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Employers must report individual workers' wages each quarter for the Division of Employment Security (DES) wage record files. This information is used to determine monetary benefits if a worker files an unemployment claim.
Wages and other confidential unemployment insurance information may also be used for other government functions including, but not limited to, verfiying an individuals' eligibility for other government programs (RSMo 288.250).
Find out more by reviewing the following subjects:
- Methods to Report and Pay Tax
- Due Dates
- Delinquency
- Adjustments to Previously Filed Reports
- Audit Program
Methods to Report Wages and Pay Tax
The Quarterly Contribution and Wage Report and instructions are mailed to employers at the end of each quarter. It must be completed and returned by the quarterly deadlines.
There are three ways to file your quarterly reports.
- 1. Internet Reporting
Quarterly contribution and wage reports may be filed online using UInteract. After the employer enters or uploads wage data, UInteract will automatically calculate the total, excess and taxable wages and the contributions due. UInteract also stores previously entered employee information, so you will not have to enter it again. The employer also has the option to pay contributions due online by ACH debit or credit from a checking account.
Employers may start filing reports online as soon as two business days after the end of the calendar quarter. The ACH debit or credit payment may be postdated. To use the system, the employer must have an established account with the DES. Complete instructions are found in UInteract.
- 2. Magnetic Media Reporting
The DES accepts the filing of quarterly wage data by employers on magnetic media.
By using the ICESA (Interstate Conference of Employment Security Agencies) format, employers can report not only the wage data magnetically but the summary total information as well. (The ICESA organization is now known as NASWA, National Association of State Workforce Agencies.) The Missouri, Social Security (MMREF) and spreadsheet formats are also accepted. The DES will accept a CD if it meets the specifications established by the DES, see link below.
All employers who are required to report W-2 copy A information electronically to the Social Security Administration are also required to report quarterly wage information to the DES electronically. Filing the report by magnetic media or using UInteract will meet this requirement. Currently this requirement applies to employers with 250 or more employees.
For information about magnetic reporting, please call 573-751-2271, or download the form to get started: Electronic File Transfer and Magnetic Media Reporting
- 3. Paper Reporting
Simply fill out and mail in the Contribution and Wage Report. Work separation dates and the beginning and ending dates of probationary employment should be included in the wage detail. The report is also used to summarize total and taxable wages paid during the calendar quarter and to compute the amount of contributions due on the taxable wage total.
Complete instructions for preparation of this report are furnished with the report. Use the form mailed to you at the end of the quarter, or download it here.
Due Dates
Contribution and Wage Report forms are furnished by the DES and mailed to all established employers on the fourth from last working day at the end of each calendar quarter. The report should be filed and contributions paid by the last day of the month following the end of each calendar quarter. No part of the contributions due can be deducted from a worker's pay.
Quarterly contribution and wage reports become delinquent after the last day of the month following each calendar quarter, as follows:
|Submission Period
|1st Penalty*
|2nd Penalty*
|Three completed calendar months
|The month following quarter end. Deadline is last day of the month.
|Quarterly report is delinquent on
|One month delinquent
|Two months delinquent
|An additional 10% of tax due or $100, whichever is greater, per month delinquent, max 20% or $200.
|1st-Jan, Feb, Mar
|April 1-April 30
|May 1st
|June 1st
|July 1st
|2nd-April, May, June
|July 1-July 31
|August 1st
|September 1st
|October 1st
|3rd-July, Aug, Sep
|October 1-October 31
|November 1st
|December 1st
|January 1st
|4th-Oct, Nov, Dec
|January 1-January 31
|February 1st
|March 1st
|April 1st
*When the date falls on a Saturday, Sunday, or holiday, the first working date following is considered timely.
Related Links: See the printable version
Interest is charged on delinquent contributions. A penalty is established if the report is not filed by the last day of the month following the date the report became delinquent.
Reports and payments are deemed filed on the date postmarked, or the date received in a DES office if personally delivered or express mail delivered, date faxed, or the date submitted over the Internet.
The DES grants newly subject employers a 30-day extension from the date of liability notice to file reports and pay taxes.
Any employer, for good cause, may be granted an extension of time not to exceed three months for filing a quarterly contribution and wage report or paying contributions, provided the request for an extension is made on or before the due date for filing such quarterly report.
An employer is delinquent when all required contribution and wage reports are not filed and/or payments are not submitted by the due date(s). Employers are notified on a monthly basis of any delinquency.
Interest accrues at a variable rate, as established by the Internal Revenue Service, on contributions that are due and unpaid after each quarterly due date.
Failure to file contribution and wage reports or pay tax when due will result in an assessment against the employer. A certificate of assessment may be filed in the circuit court where the employer resides or has assets. Once filed, it has the effect of a judgment upon any real or personal property of the employer.
By law, the DES may garnish an employer's assets to satisfy a judgment, including 100% of wages or bank account balance.
Late Report: Because it is very important for an employer to file all contribution and wage reports timely, a penalty is imposed if an employer fails to file any required report by the last day of the month following the date the report became delinquent. The penalty is 10 percent of the contributions due or $100.00, whichever is greater, for each quarterly contribution and wage report not filed timely. This penalty will continue to be imposed each month or fraction of a month the report is not filed. The maximum penalty per quarter is 20 percent of the contributions due or $200.00, whichever is greater. This penalty is applied to all delinquent reports even when the employer has no payroll to report, or no tax or interest is due, such as those for reimbursing employers and those for employers with a tax rate of zero percent.
An employer who cannot pay all the contributions due at the end of the quarter should file the report and make arrangements for payment with the DES central office collections unit or local unemployment insurance auditor.
An employer who has an appeal pending should continue to file reports to include all wages, even those wages in dispute, to avoid penalties.
Fraud or Evasion: If fraud or evasion on the part of an employer is discovered, Section 288.160 of the Revised Statutes of Missouri provides for an additional 25 percent penalty of the amount by which the state has been defrauded.
288.380 of the law states any employer who intentionally misrepresents, misstates, or fails to disclose any material fact in order to deny unemployment benefits to a worker has committed fraud. It further provides that the DES shall assess a penalty equal to 25 percent or 100 percent of the amount fraudulently denied, depending on prior offenses.
SUTA Dumping: State Unemployment Tax Act (SUTA) dumping refers to attempts by employers to pay lower state unemployment taxes than their experience rate allows. The Missouri Employment Security Law bans these practices and requires the DES to impose substantial penalties on those who knowingly engage in SUTA dumping activities.
If an individual, organization or employing unit knowingly violates or attempts to violate the Employment Security Law related to determining the assignment of a contribution rate, or knowingly advises another in a manner that results in a violation of such provision, the individual, organization, or employing unit shall be subject to the following penalties:
- If an employer, for the current year and the three rate years immediately following the current rate year, such employer's base rate shall be the maximum base rate applicable to such type of employer, or the employer's current base rate plus two percent, whichever is greater;
- If not an employer, such individual, organization, or employing unit shall be subject to a civil monetary penalty of not more than $5,000.
Adjustments to Previously Filed Reports
To adjust previously reported amounts or data for individual workers and the overall quarterly totals (total wages, excess wages, taxable wages, tax), an employer may file an adjustment request online or by paper.
- Online: File an adjustment request through the Division's Internet reporting system, UInteract.
- Paper: Download and complete the Contribution and Wage Adjustment Report (MODES-4A). Mail the completed form to: Division of Employment Security, Attn: Employer Accounts Unit, P.O. Box 59, Jefferson City, MO 65104, or fax to 573-751-0861.
- Call: 573-751-1995, opt. 2.
A request for an adjustment must be post marked or faxed within three years of the due date of the quarter being adjusted.
Audit Program
The DES is a federally funded government agency. The federal government requires the DES to conduct a specific number of audits each year, and requires the DES to meet certain auditing standards and procedures.
Employing units in Missouri are subject to having their records examined by an authorized representative of the DES. Audits of employers' records are conducted periodically to verify proper reporting of workers and wages. Employing units are selected using a computer program for unemployment insurance tax audits.


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David Krejci avoids concussion
OTTAWA — His left eyelid slightly swollen, compliments of a hit to the head Thursday night that temporarily sidelined him, David Krejci was back and ready for action Friday night when the Bruins took on the Senators.
Krejci, the club's slick first-line center, exited the first period against Columbus when he banged his head in a collision along the boards.
"I knew the rule was to get to the room,'' Krejci said late Friday afternoon, soon after the team bus pulled up at the Canadian Tire Centre. "I had to have the concussion test, and obviously, I passed.''
His slighty swollen eyelid came from the impact of his helmet shifting downward and scratching the area around the eye. Given the green light after his concussion test, he hurried back to finish the game against the Blue Jackets, logging 18:16 in total ice time.
"I was worried overnight that it might get bigger,'' he said, noting that the inflamed area around his eye might have swollen even more.
Asked if he felt foggy upon exiting for the room Thursday evening, Krejci, with just the trace of a smile said, "I took the test and I passed.''
Krejci played a scoreless 20 minutes and 19 seconds and was a minus-1 Friday night.
Fast starter
Milan Lucic knocked home his eighth goal of the season Thursday night, his OT winner leaving him on a pace for right around 35 goals over the 82-game regular season. The 25-year-old power forward scored a scant seven goals last season and notched his career-high 30 in 2010-11.
Lucic said he likes to think of his start this season as a carryover from last spring's playoffs when he went 7-12—19 in 22 Stanley Cup games.
"And this feels more like that 30-goal season,'' he said. "When I've got the puck on my stick in goal-scoring areas, I've just got more confidence in my shot and my ability to score. During the playoffs, I got my confidence back. And I know we lost [in the Final] but my mind-set personally going into this season was to keep it going — when you get that feeling out there, you don't want to lose it.''
Prior to the goal against Columbus, Lucic had scored only once in seven games. But overall he has been far more consistent this season, never going more than three consecutive games without a goal.
"He's had a much better start,'' said coach Claude Julien. "Last year his regular season was a tough haul. Then we're fortunate in the playoffs because he was one of the reasons we went as far as we did. Now you see the goals are there as a product of a great start — he's skating extremely well. It's a matter, too, of maturity and growing into the role.''
Lucic was scoreless and went minus-1 without landing a shot. The No. 1 line was very quiet; Jarome Iginla had three shots and was minus-1.
On the dot
Patrice Bergeron, no surprise, is back again as one of the league's top faceoff artists. Headed into Friday's action, Patrice The Thief ranked No. 7 overall in faceoff wins (210). Among the top 10 players for faceoffs won, Bergeron ranked second in winning percentage (58.5) at the dot.
Leading the way among those with heavy work on faceoffs: Edmonton's Boyd Gordon (247 wins, 58.7 percent) and Phoenix's Antoine Vermette (287 wins, 58.0).
Vermette, with the most faceoff wins in the league, grew up in Bergeron's hometown of Quebec City.
"Yeah, we're friends, we see a lot of each other in the summer,'' said Bergeron. "He's always been very good at faceoffs, so I'm not surprised to see he's up there.''
Bergeron won 13 of 23 draws for 57 percent against the Senators, but overall, the Bruins had a bad night at the dot, losing 38 of 64 for 41 percent. Gregory Campbell and Krejci won only 6 of 21 draws combined (28.6 percent).
Hit parade
Lucic entered the evening with 60 hits, tying him with the Senators' Colin Greening, ex- of Cornell, at No. 8 on the league's hit list. Senators tough guy Chris Neil held the No. 6 spot with 62 hits. Prior to Friday night's games, the Islanders' Matt Martin led all NHLers with 91 hits Greening led Friday's bashers with six; Neil had four and Lucic two . . . Carl Soderberg led the Bruins with six shots but was a minus-2 . . . Boston defenseman Adam McQuaid, hindered by an undisclosed injury, did not make the trip. According to Julien, the big back liner will remain home for the road trip . . . The Bruins are off Saturday and will be back at practice Sunday, tuning up for their visit to the Raleigh, N.C., to face the ex-Whalers Monday night. They'll take on the Rangers at MSG Tuesday night, then return to face the Blues at the Garden Thursday . . . Jordan Caron again was on the sideline, his eighth straight DND.
Kevin Paul Dupont can be reached at firstname.lastname@example.com. Follow him on Twitter @GlobeKPD.

subset: commoncrawl


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Vizavee's Sam Browne belt is a contemporary take on a commuter staple that attracts the right sort of attention on or off the bike, regardless of whether you're wearing club or street threads.
Retro reflectives is a clever play on words too, referring to both the style and technical nature of the materials that beam back under the glare of vehicle headlights.
A choice of four colour schemes are printed on PVC using transparent inks for maximum UV resistance. This also means they're easily wiped down. Detailing elsewhere is sharp. Sturdy plastic buckles mean it snaps on and off in seconds, while the moleskin backing prevents unwelcome slippage and provides a secure mounting point for blinkies.
Designed with cycling in mind, its also intended for other vulnerable road users such as scooterists/motorcyclists and horse-riders. The latter is quite significant when it comes to sizing, Visavee have plumped for a one- fits most M/L supposedly gracing waists between 28 and 40 inches. Suffice to say, ours adjusted to my thirty-two in a matter of seconds and was largely unnoticed in the saddle. However, it wasn't readily adaptable to thicker layers or indeed a motorcycle jacket, so some further length would be welcomed in these contexts.
Incognito by day, the houndstooth pattern came alive from a distance of around two hundred and fifty yards on clear nights and unlit stretches, especially at junctions and roundabouts. Round town this falls to around 150. Red wasn't so effective in overcast conditions though, so I'd be inclined towards the orange/fairisle if you didn't fancy adding LEDs.
A clever way of remaining conspicuous in the saddle yet suitably chic around town.
If you're thinking of buying this product using a cashback deal why not use the road.cc Top Cashback page and get some top cashback while helping to support your favourite independent cycling website
road.cc test report
Make and model: Vizavee Reflective Sam Browne Belt
Size tested: Red
Tell us what the product is for, and who it's aimed at. What do the manufacturers say about it? How does that compare to your own feelings about it?
"Our houndstooth belts in red and white reflective". Short, sweet and to the point, although the red isn't as eye-catching as neon in low light/overcast conditions.
Tell us some more about the technical aspects of the product?
PVC belt impregnated with transparent inks (for maximum UV resistance)
Tell us how the product performed overall when used for its designed purpose
Generally speaking the belt meets its design brief extremely well, attracting the right sort of attention on the bike and off. However,it proved a tighter than ideal fit worn over thicker layers, which is particularly significant if you were planning to use it in other contexts e.g. motorcycling.
Tell us what you particularly liked about the product
Innovative design, good quality materials.
Tell us what you particularly disliked about the product
Sizing perhaps a little limited given differing audiences.
Did you enjoy using the product? Yes.
Would you consider buying the product? Yes.
Would you recommend the product to a friend? Yes.
About the tester
Age: 38 Height: 1m 81 Weight: 70 kilos
I usually ride: Rough Stuff Tourer Based around 4130 Univega mtb Frameset My best bike is: 1955 Holdsworth Road Path and several others including cross & traditional road
I've been riding for: Over 20 years I ride: Most days I would class myself as: Experienced
I regularly do the following types of riding: cyclo cross, commuting, touring, fixed/singlespeed, mtb,
Shaun Audane is a freelance writer/product tester with over twenty-eight years riding experience, the last twelve (120,000 miles) spent putting bikes and kit through their paces for a variety of publications. Previous generations of his family worked at manufacturing's sharp end, thus Shaun can weld, has a sound understanding of frame building practice and a preference for steel or titanium framesets.
Citing Richard Ballantine and an Au pair as his earliest cycling influences, he is presently writing a cycling book with particular focus upon women, families and disabled audiences (Having been a registered care manager and coached children at Herne Hill Velodrome in earlier careers)


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The bishop is a Johnnie
Kettler sees value in Catholic higher education
December 4, 2013
By Mike Killeen
Bishop Donald Kettler had a bird's-eye view of the modern day Catholic Church while attending Saint John's University and Saint John's School of Theology•Seminary from 1964-70.
Kettler, who was named bishop of the St. Cloud Diocese Sept. 20, was an undergraduate student at SJU for the latter half of the Second Vatican Council, which ran from 1962-65 in Rome. He said it was a "blessing" coming to SJU during the Council.
"It was during Vatican Council II, and it was an extremely important experience to be able to hear about Vatican Council II firsthand," said Kettler, who graduated from SJU in 1966 and the School of Theology•Seminary in 1970.
While an undergraduate student, Kettler was taught by Fathers Godfrey Diekmann, Michael Marx and Colman Barry, who was president of SJU from 1964-71. Diekmann had a leadership role as a theological adviser with the Council in the drafting and implementation of the Constitution on the Sacred Liturgy.
"They actually taught classes then," Kettler said of the three. "They would go to the Council in the fall, and come back and teach courses in the spring. That was an unbelievable experience.
"However, I also wish that I would have appreciated it a little bit more than I did at the time. Now, I appreciate it more than I did, even then."
Kettler, who served as the fourth bishop of the Fairbanks, Alaska, Diocese before being appointed by Pope Francis to come to the St. Cloud Diocese, said he was very much interested in intramural sports while attending Saint John's.
"Any time that I could, I was involved at Saint John's in intramural basketball, intramural softball. Part of that was the opportunity to play these sports with college students," Kettler said. "It just wasn't intra-seminary stuff. That's how I got to know a number of priests of the Diocese of St. Cloud. Oftentimes, they would come out on their days off, and we'd have a touch football, basketball, softball game together.
"Actually, I remember the priests best from that experience, rather than the more formal stuff. I tell people that the athletic side was pretty important at the time."
Kettler said there were two sides to his spiritual formation at Saint John's.
"There was the spiritual formation offered both by the Diocese of St. Cloud and by the Benedictine spirituality. I had the opportunity to see both - kind of a two-fold education, which was good for me," Kettler said. "That was really useful. Because I was interested in the diocesan priesthood and not consecrated life and monastic life, I was glad they had both programs."
He also sang in the seminary choir, which was directed at the time by another seminarian, Charlie Parker - now retired Fr. Charlie Parker.
"He (Parker) had his doctorate in choral music. We turned out to be a pretty decent men's choir, because of his expertise," Kettler said. "He came back for my installation. That was kind of neat, for me.
"So, the music part was important, the theology of Vatican II was pretty important to me, and the athletics and getting to know the priests were all important."
Kettler has supported Catholic education over the years.
"It's very important for me to have people who live and are committed to their faith. When you have that type of person, and they are a teacher in a Catholic school, they can have great influence on people. I think it's the best catechetical tool we have, beyond the family, because of the time and the people we have."
That continues through high school into a college or university, like the College of Saint Benedict and Saint John's University, Kettler said.
"My value is that we have strong, professional Catholic leaders, and higher education would help with that," Kettler said. "For me, (CSB and SJU) have to be an example of, and a teacher of, Catholic principles. You have to do that. Now, you can do that in a way that includes different people of different philosophies. But I think we come as a special witness to all of that."


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Supernova 1987A, discovered in 1987, is the closest exploding star to Earth to be detected since 1604 and resides in the nearby Large Magellanic Cloud, a dwarf galaxy adjacent to our own Milky Way Galaxy. In addition to ejecting massive amounts of hydrogen, 1987A has spewed helium, oxygen, nitrogen and rarer heavy elements like sulfur, silicon and iron. Supernovae are responsible for a large fraction of biologically important elements, including oxygen, carbon and iron found in plants and animals on Earth today. Since the supernova is roughly 163,000 light-years away, the explosion occurred in roughly 161,000 B.C. (One light year is about 6 trillion miles).
While there is, on average, only one supernova per galaxy per century, there is something on the order of 100 billion galaxies in the observable Universe. Taking 10 billion years for the age of the Universe (it's actually 13.7 billion, but stars didn't form for the first few hundred million), Dr. Richard Mushotzky of the NASA Goddard Space Flight Center, derived a figure of 1 billion supernovae per year, or 30 supernovae per second in the observable Universe!
Many astronomers today believe that one of the most plausible reasons we have yet to detect intelligent life in the universe is due to the deadly effects of local supernova explosions that wipe out all life in a given region of a galaxy.
The University of Colorado Cosmic Origins Spectograph team using NASA's newly refurbished Hubble Space Telescope recently observed the supernova in optical, ultraviolet and near-infrared light, charting the interplay between the stellar explosion and the famous "String of Pearls," a glowing ring 6 trillion miles in diameter encircling the supernova remnant that has been energized by X-rays. The gas ring likely was shed some 20,000 years before the supernova exploded, and shock waves rushing out from the remnant have been brightening some 30 to 40 pearl-like "hot spots" in the ring — objects that likely will grow and merge together in the coming years to form a continuous, glowing circle.
"The new observations allow us to accurately measure the velocity and composition of the ejected 'star guts,' which tell us about the deposition of energy and heavy elements into the host galaxy," said CU-Boulder Research Associate Kevin France of the Center for Astrophysics and Space Astronomy and a member of the Cosmic Origins Spectrograph science team since 2007. "The new observations not only tell us what elements are being recycled into the Large Magellanic Cloud, but how it changes its environment on human time scales."
Hubble is the only observatory in the world that can observe the brightening of the String of Pearls in ultraviolet light, said France. Most of the data for the study was gathered by the Space Telescope Imaging Spectrograph, or STIS, which was installed on Hubble in 1997 and was one of the workhorse instruments before its power supply failed in 2004. A faulty circuit board on STIS was replaced by astronauts on the final Hubble repair mission in May 2009.
The team compared STIS observations in January 2010 with Hubble observations made over the past 15 years on 1987A's evolution. STIS has provided the team with detailed images of the exploding star, as well as spectrographic data — essentially wavelengths of light broken down into colors like a prism that produce unique fingerprints of gaseous matter. The results revealed temperatures, chemical composition, density and motion of 1987A and its surrounding environment, said France.
"To see a supernova go off in our backyard and to watch its evolution and interactions with the environment in human time scales is unprecedented," he said. "The massive stars that produce explosions like Supernova 1987A are like rock stars — they live fast, flashy lives and die young."
France said the energy input from supernovae regulates the physical state and the long-term evolution of galaxies like the Milky Way. Many astronomers believe a supernova explosion near our forming sun some 4 to 5 billion years ago is responsible for a significant fraction of radioactive elements in our solar system today, he said.
"In the big picture, we are seeing the effect a supernova can have in the surrounding galaxy, including how the energy deposited by these stellar explosions changes the dynamics and chemistry of the environment," said France. "We can use this new data to understand how supernova processes regulate the evolution of galaxies."
The Daily Galaxy via University of Colorado at Boulder


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Achieve with us.®
People with intellectual and/or developmental disabilities (I/DD)1 must have access to individual supports, such as assistive technology and personal assistance, to support their participation in daily life.
People with intellectual and/or developmental disabilities are often able to better perform basic tasks of everyday life such as communicating, interacting with others, completing daily living routines, and moving in and around their homes and communities when individual supports are provided when needed. All too often, individual supports are denied because of restrictive criteria such as age, disability label, severity of the disability, problem behavior, motor or sensory limitations, or test scores. For many people, the opportunity to create individual supports is limited by the availability of funding due in some cases to waiting lists and the institutional bias in Medicaid.
People with intellectual and/or developmental disabilities must have access to the supports necessary to lead a meaningful life in the community. These supports should be provided based upon functional needs and choice. Supports should lead to opportunities for community involvement and development of individual interests. Individual supports may include:
Supports must be individually planned and applied according to the principles of person-centered planning, self-determination and individual outcomes, flexible funding, and team collaboration. The individual supports must be independently and regularly monitored for quality, safety, and effectiveness.
Congress of Delegates, The Arc of the United States, 2011
Rev'd 2017
Joint Statement with the American Association on Intellectual and Developmental Disabilities (AAIDD).
1 "People with intellectual and/or developmental disabilities" refers to those defined by the AAIDD classification and DSM IV. In everyday language they are frequently referred to as people with cognitive, intellectual and/or developmental disabilities although the professional and legal definitions of those terms both include others and exclude some defined by DSM IV.
The Arc, 1825 K Street, NW, Suite 1200, Washington, DC 20006(800) 433-5255, ©2018 All rights reserved.
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Want to donate physical items? Contact a local chapter.


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DIY Body Sugaring Recipes For Removing Hair
Centuries ago in ancient Egypt, Cleopatra and her handmaidens discovered a secret beauty treatment that magically and painlessly got rid of unwanted hair…and this recipe was lost for years until recently discovered. At least that's what the television infomercial declared years ago when I first became aware of body sugaring.
I pulled out my credit card, ordered my tub, gave it a try and found that a) it wasn't painless like the infomercial stated and b) it was pretty pricey considering I could go to the salon and have a professional take care of the mess for just a few bucks more. I never placed another order.
Over the years I've discovered a few homemade versions that do just as good a job as that pricey tub cost me, and they cost only pennies to make! Now we're talking ;).
If you're wondering what this is, it's epilation that's very similar to waxing, a sugary mixture is heated then cooled and applied to the area of the body that you want to get rid of hair. Strips of fabric are pressed over top then ripped off. If it works, the fabric is now covered with hair. If it doesn't completely get it all, just reapply and rip again.
Since the paste can grab and pull the hair out deep at its roots, the new growth is slower to appear than if shaved (which just removes growth at the surface). Skin is left soft and smooth and there's not much mess (especially when compared to waxing) since the mixture is water soluble and washes off easily.
If you'd like to give this a try, here are three different ways to make it plus directions for application (and ripping). Good luck!
Supplies Needed:
- Candy thermometer (to measure temperature while mixture is heating)
- 1″ strips of cotton fabric (about 8″ to 10″ in length)
- Wooden popsicle sticks or spatula
Before getting started: Wash well with soap and water, removing all traces of oil, makeup, deodorant and dirt. Pat dry.
Ingredients: (Two different recipes, choose one)
- #1: 2 cups sugar, 1/4 cup lemon juice (freshly squeezed), 1/4 cup water
- #2: 1 cup sugar, 1 cup honey, juice from one half lemon (freshly squeezed)
Heating Directions:
- Combine ingredients in a heavy saucepan and turn on the heat to medium. Once it starts boiling, reduce heat to low and cook until the mixture reaches 250°F (stir often so it doesn't boil over) then take off heat. If a thicker paste is preferred, just heat to 245°F.
- Let it sit until it's warm then pour into a glass canning jar. Continue to let it cool till it's at room temperature. Careful! This will cause serious burns if it's not cooled down properly before applying.
Microwave Version:
- 1 cup sugar, 1/4 cup honey, juice from one half lemon (freshly squeezed)
- Directions: Combine items in a large glass bowl then heat in the microwave for two minutes, stopping every 20 to 30 seconds to stir. Once it's finished cooking, allow to cool down a bit before pouring into a glass canning jar and letting it rest till it's at room temperature. Source: cbc.ca.
How To Apply:
- Lightly dust the surface with cornstarch and rub it in. Lightly is key, this will help protect the skin a bit so the paste doesn't stick to it as much (helping lessen the pain).
- Using the popsicle sticks, slather on a thin layer in the direction of the growth then cover with cotton strips (do in batches of 3 or 4 until the entire area is covered). Rub the fabric a few times firmly (in the direction of the growth).
- Let it sit for about a minute then pull skin tight with one hand and rip each strip off quickly with the other (in the opposite direction of the growth). Reapply as needed (can reheat if it gets too cool).
That's it! Does it hurt? Yes, I think it does but I'm a bit of a wimp ;). Over time with more treatments you do get de-sensitized to it a bit.
- Hair should be at least 1/4″ so the mix/paste has something to really grab onto.
- Hand wash the strips in warm soapy water, dry and reuse them again and again. Muslin or diaper flannel work well.
- Careful to avoid growths such as skin tags, warts and moles. Also avoid applying on top of stretch marks, abrasions, scrapes or cuts, scar tissue, delicate area around the eyes, rashes and varicose veins.
- Seal any leftovers in the jar and refrigerate to use later (simply reheat).
- If paste is too hard to work with, add a spoonful of water and reheat in the microwave for a minute or so until it's hot. Stir then allow to cool as above.


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Summers at the George Observatory are about to get a whole lot sweeter.
In addition to our normal (but extraordinary) telescope viewings and astronomy lectures, beginning June 1, we'll also have our portable planetarium — the Discovery Dome — on-hand Friday and Saturday nights through Aug. 25.
This young astronomer loves the Discovery Dome!
Each weekend night — plus member nights and at family events — the Discovery Dome will show one of three rotating shows every half hour: Black Holes, We Choose Space, and Life in the Universe.
Black Holes, narrated by Star Trek: the Next Generation's John de Lancie, explores the mystifying phenomena of black holes, their origin and the latest scientific knowledge about what exactly black holes are and how we can locate them.
We Choose Space details the real-life adventures of astronauts at the International Space Station and on the Moon during the Kennedy administration.
Life in the Universe brings viewers behind the search for extraterrestrial intelligence, exploring the planets in our solar system. From the birth and death of stars to the formation of distant galaxies, this show is jam-packed with visuals of the universe.
Tickets are $3 for the Discovery Dome show and $5 for telescope and astronomy lecture tickets. For $10, a package of telescope and astronomy lecture tickets, a Discovery Dome ticket and a pass to HMNS Sugar Land's permanent exhibits is available.
The Discovery Dome will run Fridays from 7:30 to 10 p.m. and Saturdays from 3:30 to 10 p.m.
For more information about programming at the George Observatory and all our great summer events at Brazos Bend State Park, click here!


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Sunday, July 5, 2009
Roasted green beans with marcona almonds
This is another really simple recipe that produces unique results. Green beans and onions are roasted at high heat and seasoned with lemon and herbs. Chopped marcona almonds finish the dish.
The first time I made the recipe, I tossed the raw green beans onto the pan and threw them in the oven. It tasted great, but the green beans turned an unattractive shade of drab green. I figured out that blanching the green beans before roasting allows them to keep their vibrant green color.
64 comments:
- Cathy said...
Yum! These look great Sara!
- July 5, 2009 at 9:49 AM
- Elra said...
I love Marcona almonds, although they are kind of more expensive then the regular almond. I guess it worth it, since I find the taste is more delicious then the regular almond.
- July 5, 2009 at 9:59 AM
- noble pig said...
I have made this exact recipe many, many times and is a regular around here.
- July 5, 2009 at 10:17 AM
- Soma said...
Oh WOW! love the colors.. & thanks for the tip of blanching the beans first. I have never bought the marcona almonds.
- July 5, 2009 at 10:28 AM
- Suzy said...
That looks totally awesome. I saw some Marcona almonds for sale recently and now wish I had dished out the dough for them!
- July 5, 2009 at 10:40 AM
- Manggy said...
Good call on the blanching. Such a simple dish, but it really brings out the freshness of the components. (Of course, I am a green bean lovah :)
- July 5, 2009 at 10:50 AM
- Bridgett said...
Such a great recipe! This has been a hit in my house before. Your photos are always lovely as well.
- July 5, 2009 at 12:31 PM
- Sarah said...
Delicious and simple...Perfect for summer!
- July 5, 2009 at 1:54 PM
Sounds excellent! I will look for marcona almonds - not sure I've tried those yet!
- July 5, 2009 at 1:54 PM
- Barbara Bakes said...
I've done the same thing with a recipe I've cut out. They look delicious!
- July 5, 2009 at 3:14 PM
- Cheryl said...
I adore Marcona Almonds! YUM
- July 5, 2009 at 5:28 PM
- Claudia said...
I have never cooked with marcona almonds - I tend to eat them before they find their way into a recipe. This sings summer and I love the idea of blanching them first. Lovely.
- July 5, 2009 at 6:02 PM
- teresa said...
Great idea with the blanching, these look fabulous!
- July 5, 2009 at 6:37 PM
- Christina Kim said...
i agree that blanching them is key to retain that color! marcona almonds are my absolute favorite - they are oily and crunchy and delicious. If only they weren't so expensive!
- July 5, 2009 at 8:23 PM
- ♥peachkins♥ said...
healthy and tasty! yumyum!
- July 5, 2009 at 8:28 PM
- Katrina said...
These beans look delicious!
- July 5, 2009 at 9:15 PM
- Selba said...
A wonderful dish!
- July 6, 2009 at 5:19 AM
- Chef Fresco said...
Very unique recipe - looks good!
- July 6, 2009 at 6:49 AM
- Megan said...
This looks so good!! I've never roasted green beans. I usually just steam them. I can imagine they taste wonderful when roasted. I'm adding this to my to-make list!
- July 6, 2009 at 7:57 AM
- finsmom said...
Good Morning!
Great recipe!
I have a little award waiting for you over at my blog :)
- July 6, 2009 at 7:59 AM
- Debbie said...
The green beans look delish. Thanks for the tip regarding blanching!
- July 6, 2009 at 8:05 AM
- Jenna said...
I love any veggie roasted!
I've never tried or even heard of Marcona Almonds...I will have to look for them.
Your photographs are beautiful per usual!
- July 6, 2009 at 8:11 AM
- Donna-FFW said...
Oh how gorgeous!! Love this side dish!!
- July 6, 2009 at 8:19 AM
- Nutmeg Nanny said...
They look great!
- July 6, 2009 at 9:18 AM
- Diana said...
Yep, this recipe has pretty much all my favorite things in it. A trip to TJs for Marcona almonds may be in order soon!
Hope you had a nice 4th!
- July 6, 2009 at 11:14 AM
- Yasmeen said...
Looks absolutely stunning with almonds and caramelized onions :)
- July 6, 2009 at 1:56 PM
- Annie said...
I love roasted green beans... Great tip to blanch them first.
I usually steam them a bit before roasting because I like the texture better!
- July 6, 2009 at 5:33 PM
- Reeni♥ said...
These look great! Love the texture and crunch from the almonds.
- July 6, 2009 at 6:20 PM
- The Food Hunter said...
I'm so glad you made this recipe. It looks awesome. Thanks for sharing.
- July 6, 2009 at 8:10 PM
- Chef E said...
What a lovely dish, and I always loved almonds with string beans, okay I live in the NE now and that is what they call them!
I will have to look for these, as restaurants kitchen buy cheaper versions, and I bet I can find them online or in Whole Foods? Wegmans?
- July 6, 2009 at 9:37 PM
- The Fajdich Times said...
Sara these look great!
- July 6, 2009 at 9:47 PM
- Debinhawaii said...
Gorgeous! I make something similar with regular almonds but never thought of using marcona almonds--wonderful idea.
- July 6, 2009 at 10:56 PM
- Pam said...
I've done that too, found recipes on the back of the chosen one, that ended up being even better than the original one!
- July 7, 2009 at 3:51 AM
I love this idea. YUM. Seriously YUM.
- July 7, 2009 at 5:45 AM
- Stacey Snacks said...
Marcona almonds are so good.....also reminds me of the salad you and I made from Sunday Suppers w/ the dates & marconas....so good!
- July 7, 2009 at 6:18 AM
- Robin Sue said...
I love green beans with almonds and onions. It is so simple and elegant every time!
- July 7, 2009 at 7:19 AM
- Sophie said...
Lovely bean recipe: very apart!
- July 7, 2009 at 9:23 AM
- Ingrid said...
Mmmm, my guys really enjoy green beans..this would be a nice change from the norm for them.
- July 7, 2009 at 12:20 PM
- Zoe said...
so beautiful!
- July 7, 2009 at 2:05 PM
- Natashya said...
Looks wonderful! I have just gotten into the habit of blanching too, makes all the difference in the world.
- July 7, 2009 at 2:07 PM
- unconfidentialcook said...
Aren't roasted vegetables the best? We do it with everything now, even peas, and both my husband and daughter who hate veggies eat them without even a face or fuss.
- July 7, 2009 at 3:03 PM
- Michelle @ Find Your Balance said...
that looks like an easy way to make an impressive looking dish! thanks for the tip about blanching.
- July 7, 2009 at 3:09 PM
- Kerstin said...
I love green beans and this is such a great way to dress them up - yum!
- July 7, 2009 at 3:29 PM
- maris said...
Sometime it's the best recipes that are made by accident :) I've never had marcona almonds but am eager to try them now!
- July 7, 2009 at 6:59 PM
- Helene said...
I love green beans, this is a new way for me to eat them.
- July 7, 2009 at 10:16 PM
- Melody said...
This looks like a wonderful side dish! I love any vegetable roasted...especially with onions.
- July 8, 2009 at 6:16 AM
- The Short (dis)Order Cook said...
I roast a lot of vegetables, but I've never done green beans. I just bought some at the farmer's market this weekend and just steamed them and tossed them with sauteed garlic and oil. Now I wish I had tried roasting them. I'll have to pick up some more this weekend and try this.
Mmmm...marcona almonds
- July 8, 2009 at 11:23 AM
- Pearl said...
green beans look wonderful!
- July 8, 2009 at 9:55 PM
- ♥Rosie♥ said...
This looks wonderful Sara! The colours are amazing I must remember your tip re-blanching!
- July 9, 2009 at 6:47 AM
- girlichef said...
mmmm..this looks delicious...love green beans with almonds! I thought the onions were grilled chicken when I looked at it the first time...which makes me think adding a little grilled or roasted chicken would make this a perfect meal! :D
- July 9, 2009 at 6:59 AM
- Sara said...
This recipe was definitely fate. It looks delicious.
- July 9, 2009 at 7:11 AM
- Olga said...
Pretty! I bet you could do the same with asparagus.
- July 10, 2009 at 8:34 AM
- Ana Powell said...
Hi Sara
Delicious green beans. Beautiful colours and great photo x
- July 10, 2009 at 12:16 PM
- Juliana said...
These green beans look terrific...love the simplicity of it and yet so yummie!
- July 10, 2009 at 1:27 PM
- Judy said...
Green beans are my fave veggie, but I've not had Marcona almonds. I love roasted veggies, any kiind.
- July 10, 2009 at 4:18 PM
- Gera @ SweetsFoods said...
A recipe that never should be existed..like a movie title, impossible to turn out wrong with green beans, onions and herbs :)
- July 10, 2009 at 4:30 PM
- alexandra said...
Oh yum. Marcona almonds on anything would make me happy. I love the combination of green beans and almonds and haven't made it yet this summer. Soon I will!
- July 10, 2009 at 6:52 PM
- Marta said...
Good call on the blanching, I'm glad it helped preserve their appetizing colour!
I don't think I've ever had a marcona almond... am I missing a lot??
- July 11, 2009 at 2:23 PM
- Melissa said...
Yummy, that looks great! Thanks for sharing the recipe.
- July 11, 2009 at 5:04 PM
- Lori Lynn said...
Fabulous! Love marcona almonds too.
- July 12, 2009 at 3:17 AM
- My Carolina Kitchen said...
This is so funny. The same thing has happened to me when I've saved a page from a magazine. I end up making an entirely different dish.
I too have tried roasting green beans and they turned out brown. I'm glad you've solved the problem.
I've been traveling with no internet access and I've missed everyone. It's so nice to be back.
- July 13, 2009 at 4:08 AM
- Becky said...
This is one of our favourite green bean recipes. Yours look so lovely, I'd like to eat them right now!
- July 18, 2009 at 12:23 AM
- nora@ffr said...
love marcona almonds!! love this simple dish sara! beans are just perfect :)
- August 21, 2009 at 8:43 AM
- Bill Medifast said...
This is such a delicious recipe Sara. I tried it last week and everyone loved it. Such a good meal and it was even child friendly... weird.
Hope to see you posting again soon. You definitely have a talent.
Bill M.
- November 10, 2009 at 12:58 PM


text:
The Windows 8 Consumer Preview is out, along with a limited number of preview apps designed to showcase the new Metro style. Some apps, such as Mail, Messaging, Camera, Maps, People, Reader, Weather, and IE, come pre-installed. Nearly 100 free apps are available in the Windows Store, shown above.
Here's a look at my favorite preview apps out of the selection available, both pre-installed and downloadable from the Store.
Note: If you'd prefer to view this information as a blog post, check out this entry in our Five Apps blog.
Full Bio
Debra Littlejohn Shinder, MCSE, MVP is a technology consultant, trainer, and writer who has authored a number of books on computer operating systems, networking, and security. Deb is a tech editor, developmental editor, and contributor to over 20 additional books on subjects such as the Windows 2000 and Windows 2003 MCSE exams, CompTIA Security+ exam, and TruSecure's ICSA certification.


text:
BREAKING NEWS - record runs in men's 100m quarterfinals
Jill Geer
Director of Communications
USA Track & Field
The men's 100m quarterfinals on Saturday brought an American record, Olympic Trials record, Hayward Field record, American junior record, American high school record and a tie of the world junior record.
Tyson Gay's 9.77 brokeMaurice Greene's American record of 9.79 set in Athens in 1999, as well as Greene's Olympic Trials record of 9.91 from 2004 and Shawn Crawford's Hayward Field record of 9.88, set in 2004.
Crossing the finish after Gay was high schooler Jeff Demps of Okahumpka, Florida, who crushed two records and tied a third with his time of 10.01. It broke Walter Dix's American junior record of 10.06 from 2005 as well as J-Mee Samuels' national high school record of 10.08, also from 2005. He tied the world junior record of 10.01, held since 2003 by Darrel Brown of Trinidad & Tobago.
In the second heat, Travis Padgett of Clemson broke Ato Boldon's collegiate record, running 9.89 to shave .01 off Boldon's mark from 1996.
All told, seven men ran 9.99 or faster, all wind-legal.


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Prophylactic Cranial Irradiation PCI Long Term Effects
My sister has gone through 5 cycles of chemo (1 more cycle to go) and 25 chest radiation therapy treatments. The doctor is suggesting PCI (10 treatments) when her chemo is finished. She has asked questions regarding long-term effects and was told to surf the net to find out (I find that unacceptable). If you can offer any information or point me to a legitimate site, I would be very grateful. Thank you for anything you can offer.
Barbara Campling, MD, Medical Oncologist, responds:
From what you tell me about your sister's treatment, especially the fact that she had radiation to the chest along with her chemotherapy, I assume that she has "limited-stage" small cell lung cancer. This means that the cancer was confined to the chest at diagnosis, and that she was well enough to tolerate aggressive treatment that offers some hope of long-term survival. The fact that she is being offered radiation therapy to the brain at the completion of her chemotherapy is a good thing, and this implies that her cancer has responded well to therapy so far.
As you have discovered, prophylactic cranial irradiation (PCI) has been used for many years in this disease. Small cell lung cancer usually responds very well to chemotherapy. However, chemotherapy does not get into the brain very well. As a result, the chances of the cancer recurring in the brain after completion of therapy are as high as 50% in patients who live for two years after diagnosis. Many studies have shown that the chance of recurrence in the brain is greatly reduced by giving PCI after the completion of therapy. Furthermore, there is significant improvement in the long-term survival in patients who get PCI. For some time, we were just offering this treatment to patients with limited-stage small cell lung cancer who had already responded to treatment, because those patients were the ones expected to live long enough to benefit from PCI. However, a newer studies support the use of PCI even for patients with extensive-stage small cell lung cancer (that has spread outside of the chest and cannot be cured) who have responded well to chemotherapy. PCI can also prolong survival for these patients.
You are concerned about possible damage to the brain with this treatment. The dose of radiation that is given to prevent recurrence of cancer is lower than the dose used to treat brain metastases. Patients who get this treatment may experience headaches, nausea and fatigue during and for a short time after the treatment. If your sister decides to go through with this treatment, it may delay the recovery from the rigorous chemotherapy and chest radiation that she has been through. There have been some studies that have compared the cognitive functioning of patients who did and did not receive PCI. No differences were found. However, although the majority of patients function normally after PCI, radiation therapy to the brain can result in some cognitive decline that is most commonly experienced by patients as short-term memory loss. These possible side effects need to be balanced against the benefits, namely a reduced chance of recurrence in the brain and a significant improvement in overall survival.


text: We wanted so badly to be clever about love for today's list. It being Valentine's Day tomorrow, all those schmaltzy jewelry commercials are on TV; if we see another saccharine Hallmark card, we might self-destruct. A list of the 10 best anti-love novels or the most memorable characters wreaking revenge on hurtful lovers might have been an antidote to the commercialized ritual of love we all undergo this week. But when we started filing through the Kirkus archive, we kept saying "awww" and sighing while recalling love stories we unironically, unabashedly admire. So we'll toss the clever façade: here are the 10 love stories we don't ever want to forget.


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Tierrasanta Elementary
ASEP - Week 5
Classes begin at 2:15pm and end at 3:15pm
Except on Minimum Days (Thursdays) and Additional Minimum Day Wednesdays
Classes begin at 12:15pm and end at 1:15 pm
TK and Kinder Students will have a Chaperone to take them to and from classes. The information you provide when purchasing Class will be the main contact person for emergencies, absences, or any other issues. Please provide up to date information or contact firstname.lastname@example.com for any information changes.
Thank you


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Andrea in "The Beginning of the End" Episode 12 of Season 26
Andrea Boehlke competes for Immunity during the twelfth episode of SURVIVOR: CARAMOAN – FANS VS. FAVORITES, Wednesday, May 1 (8:00-9:00 PM, ET/PT) on the CBS Television Network. #Survivor. Photo: Greg Gayne/CBS© 2013 CBS Broadcasting Inc. All Rights Reserved.


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Alex Landon
Adjunct Professor of Law
- JD, 1971, University of San Diego
- BA, 1968, California State University, Northridge
Professional Experience
Landon is a highly respected and prominent criminal defense lawyer in San Diego and serves as lead counsel in class action lawsuits involving jail and juvenile hall conditions.
Professor Landon teaches in the area of criminal litigation.
Honors and Affiliations
Landon is a former executive director of the Defenders Program of San Diego Inc; chairperson of the board of directors for Community Connection; chairperson of the Commission of Legal Services to the Indigent Accused of the State Bar of California; and past president of the California Attorneys for Criminal Justice and the San Diego Criminal Defense Bar Association.


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It's been another whirlwind week!
This week's Three Things:
The Good: Movies again this week: but this week was "Africa United" and it was WONDERFUL! Can't recommend enough!
The Bad: Big accident down the street from us last night. Traffic stuck for an hour, which is never good. But someone died – which is never nice. Sad…
The Humorous: THIS


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Yeah, this whole Cash For Clunkers thing makes us want to drink, too. Thankfully, the folks at LemonDrop.com have created an appropriate drink: The Clunker. How do you make one?
Here's the recipe for the government program-themed drink:
The Clunker
This cocktail is an unorthodox meeting of the Sidecar and the
Rusty Nail:
1 ounce Scotch
1 ounce Brandy
1/2 ounce Drambuie
1/2 ounce Triple Sec
1/2 ounce Lemon juice
Shake all ingredients together. Garnish with a twist of lemon (no pun intended).
Bottoms up.
Photo Credit: Donald Bowers/Getty Images for Zimmermann [LemonDrop]


text:
charlieJack wrote:i dislike the song 'Party Time'. a lot. it's going on my 'Worst Phish Songs' list, which includes...i don't know...Sparkle, i suppose.
mafujon wrote:I like the album alot. Though I find the tone repeats itself...great to listen to on shuffle.
Love birdwatcher anything that can replace grind as the acapella encore song of choice.
and I seem to enjoy most songs that you all hate so I have no idea what the hell it says about me.
Users browsing this forum: No registered users and 0 guests


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Edith K. Draham Scholarship
Amount: $1,110
Due Date: Friday, February 22, 2019
Offered to a new or currently enrolled student attending Evergreen full time with demonstrated ability in fiction writing and demonstrated financial need.
- Letter of application explaining your achievements and why you wish to be considered for this scholarship. Include a statement related to your financial need.
- A finished work of fiction—a short story or novel segment.
- A letter of recommendation written within the past year.
- FAFSA or WASFA (see How to Apply #4).


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With its location in the center of the highly populated Northeast Corridor and at the gateway for exporting around the world, New Jersey is ideally situated for manufacturing. In fact, 130 million consumers are within a day's drive of New Jersey. New Jersey's excellent transportation infrastructure, combined with extensive warehousing and distribution channels, enhance its manufacturing strength. In addition to a roster of well-known pharmaceutical companies, New Jersey manufacturing companies range from Lockheed Martin, BASF, Honeywell and Unilever to Campbell Soup, Mars, Pinnacle Foods and Goya Foods. The advanced manufacturing cluster, which includes chemical, pharmaceutical manufacturing, computers and electronics, machinery and transportation equipment, is growing, thanks to New Jersey's highly skilled workforce.
- Obtain skilled training, education and a wide range of support through the State's workforce training grants.
- Save on energy costs with rebates and low-cost financing for renewable energy systems, equipment and technologies.
- Incentive grants for creating or retaining jobs and tax exemptions for purchase of materials needed for relocation are available.
- New Jersey Manufacturing Extension Program (NJMEP) http://www.njmep.org works with companies on cost-saving strategies and growth initiatives.
- The internationally recognized Rutgers Food Innovation Center offers assistance in food processing and production.


text:
Georgia: Valdosta State University HEROs Rock Red for HIV/AIDS
On March 11, the Valdosta State University (VSU) chapter of the National Council for Negro Women (NCNW) and the VSU HEROS hosted a red-themed event to promote HIV/AIDS and heart disease awareness. Guest speakers from the South Health District gave presentations and held question-and-answer sessions. A fashion show followed the talks. Erika McCoy, VSU HEROS president and NCNW secretary, created the event and co-hosted it with fellow member Nevel Phillips. McCoy declared, "I just want people to know these diseases are preventable. Knowing about them is better than ignorance toward them."
Speakers Tracy Gosier and John Rogers addressed the topics of diabetes, heart disease, and HIV/AIDS, and shared information about how to prevent these diseases. They revealed that the Southeast has the highest number of HIV cases; more than a million people in the area live with AIDS; and there were 25,000 new cases in 2010 alone. Rogers, a community HIV educator, asserted that STDs particularly affect young people. He hoped to make college students aware of the STD problem. At the fashion show following the presentations, the models wore their favorite red clothing item to highlight fighting AIDS and heart disease.


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United States Canada Australia Britain France Germany Italy USPS ship 5-15 days.
Japan,South Korea,Taiwan,Hong Kong,Malaysia,India USPS ship 10-25 days .
Other parts of the country Air Mail ship 15-30 days .
21KG more order will be DHL UPS ship, usually within seven days..
Charlie cigarettes Fine Virginia Blend filter$23.00
Charlie Lights cigarettes American Blend$23.00
Charlie Lux cigarettes American Blend$23.00
Charlie Special Blend cigarettes$23.00
Product 1/4
Create any kind of content and add it
from the admin panel.


text:
A site feed is a machine-readable representation of your blog that can be picked up and displayed on other web sites and information aggregation tools. For information on enabling your feed, see:How do I change my site feed settings?
Special pieces of software called feed readers, news readers, or aggregators can scan your site feed, and automatically let your readers know when your blog has been updated. You can learn more at AtomEnabled.org.


text:
Reading claimed a massive victory at Newcastle as they came from behind to win 2-1
Adam Le Fondre came off the bench to score twice and earn Reading a 2-1 win over Newcastle at St James' Park.
Last Updated: 19/01/13 8:36pm
Newcastle had looked comfortable at the break after Yohan Cabaye, on his first start since November, had curled home a wonderful free-kick ten minutes before the break, but Le Fondre struck twice in the space of six minutes to earn Reading the points.
If ever there was a must-win game, this was it for Newcastle after a run of just two wins in 13 Premier League games which had seen them slide inexorably towards the scramble for top-flight survival.
Promoted Reading arrived on Tyneside as one of only four sides with a worse record than the Magpies, and they showed glimpses early on and should have gone ahead through Pavel Pogrebnyak as he slid the ball wide.
But it was Adam Federici who kept Reading in the game in the opening 45 minutes after a string of fine saves.
He kept out Papiss Cisse on two occasions with excellent stops, whilst he also saved well from Cabaye before the Frenchman curled home his effort from 22 yards.
The second half saw Reading come out strong, but they could not find a way through and Newcastle looked to have weathered the storm from both the visitors and the conditions as the snow came down.
Then Reading boss Brian McDermott brought on Le Fondre and, within 60 seconds he had levelled. Mikele Leigertwood found Jimmy Kebe with a wonderful cross-field pass, the winger fired the ball into the six-yard box and Le Fondre bundled the ball over the line.
Moments later the home fans were less than happy as Cabaye was brought off, and their mood was somewhat worse minutes later as Reading snatched the lead.
Again Kebe was involved as he nodded the ball down for Hope Akpan, his mis-hit shot fell into Le Fondre's path and he curled the ball into the corner from 12-yards.
Cisse fired wastefully over the top and substitute Gabriel Obertan forced Federici to make a late save in a desperate flurry, but there was no way back for a beleaguered Newcastle.
The win means Reading now move out of the bottom three and to within two points of Newcastle who are firmly in the relegation dog-fight.


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Frederic Duclos Sterling Silver Jewelry
In Stock | STYLE: 001-670-00273
In Stock
Frederic Duclos Sterling Silver & Rose Gold Plated Barbara Earrings E1078*Prices are subject to change based on fluctuations in metal prices and currencies
Frederic Duclos is an award winning French designer of contemporary sterling and 14 karat combinations of jewelry and gifts. For 30 years, Frederic has presented collections that reflect sensuality and femininity with a twist of reality. The numerous awards he has received throughout the years always encourages him to create fresh, new concepts. His jewelry is manufactured in Italy.


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Protect your files and folders with File & Folder Protector at Windows kernel level. This great easy-to-use password-protected security utility lets you password-protect certain files and folders, or to hide them securely from viewing and searching just with a click of mouse. When PC user tries to access any protected file or folder, dialog box querying password appears on the screen. If entered password is valid, the user can access this file or folder, otherwise not. File & Folder Protector does not modify your media: in protecting your files or folders, it just uses a high-reliability VXD driver working at Windows kernel level. This guarantees that File & Folder Protector will never lose your data, as may happen if you use other file- and folder-protecting software. Due to unique technology, the program also lets you protect system files and folders such as the Windows System, Registry and Swap files. You will find it very easy to use. Excellent on-line help is available. Try our password and security tools. Free downloads.
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SoftHeap.Com is a software shop of PayPro Global, Inc. created by Ixis Research LTD in 1999.


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Intercultural Center
At Roger Williams University, we embrace all cultures and backgrounds and further a civil discourse across global perspectives. The Intercultural Center is a resource we offer that gives life to that vision by providing a student-centered space with the motto "Welcoming people of all nationalities, faiths and personal identities."
Distinct from universities that organize their offices around separate social identities, the Intercultural Center provides a common space that houses staff with expertise in multicultural, international and LGBT student affairs. The Intercultural Center also houses the Spiritual Life Office with the University Multifaith Chaplain and several affiliated chaplains. Together this group offers interfaith activities to help students receive spiritual support and gain religious literacy.
Our Mission
The mission of the Intercultural Center is to develop world citizens capable of critical thinking, compassion and respect for differences.
Who We Are
Intercultural Center In Maple
The Intercultural Center (IC) in Maple serves as a hub of operations. Containing a kitchen, lounge, classroom, computer resources, prayer room and professional staff, the IC is utilized by members of our community as a place to host informal socials, educational programs and cultural events, as well as group meetings. The IC is accessible by all members of the University community and is open 101 hours per week. We encourage all members of the RWU community to take advantage of our resources and join us in raising the level of discourse around issues of diversity, racism and societal pluralism.
International Student Services
International Student Services (ISS) works in concert with Student Life, Enrollment Management & Retention and academic departments on campus to support the successful matriculation and graduation of international undergraduate and graduate students. From immigration assistance to interpersonal help, ISS works to inform international students of their responsibilities as well as introduce them to cultural opportunities both on and off-campus. In addition, programs are designed to foster a higher level of interest and understanding of various cultures and backgrounds on campus.
Intercultural Student Services
In an ever-changing society, university campuses have an opportunity to serve as global learning laboratories. With this premise in mind, the IC reaches out to traditionally underrepresented students to assist them in their transition to the RWU community as well as encourage them to take advantage of available opportunities. Through programming with themes of diversity and social justice, mentoring through the P.E.A.C.E. program and personal intervention, the IC works to create an environment that responds to the needs of students while promoting academic and personal development. The IC also works to support campus mechanisms that proactively seek to critically examine issues of personal identity, diversity and inclusion.


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Swimming Pool Blog
Pool Cleaners ~ Choose Carefully!
Pool Cleaners ~ Choose Carefully!
by Sean Griffin, July 30, 2009
With so many cleaners in the pool industry how do you determine what cleaner is going to suit you best? Deciding which cleaner is going to work in your particular pool can be difficult. With a variety of makes and models it can be a little overwhelming when looking at purchasing a pool cleaner.
I recommend doing the proper research and comparing pricing, warranty, and features. Read all possible reviews and come to an educated decision as your cleaner can save you the headache of manually cleaning your pool but can also become a migraine in itself.
Many pool builders will include some type of cleaner when constructing pool. If you are satisfied with the original cleaner, replacement parts are readily available for most models and you can swap them out to increase the life of your cleaner. You are not limited to using the original cleaner. If you have a dedicated cleaner line (a pipe from the equipment pad to a central wall location 'dedicated' for either a suction or pressure cleaner) you have several options.
A dedicated cleaner line gives you the ability to operate a pressure cleaner. You can use the pool pump to operate several low pressure pool cleaner models, like Ray-Vac, Polaris 360 or the Letro Legend II. You also have the ability to install a booster pump which some other pressure cleaner models require. A booster pump cleaner is preferred, as you will always have peak power and performance for your cleaner and are able to utilize a timer clock on the booster pump, so as not to run the pool cleaner more than is needed. A dedicated cleaner line can also be plumbed into the suction side of the pool pump, and be used to operate a suction pool cleaner, without having to use the skimmer. Polaris dominates the pressure cleaner category, followed by the Pentair Letro line.
If you do not have a dedicated cleaner line you still have several options. First there are suction cleaners that operate on the suction created by your pool pump. These cleaners typically adapt to your skimmer line and operate when pool pump is on.
Suction cleaners are the cheapest pool cleaners to buy and operate, however there are drawbacks. Slower than other cleaners, they also bring the debris into the pump and filter, whereas pressure and robotic cleaners catch the debris in their own bag. A suction cleaner can quickly clog up a pump basket, requiring more trips to the pump, while reducing filtration and circulation of the pool water. A favorite for above ground pools, suction cleaners are a strong product line, and close to 40% of all cleaners sold are suction type pool cleaners. Kreepy Krauly, Polaris ATV, Dirt Devil, Navigator are top models in this category.
You also have the ability to use a robotic cleaner. One of the advantages of robotic cleaners is that they operate independently and are not reliant on water pressure/suction. Robotic cleaners can also be removed and stored when not in use. Several models are designed to operate on vinyl while others are geared towards gunite/in-ground pools. Make sure your selection is compatible with your pool surface. Robotic pool cleaners run on a programmed timer, so you simply drop it in the pool, plug the cord into the low voltage transformer and come back in a few hours. Pull out the unit and clean the debris bag or pleated filter cartridge. Aquabot and Aquavac have long dominated the US robotic cleaner market, and Smartpool has gained share with a lower priced line of robotic cleaners, attracting the above ground pool owner.
Another important factor in determining what cleaner is right for you is what type and size of debris you are attempting to remove from your pool. Certain cleaners have the option of fine mesh bags meant to remove sand and silt. If you get large debris make sure the cleaner you are considering has a large enough opening and enough power to pick up whatever ends up in your pool (Polaris 380 can suck up golf-balls). Many cleaners get clogged very easily, so if you have large Oak trees nearby, consider this strongly.
Whatever type of pool you have and wherever you are located there is a cleaner that will do the job. I find the most reliable cleaners to be robotic because they are self reliant. My second choice would be a cleaner that operates on a separate booster pump. Cleaners with booster pumps will still work with a filter that has a higher pressure when system needs to be backwashed and has a more consistent gpm output unlike non-booster pump cleaners which need to rely on the pool pump to operate. Suction cleaners also will only function when pool equipment is operating correctly, and running whenever the pump is on means a shorter life for wearable parts.
Pool cleaners can remove the stress of constantly cleaning your pool but does not replace maintenance. Continually monitoring cleaner and changing/cleaning any bag will ensure a longer life for your cleaner. Change out necessary parts that are designed for wear to prevent bigger problems. Brushing your walls and skimming pool surface will put less stress on your pool cleaner and help keep your pool in tip top shape.
So, to review, when considering a pool cleaner, ask yourself these five questions.
- In Ground or Above Ground Pool?
- Vinyl liner, Fiberglass or Plaster finish?
- Dedicated Cleaner line? Suction or Pressure?
- Light, Medium or Heavy debris load?
- Size of Pool?
This will narrow the field of choices down to just a few pool cleaner models. Price is always a strong consideration of course, but keep in mind, as with anything else, with pool cleaners, you pretty much get what you pay for. The more expensive models usually work better and faster with less need for human involvement.


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WorldNetDaily Exclusive
Genetically selecting 'gay' embryos?
America's top ethicist argues couples have 'right' to 'family they choose'
John A. Robertson
If two homosexual men want to use in vitro fertilization to conceive a baby and then use genetics technology to ensure the baby is also "gay," while disposing of any "straight" embryos, would the law have any ethical problems with that?
America's leading ethicist in the field of human reproduction has written a paper that argues future homosexual couples should have "the right" to do exactly that.
John A. Robertson of the University of Texas Law School is the chair of the Ethics Committee of the American Society for Reproductive Medicine and an advocate of what his book "Children of Choice" calls "procreative liberty."
In a paper for the Washington, D.C., think tank Brookings Institution, Robertson presents a futuristic scenario where advancing science and society's evolving morality could create a once only dreamed-of ethical dilemma:
"Larry, a pediatrician, and David, a wills lawyer, meet in their late 20s, fall in love, and marry on June 15, 2025, in Indianapolis," Robertson writes. "By 2030, they are well-enough established in their careers to think about having their own child. Larry's 24-year-old sister Marge has agreed to donate her eggs, and David will provide the sperm, so that each partner will have a genetic connection with the child. … In the process, Larry and David come to realize that they would prefer to have a male child that shares their sexual orientation."
He continues, "The clinic doctors are experts in embryo screening and alteration, but cannot guarantee that the resulting embryos will in fact turn out to be homosexual. To increase the certainty, they will insert additional 'gay gene' sequences in the embryos."
While Robertson admits no such "gay gene" has yet been identified, he argues that genomic knowledge is "mushrooming."
The paper, titled "Reproductive Rights and Reproductive Technology in 2030," is actually the seventh in a Brookings series on the future of the U.S. Constitution, which asks a dozen scholars "of diverse political and jurisprudential worldviews" to imagine technological developments that will "stress" current constitutional law.
In his paper, Robertson argues that the Supreme Court may not want to consider the ethical implications of his theoretical scenario, or if it does, may step gingerly to avoid recognizing the full implications of what he calls the "constitutional doctrine of procreative liberty."
And if that doctrine is extended to assisted reproductive technology, Robertson says, it could result in "the surprising conclusion that what Larry and David propose may by 2030 fit within the mainstream of reproductive choice."
Robertson writes that technology will push our value system and our laws to include many things now considered "outré," but then asks, "Will this be bad?"
It depends, he answers.
"Two decades may also be too brief a time for social and cultural norms about parental choice to change and develop in the direction described here," he admits. "But … as technical developments occur, technology will exert hydraulic pressure on procreative practices and the legal rights that protect them. As conceptions of family and parental choice change, courts and legislatures will respond accordingly."
He concludes, "By 2030 the logic of procreative freedom should recognize the right of Larry and David to use the technologies available to have the family they choose."


text: Frozen Dessert Recipes for a Food Processor Frozen Dessert Recipes for a Food Processor There's no need to buy sorbet, fruit bars and frozen yogurt when you can make delicious frozen dessert recipes in your food processor at home! These sorbet recipes, frozen yogurt recipes and more frozen dessert recipes are easy to make and don't require an ice cream maker. Try our Peach Frozen Yogurt for a refreshing summer treat or Chocolate-Raspberry Frozen Yogurt Pops for a kid-friendly dessert recipe. See Recipes ADVERTISEMENT Recipes in slideshow ADVERTISEMENT


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I pierced both nipples in 1997 with a std. 14 ga. barbell. Sometime in 2006 I decided that I wanted to stretch my piercings. I had read that the pain could be intense and I craved that feeling, similar I thought to the great feeling I had right after my nipples were first pierced.
So I ordered in the 12 gauge jewelry and...it slipped right in. Damn, over the years my piercings had stretched on their own. So in 2007 I decided to get 10 ga. jewelry, and a 10 gauge taper and try it again. One more time, not much sensation. A snug fit, but no pain. Plus, I didn't like the new 10 ga. jewelry, somehow the balls were smaller on the 10 ga. than the balls on the 12 ga. I'm not sure how I managed that. Besides, I always wanted something other than stainless steel barbells.
I was browsing my favorite online jewelry store and saw Titanium jewelry available in colors. Now skulls, dice, etc. do not fit me, I'm an obviously straight middle aged white collar kind of guy. But colors! Now that was interesting.
So in 2009 I decided to try again and ordered my blue titanium barbells in 8 gauge. This jewelry was internally threaded, unlike all the other jewelry I had ever had. I didn't think that was significant at the time. With externally threaded jewelry the rod of the barbell ends in a slightly smaller diameter threaded section, sort of like a taper, so the jewelry slips in fairly easy. With internally threaded jewelry, the rod ends in a cone, with the screw attached to the ball. Think of shoving a cookie cutter through your nipple, as opposed to a screw.
When the barbells arrived, with an 8 ga. taper, I couldn't wait to get them in. My right nipple is pierced slightly deeper and wider than my left, so of course I started with that one. Inserting the taper was painful, now I was getting somewhere. But I swear, the barbells are slightly larger in diameter than the taper. Trying to insert the new barbell quickly showed me the difference in internally threaded vs. externally threaded. Even with a little lube, I couldn't get the new barbell more than 40% of the way through. I ended up seeing a bit of blood and having a really bruised and painful nipple. I admit, blood stops me. So I decided to try the left nipple, but this time I put the taper in and added a 1/2 split washer as a spacer behind it, wore it that way all afternoon, went home and manged to get the new barbell in.
Soon I began to wonder, WHY exactly had I craved the pain? This was not fun, this was not sexy, it hurt. If I rolled over on my nipple at night I woke up. This went on for two days, then the pain went away, and I was left with that marvelous hyper sensitivity that I love. Two weeks later, it's still more sensitive.
After letting my right nipple rest for a few days, I decided to try again, this time I'd be smarter, I'd put the taper in and wear it for a day or two. Since the taper is at it's widest at the very end, obviously I'd have to rotate which side I put it through to stretch the nipple equally. So the first day at work, I closed my office door and decided it was time to pull the taper out and put it through the other way. It was a bit painful, so I decided to pull it through in one yank. Something tore, I had blood leak out of both sides of my nipple. Now I'm in my office, with no kleenex and a bloody nipple. Aside from not liking the sight of blood coming out of my nipple, I have a problem. I have to walk across the office to the restroom. Luckily, it didn't bleed much, I was able to wipe it away with my fingers, and get to the restroom where I used scotch tape to hold on a paper towel. :) (not too bright I know, My masters was in another subject not piercing)
So, let the nipple rest about 4 days and start the taper again, but slower. After a few days of wearing the taper and the split washer spacer, I was finally able to insert the new barbell about halfway through the nipple, there it stopped. Clearly I was not able to stretch the very center of the piercing as I had both edges. However, over about 10 minutes with small pushes and twisting, I was finally able to get the new jewelry in. As it was coming through, the only discription that fits, is you could see the jewelry "crowning" as it came through. One day/36 hours of pain, then hypersensitivity again.
I really like having 4 blue balls, the new barbells are much better than plain stainless, but, from this experience, I think internally threaded jewelry is better suited for a replacement not a stretching. I'm not planning on going to a 6 Ga., but you never know.
submitted by: nosaint38
on: 21 May 2010


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Oh Canada! Oh Quebec!: Requiem for a Divided Country
New York : A.A. Knopf, 1992 - Humor - 277 pages
A humorous look at Quebec's movement toward independence from Canada, remarking upon the Draconian language laws imposed on English-speaking Quebecois, the economic problems posed by the movement, and the troubles with blind nationalism.
What people are saying - Write a review
LibraryThing ReviewUser Review - weakley - LibraryThing
While I have to admit that this book presents a biased point of view on the issue of the french language and seperation issues, it is not a bias I disagree with for the most part. Richler is true to ... Read full review
OH CANADA! OH QUEBEC!: Requiem for a Divided CountryUser Review - Kirkus
Quebec-born Richler (Solomon Gursky Was Here, 1990, etc.) undertakes a backgrounder to that province's independence movement, with several large flashes of illuminating absurdity about the passionate ... Read full review
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Common terms and phrases
American Anglophone anti-Semitism Bergeron bilingual signs Bill Bouchard British Cabinet called Camille Laurin Charter Claude Ryan Commission Court culture deal Devoir distinct society Drapeau Duplessis Eastern Townships editorial election English Canada English-speaking Quebecers fact favor federal Francophone French Canadian French language French-speaking Globe and Mail Hydro-Quebec Ibid immigrants independantistes independent Quebec Jacques Parizeau Jean Jewish Jews June langue franchise later Laurendeau Laurin leader Liberal majority Meech Lake Accord ment million Mohawk Montreal Gazette Mulroney National Assembly never once Ontario Ottawa Outremont Parti quebecois Pierre political politicians poll population Premier Bourassa Presse prime minister problem protest province province's published Quebec City RCMP referendum Rene Levesque rest of Canada Richler Sept Sherbrooke sign law sovereignty sovereignty-association speak Street text in French things tion told Tories Toronto Globe Trudeau vote Westmount Woody's Pub wrote


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Home > News & Events > Wayland Press Release Archives > 2006 News Releases > May 2006 > Pioneer Basketball Coach Resigns
Pioneer Basketball Coach Resigns
PLAINVIEW, TX--- Todd Thurman, head men's basketball coach at Wayland Baptist University for the past seven years, has resigned to take over the reigns at Southwestern Oklahoma State University. SWOSU is a NCAA Division II institution, and competes in the North Division of the Lone Star Conference.
A native of Yukon, Okla. and a former NAIA All-American who won a national championship while playing at Southern Nazarene University, Thurman was 131-82 as the Pioneer coach and led the team to four NAIA national tournament appearances. Five Pioneers were named NAIA All-Americans during his tenure, including Ty Harrelson, the only 1st team All-American in WBU men's basketball history.
Dr. Greg Feris, Director of Athletics at Wayland, credits Thurman with bringing back the winning tradition of Pioneer basketball. "Everyone associated with Wayland athletics is grateful for his hard work and effort. He brought an energy and passion to the game that was a positive influence on our players and fans alike. His teams were a force to be reckoned with every time they stepped on the floor with a Sooner Conference opponent."
In 2004, the Pioneers appeared in the Sooner Athletic Conference Tournament championship game for the first time in school history.
"I wished we could have convinced him to stay with us for another run at a SAC championship," says Feris, "but at the same time I'm happy for him and his family as they return to their Oklahoma roots."
A search to replace Thurman will begin immediately.


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The Bro Code Black and Silver Star Cufflinks can be worn with a variety of shirt and tie combinations. 100% metal construction.
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Measurements are approximate. See our disclaimer.
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Bro Code as the name suggests is a brand dedicated to making men's closets legendary. They specialise in formal accessories, just as Barney Stinson would have wanted. Having been featured in thebest fashion media kits, Bro Code includes bow ties, pocket squares, tie bars, lapel pins, suspenders, cufflinks, scarves, bracelets and so much more in their repertoire. Quirky and young, it will have you infusing an element of fun in your attire.
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Heart Disease
What are the coronary arteries?
Coronary arteries supply blood to the heart muscle. Like all other tissues in the body, the heart muscle needs oxygen-rich blood to function, and oxygen-depleted blood must be carried away. The coronary arteries consist of two main arteries: the right and left coronary arteries. The left coronary artery system branches into the circumflex artery and the left anterior descending artery.
What are the different coronary arteries?
The two main coronary arteries are the left and right coronary arteries. The left coronary artery (LCA), which divides into the left anterior descending artery and the circumflex branch, supplies blood to the left ventricle and left atrium. The right coronary artery (RCA), which divides into the right posterior descending and acute marginal arteries, supplies blood to the right ventricle, right atrium, and sinoatrial node (cluster of cells in the right atrial wall that regulates the heart's rhythmic rate), and atrioventricular node (AV node, a cluster of cells between the atria and ventricles that regulate the electrical current).
Additional arteries branch off the two main coronary arteries to supply the heart muscle with blood. These include the following:
- circumflex artery (Cx)
The circumflex artery branches off the left coronary artery and encircles the heart muscle. This artery supplies blood to the lateral side and back of the heart.
- left anterior descending artery (LAD)
The left anterior descending artery branches off the left coronary artery and supplies blood to the front of the left side of the heart.
Smaller branches of the coronary arteries include: acute marginal, posterior descending (PDA), obtuse marginal (OM), septal perforator, and diagonals.
Why are the coronary arteries important?
Since coronary arteries deliver blood to the heart muscle, any coronary artery disorder or disease can have serious implications by reducing the flow of oxygen and nutrients to the heart, which may lead to a heart attack and possibly death. Atherosclerosis (a build-up of plaque in the inner lining of an artery causing it to narrow or become blocked) is the most common cause of heart disease.
What is coronary artery disease?
Coronary heart disease, or coronary artery disease (CAD), is characterized by the accumulation of fatty deposits along the innermost layer of the coronary arteries. The fatty deposits may develop in childhood and continue to thicken and enlarge throughout the life span. This thickening, called atherosclerosis, narrows the arteries and can decrease or block the flow of blood to the heart.
Nearly 13 million Americans suffer from coronary artery disease - the number one killer of both men and women in the US.
What are the risk factors for coronary artery disease?
Risk factors for CAD often include:
- high LDL cholesterol, high triglycerides levels and reduced HDL cholesterol
- high blood pressure (hypertension)
- physical inactivity
- smoking
- obesity
- high saturated fat diet
Controlling risk factors is the key to preventing illness and death from CAD.
What are the symptoms of coronary artery disease?
The symptoms of coronary heart disease will depend on the severity of the disease. Some persons with CAD have no symptoms, some have episodes of mild chest pain or angina, and some have more severe chest pain.
If too little oxygenated blood reaches the heart, a person will experience chest pain called angina. When the blood supply is completely cut off, the result is a heart attack, and the heart muscle begins to die. Some persons may have a heart attack and never recognize the symptoms. This is called a "silent" heart attack.
When symptoms are present, each person may experience them differently. Symptoms of coronary artery disease may include:
- heaviness, tightness, pressure, and/or pain in the chest - behind the breastbone
- pain radiating in the arms, shoulders, jaw, neck, and/or back
- shortness of breath
- weakness and fatigue
How is coronary artery disease diagnosed?
In addition to a complete medical history and physical examination, diagnostic procedures for coronary artery disease may include any, or a combination of, the following:
- electrocardiogram (ECG or EKG) - a test that records the electrical activity of the heart, shows abnormal rhythms (arrhythmias or dysrhythmias), and detects heart muscle damage.
- stress test (usually with ECG; also called treadmill or exercise ECG) - a test that is given while a patient walks on a treadmill to monitor the heart during exercise. Breathing and blood pressure rates are also monitored. A stress test may be used to detect coronary artery disease, and/or to determine safe levels of exercise following a heart attack or heart surgery.
- cardiac catheterization - with this procedure, x-rays are taken after a contrast agent is injected into an artery - to locate the narrowing, occlusions, and other abnormalities of specific arteries.
- nuclear scanning - radioactive material is injected into a vein and then is observed using a camera as it is taken up by the heart muscle. This indicates the healthy and damaged areas of the heart.
Treatment for coronary heart disease:
Specific treatment will be determined by your physician based on:
- your age, overall health, and medical history
- extent of the disease
- your tolerance for specific medications, procedures, or therapies
- expectations for the course of the disease
- your opinion or preference
Treatment may include:
- controlling risk factors (the most effective way to stop the progression of CHD)
- changing to a low-fat diet
- losing weight (if overweight)
- establishing and maintaining an appropriate exercise program
- quitting smoking
- controlling blood sugar if diabetic
- medication
- coronary angioplasty - with this procedure, a catheter is used to create a bigger opening in the vessel to increase blood flow. Although angioplasty is performed in other blood vessels, Percutaneous Transluminal Coronary Angioplasty (PTCA) refers to angioplasty in the coronary arteries to permit more blood flow into the heart. There are several types of PTCA procedures, including:
- balloon angioplasty - a small balloon is inflated inside the blocked artery to open the blocked area.
- coronary artery stent - a tiny coil is expanded inside the blocked artery to open the blocked area and is left in place to keep the artery open.
- atherectomy - the blocked area inside the artery is cut away by a tiny device on the end of a catheter.
- laser angioplasty - a laser used to "vaporize" the blockage in the artery.
- coronary artery bypass - Most commonly referred to as simply "bypass surgery," this surgery is often performed in people who have angina (chest pain) and coronary artery disease (where plaque has built up in the arteries). During the surgery, a bypass is created by grafting a piece of a vein above and below the blocked area of a coronary artery, enabling blood to flow around the obstruction. Veins are usually taken from the leg, but arteries from the chest may also be used to create a bypass graft.