDelete
A very nice down to earth guy...a Breton in fact
Wow. What a treat, Carol. Grapefruit cream... ganaches, layers - what art and wonderful watching amongst the artists! I love France and French pastry chefs! I need to get to La Cloiserie to taste, you know how to tempt, don't you?ReplyDelete
Accidentally added chili powder to apple pie once, (instead of cinnamon) and was surprised what a nice "accent" it was~ now I include chili pepper (lightly) all the time.ReplyDelete
Now this is just mean. ;) NO food in the house and kind of starving if think about it. Now I am. So off to the store. Great post!!ReplyDelete
Happy Intl Woman's Day CG. You're one amazing lady, CG. So admirable.
Oh my goodness what a job you have. It doesn't get better than this.ReplyDelete
Works of art! The chocolatey tartelette has my name on it, I'm sure.ReplyDelete
And loving your iPad mini photos, by the way - seems to be a great multi-purpose toy.Replies
iPad mini is NOT a toyDelete
It's a tool and a very useful one.
The computer is gathering dust deservedly so
Simply gorgeous YES. OMG how I would have wanted to just keep eating those little chocolate delights. yumm they look soooooooo good. Lucky you. :)ReplyDeleteReplies
I just had little tastes of each ingredient as it was in process Cris. Then William invited me back next day and surprised me with the tartelette over coffee and minardises..Delete
This is really art, of a very tempory nature, but saved for the future thanks to your post!ReplyDelete


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It was a once in 100-year storm, until the next one blew in the following year.
This statement certainly rings true in this period of unpredictable weather events. Mother Nature's whims have been especially capricious of late, as anyone with a house or condo in the Mid-Atlantic region can attest. Not just homes along the Eastern shoreline are at risk to substantial damage, given headlines lamenting a higher-than-average wildfire season in the West, flash floods engulfing Washington, D.C., and tornadoes striking western Massachusetts, of all places.
Rare, calamitous weather events are problematic, but what about when they are less rare—as with Hurricane Sandy, which pummeled the Northeast a year after Hurricane Irene and a damaging Nor'easter? For high-net-worth individuals and families, catastrophic property exposures are a significant risk. Many people own second and third homes in areas providing aesthetic value, such as on beaches, along coastlines, in heavily forested mountain regions and in sunny California.
Unfortunately, these same locales are also subject to a broad range of natural disasters. Many high-value homes are vulnerable, as are valuable contents like art collections, jewelry, rare automobiles, antiques and fine wine, to tally a few. While a Ferrari submerged in water for three days and subsequently dried out may look fine, the sorry truth is otherwise.
Following the financial meltdown in 2008, many people diversified into different asset classes like real estate, given the depressed stock prices at the time. They also continued to invest in fine art, rare cars and other valuable collections, as the record prices at auctions attest. The convergence of these investment decisions and increasingly unpredictable weather events would seem to argue that affluent homeowners engage in deeper discussions about the nature and extent of their homeowners and other insurance coverages. Yet this is not always the case.
This point was made clear during a recent discussion with Adam Wolfson, president of Wolfson Insurance Brokerage, an insurance agency serving affluent clients from offices in San Francisco and New York. Adam pointed out that many people often rely on their banks for information regarding the insurance required to transfer physical asset risks, especially in situations involving a very expensive second home like a beach house.
"I've had prospective clients tell me after a major loss that their bank told them they needed flood insurance, but the most they could secure was the $250,000 maximum from the National Flood Insurance Program," Adam explained. "They figured if this was all that was being required, that must be all they needed—a mistake. That limit is fine for a minor flood loss, but falls well short of what is required to transfer storm-related flood risks for a $5 million house."
The agency routinely informs its clients that much higher limits of flood insurance for both homes and contents are required, often to their surprise. For non-flood risks, it helps that clients understand the need to insure the homes at full replacement value.
"People come to us scratching their heads after a loss, telling us they weren't getting the advice they needed on what was proper coverage," Adam said. "Those offering advice—in some cases, even their previous insurance agents and brokers—frankly were not well-versed in the needs of the high-net-worth marketplace. Every single home is different, as is every single location and every person's financial situation."
Adam's point is that people in higher income brackets need to engage in discussions with specialized insurance agencies and insurance companies that can discern and evaluate their specific risks, and transfer these exposures via appropriate insurance coverage and financial limits. "It's all about having someone in your corner asking the right questions—before buying the house," he explained. "Was there ever a flood in the home before? Does it have a French drain? Is the generator powered by gasoline or natural gas? What do you do if the power goes out for an extended period? With today's unpredictable storms, you have to think outside the box."
One hopes this perspective is given the gravity it deserves in this marketplace and the financial advisory community. Mother Nature's whims may surprise us today, but retrospectively they should also teach us.


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WEED – The Siskiyou Snow Dog Sporting Association invites the public to the 2013 Siskiyou Sled Dog Races this weekend, Saturday, Feb. 9 and Sunday, Feb. 10 at the Deer Mountain/Chuck Best Memorial Snowmobile Park. Over 40 mushers are expected to compete from all over the Pacific Northwest.
The races will be starting from 9 a.m. to 2 p.m. each day. Racing will be over by approximately 3 p.m. On Sunday, plan to stay later for the awards ceremony.
This is a free event with free parking as well, but donations will always be gratefully accepted and used to hold future sled dog races. Pets must be kept on a leash. This a family event and no alcohol will be allowed.
The Big Blue Race Food Concessions Booth will have food, beverages, snacks and candies available to purchase. This booth is a project of the Kiwanis Club of Lake Shastina. All proceeds will benefit local nonprofit organizations.
The start/finish line is at the Deer Mountain/Chuck Best Snowmobile Park.
From Weed, take Highway 97 north from Interstate 5 or from Klamath Falls, Ore., take Highway 97 south to the Deer Mountain/Chuck Best Snowmobile Park turnoff. The snowmobile park is approximately six miles off Highway 97. Carpooling is encouraged. Four-wheel drive vehicles are recommended. Carry chains and be prepared for winter weather.
Visit SiskiyouSledDogRaces.com for the most up-to-date information. All times, locations and information are subject to change.
Race schedule for both days
Enjoy watching as mushers prepare their teams for the races and care for them after they've finished. The mushers are a friendly bunch. Always ask permission to approach a team. Impromptu demonstrations will take place throughout the event.
8 a.m.: Mandatory musher meeting (not open to the public).
8:30 a.m.: Opening Ceremony – MCs will be howling out times and racer information all day, both days.
9 a.m.: Start – 18-mile – 16-dog teams.
10 a.m.: Start – 13.5-mile – 6-dog mid-distance teams.
11 a.m.: Start – 5-mile – 4-dog sprint teams.
12 p.m.: Start – 5-mile – 1- or 2-dog teams – Skijoring (skier pulled by one of two sled dogs).
1 p.m.: Start – 5-mile – 6-dog sprint.
2 p.m.: Start – 10-mile – 8-dog sprint.
On Sunday only at approximately 3:30 p.m. after the last racers have returned, an awards ceremony and closing ceremony will be held in the Warming Hut.
Visit www.siskiyousleddograces.com for most current information, or call 926-3641 or 598-0466.
Volunteers report to the warming hut for badges. Volunteer information is on the website. Siskiyou Sled Dog Races are a project of the SSDSA, a 501c6 nonprofit organization. Siskiyou Sled Dog Races are held under a Special Use Permit from the U.S.D.A. Forest Service on a non-discriminatory basis.


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|Item details
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|「Skootz (scars) ' the NBA lover ble thread.
Is the item of interest in team color printed team logo based on a simple design, are now gaining popularity.
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This product cannot be shipped to United States from the store.
Please contact the store for further information.


text:
Have you completed a survey for these upcoming lists?
Is 50 percent or more of your company veteran-owned? We've added a list of veteran-owned businesses to the Dec. 14 issue. Complete the survey today!
Veteran-owned businesses – due immediately
Upcoming lists
Merger and acquisition specialists – due immediately
General contractors – due immediately
Agency construction managers – due immediately
Fast-growing York/Adams companies– due immediately
Minority-owned businesses – due immediately
Women-owned businesses – due immediately
Estate planners – due Dec. 5
Funeral homes – due Dec. 5
Real estate inspectors – due Dec. 5
Hospices – due Dec. 5
Did your medical or dental practice miss lists earlier this year? There's still time to complete a survey and be considered for the Book of Lists!
Physician groups – due now
Dental practices – due now
Urgent care facilities – due now
Book of Lists
Updated lists from throughout 2012 will be reprinted in 2013 Book of Lists at the end of January. If you missed a list earlier in the year, you can still complete a survey to be considered for the Book of Lists. Business Journal surveys are available at www.CPBJsurveys.info.


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She took on a different career path. She could have started down the path she took earlier in life and got her name that way. The cadets entering Boot Camp seemed to be somewhat like youngsters.RK_Striker_JK_5 wrote:Sabrblade wrote:Eh, I just went with what the show and Almanacs gave us, with them saying that those who attended Autobot Boot Camp got their names there and acted like they hadn't been called much of anything else before. Both the sergeants and the cadets reacted like the cadets were nobodies until they got their names there.RK_Striker_JK_5 wrote:2. I never got the idea that all Autobts are nameless until named in Autobot Boot Camp in TF:A. I doubt every single Autobot went through it.
Now it is entirely possible that the cadets went by some previous identifier prior to entering boot camp, but that notion wasn't really explored so I just took what we were given and had to work with it.
Of course they're nobodies when first arriving. That's what a boot camp does to the cadets-break them down and rebuild them into soldiers. I don't think Rosanna attended boot camp, and she's got a name.
Or, since we really don't know much of Rosanna's past, she could have had a different name before becoming a singer. How a non-boot camp Autobot got his or her name is a bit hazy, since it wasn't touched upon.
Like I said, I just had to go with what we were given. If you can find solid confirmed word that the cadets entering boot camp (other than Shockwave or any other special case) had real names before being given names by their drill sergeants, I'll gladly go back and rephrase my list to the correct wording.


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A 61-year-old Tewksbury man who was struck by a car near his home on Salem Road in Tewksbury Tuesday died of his injuries Thursday at a Boston hospital, and a 23-year-old Groton woman died in an unrelated accident on Interstate 93 on Thursday.
Terence Morrissey, 61, died Thursday at Boston Medical Center, where he was flown by MedFlight helicopter after being struck on Salem Road near the Tewksbury-Wilmington town line on Tuesday night about 6:30.
Morrissey was taken directly from the crash site to the parking lot of Rite Aid on Main Street, where a helicopter was waiting.
Nicole Deluca, 23, of Groton, was pronounced dead at Lawrence General Hospital after a rollover accident on Interstate 93 south in Methuen on Thursday afternoon, according to the Eagle-Tribune of North Andover.
An unidentified 7-year-old boy who was in the 1998 Chevrolet Blazer that Deluca was driving was in critical condition, according to the paper.
The Eagle-Tribune reports a MedFlight helicopter landed on the highway to rush the boy to Massachusetts General Hospital.
The crash occurred between the Lowell Street and Pelham Street exits about 4:30 p.m.
The cause remains under investigation.
Police have not identified the 24-year-old woman who was driving the small car that struck Morrissey in Tewksbury. Neighbors said the portion of Salem Road where the crash occurred is very poorly lit.
Morrissey was a Tewksbury High School graduate, who studied aeronautical engineering and got a degree in environmental biology before spending most of his life working as a plumber for Suburban Plumbing in Tewksbury, and for Cassidy Culligan in Lowell, according to his obituary.
Morrissey was a decorated U.S. Navy veteran, who served as an engineer aboard the aircraft carrier USS Independence, seeing action during Grenada, according to his obituary.
He had no children.
The investigation into the crash that claimed Morrissey's life is ongoing. State police accident reconstruction specialists are part of that investigation.
Source: lowellsun.com


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Pro-Gun attorney: NH not keeping guns from mentally illBy JOHN DiSTASO
Senior Political Reporter
December 17. 2012 9:57PM
CONCORD - A pro-Second Amendment attorney says New Hampshire is failing to take advantage of a federal program that would help keep guns out of the hands of the mentally ill.
"I'm a pro-gun person, but it doesn't help anybody if someone who is illegal under federal law gains access to firearms," said Evan Nappen of Concord, legal counsel for Pro-Gun New Hampshire.
The National Instant Check System, or NICS, allows gun dealers to screen those who buy firearms. States are supposed to report not only felons, but also those barred under federal law from purchasing a gun because they have involuntarily been committed to a mental institution, found by a court to be a danger to himself or others, found not guilty of a crime by reason of insanity or incompetent to stand trial.
In 2007, a "NICS Improvement Amendments Act" was passed in the wake of the massacre of students at Virginia Tech University because, according to the U.S. Department of Justice website, information about the shooter's "prohibiting mental health history" was not available to NICS and "the system was therefore unable to deny the transfer of the firearms used in the shootings."
The 2007 law provided funding to states to help them improve their reporting systems.
The Justice Department reports that more than $50 million has been granted to 18 participating states since 2009. New Hampshire is not among them.
Nappen said that as far as convicted felons are concerned, the NICS system is operating well in New Hampshire.
But it is not working, he said, "when it comes to those who have been adjudicated with a mental health commitment."
The NIAA was designed to ensure that mental health information is available when a NICS check is done on a gun purchase.
"The law established that states could get large grants of funds for states to get their records up to speed and they'd have to have a program so that individuals can have their mental health records expunged if they were cured or no longer suffering from that problem," Nappen said.
"It had the effect of putting those adjudicated with the mental issues into the database and a program to have those removed if they were medically qualified, and there is quite a grid of what had to be accomplished to do that," he said.
"Currently in New Hampshire, there is no way for someone who has had a mental health commitment to have it removed," he said, "And my understanding is that the number of mental health adjudications listed is two," he said.
"Isn't it interesting that in the entire State of New Hampshire there are only two people that have mental health adjudications who are prohibited under federal law from purchasing firearms? I don't think that's really the case. All of these states are getting all this money, but New Hampshire has not applied into it to get a penny," he said. "This is shocking to me."
Assistant Commissioner of Safety Earl Sweeney said state law requires a NICS check to be run through the state police on purchases of handguns, but it is not required on purchases of rifles and shotguns.
"A person who is denied a handgun through the state system could quite possibly buy a long gun because they don't have to go through the state system," he said. "They just go directly to the FBI."
He also said the NICS check "is not infallible. If someone went in and presented false credentials to a gun dealer, unless he was really sharp, he might not recognize him.
"And of course," Sweeney said, "you can buy guns in a private sale, you can buy guns from an estate auction or you can steal a gun, so the NICS check is only one thing."
Sweeney said that when calls come into his department for a NICS check, "we don't know if somebody has just been released from the State Hospital or if somebody is in intensive treatment for mental health, because in most cases the federal HIPAA law, which governs health information privacy, prevents the mental health workers from reporting those things to the police.
"That law protects the privacy of persons who are undergoing treatment for mental illness and some might be reluctant to undergo the treatment if they felt their names were not being held in confidence," he said.
"And it really doesn't give us good information. All you've really got is a person who signed the application with a gun dealer and said, 'I'm not currently undergoing treatment for mental illness.'
"If you've been involuntarily committed, the federal law would prevent you from purchasing a gun anyway," he said. "You can't really depend on a NICS check for detecting possible dangerousness from mental illness."
Nappen acknowledged that since Newtown shooter Adam Lanza took the guns he used in the massacre from his mother, it would not have prevented the murders.
In fact, he noted, Connecticut has received $5 million under the NICS improvement law since 2009.
"But this would have stopped other murders and would arguably stop others from buying firearms," Nappen said.
On the other hand, he said, he has a client who "has been fine for 20 years," is one of the two people on the system can't get his name removed.
"This is a way for the state to help good people get their rights back and a way to stop people who are mentally defective from purchasing guns," Nappen said.


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OBU's Glee Club schedules tour for April 7-9.
Oklahoma Baptist University's Bison Glee Club, an all-male choral group, will perform a tour in Western Oklahoma April 7-9. The group will conclude their tour with an April 9 performance in Tulsa, Okla. The public is invited to attend the free concerts at the churches.
On Sunday, April 7, the Bison Glee Club will begin their tour in Woodward, Okla. They will sing during the 10:45 a.m. worship service at First Baptist Church of Woodward, located at 202 East Hanks Trail, Woodward, OK 73801.
Also on April 7, the group will sing during the 6 p.m. worship service at First Baptist Church of Elk City. The church is located at 1600 W. Country Club, Elk City, OK 73644.
On Monday, April 8, the Bison Glee Club will perform a morning concert at Elk City High School.
On Tuesday, April 9, the group will sing during the OBU Green and Gold Gala at the Tulsa Convention Center, located at 100 Civic Center, Tulsa. The gala is a fundraising event for OBU student scholarships featuring legendary NFL coach Tony Dungy.
The Bison Glee Club is an auditioned group of the finest male musicians on the OBU campus. The group long has been considered one of the premiere men's choruses in the Southwest and has toured extensively throughout the United Stated as well as in Canada, Europe and the Far East. They have been featured as an honor choir for the Oklahoma Music Educators Convention and the Southern Baptist Church Music Conference.
The Bison Glee Club is under the direction of Dr. Brent Ballweg, director of choral activities. Ballweg is the Burton H. Patterson Professor of Music in the Warren M. Angell College of Fine Arts.
Additionally, he teaches courses in conducting, choral procedures and choral literature. Prior to coming to OBU, he held college and university conducting positions in Oklahoma, Texas, Arkansas, Arizona and Missouri, and he has served as the artistic director and conductor of the Plano (Texas) Civic Chorus, assistant director of the Kansas City Symphony Chorus and founder and director of the Northeast Arkansas Chorale.
For more information about First Baptist Church, Woodward, visit www.fbcwoodward.org or call (580) 256-2837.
For more information about First Baptist Church, Elk City, visit www.fbcelkcity.com or call (580) 225-7951.
For more information about the OBU Green and Gold Gala or to register to attend, go online to okbu.edu/gala. To purchase a table at the gala, call Crystal McKee in OBU Advancement at (405) 878-2703 or email email@example.com.


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General anesthesia puts the entire body to sleep with the use of medications. It is a state of unconsciousness. During this time, the brain cannot feel any pain. It is often used for certain types of surgery or for a procedure that would make you uncomfortable if you were awake.
Doctors trained in anesthesia (anesthesiologists) carefully balance the amount of anesthesia medications given by closely monitoring the body's functions. Medications are used to:
- Prevent pain
- Relax the muscles
- Regulate bodily functions
Reasons for Procedure
This is used so that surgery can be done without you:
- Being aware of it
- Feeling any pain
Possible Complications
Every precaution is used to prevent complications. Often, medications are given in advance to prevent certain problems, such as nausea and vomiting. Even so, complications may occur. These may include:
- Allergic reaction to anesthetic used
- Nerve damage or skin breakdown from positioning on the operating table
- Sore throat or damage to throat, teeth, or vocal cords
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
- Lung infections
- Stroke
- Heart attack
- Anesthesia awareness—a rare complication where the patient becomes aware during the surgery
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
What to Expect
Prior to Procedure
Unless you are having emergency surgery, you will meet with an anesthesiologist before surgery and will be asked about:
- Your health history and your family's health history—Tell your doctor if you have had anesthesia before and your reaction to it. Tell your doctor about your family's history with anesthesia.
- Medications that you take, including herbs and supplements—These can have an effect on how the anesthesia works.
Before the procedure:
- Your height and weight will be taken.
- You will need to fast the night before surgery.
- You may need to take certain medications in the morning before surgery.
Description of the Procedure
General anesthesia is broken down into 3 phases:
- Induction phase—Medications will be given that result in the loss of consciousness. These will be given through an IV or through gas into the lungs. A breathing tube will be placed down your windpipe. This will be attached to a machine that helps you continue to breathe normally.
- Middle or maintenance phase—Medications will be given based on your responses. These may keep you asleep or regulate your body functions.
- Recovery or emergence phase—This will slowly reverse the anesthesia. The medications given will allow you to wake up. When you are starting to awaken and are breathing on your own, the breathing tube will be removed.
Immediately After Procedure
As you wake up, you will be closely monitored. Any pain and discomfort after the procedure can be managed with medications.
How Long Will It Take?
This procedure takes as long as needed, depending on the surgery.
How Much Will It Hurt?
General anesthesia numbs all pain. Since you are asleep, your brain will not sense any pain signals.
Average Hospital Stay
How long you spend in the hospital depends on:
- Type of surgery
- Your reaction to the surgery and anesthesia
Post-procedure Care
When you have recovered from anesthesia, you will be sent to a hospital room or home. For the first 24 hours or longer, avoid doing activities that require your attention, such as driving.
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
There are also steps you can take to reduce your chance of infection such as:
- Washing your hands often and reminding your healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incision
Call Your Doctor
It is important for you to monitor your recovery after you leave the hospital. Alert your doctor to any problems right away. If any of the following occur, call your doctor:
- Signs of infection, including fever and chills
- Persistent nausea or vomiting
- Cough, shortness of breath, or chest pain
- Lightheadedness or fainting
If you think you have an emergency, call for emergency medical services right away.
Revision Information
- Reviewer: EBSCO Medical Review Board Marcin Chwistek, MD
- Review Date: 09/2017 -
- Update Date: 10/02/2017 -


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ATHENS, Greece (AP) — For decades Greeks have enjoyed watching the latest Hollywood blockbusters and old classics under the stars.
Open-air cinemas survived Greece's real estate boom and the financial bust that followed, providing many with an affordable night out.
From tiny Mediterranean islands to the capital, Athens, warm summer nights and some spectacular settings kept movie fans coming back. But the global switch to digital projection could soon bring the tradition to an end.
Many independent cinema operators say they cannot afford to invest tens of thousands of dollars in new technology, but none have said so far that they will have to turn off their old film projectors for good.
Among the images of outdoor cinemas are those of Cine Thisio, Athens' oldest, which opened in 1935.
Follow AP photographers on Twitter: http://apne.ws/XZy6ny


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This Is What Happens to an Adult When You Leave Him in a Hot Car [VIDEO]
There have been far too many stories in the news this summer about parents leaving their kids in the car while they go in and shop. This is not okay! We all know that a quick trip in the store can end up being much more than that.


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As you head to the polls on Tuesday, there are a few things to keep in mind. Traditionally, voter turn-out during an April election is low
As you head to the polls on Tuesday, there are a few things to keep in mind. Traditionally, voter turn-out during an April election is low. Even though the lake area has a few controversial and news-making topics on the ballot, area county clerks expects that trend to continue.
Polls open at 6 a.m. on Tuesday and close at 7 p.m. Voters are reminded to bring their voter identification card with them to the polls. If voters cannot vote on Tuesday, they have until 5 p.m. Monday to vote absentee at they county clerks office.
Frequently Asked Questions
When are polling places open?
Polling places open at 6 a.m. and remain open until 7 p.m. Those individuals arriving after the polling place has closed will not be allowed to vote. However, those individuals in line at 7 p.m. will be allowed to vote.
I will be out of town on Election Day. How will I vote?
Registered Missourians who expect to be prevented from going to their polling place on Election Day may vote absentee beginning six weeks prior to an election. Voters must provide a valid reason.
Voters can request absentee ballots from their local election authority in person until 5 p.m. on the day prior to the election.
What happens if I go to my polling place on Election Day and my name is not in the poll book?
If your name does not appear on the poll book and you are eligible to vote at that precinct, you may be entitled to vote a provisional ballot. Every effort will be made to determine your eligibility and your correct polling place so that you can cast a regular ballot. If it can be determined that you are at the wrong polling place, you will be directed to the correct or central polling place to cast a regular ballot. Casting a ballot at the wrong polling place will result in the disqualification of your ballot.
For more information, or help, contact the clerk of the county you live in:
Camden County
1 Court Circle
Camdenton, Mo 65020
Miller County
2001 Highway 52
Tuscumbia, Mo 65082
Morgan County
100 East Newton
Versailles, Mo 65084


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- Blu-ray Disc
2 Blu-ray Discs 3,000 Yen
※This campaign does not include all Blu-ray Disc available on HMV ONLINE.
※This campaign is only on HMV ONLINE/HMV MOBILE and not on HMV STORE/HMV Yahoo!/HMV Rakuten Ichiba.
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* Point ratios listed below are the case for Bronze / Gold / Platinum Stage.


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UPDATED: Meth lab busted in ManchesterBy MARK HAYWARD
New Hampshire Union Leader
March 05. 2013 8:39PM
MANCHESTER - Police cordoned off an inner-city block Tuesday morning after raiding a methamphetamine lab and removing the hazardous chemicals associated with the production of the drug.
Cleanup crews from the private company Enpro wore protective white suits and gas masks. A red tent, apparently a decontamination unit, was set up in a nearby parking lot. Cruisers and yellow crime-scene tape blocked entrance to the sidewalk and single block of Walnut Street between Amhert and Concord streets.
Manchester police and U.S. Drug Enforcement Administration agents milled around 16 Walnut St. while the cleanup took place.
"It's like watching a TV show, really. It's crazy," said a Concord Street resident who lives around the corner from the site. The woman, who asked that she not be named, said the scene is the wildest thing she's seen in the six years she's lived in the apartment.
The two-unit house is located between Manchester High School Central to the east and the Boys and Girls Club to the west.
The resident of the apartment, Robert Pineault, was arrested after the execution of a search warrant, said U.S. Attorney John Kacavas. Pineault was charged with manufacture of a controlled substance.
Kacavas said he could not release more information because the search warrant and arraignment of Pineault were sealed Tuesday. He said the matters were sealed to protect the investigation, but they would likely be unsealed later this week.
"I don't expect to cast a wider net. I think we have what we need," he said.
Police said the raid took place shortly before 8 a.m. The cleanup took hours, and authorities started clearing the scene about 1 p.m.
The Concord Street resident said she's seen young men go in and out of the residence but doesn't know anything about them. An older woman lives in another apartment in the building, she said.
She said the neighborhood overall is quiet. Anna Messina used to live in the neighborhood and only recently moved to the West Side. She said a cousin used to live in the building which was generally quiet.
"Living in Manchester, nothing surprises me," she said as she walked down Concord Street.
Manchester Police Chief David Mara said the operation was headed by the DEA.
According to the city assessors' database, the two-family residence was built in 1860 and is owned by Daniel J. Healy.


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Jim Fennell's High School Basketball: Things have changedBy JIM FENNELL
New Hampshire Union Leader
March 14. 2013 8:11PM
Championship SaturdayAt Lundholm Gymnasium, UNH
Division II: No. 1 Pembroke vs. No. 7 Souhegan, noon
Division I: No. 1 Trinity vs. No. 7 Bishop Guertin, 3 p.m.
High school basketball teams can change drastically over the course of six weeks. Games played in January can sometimes be meaningless when two teams meet again now, in tournament time.
Case in point: The championship game of the Division II boys' basketball tournament Saturday in Durham at the University of New Hampshire's Lundholm Gymnasium.
Top-seeded Pembroke Academy (22-0) faces seventh-seeded Souhegan of Amherst (14-7) at noon. The Spartans beat the Sabers in a defensive game, 44-40, back on Jan. 15 in Amherst. Both teams look drastically different from that game.
Sometimes, however, things don't change. Sometimes the same result seems inevitable.
In that vein, we present the Division I championship game between top-seeded Trinity of Manchester (20-1) and seventh-seeded Bishop Guertin of Nashua (16-5). Game time at Lundholm Gym is 3 p.m.
Trinity rolled to a 74-60 road win over BG when the two teams met back on Jan. 29 and both teams have not changed much.
Here's a closer look at each game:
Bishop Guertin vs. Trinity
The Pioneers were up as many as 20 points in the third quarter when they first played the Cardinals. Trinity center Mabor Gabriel was having an inconsistent season, but he went off in that game for 22 points and 17 rebounds and it seemed to turn his season around.
"He was incredible that night," BG coach Jim Migneault said. "You have to keep him off the low block. If he gets too low, you can't stop him."
Gabriel had 26 points and 14 rebounds in Tuesday's semifinal win over Nashua South.
The seventh-seeded Cardinals should be a different team because junior point guard C.J. Boykin missed that first meeting with a shoulder injury. But Boykin was suspended earlier this week for an off-court incident and will not play Saturday.
Would Boykin have made a difference? The answer seems obvious when you consider he had a game-high 22 points in BG's quarterfinal win at Manchester Central.
The good news for the Cardinals is senior Steven Toscano had to start playing more point guard when Boykin was injured right before BG played Trinity in January. Now, he seems comfortable in that role and was a real key in Tuesday's 55-53 comeback win over Spaulding of Rochester in the semifinals with a game-high 19 points.
"He's playing with the utmost confidence," Trinity coach Dave Keefe said. "He's running the show."
Don't be surprised to see Trinity junior Brad Rhoades matched up with Toscano at some point. Rhoades, in his first year at Trinity after playing his first two seasons at Pembroke, helped slow down Nashua South point guard Tim Preston in the final minutes of Tuesday's game.
Migneault also said freshman guard Jack Zimmerman has elevated his game after being forced to play more minutes.
Still, the key for BG will be its ability to stop Gabriel and junior forward Carmen Giampetruzzi. BG counters with senior center Jeff Lunn, a top player in his own right. However, Lunn has been in foul trouble the past two games and will need to stay on the floor Saturday.
Keefe said he challenged Gabriel to match Lunn the first time the teams met and he certainly did that.
This is also a rematch of the 2011 championship game that BG won, 54-46.
While any current BG players who were in the program at the time were on the junior varsity, Trinity starters Gabriel, Giampetruzzi, and Pat Keefe were all with the Pioneers for that game and are making their third trip to Durham.
"I don't know if it means points on the board," Dave Keefe said, "but being comfortable means something and they are comfortable in that setting."
Souhegan vs. Pembroke
Pat Welch was nursing a back injury when the Spartans played the Sabers the first time. Matt Persons scored 23. Meanwhile, Souhegan was 3-3, had it own injuries and was still waiting for some players - notably Jake Kennedy and Tyler Ford - to fully make the transition from football to basketball.
That has all changed.
Welch is healthy and red-hot. He had 21 points on 9-for-10 shooting in Wednesday's semifinal win over Coe-Brown, while Kennedy - a Union Leader All-State football player who will be playing on the gridiron for UNH next year - and Ford are helping complement Souhegan leading scorer Brandon Len.
"He's a load," Pembroke coach Matt Alosa said of Kennedy, who had 12 points and 11 rebounds in Wednesday's semifinal win over Lebanon. "He's strong, physical and pretty smart."
While Pembroke will counter with Kafani Williams and Dominic Timbas up front, Souhegan could try to contain Welch with a combination of Len and senior Tanner Kent, who did a standout job Wednesday against Lebanon's David Hampton.
The difference could be Pembroke's other guards, senior captains Persons and Rene Maher.
"They're calm, cool and collected," Alosa said. "They are going to do their jobs night and night out."


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The nominee to be U.S. ambassador to, say, Hungary should be able to explain what the U.S. strategic interests are in that country — right?
But Colleen Bell, a soap opera producer and President Obama's appointee to be U.S. envoy to that European country, struggled to answer that simple question during her recent confirmation hearing.
"Well, we have our strategic interests, in terms of what are our key priorities in Hungary, I think our key priorities are to improve upon, as I mentioned, the security relationship and also the law enforcement and to promote business opportunities, increase trade ..." she responded, grasping for words, to a question by Sen. John McCain (R-AZ) on Jan. 16. (You can see the full hearing here.)
As McCain tweeted later about the confirmation hearings that day: "You can't make this up."
President Obama used to say that he wanted to rely more on career diplomats to serve as U.S. ambassadors. But the State Department's professional association, the American Foreign Service Association or AFSA, says that he has named a higher percentage of political appointees than his predecessors. He's given plum assignments to political donors such as Bell, who have made headlines recently with embarrassing gaffes at their confirmation hearings.
The AFSA has been so worried about how ambassadors are chosen that it's drawing up a list of basic qualifications for the job: knowing, for example, what U.S. interests are in the country where they are going to work.
The report, to be released later this month, comes at a time when there's been increased scrutiny of Obama's picks.
The AFSA, which keeps track of appointments, says in his second term so far, Obama has named a record number of political appointees, more than half, as compared to other recent presidents, who tend to name donors and friends to about one-third of the ambassadorial posts.
Ronald Neumann, president of the American Academy of Diplomacy, doesn't have anything against political appointees: His father was one.
However, unlike some of the campaign "bundlers" — wealthy fund-raisers who bundle contributions from a variety of donors — getting nominations in the Obama administration, Neumann's father was a professor of international relations, who had traveled and written extensively about the Middle East before serving as ambassador to Afghanistan, Morocco and Saudi Arabia.
"He was an enormously competent appointee who served four presidents, three embassies and two parties, which is kind of unusual," Neumann says of his father. The two men used to joke that they "came into the foreign service together" — his father at the top and Neumann at the bottom.
So Neumann, who like his father served as ambassador to Afghanistan, tries to take an even-handed approach, saying all ambassadors, whether political appointees or career diplomats, need to be vetted properly.
"There is a law, which both parties ignore, about ambassadors needing to be qualified: the Foreign Service Act of 1980," Neumann points out. "People still get through even if they are manifestly not qualified."
There have been some particularly tough confirmation hearings lately, though. The same day McCain quizzed Bell, the Arizona senator was also perplexed when the nominee to become ambassador to Norway, hotel executive George Tsunis, described a party in that country's ruling coalition as "a fringe element." And then there was the recent grilling of Obama's pick for ambassador to Argentina.
At times it's a good idea to have someone with the president's ear out in key countries around the world. But Robert Silverman, president of the AFSA, says most other major powers don't do things this way.
"They send us career professional diplomats as ambassadors," he says, suggesting that "those countries know that career professionals are the people most likely to further their country's interests in the United States. It is a simple matter of sending the right people to the right jobs."
That's why he asked a group of former ambassadors — five political appointees and five career diplomats — to draw up the soon-to-be published list of the basic qualifications for U.S. ambassadors.
President Obama used to say he wanted more career diplomats to serve as ambassadors overseas. But the State Department's professional association says that so far, he's named a higher percentage of political appointees than his predecessors. That means plum assignments for political donors. And several of his appointees have had embarrassing moments at their confirmation hearings.
NPR's Michele Kelemen reports.
MICHELE KELEMEN, BYLINE: Former Ambassador Ronald Neumann doesn't have anything against political appointees.
RONALD NEUMANN: My father was a political appointee.
KELEMEN: But unlike some of the donors getting jobs overseas now in the Obama administration, Neumann says his father was a professor of international relations who had traveled and written extensively about the Middle East, before serving as ambassador to Afghanistan, Morocco and Saudi Arabia.
NEUMANN: He was an enormously competent appointee who served four presidents, three embassies and two parties, which is kind of unusual. But the...
KELEMEN: So he didn't come up through the Foreign Service, as you did.
NEUMANN: No. No. And we used to joke that we came into the Foreign Service together - he at the top and I at the bottom.
KELEMEN: So Neumann, who, like his father served as ambassador to Afghanistan, tries to take an even handed approach. He says all ambassadors - whether political nominees or career diplomats - need to be held up to scrutiny.
NEUMANN: There's a law which both parties ignore about ambassadors needing to be qualified - the Foreign Service Act of 1980. And people still get through even if they're manifestly not qualified.
KELEMEN: There have been some tough confirmation hearings lately, though. The Obama administration's choice to be ambassador to Hungary, soap opera producer Colleen Bell, had a tough time explaining what U.S. interests are in Budapest. It was a question from Senator John McCain of Arizona, who also sounded perplexed when the nominee to become the ambassador to Norway, George Tsunis, called a party in that country's ruling coalition a fringe element.
GEORGE TSUNIS: Norway has been very quick to denounce them. We're going to continue to work with Norway to make sure...
SENATOR JOHN MCCAIN: The government has denounced them? The coalition government - they're part of the coalition of the government.
TSUNIS: I would say that - you know what - I stand corrected.
KELEMEN: McCain has tweeted articles are about his exchange, saying: You can't make this up. He ended his questions with a note of irony.
MCCAIN: I have no more questions for this incredibly highly qualified group of nominees.
KELEMEN: The professional association for career diplomats keeps records on how many ambassador postings go to political appointees.
BOB SILVERMAN: After one year in the second term of the Obama administration, there are record numbers of political appointees. That's a matter of record.
KELEMEN: The president of the American Foreign Service Association, Bob Silverman, says more than half of the nominees so far in this second term are political. Recent presidents have given about a third of the postings to political appointees. At times, it's a good idea to have someone with the president's ear out in key countries around the world. But Silverman says most major powers don't do things that way.
SILVERMAN: They send U.S. career professional diplomats as ambassadors. And you might ask why they do so. And it's quite clear that those countries know that career professionals are the people most likely to further their country's interests in the United States. It's a simple matter of sending the right people to the right jobs.
KELEMEN: The American Foreign Service Association is so worried about the trends in Washington these days, that it's drawing up a list of qualifications that it believes any ambassador should have to represent America abroad. And it hopes congress and the White House will take note.
Michele Kelemen, NPR News, Washington. Transcript provided by NPR, Copyright NPR.