text:
Justine combines being a writer and commentator with working at the grass roots in two fields that make many uneasy: conflict and the psychological damage of violence.
As a writer and journalist Justine has been writing on South Asia for twenty-five years. While doing this she simultaneously set up an organisation in Kashmir, North India, rehabilitating those suffering from the psychological fallout of conflict. In short, Justine works as both writer and mental trauma specialist.
As a journalist and writer she is the author of six books, ranging in subject from war to Hindi film. The Ochre Border, 1995, records the reopening of the Tibetan frontier-lands. Her second, Scoop-Wallah, 1999, is the story of her time as a journalist on an Indian newspaper in Delhi. It was short-listed for the Thomas Cook Travel Book Award in 2000 and serialised on BBC Radio 4. Goat: A Story of Kashmir and Notting Hill, 2000, is set in both Notting Hill and Kashmir, the juxtaposition of a warzone and a white hot corner of London, the disparate pair drawn together by the fashion world's obsession with the fine pashmina weave of the Kashmir Valley. This was also serialised on BBC Radio 4. Bollywood Boy, 2002, was an international bestseller about sneaking into the Hindi film industry to look closely at its fame culture, and also the darker side of an industry that pumps out high-octane escapism for an audience of over a billion. The Wonder House, 2005, is a novel set in Kashmir against the background of the conflict, and based on Justine's experience of frontline coverage, time spent in militant training camps, and amongst the extremists. It was short-listed for the Author's Club best first novel in 2006. In the Valley of Mist, 2009, a return to non-fiction, charts the first twenty years of the conflict there through the prism of Kashmiri family life. It was also broadcast on BBC Radio 4's Book of the Week, and it was Runner-Up for the Dayton Literary Peace Prize in 2010. Justine's books have been translated into a wide range of languages, from Hindi to Serbian. She writes for The Financial Times, The Times, various Condé Nast magazines, including Vanity Fairand Condé Nast Traveler, and she also writes for The Times of India, and a wide range of other publications in India, the UK, and US
As a documentary presenter Justine started at Channel 4 in 1996 on the BAFTA-nominated series Urban Jungle. She has worked on several BBC strands in India for both BBC and BBC World. Justine was a presenter on Travel TV for four years before co-presenting for the BBC with Jerry Hall on a series about Eastern philosophy's journey to the West.
After the earthquake in Kashmir in October 2005 Justine linked up with a local NGO rebuilding homes, schools, and medical centres in some of the worst affected areas. This was when she began to work in rural clinics, hospitals and schools, treating trauma, and researching a mental health programme that integrated standardised traumatic stress treatments with local knowledge and systems. Having qualified as a psychotherapist, specializing in conflict trauma therapy, Justine founded Healing Kashmir in 2008, an integrated mental health project, based on her research, and aiming to address the debilitating mental health situation in the region. This project is now expanding, with a main base in Kashmir's summer capital, Srinagar, outreach centres around the state, a suicide helpline, a statewide primary mental health care and paramedic training programme and general mental health awareness programmes for schools and colleges, and an international internship programme. During her training in this field Justine worked with New Bridge in the UK for twenty-two years, a foundation focusing on the rehabilitation of life sentence prisoners before release. She also continues as an advisory director to the NGO in India that she wrote about in Goat. Development Research and Action Group sets up schools in slum areas of Delhi that have been over-looked by the government and bigger international agencies, usually due to the control of slum politics.
In addition to running the project in Kashmir, writing, and treating, Justine lectures regularly in the UK, US and India. Recent lectures include NHS Confederation Conference, Liverpool, The Oslo Freedom Forum, The San Francisco Freedom Forum, New York University (Gallatin School), Tufts University (Institute of Global Leadership) and The Royal Geographical Society (UK).
Justine is currently a residential INSPIRE fellow at Tufts University (USA) at the Institute of Global Leadership and at CHAT, The Center for Humanities at Tufts. She continues to study Eastern and Western philosophy, psychology, and conflict trauma. And Justine teaches yoga on the side, having had the luck to study with some of the great Indian teachers when she was young.


text:
MAREP (Marine Reporting)
The word MAREP is an abbreviation for Marine Information Reporting. The MAREP program is a combined effort of Canadian Power & Sail Squadrons (CPS) and the Canadian Hydrographic Service (CHS). The purpose of MAREP is to permit CPS and CHS to carry out an ongoing program to ensure the reporting of discrepancies on charts and to update and make qualified recommendations toward improving nautical information on charts and other CHS publications. Click here to access the online CHS form.
Candadian Hydrographic Service publications include:
- nautical charts (paper and digital)
- chart catalogues
- tide and current tables
- Sailing Directions
In addition, the Hydrographic Service contributes regular updates to the publication, Notice to Mariners.
What to Report:
- Submerged objects
- Obstructions in and above the water
- Landmarks
- Private aids to navigation
- New marine facilities
- Navigable channel information, width/depth, etc.
- Information affecting Sailing Directions
- Suggestions for chart improvements

subset: commoncrawl


text:
Brewers give fans opportunity to create and direct new commercial
Last spring the Milwaukee Brewers had a lot of success with their 'Design a YOUniform' contest, which allowed fans to do just that, create a brand new uniform design. The contest drew hundreds of entries, and the Brewers ended up wearing the winning selection — designed by Ben Peters of Richfield, Minn. — during one Cactus League game in Arizona and one preseason exhibition game at Miller Park.
Based on that overwhelming response, the Brewers are once again seeking help this spring. Only this time they're raising the bar by asking fans to create and potentially direct a commercial for their 2014 marketing campaign.
Here's your chance to help direct the next #Brewers commercial: http://t.co/WzKQhMekKV pic.twitter.com/aTxNAAshK2 — Milwaukee Brewers (@Brewers) February 4, 2014
Like last season, the contest doesn't require past writing or directing experience or a finished product. They're just seeking fun ideas while giving fans a once-in-a-lifetime opportunity.
Funny, touching, serious-it doesn't matter as long as it is awesome. Fans are invited to create and submit a storyboard with their idea at brewers.com/commercial. Entries may also be supplemented with a YouTube clip (up to 30 seconds in length) or Instagram video (up to 15 seconds in length) to further illustrate their ideas.
One winner will get the chance to direct and/or star in a spot that will play in Miller Park, on FOX Sports Wisconsin during a Brewers broadcast, and online. The winner will also receive a Brewers prize package including game tickets and a Brewers director's chair.
The contest is open to everybody, though we're pretty sure the team would prefer a Brewers fan win it. We're also sure they won't accept that Ryan Braun commercial you're piecing together in your head right now, so don't waste your time with that. On the other hand, something to do with Carlos Gomez pimping home runs and/or breaking unwritten rules might be pretty funny. Just throwing that out there.
The contest officially opened on Jan. 26 but entries will be accepted until Friday, Feb. 28, so you still have plenty of time to get involved. From there, Brewers officials will narrow the original crop down and allow fans to pick from the finalists from March 10-23. Production is scheduled to start at the beginning of the season, so clear your schedule if you're confident. The air date will be determined once production wraps up.
If you're looking for more details on how to enter and what exactly is required, visit brewers.com/commercial.
Good luck, all you wannabe directors. Your time is now!
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Mark Townsend is a writer for Big League Stew on Yahoo Sports. Have a tip? Email him at firstname.lastname@example.com or follow him on Twitter! Follow @Townie813


text: Managing patients with severe traumatic brain injuryLump, Devon MSN, ACNP-BCNursing2014: March 2014 - Volume 44 - Issue 3 - p 30–37 doi: 10.1097/01.NURSE.0000443311.50737.a8 Feature: CE Connection In Brief Author Information Article Outline By understanding TBI and how to reduce the risk of secondary brain injury, you can help your patient survive with the best possible outcome. Devon Lump is a neurosurgery nurse practitioner at departments of neurosurgery and neurocritical care at the University of Pennsylvania in Philadelphia, Pa. This article, which has been adapted and updated, originally appeared in OR Nurse. 2013;7(3):22-30. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise. Causes and classifications Understanding primary injury Understanding secondary injury First steps in treatment Medical management Surgical management Postoperative care Long-term management A snapshot of TBI1 REFERENCES Figure IN THE UNITED STATES, an estimated 17 million people sustain a traumatic brain injury (TBI) annually, and about 52,000 die (see A snapshot of TBI).1 This article discusses primary and secondary brain injuries, nursing assessment and initial treatment, medical and surgical management, postoperative care, and long-term management for patients with severe TBI. Back to Top | Article Outline Causes and classifications The most common causes of TBI are falls, motor vehicle crashes, and violence, including gunshot wounds.1 TBI can be classified as penetrating or nonpenetrating, as well as focal or diffuse. Focal injuries include contusions and hematomas; diffuse injuries include concussions and diffuse axonal injury (DAI).2 The Department of Defense and the Department of Veterans Affairs define TBI as any traumatically induced structural injury and/or physiologic disruption of brain function as a result of an external force that's indicated by new onset or worsening of at least one of the following clinical signs immediately after the event: any period of loss of or decreased level of consciousness any loss of memory for events immediately before or after the injury any alteration in mental state at the time of the injury (confusion, disorientation, slowed thinking) any neurologic deficit (including weakness, loss of balance, change in vision or other sensory alterations, paresis or plegia, aphasia) that may or may not be transient, or presence of an intracranial lesion.3 TBI is commonly stratified by severity (mild, moderate, severe) as determined by Glasgow Coma Scale (GCS) score: 13 to 15 is mild, 9 to 12 is moderate, and 3 to 8 is severe TBI.4 (See Reviewing the Glasgow Coma Scale.) The GCS score can be difficult to determine if a patient has received sedatives or paralytics, or is endotracheally intubated. TBI severity is also measured by degree or duration of loss of consciousness or time spent neurologically impaired. Mild TBI is defined as mental status change or loss of consciousness for less than 30 minutes. In moderate TBI, these symptoms last between 30 minutes and 6 hours, and in severe TBI, they last more than 6 hours.5,6 Under emergency neurologic life-support guidelines, any unconscious patient with an identified mechanism of injury consistent with TBI and a GCS score of less than 9 is considered to have severe TBI.7 Table Back to Top | Article Outline Understanding primary injury Primary brain injury occurs at the time of injury. Penetrating or open head injuries (caused by an object penetrating both skull and brain), direct impact, and rapid acceleration/deceleration are common mechanisms.8 If severe, the primary injury can be immediately fatal. In a closed head or nonpenetrating injury, the primary injury is the result of direct impact of neuronal tissue against the skull or bone and shearing of neurovascular structures due to rotational injury (see Mechanisms of head injury).9 This type of injury often occurs in motor vehicle crashes when the head hits the dashboard. The high-speed collision and rapid deceleration force the brain to strike the inside of the skull on both sides, causing injury at the site of impact (coup) and 180 degrees from the site of impact (contracoup). DAI results from the shearing of axons in the cerebral white matter during acceleration/deceleration head injury.10 (See A closer look at diffuse axonal injury.) Most lesions appear at the interface between the gray and white matter junctions; in its severe form, however, DAI often occurs in the corpus callosum and brain stem. DAI in the brain stem can cause a persistent vegetative state. Often, DAI isn't accompanied by significant focal findings on a noncontrast head computed tomography (CT) scan; in the absence of focal radiographic lesions, it's often defined clinically by the rapid progression to coma or severe encephalopathy. DAI often results in neuropsychological complications and financial burden.11 In an open head or penetrating injury, primary injury is caused by a foreign body, either high velocity (as in a gunshot wound) or lower velocity (as in a stabbing). The penetrating object may tear vascular structures along with brain tissue.10 Neurologic deterioration after a primary brain injury can be explained by the Monro-Kellie hypothesis: the brain, its vascular supply, and the cerebrospinal fluid (CSF) are enclosed in a rigid container (the skull) that can't expand. The brain accounts for about 80% of cranial contents; blood and CSF account for 10% each.12 Anything that causes an increase in volume of one component (for example, a lesion, intracranial bleeding, or cerebral edema) creates competition for space and can lead to increased intracranial pressure (ICP) and brain herniation. Back to Top | Article Outline Understanding secondary injury In TBI, secondary injury results from various molecular injury mechanisms.8 It may be associated with or exacerbated by neurotransmitter-mediated excitotoxicity, hypoxia, hypotension, ischemia, seizure activity, intracranial hypertension, and fever.8 Figure Secondary brain injury begins immediately following the primary insult and can continue for hours or days. A secondary brain injury can be more difficult to treat and is associated with higher morbidity and mortality than the primary injury itself. Hypoxia and hypoperfusion are two of the leading contributors to secondary brain injury.9 One study found that patients with severe TBI who developed two or more episodes of hypotension had a two-to-eight times higher risk for death.13 Hypotension within the first 48 hours of ICU admission also has been found predictive of mortality.14 Patients with severe TBI need intensive monitoring in a neurologic ICU so they can receive treatment to reduce the risk of secondary brain injury. Back to Top | Article Outline First steps in treatment Recognizing TBI is the first step to facilitating streamlined, effective, neurologic critical care for the patient, who should be transported to a Level I or Level II trauma center for management, advanced neuroimaging, neuromonitoring, and neurosurgery, if indicated. In the ED, initial management involves determining level of consciousness, protecting the airway, and ensuring adequate oxygenation. Patients with severe TBI typically are comatose on ED arrival and need an advanced airway, such as an endotracheal tube. Patients with severe TBI should have large-bore peripheral I.V. access and cardiac monitoring, pulse oximetry, and continuous waveform capnography if available. After the airway and hemodynamics are stabilized, the patient should be assessed for other injuries. Often, pan-computed tomography (pan-CT) of the head, cervical spine, chest, abdomen, and pelvis with thoracic and lumbar spine reconstructions is performed quickly. Immediate surgical intervention for life-threatening hemorrhage may mean that a pan-CT isn't performed initially; however, injury to the thorax and spine must be ruled out as soon as possible. A noncontrast head CT scan is the diagnostic tool of choice in severe TBI. An extra-axial hematoma (bleeding within the cranium but outside the brain or cord parenchyma) greater than 1 cm (0.4 in) in thickness, and an intraparenchymal hematoma greater than 3 cm (1.2 in) in diameter with greater than 5 mm midline shift associated with a hematoma often are considered surgical lesions.15 If the patient doesn't immediately meet criteria for surgical intervention, an ICP monitor may be considered. Placement guidelines, which vary from institution to institution, are based on clinical assessment findings and GCS score. Brain Trauma Foundation guidelines for the management of severe TBI recommend ICP monitoring in all patients with severe TBI, GCS score below 9, and an abnormal CT scan.16 In adults, ICP is normally less than 10 mm Hg.10 For patients with TBI, the standard of care is a target ICP of less than 20 mm Hg; however, an individualized approach may be indicated in some cases.10 Cerebral perfusion pressure (CPP), an estimate of the adequacy of cerebral circulation, is calculated by subtracting ICP from mean arterial pressure (normally between 60 and 100 mm Hg).2,10,17 The target CPP range is 60 to 70 mm Hg in brain-injured adults.10 CPP of less than 50 mm Hg correlates with poor outcomes, even when that CPP level occurs only periodically.18 Figure The Traumatic Brain Injury Guidelines recommend using ventricular or intraparencymal catheters for ICP monitoring. Advanced intraparencymal probes also are available to measure brain temperature, brain tissue oxygen tension (PbtO2, normally 25 to 30 mm Hg), and cerebral blood flow.19 Mixed venous oxygen saturation measured via jugular venous bulb oximetry (SjO2) is normally 45% to 70%.20 The SjO2 will fall when there is an imbalance between cerebral oxygen consumption and delivery. Studies have shown that maintaining a PbtO2 of greater than 20 mm Hg (in addition to meeting current ICP and CPP goals) may improve outcomes in patients with severe TBI.21 Medical therapies and the placement of ICP monitoring devices must be performed concurrently. For example, if the neurosurgeon is preparing to insert an intraventricular catheter for ICP monitoring, specimens for lab work must already have been drawn, coagulopathies reversed, and electrolyte abnormalities corrected. If a family member can provide an accurate health history, the patient's use of antiplatelet agents (including aspirin) and anticoagulation should be investigated. Noninvasive measures to lower ICP may also be implemented at the bedside. The clinical nurse should ensure that the patient is turned and positioned in proper body alignment, maintaining the neck in neutral position at all times, and elevating the head of the bed to 30 degrees to facilitate cerebral venous drainage once the patient's spine has been evaluated and stabilized. Avoid lateral flexion of the neck, Trendelenburg or prone position, and extreme hip flexion.2 Hyperventilation may be considered as a bridging or rescue therapy in select cases but shouldn't be implemented or continued as management of increased ICP. Aggressively lowering PaCO2 decreases cerebral blood flow, leading to ischemia.2 Back to Top | Article Outline Medical management Before surgery is considered, medical management is usually attempted in an effort to reduce ICP. Mannitol or hypertonic sodium chloride solution are usually the first-line therapies after pain and agitation have been treated and the patient is in proper body position as described earlier. I.V. administration of hyperosmolar agents, including hypertonic sodium chloride solution and mannitol, creates an osmolar gradient, drawing water across the blood-brain barrier and decreasing interstitial volume.8 This intervention has been shown to decrease ICP and improve CPP in patients with severe TBI.22,23 Patients should be monitored for hypotension and other signs of hypovolemia, especially if they have multiple traumatic injuries, because they may already be volume depleted.21 Hypertonic sodium chloride solution doesn't cause hypovolemia but it may lead to pulmonary edema. Both mannitol and hypertonic sodium chloride solution can cause hypernatremia and hypertonicity. Patients receiving hypertonic sodium chloride solution or mannitol require frequent monitoring for serum sodium levels and osmolarity, an indwelling urinary catheter, strict recording of intake and output, and chest X-rays to rule out fluid overload. Continuous arterial BP and central venous pressure monitoring can also help guide management during fluid therapy. Sedation and analgesia should be considered to help prevent agitation and pain, which increase metabolic demand and ICP.2 Only the minimum amount of medication necessary for the desired effect should be used so an accurate, comprehensive neurologic assessment can be performed. Propofol, an I.V. sedative-hypnotic agent, is often used for sedation in adults who are mechanically ventilated in the neurologic ICU. Because it's rapid acting and has a short half-life, it permits intermittent neurologic assessment. Monitor BP in patients receiving a propofol infusion because the drug can cause significant hypotension.24 Propofol is contraindicated in patients with an allergy to eggs, egg products, soybeans, or soy products. Similarly, I.V. dexmedetomidine, a relatively selective alpha2-adrenergic agonist, is used for sedation and can help control agitation in mechanically ventilated adults; the drug often permits reliable serial neurologic assessments. Monitor heart rate and BP in patients receiving dexmedetomidine because it can cause significant bradycardia, sinus arrest, and hypotension. Dexmedetomidine has no known contraindications. Fentanyl, an opioid analgesic used for pain management, may also be administered as an adjunct and as needed for to treat tachycardia, tachypnea, and agitation.25 Monitor respiratory function and heart rate in patients receiving fentanyl because it can cause respiratory depression and bradycardia. Fentanyl is contraindicated in patients with a known intolerance to the drug. Use a pain intensity rating scale designed for nonverbal patients, such as the Richmond Agitation Sedation Scale, to assess the patient's need for analgesia.23 Back to Top | Article Outline Surgical management Patients with a GCS score of 8 or lower who have a large lesion on noncontrast head CT scan are candidates for surgical evacuation of the lesion. Surgery should be expedited if the patient's neurologic status deteriorates. Surgical repair is indicated for patients with depressed skull fractures that are displaced more than the thickness of the skull table, especially if the fractures are open or complicated.26 In decompressive craniectomy, a portion of the skull is removed to relieve ICP. In essence, decompressive craniectomy provides an exception to the Monro-Kellie hypothesis because it converts the closed compartment of the skull into an open system that lets the brain expand, thereby decreasing ICP and avoiding brain herniation.27,28 Although decompressive craniectomy is the most effective way to reduce ICP, the long-term prognosis for patients is variable.29 One study found a poor prognosis associated with the presence of bilateral or contralateral lesions in patients with TBI who underwent craniectomy.30 Another study concluded that bifrontotemporoparietal decompressive craniectomy decreased ICP and length of ICU stay in patients with severe TBI but was also associated with more unfavorable outcomes.29 Bilateral decompressive craniectomy has been shown to be a favorable treatment in select patients, specifically younger patients with reactive pupils whose ICP and CPP values are stabilized within 24 hours of undergoing surgery.30 Studies on the long-term prognosis for patients after craniectomy are conflicting, and more research is needed in this area.31,32 Most would agree that timely decompressive craniectomy before the development of irreversible brain damage is key to a positive patient outcome. ICP, clinical assessment findings, and PbtO2 are the monitoring parameters most helpful in predicting optimal timing for decompressive craniectomy.33 Back to Top | Article Outline Postoperative care After surgery, patients are taken to the neurocritical care ICU for monitoring and continued management. Changes in ICP, CSF circulation, cerebral blood flow, and autoregulation continue even after a portion of the skull or bone flap has been removed. Progression of contusions, cerebral edema, and hydrocephalus can still occur and may require intervention.33 If the patient didn't have an advanced neuromonitoring device placed previously, one can be placed postoperatively to supplement ICP monitoring. Humidified mechanical ventilation should be optimized to target PaCO2 between 35 and 45 mm Hg, maintain normothermia, optimize CPP, and avoid secondary brain injury. In a recent study, average ICP during the first 48 hours following injury was predictive of mortality and neuropsychological outcomes at 6 months.34 Following TBI, the patient's metabolic demands increase and early nutritional support is critical. Initiating early enteral feeding (within 72 hours of injury) has been shown to decrease infection rates and overall complications.35 Metabolic rate depends on level of consciousness, presence of infection, other injuries, fever, and presence of sympathetic storming (an exaggerated stress response). Signs and symptoms of sympathetic storming include diaphoresis, restlessness, agitation, tachycardia, hyperventilation, and hypertension. Comatose patients with abnormal flexor or extensor posturing have been documented to have higher metabolic demands than comatose patients without abnormal posturing or sympathetic storming events.36 Due to the increased metabolic demands of critically ill patients with TBI, resting energy expenditure (REE) may be helpful to accurately determine the patient's nutritional needs and avoid overfeeding as well as malnutrition. REE is calculated using indirect calorimetry and protein status using urine urea nitrogen.37 Patients with severe TBI are at increased risk for deep vein thrombosis (DVT), especially if they're intubated; up to 25% of patients with TBI develop DVT.38 Minimize the risk with range-of-motion exercises, intermittent pneumatic compression devices, and pharmacologic prophylaxis as indicated. Back to Top | Article Outline Long-term management After cerebral edema, hydrocephalus, and infection have resolved, cranioplasty can be considered to replace the patient's bone flap or reconstruct the area with mesh or plastic. Cranioplasty usually isn't considered until 2 to 6 months after the initial injury. One study found that patients who underwent early cranioplasty (less than 2 months after initial injury) had more postoperative complications than those who waited to have surgery until more than 2 months after the initial injury. The same study also showed that patients with ventriculoperitoneal shunts had a higher rate of device-related complications.39 Aside from the obvious need for skull reconstruction, patients with severe TBI who've had decompressive craniectomy also need neuropsychological, physical, speech, and occupational therapy. Inpatient rehabilitation provides the ideal transition once the patient's critical care needs (ICP and hemodynamic management, infection control, and weaning from mechanical ventilation) have been met. Patients often need weeks to months of TBI rehabilitation followed by outpatient therapy. By understanding TBI and how to reduce the risk of secondary brain injury, you can help your patient survive TBI with the best possible outcome. Back to Top | Article Outline A snapshot of TBI1 The CDC estimates that in the United States, about 52,000 people die from TBI-related injuries annually. In addition: about 275,000 people are hospitalized with a TBI. falls are the leading cause of TBI, with the highest rates in children age 0 to 4 and adults age 75 and older. motor vehicle-related injury is the second-most common external cause of TBI and the leading cause of TBI-related death, with the highest rates in adults age 20 to 24. adults age 75 years and older have the highest rates of TBI-related hospitalization and death. TBI rates are higher for males than females in every age group. about 75% of TBIs are concussions or another form of mild TBI. Back to Top | Article Outline REFERENCES1. Centers for Disease Control and Prevention. Get the stats on traumatic brain injury in the United States. http://www.cdc.gov/traumaticbraininjury/pdf/BlueBook_factsheet-a.pdf. Cited Here... 2. Hickey JV. The Clinical Practice of Neurological and Neurosurgical Nursing. 7th ed. Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins; 2014. Cited Here... 3. Department of Defense and Department of Veterans Affairs. Traumatic Brain Injury Task Force. Clinical Practice Guideline: Management of Concussion/Mild Traumatic Brain Injury. Definition of traumatic brain injury. 2009. http://www.healthquality.va.gov/mtbi/concussion_mtbi_full_1_0.pdf. Cited Here... 4. Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974;2(7872):81–84. Cited Here... | PubMed | CrossRef 5. Greenwald RM, Gwin JT, Chu JJ, Crisco JJ. Head impact severity measures for evaluating mild traumatic brain injury risk exposure. Neurosurgery. 2008;62(4):789–798. Cited Here... | View Full Text | PubMed | CrossRef 6. Andriessen TM, Horn J, Franschman G, et al. Epidemiology, severity classification, and outcome of moderate and severe traumatic brain injury: a prospective multicenter study. J Neurotrauma. 2011;28(10):2019–2031. Cited Here... | PubMed | CrossRef 7. Swadron SP, LeRoux P, Smith WS, Weingart SD. Emergency neurological life support: traumatic brain injury. Neurocrit Care. 2012;17(suppl 1):S112–S121. Cited Here... | PubMed 8. Hemphill III JC, Phan N. Traumatic brain injury: epidemiology, classification, and pathophysiology. UpToDate. 2014. http://www.uptodate.com. Cited Here... 9. Ling GS, Marshall SA. Management of traumatic brain injury in the intensive care unit. Neurol Clin. 2008;26(2):409–426. Cited Here... | PubMed | CrossRef 10. Greenberg MS.Handbook of Neurosurgery. 7h ed. Tampa, FL: Thieme; 2010:649–660. Cited Here... 11. Li XY, Feng DF. Diffuse axonal injury: novel insights into detection and treatment. J Clin Neurosci. 2009;16(5):614–619. Cited Here... | PubMed | CrossRef 12. Mangat H. Severe traumatic brain injury. Continuum (Minneap Minn). 2012;18(3):532–546. Cited Here... 13. Manley G, Knudson MM, Morabito D, Damron S, Erickson V, Pitts L. Hypotension, hypoxia, and head injury: frequency, duration, and consequences. Arch Surg. 2001;136(10):1118–1123. Cited Here... | View Full Text | PubMed | CrossRef 14. Brenner M, Stein DM, Hu PF, Aarabi B, Sheth K, Scalea TM. Traditional systolic blood pressure targets underestimate hypotension-induced secondary brain injury. J Trauma Acute Care Surg. 2012;72(5):1135–1139. Cited Here... 15. Simard JM, Sahuquillo J, Sheth KN, Kahle KT, Walcott BP. Managing malignant cerebral infarction. Curr Treat Options Neurol. 2011;13(2):217–229. Cited Here... | View Full Text | PubMed | CrossRef 16. Brain Trauma Foundation; American Association of Neurological Surgeons; Congress of Neurological Surgeons. Guidelines for the management of severe traumatic brain injury. XV. Steroids. J Neurotrauma. 2007;24(suppl 1):S91-S95. Cited Here... 17. Nakagawa K, Smith WS. Evaluation and management of increased intracranial pressure. Continuum (Minneap Minn). 2011;17(5 Neurologic Consultation in the Hospital):1077–1093. Cited Here... 18. Stein DM, Hu PF, Brenner M, et al. Brief episodes of intracranial hypertension and cerebral hypoperfusion are associated with poor functional outcome after severe traumatic brain injury. J Trauma. 2011;71(2):364–373. Cited Here... | View Full Text | PubMed | CrossRef 19. Martini RP, Deem S, Treggiari MM. Targeting brain tissue oxygenation in traumatic brain injury. Respir Care. 2013;58(1):162–169. Cited Here... | PubMed | CrossRef 20. Chieregato A, Calzolari F, Trasforini G, Targa L, Latronico N. Normal jugular bulb oxygen saturation. J Neurol Neurosurg Psychiatry. 2003;74(6):784–786. Cited Here... | View Full Text | PubMed | CrossRef 21. Spiotta AM, Stiefel MF, Gracias VH, et al. Brain tissue oxygen-directed management and outcome in patients with severe traumatic brain injury. J Neurosurg. 2010;113(3):571–580. Cited Here... | PubMed | CrossRef 22. Rockswold GL, Solid CA, Paredes-Andrade E, Rockswold SB, Jancik JT, Quickel RR. Hypertonic saline and its effect on intracranial pressure, cerebral perfusion pressure, and brain tissue oxygen. Neurosurgery. 2009;65(6):1035–1041. Cited Here... | View Full Text | PubMed | CrossRef 23. Oddo M, Levine JM, Frangos S, et al. Effect of mannitol and hypertonic saline on cerebral oxygenation in patients with severe traumatic brain injury and refractory intracranial hypertension. J Neurol Neurosurg Psychiatry. 2009;80(8):916–920. Cited Here... | View Full Text | PubMed | CrossRef 24. Bahouth MN, Yarbrough KL. Patient management: nervous system. In Morton PG, Fontaine DK, eds. Critical Care Nursing: A Holistic Approach. 10th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2013:744–761. Cited Here... 25. Roberts DJ, Hall RI, Kramer AH, Robertson HL, Gallagher CN, Zygun DA. Sedation for critically ill adults with severe traumatic brain injury: a systematic review of randomized controlled trials. Crit Care Med. 2011;39(12):2743–2751. Cited Here... | View Full Text | PubMed | CrossRef 26. Sessler CN, Gosnell MS, Grap MJ, et al. The Richmond Agitation-Sedation Scale: validity and reliability in adult intensive care unit patients. Am J Respir Crit Care Med. 2002;166(10):1338–1344. Cited Here... | View Full Text | PubMed | CrossRef 27. Plesnila N. Decompression craniectomy after traumatic brain injury: recent experimental results. Prog Brain Res. 2007;161:393–400. Cited Here... | PubMed 28. Hemphill III JC, Phan N. Management of acute severe traumatic brain injury. UpToDate. 2014. http://www.uptodate.com. Cited Here... 29. Cooper DJ, Rosenfeld JV, Murray L, et al. Decompressive craniectomy in diffuse traumatic brain injury. N Engl J Med. 2011;364(16):1493–1502. Cited Here... | View Full Text | PubMed | CrossRef 30. Yatsushige H, Takasato Y, Masaoka H, et al. Prognosis for severe traumatic brain injury patients treated with bilateral decompressive craniectomy. Acta Neurochir Suppl. 2010;106:265–270. Cited Here... | PubMed 31. Wen L, Wang H, Wang F, et al. A prospective study of early versus late craniectomy after traumatic brain injury. Brain Inj. 2011;25(13–14):1318–1324. Cited Here... | PubMed | CrossRef 32. Rubiano AM, Villarreal W, Hakim EJ, et al.Early decompressive craniectomy for neurotrauma: an institutional experience. Ulus Travma Acil Cerrahi Derg. 2009;15(1):28–38. Cited Here... 33. Stiver SI. Complications of decompressive craniectomy for traumatic brain injury. Neurosurg Focus. 2009;26(6):E7. Cited Here... | PubMed 34. Badri S, Chen J, Barber J, et al. Mortality and long-term functional outcome associated with intracranial pressure after traumatic brain injury. Intensive Care Med. 2012;38(11):1800–1809. Cited Here... | PubMed | CrossRef 35. Agarwal R, Aloupis M, Compher C, et al.Selection and Initiation of Specialized Nutrition Support Therapy for the University of Pennsylvania Health System: Recommendations of the UPHS Nutrition Task Force. Philadelphia, PA: University of Pennsylvania; 2008. Cited Here... 36. Rajpal V, Johnston J. Nutritional management of traumatic brain injury patients. Support Line. 2009;31(1):10–19. Cited Here... 37. Vizzini A, Aranda-Michel J. Nutritional support in head injury. Nutrition. 2011;27(2):129–132. Cited Here... | PubMed | CrossRef 38. Reiff DA, Haricharan RN, Bullington NM, Griffin RL, McGwin G Jr, Rue LW 3rd. Traumatic brain injury is associated with the development of deep vein thrombosis independent of pharmacological prophylaxis. J Trauma. 2009;66(5):1436–1440. Cited Here... | View Full Text | PubMed | CrossRef 39. Schuss P, Vatter H, Marquardt G, et al. Cranioplasty after decompressive craniectomy: the effect of timing on postoperative complications. J Neurotrauma. 2012;29(6):1090–1095. Cited Here... | PubMed | CrossRef © 2014 by Wolters Kluwer Health | Lippincott Williams & Wilkins.


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This WEEK at Fat Harold's!
It's the Monday before Christmas and we are open tonite. Mama Brenda opens at 4pm for Happy Hour. Tomorrow Terry opens at 4pm for Happy Hour and Jammin' Jimmy will be in the booth. We are CLOSED WEDNESDAY CHRISTMAS EVE AND THURDAY CHRISTMAS DAY! We will be back on Thursday ready to kick in the NEW YEAR. We have a few tickets left so if you haven't purchased yours you better get it today. Without the tickets you will be paying a cover charge for the bands of $10 per band and $25 for New Years Eve. You can get all of that for just $25. Yes a one time payment of $25. Plus you get Jacks Collards, Black Eyes and Cornbread on New Years Day. We sure hope you will spend New Years with us. There are a lot of things going on I know, but this is HOME! May you have a Very Merry Christmas from all of us at Fat Harold's. Don't forget the reason for the season and be safe in your travels. We will see you when you get here. Let's make this transition into the New Year a one of a kind celebration with the blessing of The Great Fatsby himself! We LOVE YOU and WE MEAN IT! Ain't it funny how the word LOVE gets passed around like a plate of biscuits. We can sleep at night cause if we tell you we love you. WE MEAN IT!


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Letter - Outdoor Alliance
Outdoor Alliance, a coalition of six national, member-based organizations, including Access Fund, American Canoe Association, American Hiking Society, American Whitewater, International Mountain Bicycling Association, and Winter Wildlands Alliance, represents the interests of the millions of Americans who hike, paddle, climb, mountain bike, and backcountry ski on our nation's public lands, waters, and snowscapes. Collectively, Outdoor Alliance has members in all fifty states and a network of nearly 1,400 local clubs and advocacy groups across the nation. On behalf of these members and clubs, we support this bill for its thoughtful approach to renewable energy development on public lands.
We thank you for this bill's careful consideration of the diverse values of public lands, and we look forward to working with you in the future on this important issue.
Best regards,
Brady Robinson Mark Singleton
Executive Director Executive Director
Access Fund American Whitewater
Wade Blackwood Michael Van Abel
Executive Director Executive Director
American Canoe Association International Mountain Bicycling Association
Gregory Miller Mark Menlove
President Executive Director
American Hiking Society Winter Wildlands Alliance
Adam Cramer
Policy Architect
Outdoor Alliance


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Eye and Cheek Palette
•Graceful Bloom purple and green eye shadows, soft pink blush
•Dreamy Petal pink, purple, brown and gold eye shadows, red blush
Floral Mineral Shimmer Powder
One shade.
Nail Polish
In red, purple and gold.
Floral False Lashes
In red and purple.
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Come to a CASP Meeting
The Community Alliance for Safety and Peace (CASP) meets the first and third Wednesday of the month. At our meetings, we share information on what's being done by CASP and its member organizations as we work towards our goal of a more peaceful future.
Meetings go from 7:00 to 8:30 am at the Salinas City Elementary School District office at 840 S. Main St., Salinas (click for a map). Please check our event calendar to confirm the details for a meeting you plan to attend.


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It wasn't that long ago that suggesting America's schools had become test-obsessed was a lonely endeavor. Although organizations like FairTest and campaigns like Time Out From Testinghave been decrying the flawed logic behind high-stakes tests for years, the reality is that for the past decade, many of us kept our complaints reserved for the privacy of the parking lot
People vented. Policymakers nodded. And absent any real noise, the tests continued.


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Welcome to Queen Creek Arizona Real Estate Spotlight, where you'll find every Queen Creek home for sale, from every company, plus earn CASH REWARDS when you buy or sell a home in or around Queen Creek using one of our Realtor® real estate agent partners. Our only mission is to make your search for a Queen Creek home a more rewarding experience. With our free MLS (Multiple Listing Service) online search you'll be able to access one of the Queen Creek area's largest inventory of listings and immediately view information about all homes that are currently available in the Queen Creek area and quickly locate homes, complete with pictures, descriptions, 360° virtual tours and more.
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Search by Part Number, Brand, or by Year make Model, and or Part.
The G8 / Chevy SS unit was a true exercise in packaging. We had to package as much flow potential as possible in 5 inches of length! This includes a removable front scoop, for the interchangeability of different scoop designs for street and racing combinations. (sold separately) Advanced staircase lower floor- this creates negative pressure to turn the air while minimizing turbulence, exceeding the flow of a smooth transition. (If you look closely inside the kit, you can see the mill marks where the unit was milled by hand in order to achieve the precise angles required). Large overlapping flanges are used – this allows the use of thicker, higher flow filters for future power or racing use while maintaining a proper seal for pressurization.
The filter - An exclusive unit again for VR, made to VR specs for pleat depth and spacing to maximize flow for every square inch of material. The standard 3/4-inch unit (As was tested and flowed VS competition) 1400CFM @28 inch of water 1 inch SD street filter 1600CFM @28 inches of water, competition units 1850-2000CFM+. During ram effect we exceed the ratings listed above by 15%. The main air box features a two-step air horn for low and high-speed aero packages for increased throttle response and low RPM windup for quicker stoplight-to-stoplight acceleration. Enlarged neck ID capable of accepting stock-100mm+ air meters for heavily modified cars. Military specification materials are used throughout from the custom extruded flat black plastic capable of 275 deg F to the quick release low-pressure latches. High lower arch allowing the use of larger, taller radiators if the need ever arises.
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History and information about Vararam and their products.
Checkout the NEW Vararam Corvette C7 True Cold Air Intake!
If you would like to increase your engines performance by using some of the most efficient air induction systems on earth, LMPerformance is pleased to offer a line of Vararam air intakes and other products.
LMPerformance research has shown that ram air intake works by reducing the intake air velocity by increasing the cross sectional area of the intake ducting. When gas velocity goes down the dynamic pressure is reduced while the static pressure is increased. The increased static pressure in the plenum chamber has a positive effect on engine power, both because of the pressure itself and the increased air density this higher pressure gives.
Your vehicle can become a high-performance vehicle by installing one of our Vararam air induction systems which produce more Power and Torque, offering you more real world performance than any of the other intake system out there. Vararam claims to use the latest in aerodynamic technology and real world testing to produce intake components and parts.
The testing of the VARARAM Air Grabber and other VARARAM air intakes is not done in a hurry just to get the job done but rather is a time consuming and demanding process and usually takes up to a full year to be finalized because the evaluation process is only successful when it has evaluated an application's restrictions and then reduced them successfully to zero, and after that VARARAM force feeds the engine or tunes the system to a particular application. By taking such care during this juncture in the total process VARARAM is able to increase the overall performance of a vehicle to its greatest potential and give you, the customer, a product that you will be happy with. Products like the VARARAM TRI-Power for your GM Truck and SUV, and something that has been lacking in the marketplace for some time, but after careful testing what began as an idea has finally come to fruition – a direct bolt on real ram air system. Forget about the old way of doing things with chopping, drilling and water ingestion and just bolt this baby on for a horsepower gain of anywhere from twenty-five to fifty, and no air meter issues with this product because it has a custom Tri-Power air filter by GREEN that uses air sensor safe oils; and best of all, it is available for your Avalanche, Escalade, Denali, Tahoe, GMC 1500 and 2500 trucks and Chevy 1500 and 2500 trucks. Own something a little smaller say a Corvette C-5, well LMPERFORMANCE and VARARAM thought of you too with the sui generis B2 system that has been evolving since it was first developed and performs as the record setting system it is, and the third time around is definitely a charmer for this performance addition with a retooled upper air box, an increased filter flange area that totally encapsulates the filter, improved box material and other improvements. And improvement is the name of the game when it comes to VARARAM as is evidenced by the Cold Air Super Street System VR for your Camaro that has been redesigned from the original version in order to remove the volume and manual adjustability and then came a tweaking of the cold start operation that was problematic in the Camaro until it was perfect.
Reviews for Vararam's Other products are show below.
Current Mods:
Tinted windows, Air induct, Corsa Sport exhaust
Current Mods:
Vararam CAI, Vararam 90mm throttle body spacer, Granatelli MAF, and Diablo Trinity T1000 tuner.
Current Mods:
Vararam Ram Air CIA, Vararam throttle body spacer 90mm, Granatelli MAF, and Diablo Trinity T1000 tunner
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Clay's Birthplace Marker, ND-6
Three miles northwest is Clay Spring, where Henry Clay was born, April 12, 1777. He passed most of his early life in Richmond, removing to Kentucky in 1797. His career as a public man and as a peacemaker between North and South is an important part of American history.
Marker Information:Year On Marker: 1934
Geographic Location: Hanover County
Physical Description of Location: Beaverdam, VA 23069. Located on Chamberlayne Road (Hwy 101), 1.75 miles south of the junction of Chamberlayne Road (Hwy 101) and Peaks Road (Rt. 657). Marker is on the right when traveling south on Chamberlayne Road (Hwy 101).
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GAMSAT Formula
Paperback, 100 Pages
Price: $23.88
Prints in 3-5 business days
The GAMSAT Formula essay technique demonstrates superiority over any other section II resource. GAMSAT Formula: · Is the only company to specialise in section II · Was developed by educational professionals that achieved top percentile GAMSAT scores · Provides a more comprehensive writing guide than any other company · Supplies the single most comprehensive GAMSAT essay database ever published In particular, GAMSAT Formula meets demands of non-literary experts by: · Providing a masterful seven paragraph essay structure that meets ACER's highest criteria · Delivering paragraph by paragraph breakdown of the superior seven paragraph structure · Blowing competition away by formulating every sentence within each paragraph · Supplying sentence starters for every single sentence to focus writing · Detailing what to write after every sentence starter to concentrate meaning www.gamsat-formula.com
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- GAMSAT Formula (Standard Copyright License)
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- GAMSAT Formula
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- July 29, 2012
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text: On Tue, 13 Jul 1999, Bill Studenmund wrote: >Flagrant bastardization? fcntl is defined (in syscallargs.h) as taking two >ints and a void *. How is letting some of them hit the fs a >bastardization? They are a part of the command space which isn't used, and >we still leave traditional fcntl's more than enough space to grow (i.e. >2^31 commands). > >The thing I really prefer about fcntls over ioctls is what doing this with >ioctl's will do to the vnode interface. Irregardless of how userland >initiates these accesses, we need a new VOP. One, the current ioctl entry, >which varies from files, device nodes, and fifos. The other, what I want >to call fcntl, would be the same for all three (for everyone following the >discussion, see the setup of ffs_vnodeop_entries, ffs_specop_entries, and >ffs_fifoop_entries in sys/ufs/ffs/ffs_vnops.c). > >The idea that ioctl(2) calls one for some codes and the other for others >strikes me as one of those sick things Linux does and we all rag on. >That's what I prefered about the fcntl idea. You do a fcntl in userland, >and you enter here. You do an ioctl and you enter there. Wouldn't it be better to have something like: fcntl( fd, F_SETFSOPT, (void *) &fsopts ) The details of exactly what would be in fsopts are a bit vague, but it could be something like: struct fsopts { int f_fstype; int f_option; int f_value; } The parameter could be passed down the vfs layers (like a streams ioctl) until it reached a layer of the right fstype. Setting f_fstype to -1 might be used to let every layer have a look at it. If you are going to have more than one layer of the same filesystem type, you'd probably want another field (f_fsinstance) to say which of the layers of f_fstype you wanted to modify. You'd probably also want an F_GETFSOPT (although this could obviously only return a value from one layer per call), and maybe an F_GETFSTYPE which would let you sound the layers one at a time to find out what they are. Roger ------------------------------------------------------------------------------ Roger Brooks (Systems Programmer), | Email: firstname.lastname@example.com Computing Services Dept, | Tel: +44 151 794 4441 The University of Liverpool, | Fax: +44 151 794 4442 PO Box 147, Liverpool L69 3BX, UK | ------------------------------------------------------------------------------


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Game 22 : Habs vs Kings
Whenever I see this team rolling into town, or even when we are in LA, the first thing that comes to mind for me is, 1993. I remember watching the game at home with my parents. At the time, it was something I didn't truly understand. I was in the 2nd grade and I'm a girl. So at that age, it wasn't the same as now, however, I'm proud to say that I did witness the Habs beating Wayne Gretzky and his LA Kings to win their 24th Stanley Cup.
Tonight marks the first time we play LA this season, and the last. After losing 4 of the last 5 games, LA heads into Montreal with a 13-7-0 record. Very similar to the Habs at 13-7-1. Both teams flew out of the gate quickly this season, and both teams are proud owners of two of the top goaltenders to far this season. Thing is, tonight we will not see the showdown between Quick and Price that I desperately wanted to see. Instead we get another sort of showdown. World Junior Team Canada Champions face off in nets. Johnathon Bernier and Carey Price. Too make matters more interesting Bernier is not only one of the more anticipated rookies this year, but he's also from Laval. And we all know what Quebec born goalies tend to do when they play in Montreal.
Justin Williams is red hot for the Kings this season. Coming into tonights game he leads the team in points (9-12-21). I can't see this lasting all season though. I won't discredit the guy, but the chances of him playing 82 games this year are slim. He's known for injuries having played less than 49 games max in his last 4 seasons.
On the Habs side of things, Jeff Halpern continues to find success with his Montreal squad. With 13 points on the season, he looks to blow away his 19 points total from last season. If you compare him to his counter-part Dominic Moore, so far I can say we made a good move. Signing Halpern for less and getting more production out of him. A great replacement for Metropolit. I'd honestly like to see some PP time from this guy. What do we have to lose? I'm hoping, with Darche playing, that JM reunites the 3rd line of Halpern, Darche, and Pouliot. To be completely honest, I have no idea why that was split up. They seemed to have great chemistry a week back and won a handful of games for us.
Habs are, as always, without Markov tonight. While the Kings play without Willie Mitchell (no surprise here) and Alex Ponikarovsky.
I expect to see the Habs respond from the final two periods in Philly. At least they better. It's a rare treat to see the Habs and Kings, and I'm sure it brings back memories to many many Habs fans. @_Jaybomb will be at the game tonight, so I'm hoping for a repeat of 1993 for him, minus the riots afterwards.
Puck drops at 7:30pm and is being aired on RDS.
-Kathryn Pateridis
- Habs Outclassed by Resilient Flyers by George Prax.
- Habs Panel Week 2 with George Prax, Iain Carnegie, Kamal Panesar and Kevin Van Steendelaar.
- Liveblog details for tonight, including Q&A portion of Habs Panel!
- Open Thread for Habs Panel questions/suggestions in our forums.
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6 Comments
Great preview Kathryn!
Should be a fun game... despite the history these teams don't face each other often and both have a lot of unfamiliar faces (to each other) so it should be interesting and the players are likely to be tentative... but hopefully that translates into an offensive, high octane game... two great teams here, tops of the league.
No prediction from me, just hope it's a good game and the Habs rebound from a crappy performance on Monday.
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Two things here.
1: Yes! I'm going tonight, and I couldn't be more excited to see this one.
2: I've stared at that photo so many times in my life. I can't seem to ever look away from the dude to the left of the cup. What a photo!
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Looks like the PhD line is back together according to Habs I/O. Darche in on Halpern's wing, Weber sits. I don't think Weber did anything wrong but he was being wasted on the 4th line considering we get like no powerplays and the Habs need the PhD line.
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What drives me nuts, is if we use Weber on the 4th line, it's just to dress him for the Power Play. Yet, a few times I saw him open in the "Stamkos" spot, with a shooting lane, and he doesn't get a pass!?!? I mean I understand he's no PP savior, but if your going to call him up, dress him and not use him on the PP whats the point?!
Nice name btw, Prax. PhD!!!!
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I totally agree Jason. But that's the norm with a new player, especially a young one or a rookie, coming into a team with a lot of established NHLers like the Habs. He's going to have to fight for his chances and the passers are going to trust their friends and normal linemates over the rookie they don't know. But if that's the case then as you said they would be better off if they didn't call him up at all. As we've mentioned the Habs don't get that many chances on the PP as it is and Weber's only going to play second unit if that... huge waste. At least Darche is strong at even strength.
And BTW I can't take credit for PhD lol, it's been around since they started playing strong a few weeks ago.
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I really wish it was Roy vs. Gretzky tonight. I guess Kopitar vs. Price will have to do.
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San Francisco, CA | June 05 – Present
The Mission Bay Neighborhood, on the south side of San Francisco, is being transformed from an industrial, relatively undeveloped area, into a mecca for biotechnology, including research and hospital facilities for UC San Francisco, Bayer, Nectar, Gladstone Institute, and Sales Force, as well as a new, livable urban neighborhood, with multiple sets of linked parks.
Alta is part of the integrated project team installing the new infrastructure and parks, providing project and construction managers, engineers, field inspectors, civil, electrical and mechanical inspectors, estimators, schedulers, and other technical support services as needed. Parks P10, P16 and P17 are the most recent projects completed by Alta as the owner's rep/ CM responsible for cost estimating, bid and procurement, contract administration and CM/Inspection. Parks P16 & 17 incorporate extensive hardscape features, benches and open lawn areas for active use by local residents and pets. Park P10 is a passive landscape within roadway median and round-about islands incorporating bioswales and low maintenance plantings. In addition to these completed parks, Alta is currently providing budget updates/estimates and bid packages for multiple park projects which include play structures and other specialized equipment.
66" Diameter Force Main
Construction Cost. – $5,500.000.
Blocks 41-43, Phase II. Infrastructure.
Construction Cost. – $10,000.000.
Storm Water Pump Station, Wet Well and CDS unit.
Construction Cost. – $6,000.000.
Sanitary Sewer Pump Station
Construction Cost. - $3,500.000
Residential Blocks 2-13
Construction Cost. - $25,000.000.
Blocks N4, N4A & N5
Construction Cost. - $17,000.000
Blocks 26-28, Phase II. Infrastructure.
Construction Cost. - $2,000,000.
Park P17. Parks Infrastructure.
Construction Cost. - $1,000,000.
Park-Maintenance Building. Vertical Structure
Construction Cost. - $2,000,000.
Procurement of Owner Supplied Street Lighting and Poles.
Management Cost. - $500,000.


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54, Near Jal Mahal, Amer Road Jaipur, Rajasthan
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Naushad Khan
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Hotel Malak Mahal is a 45 room budget hotel in Jaipur. It is 2 year old hotel and is operated by Mr Naushad Khan, a famous jeweller. Our Hotel Malak Mahal has the capicity to handle small parties, kitty parties, small celebrations etc. We can also arrange facilities like Jaipur Sightseeing & travel desk fcilities. Our room rate starts from INR 1500 to INR 2500.


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Worldwide home network penetration is expected to climb from 24.8% in 2013 to 33.2% by 2018, according to ABI Research (www.abiresearch.com). Growth is driven by the continued spread of broadband services and demand for multiscreen video services, according to the research group.
What is seen as commonplace in mature markets, including server provided broadband routers with integrated Wi-Fi access points and leveraging fixed broadband connections to offload expensive mobile data packages while consuming large amounts of content, is slower to move to emerging markets. In some cases, this is driven primarily by low service ARPU while in others it is simply limited fixed broadband infrastructure.
"Wi-Fi remains the most important networking technology, but despite an ever growing number of connected devices in consumer households, the demand for next generation wireless technologies will likely occur...| Read more »


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Twisting the Long Arm of the Law
The Basic Law on Legislation proposed by Justice Minister Neeman makes it clear that what is happening now is the Knesset's twisting of the Supreme Court's arm.
The Basic Law on Legislation proposed by Justice Minister Yaakov Neeman was criticized on Sunday for a provision that would allow the Knesset to reinstate a law struck down by the High Court of Justice, with a majority of 65 MKs. The dissent came from human rights organizations and opposition Knesset members. To right-wing Israeli politicians, use of the terms "High Court of Justice," "striking down of laws" and "human rights" elicits the sense that a few delusional leftists and enemies of Israel are once again defending the Arabs against the interests of the state.
The last law the High Court overturned, in late February, was one that denied welfare payments to anyone who owns or even merely uses a car.
Sigalit is an art school and teaching college graduate who worked as a freelancer her entire adult life. But when she gave birth to her daughter, her partner having left the country, Sigalit recognized she could not sustain herself and her baby on NIS 2,700 a month and applied for income support. When the National Insurance Institute realized that Sigalit owned an 18-year-old Subaru, bought for her by her mother, it rescinded her welfare rights, on the basis of the law that was later overturned by the High Court.
In 2000 the High Court overturned a section in the Military Justice Law that allowed soldiers to be incarcerated for 96 hours before being brought before a military judge. Imagine, if you will, that you - or your children or grandchildren - could be held for four days for no reason. It is no longer possible, because the High Court overturned an unconstitutional law.
An unconstitutional law is a law that violates the constitution. Israel does not yet have an actual constitution. It has Basic Laws - two of which protect the partial civil rights of its citizens - and a Supreme Court that regards the protection of civil rights as important. The court has struck down 10 laws as unconstitutional - not hundreds, as enemies of the court would like us to believe - and nine of them had to do with the basic rights of Israel's predominantly Jewish citizens. Most of the decisions were made to protect citizens from the tyranny of the government.
That's democracy - protecting citizens from the government, and protecting the minority from the majority. No majority - even one of 120 MKs - can make a ruling democratic if it is undemocratic. An undemocratic ruling is a ruling that unnecessarily violates human rights, whether of a minority group or of an individual. It is not for naught that Supreme Court President Asher Grunis, despite his reputation as a conservative right-winger, supported the abrogation of five out of the six laws discussed by benches on which he sat.
If the Basic Law on Legislation is passed, Prof. Aeyal Gross wrote in yesterday's Hebrew edition of Haaretz, the ruling coalition will bring about a situation in which "we do not yet have a complete democratic constitution, but will already have a way to 'beat' it," to the detriment of Israel's citizens. The coalition will be able to easily pass a law making it possible to arrest anyone without a trial, a law that punishes anyone who opts out of singing the national anthem in public, a law prohibiting women from singing at official events, and more - and no one will be able to overturn it. Well, they will, but the coalition will pass it again.
Knesset Speaker Reuven Rivlin has already announced that he will advance the draft law, since there is a need for regulating the relationship between the Supreme Court and the Knesset. No doubt. But what is happening now is not an honest attempt to do that in a way that would contribute to Israeli democracy and benefit its residents. In its current formulation the bill makes it clear that what is happening now is the Knesset's twisting of the Supreme Court's arm. To be more precise, it is another attempt by the religious, ultra-nationalist coalition to exploit its great power at this moment to tip the democratic scales and put all the weight on its own side. It would not be the first time for this coalition, but if the law is passed it would presumably be the last time. Afterward, it will no longer be necessary.
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User talk:Poopyfartweener
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Ariana Reines Reading At Type Books on Queen
Ariana Reines Reading at Type Books is presented by Gallery TPW, as part of the CANADIAN ECSTASY program.
Gallery TPW is thrilled to host a week of events with poet, playwright, translator, and artist Ariana Reines. In the context of the TPW R&D; project, we invite audiences to engage the charismatic and bold practice of this interdisciplinary thinker. Through a week of performance, reading, writing and talking together well consider practice, methodology and what it might mean to be in relation.
Based in New York, Ariana Reines is the author of The Cow Alberta Prize, 2006, Coeur de Lion 2007, Mercury 2011, all from FenceBooks, and Thursday, 2012, from Spork, and the Obie-winning play TELEPHONE 2009, commissioned & produced by The Foundry Theatre. She is the translator of The Little Black Book of Grislidis Real: Days and Nights of an Anarchist Whore by Jean-Luc Hennig 2009 and Preliminary Materials for a Theory of the Young-Girl by TIQQUN 2011, from Semiotexte, and of My Heart Laid Bare by Charles Baudelaire, 2009 from Mal-O-Mar. Performances and theatrical works include THE ORIGIN OF THE WORLD at Stuart Shave Modern Art 2013, LORNA, with Jim Fletcher, at the Martin E. Segal Theatre 2013, MISS ST'S HIEROGLYPHIC SUFFERING at the Solomon R. Guggenheim Museum 2009, and SWISSNESS at The Swiss Institute 2012. Most recently she published The Origin of the World, a book for Semiotexte's contribution to the 2014 Whitney Biennial. This summer she will present MORTAL KOMBAT, a new performance work with Jim Fletcher, at Le Mouvement Biel/Bienne in Switzerland.
Join us for a casual evening with Reines sharing some of her work.
883 Queen Street
Monday, June 23rd, 8pm
refreshments will be served & books available for purchase
For more information about the Reines Canadian Ecstasy events visit www.gallerytpw.ca/rd or contact curator Kim Simon at firstname.lastname@example.com


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Rep. Dan Burton - Indiana District 05
In the News
Original reporting and analysis from our OpenSecrets Blog.
Revolving Members of the Last Congress
March 8, 2013
We've gathered revolving door information on former members of the 112th Congress. Check it out.
Capital Eye Opener, August 1: Obama Chips In, Moderate GOP Rep. Throws in the Towel and Indiana's K Street Ties
August 1, 2012
President Obama anted up for his own re-election bid, something he didn't do in 2008. If he wins, he may have to deal with even more gridlock on Capitol Hill now that one of the last Republican moderates, Rep. Steve LaTourette, is exiting. And a Washington lobbying firm is the home of a pro-Bahrain group that took GOP Rep. Dan Burton to that country, and the firm has other interesting ties to the Hoosier State.
Prior to Arrest, Kashmiri American Council Director Donated to Congress Members, Political Parties
July 22, 2011
Dr. Syed Fai made $28,790 in contributions since the 1990 election cycle, research by the Center for Responsive Politics indicates. He made contributions on both sides of the aisle, but the top recipient of his cash was Rep. Dan Burton (R-Ind.), who chairs the Congressional Pakistan Caucus and is the third highest ranking Republican on the House Committee on Foreign Affairs.
Beyond Tom DeLay: J.D. Hayworth, Roy Blunt, Others Reaped Financial Rewards From Disgraced Lobbyist Jack Abramoff
August 17, 2010
J.D. Hayworth and Roy Blunt are not the only active politicians to have accepted donations from tainted lobbyist Jack Abramoff. In all, 37 current congressional candidates and sitting members of Congress received money from Abramoff and his wife.
Out-of-State Donations Flow to Many Members of Congress
August 3, 2009
Senators, on average, raised 57 percent of their individual contributions from out-of-staters during the first six months of 2009. Members of the U.S. House of Representatives, on the other hand, raised a median of 77 percent of their individual contributions from in-state donors.
Feel free to distribute or cite this material, but please credit the Center for Responsive Politics. For permission to reprint for commercial uses, such as textbooks, contact the Center: info[at]crp.org


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Beauty and the Best | Plus a Birthday
Once upon a time, ages ago…I set foot in a jungle called U.P. Diliman as a Fine Arts freshman, naturally, I was somewhat clueless on the first day of school. One of the first friends I made on that day in 1999 in search of blockmates was Mark Nicdao. We trekked on foot to find and join up with blockmates (and find food lol). It felt like the WWII D-day drop in Diliman after the welcome blast, "paratroopers" aka students were broken up from different blocks trying to find each other. I also happened to have a cousin named KC who was being labeled the industry's freshest IT girl a year or so into my college stay.
Mark decided to leave college after 2nd year and found himself apprenticing for photography then discovering that this was his true calling making him the best and most in-demand portrait and commercial style photographer in the country today. He mentioned here and there to me that he sooo wanted to meet KC. Although their encounter did not singlehandedly happen 'coz of me the rest is art history. It's KC's birthday today so Mark and I last night already wished her all the best. He had come over to bring her a birthday gift.
At a lovely and delicious impromptu dinner at Chef Jessie's in Rockwell Club (I recommend the Duck L'Orange), KC blew her birthday candles among family. I said it in Instagram and I'll say it again. I thank God for my gift of a cousin who has the best years of her life right before her. " I Love You, KC! Happy Birthday and Carpe Diem.
… To full post & COMMENTS...


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Happy Friday, everyone!
We have had a busy week in the studio (when isn't it busy?!) but took a moment to draw for the winner of the beautiful painted photograph of our cover image, courtesy of artist Lara Harris. A big thanks to everyone for entering and, of course, to Lara for recreating the image so beautifully!
Congratulations goes to Pink Party Girl, who is now its proud owner. Please email us with your info and we will get it shipped out to you pronto!
We'll be back on Monday with more updates about what we are up to and a few surprises, too!
Happy weekend!
Summer with Matthew Mead is sold only via this website.
Have you ordered your copy yet?


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Ernest Moniz, President Obama's newly nominated Energy Secretary, shares much with his predecessor, Steven Chu, outgoing head of the Department of Energy (DOE) and who is returning to an academic chair at Stanford University. Both men are prominent academic physicists, with long track records of advancing energy technology.
Chu proved to be a vocal advocate for clean energy technologies, especially in the realms of renewables and transportation, funneling billions in stimulus dollars into early stage R&D through DARPA-e and buoying mid-stage companies such as Tesla with federal loans. Under Chu's watch, carbon capture and storage (CCS) remained a priority, with efforts to press ahead with FutureGen 2.0, but lacked the urgency that many stakeholders wanted to see.
Assuming a quick Senate approval—Moniz is widely regarded to face a relatively easy confirmation—so what's in store for CCS under a Moniz-led DOE? On the downside, Moniz takes charge in a period of ever-tightening fiscal policy, so will all but certainly have less public money to deploy than did Chu.
If the conditions of the recent sequester hold, the budget for the DOE's Fossil R&D program—under which FutureGen and other carbon capture programs are funded—will be cut by 5 per cent, or US$25 million.
On the upside, Moniz enters his new post with far more experience in rough-and-tumble Beltway tactics than did Chu. Moniz served in the second term of President Clinton's cabinet, first as Under Secretary of Energy, and later as Associate Director for Science in the Office of Science and Technology. Moniz has frequently testified before Congress, as well.
In terms of CCS, if past is precedent, there's reason to be hopeful, maybe even a little optimistic.
I spent some time conducting some research to map out Moniz' work and statements on CCS. Here's what I found. If you have other examples, please comment and add more in the comments.
As Tamar Hallerman notes at GHG Monitor, Moniz has co-authored several high-profile works on energy technology and policy in which carbon is a central issue. In The Future of Coal (2007, MIT Energy Initiative) CCS is addressed front and center, vital to extending coal's tenure in an environmentally tolerable way. The report formally recommends both a carbon price and that the Energy Dept. alter practices in its Fossil R&D regime to accelerate the development of CCS. Retrofitting of Coal-Fired Power Plants for CO2 Emissions Reductions (2009, MIT Energy Initiative) offers far more detail on these issues. In the Summary for Policy Makers section which Moniz co-authored, he makes a detailed case for increased federal emphasis on CCS. A few quotes (emphasis added):
"The US Government must move expeditiously to large-scale, properly instrumented, sustained demonstration of CO2 sequestration, with the goal of providing a stable regulatory framework for commercial operation."
"Real world" retrofit decisions will be taken only after evaluation of numerous site-specific factors.
CO2 capture cost reduction is important.
A robust US post-combustion capture/oxy-combustion/ultra-supercritical plant R&D effort requires about US$1 [billion per] year for the next decade.
The Federal Government should dramatically expand the scale and scope for utility-scale commercial viability demonstration of advanced coal conversion plants with CO2 capture.
The program should specifically include demonstration of retrofit and rebuild options for existing coal power plants. New government management approaches with greater flexibility and new government funding approaches with greater certainty are a prerequisite for an effective program.
Time is of the essence.
About a year ago, Moniz sat down with The Energy Switch Project to document his views across the full range of conventional and renewable energies, and related technologies. I've pasted below two out-takes, where he comments on coal, CCS and carbon pricing.
In the video above, Moniz makes the following statements (abridged transcript):"Coal of course is a very widely used fuel, particularly for the power sector, with the US China and India combined using about 60 per cent of the world's coal. So if we're going forward particularly with carbon control in the future, we simply have to figure out a way to employ coal.
The answer has to be then for a serious solution: the ability to capture CO2 and sequester it underground. The problem right now is cost. Today we would probably be adding six, seven, eight cents per kilowatt-hour to electricity produced by coal… For a brand new coal plant, we're probably talking that's on top of six to seven cents. So let's call it a doubling of the cost at the plant of the production of electricity.
We might or might not be willing to pay that in the United States, but it is very difficult to understand China and India being willing to pay this kind of a premium.
Do I believe today we can start safely injecting billions of tons into an appropriate reservoir? Absolutely. That's a different statement however to do with 30, 40, or 50 years, however, and I think those things will work out as we do it.
The other near-term issue is that we really have very little idea as to how to regulate, how to assign liability [for CCS]. The EPA is in fact working on this, but certainly it cannot be based on the old types of regulatory structures put in place for water injection."
From the same interview, he also comments on carbon pricing, saying:
"Certainly it will never be cheaper to capture and store CO2 than it is to release it into the atmosphere so the reason we're doing it in fact is because carbon will have a price and ultimately it has to be cheaper to capture and store it than to release it and pay a price.
If we start really squeezing down on carbon dioxide over the next two decades, that [price] could double, it could eventually triple.
I think inevitably if we squeeze down on carbon, we squeeze up on the cost, it brings along with it a push towards efficiency, it brings along with a push towards clean technologies in a conventional pollution sense. It brings along with it a push towards security. After all, the security issues revolve around carbon-bearing fuels.
Now, I think it is very important that any funds associated with that be recycled efficiently to productive uses and to address distributional questions because some of the poor may bet hit harder. There's a lot of work to do, but in the end, if you take one simple thing, that's the direction I think we need to go in."
You can check out a continuous stream of Moniz' full 22-minute interview on Vimeo, or pick and choose Moniz' comments on a single topic, in short 1-2 minute segments, the interview is conveniently split into shorts by topic.
Check out the original post here:


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Did We Learn Anything New About USC in First Game After Kiffin Firing?October 11, 2013
It took a little under 10 minutes for us to realize just how much better off USC is without Lane Kiffin.
Over the team's first five games, the Trojans only recorded one play over 60 yards. However, during its first three drives in the post-Kiffin era, the team put together two.
Sometimes, change can be good.
Although USC was without leading receiver Marqise Lee (30 REC, 385 YDs, 1 TD), offensive coordinator Clay Helton—who took over play-calling duties after Kiffin's departure from the team—dialed up an aggressive approach.
Quarterback Cody Kessler reaped the benefits, tossing touchdown strikes of 62 and 63 yards. The Trojans jumped out to a 28-3 lead by the second quarter and held on for a 38-31 victory over Arizona on Thursday to open up interim head coach Ed Orgeron's tenure on a high note.
It was a welcomed change of pace from a usually conservative USC squad.
Kessler finished 15-of-30 for a career-high 297 yards, two touchdowns and registered his best adjusted QBR yet (93.5). He also had a surprising 34-yard run to add to his stat sheet.
Although it may not have been the sophomore's most accurate night—his 15 incompletions are a career high—that could be seen as a direct correlation to the new play calling. However, given his 9.9 yards-per-attempt average on Thursday, compared to his season average of 8.4, I think it's a move in the right direction.
In fact, the Trojans offense as a whole looks to be heading that way as well.
Against the Wildcats, the team racked up a season-high 546 yards of total offense. It was just the third time USC surpassed the 500-yard mark this season.
However, the other two instances—against Arizona State and Boston College—were against the No. 60 and No. 78 total defenses. On the other hand, Arizona (No. 23) presented the Trojans with the best defense they've faced all year.
It just makes Thursday night's performance all the more impressive.
But aside from all the numbers, we saw a team that finally looked like they wanted to be out on that field.
Take Kessler's postgame comments about , via ESPN's Arash Markazi:
No disrespect to the coach who was here before and I'm not getting into that, but you want a coach that you will freaking go to war for every time [like] this man here to my right. I don't only speak for myself. I speak for the whole team. We would go to war for this guy any day of the week. Any time he needed us we have his back 100 percent.
When you have a coach that you can see and feel that he cares about you so much and wants you to be the best that you can be and succeed, that's love right there. I couldn't ask for a better head coach. All of us would go to war and put our lives on the line for this man any day of the week.
When was the last time any USC player talked about Kiffin like that?
Sure, when the season finally comes to a close, the chances that Orgeron becomes head coach in a full capacity are slim to none.
However, that doesn't stop him from coaching his heart out to help these kids succeed.
'These guys, it's for them,' Orgeron said. 'I watched them hurt. I just wanted a change for them. To see them happy and see the celebrating and see them feeling good about themselves and walking with a pep in their steps, that's all I wanted. I told the guys I'd treat them like my son and when you see your son hurting, you hurt for them, and I just wanted them to feel good.'
It may only be one game, but I'd say he's making some darn good progress.
All stats and rankings used in this article are courtesy of NCAA.com.
For complete coverage and everything college football, you can reach Sebastian on Facebook, on Twitter and via e-mail at email@example.com