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Atlanta Braves (32-36)@
Boston Red Sox (42-27)
Sunday, June 21
Fenway Park
Attendance: None
Game Leaders
L: Bennett
(2-4) 3.03 era
W: Papelbon
(1-1) 1.80 era
1 (4)
1 (6)
Boston, MA (Sports Network) - Nick Green's solo home run in the bottom of the ninth lifted Boston to a 6-5 win over Atlanta in the rubber match of a three- game interleague set at Fenway Park.
After the Braves wasted an opportunity with the bases loaded in the top half of the ninth, Green jumped on the first pitch thrown by Atlanta reliever Jeff Bennett (2-4), hooking it inside the right-field foul pole to give Boston the series.
"The last thing I really wanted to do was hit the ball in the air right there because the wind was so bad," Green recalled. "I thought I hit it decent to right field, but I thought it was going to be an out because the wind so bad. But fortunately, it was blowing to right and the wind blew it right where it needed to go."
David Ortiz hit a two-run homer for the Red Sox, who are winners in nine of their last 12 games. J.D. Drew, Jason Bay and George Kottaras also knocked in a run.
Boston starter Tim Wakefield was charged with four runs and nine hits in 6 2/3 innings of work.
Yunel Escobar and Martin Prado each recorded three hits for Atlanta, which has dropped eight of 11. Nate McLouth and Garret Anderson both had two hits and drove in a run, while Brian McCann added a two-run double.
Jair Jurrjens made the start for the Braves and allowed five runs -- two earned -- and eight hits over 6 1/3 innings.
The Braves erased a 4-2 deficit with a two-out rally in the seventh. Gregor Blanco's base hit up the middle scored Anderson and moved Prado to second. Ramon Ramirez was beckoned from the bullpen and McLouth greeted the reliever by a stroking a base hit to right that drove in the tying run.
Boston went back up top in the bottom half of the inning as Drew took a pitch the other way, lining it off the base of the wall in left to chase home Kottaras, who doubled to leadoff the frame.
Atlanta knotted the game once again in the eighth on Anderson's RBI single, and Jonathan Papelbon (1-1) pitched out of trouble in the ninth. Papelbon issued a one-out walk to McLouth and Kelly Johnson reached on a fielder's choice two batters later. McCann then walked to load the bases, but Papelbon fanned Matt Diaz to end the threat.
"We hit the ball hard today, really, really hard. We didn't have a lot of luck to be honest with you," Braves manager Bobby Cox said.
Atlanta plated two runs in the top of the first on a double by McCann, but Boston countered in the home half.
Dustin Pedroia doubled to begin the inning, and Jurrjens' misplay on a dribbler hit by Kevin Youkilis put men on the corners. Bay hit a sacrifice fly and Ortiz followed with a blast over the Green Monster for a 3-2 Red Sox lead.
The fourth inning could have been productive for Boston, which had the bases loaded, but Jurrjens did an excellent job of minimizing the damage to one run on Kottaras' sac fly.
H: Bill Hohn
1B: Bruce Dreckman
2B: Paul Emmel
3B: Gary Darling


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How Do I Convert My Virgin Mobile Phone To Straight Talk?
I have a virgin mobile lg Optimus phone and would like to use it for straight talk can someone please tell me how to do it easily.
Posted: June 14, 2013
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you can't. Virgin Mobile Phones only work on Virgin Mobile
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Watch the Throne : Vancouver
Read the review in the National Post, here.
Click here to Order Flying Colours (CD + Vinyl) and to purchase concert tickets for Shad's Flying Colours CD release tour. Digital albums available via iTunes, here.
Fam Jam (Fe Sum Immigrins) is available on iTunes Canada here. For our int'l fam, please search for "Shad Fam Jam" in your iTunes Store and we should pop up.
Stylin is available on iTunes:
"Quick-witted tongue, on-point ear, and truly unique passion for hip hop" -- okayplayer
"Spiritual without being preachy, righteous without being self-righteous, and human without sounding mundane." -- Pitchfork
"With a discerning, critical eye and disarming sense of humour, Shad is a truly balanced artist, carrying himself with an endearing swagger that's free of pretense." -- Spinner
09/11 London, ON - Western Fair
09/13 Huntsville, ON - Muskoka Sound Music Festival
09/20 Winnipeg, MB - Canadian Museum for Human Rights
03/27/2015 Toronto, ON - Massey Hall
this blog is written, for the most, part by g. Shad'll pipe in every once in a while with a gem. maybe some of our other friends will too.
Read the review in the National Post, here.


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From the Archive:: Google is Your Business's Friend: Use it! http://t.co/IU7kyKKdXr
Using Google's Search Operators to Drill Deep via @level343
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From the Archive:: Using Social to Drive Customer Traffic: 10 Tips For Using Foursquare and Facebook Deals
Dear Business...It's Not You, It's Me
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Reader Comments (Page 1 of 1)
It's things like this which annoy me:
It's things like this which annoy me:
Just badly done polygon bending, amongst other things, which make the current models look lazy by today's standards.
Though, to people complaining that casters look too bulked up, you try running around as much as your character does and you'll soon understand why they have so much muscle mass. Also, those staves don't look light.


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Sign up for Yardbarker's daily Top 10 newsletter, the Morning Bark! Customize to get news on your favorite sports and teams.
Found April 23, 2013 on NFL Trade Rumors:
PLAYERS: Cedric Benson, Adam Schefter
TEAMS: Green Bay Packers
TEAMS: Green Bay Packers
ESPN's Adam Schefter reports free agent RB Cedric Benson is scheduled to fly to Green Bay to meet with Packers on Wednesday. Schefter adds that Benson is "almost healed" from his Lisfranc surgery he underwent back in November. Benson, 30, has remained a fallback option for the Packers all along. He'll likely require nothing more than veterans minimum at this point in his career, but could be somewhat effective for them if healthy. It will be interesting to see if Green Bay takes a running back at some point during the middle rounds of the upcoming draft. We have Benson listed as the No. 30 player in our Best Available Free Agents list. The post Report: Cedric Benson To Meet With Packers Wednesday appeared first on NFL Trade Rumors -.
Original Story: http://nfltraderumors.co/report-cedri...
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What do you think?To leave a comment, you can:
Packers reportedly won't sign Cedric Benson right now
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NEW YORK (Reuters) - A small plane suffering mechanical trouble made an emergency landing in an express lane on New Jersey's busy Interstate 80 on Monday, police said.
No one was injured when the single-engine plane landed at about 2:30 p.m. local time near the highway's exit 66 in Hackensack, said Sgt. Stephen Jones of the New Jersey State Police.
He said the plane, with a pilot and a passenger on board, landed in the eastbound express lane of the highway, a busy section about eight miles west of New York City.
The landing happened so quickly that police had no time to block off traffic, but vehicles managed to get out of the plane's way, he said.
"It was an emergency," he said. "There wasn't enough time to get the roads stopped."
The pilot had reported mechanical trouble and was in contact with a control tower at New Jersey's Teterboro Airport, where it was headed, he said. It was not immediately known where the flight originated, he said.
(Reporting by Ellen Wulfhorst; Editing by Greg McCune)


text: Here's a great recipe for serving a lot of people who eat at different times. Its easy and will be a big hit. Depending on the amount you need to cook choose an appropriate size aluminum roaster pan. Pour beer into it. You want enough beer so the brats can take a bath. Add onions and butter and let simmer. Put the brats in and let them cook away. After about an hour take them out and grill them until nicely browned. Always use good buns for brats. Save the cheaper buns for hot dogs. Enjoy.


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Pageant Arena
2218 SE Rodeo Drive<< Back to listings
Medicine Lodge, KS 67104
Medicine Lodge, KS 67104
Home to the Kansas Championship Ranch Rodeo which takes place every September.
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Kansas Championship Ranch Rodeo
September 26 - 27, 2014Venue: Pageant Arena
Address: 2218 SE Rodeo Drive, Medicine Lodge, KS 67104
Time: Starting: 7:30 PM
Type: Events
Phone: 620-886-9815
Kansas Ranch Teams compete against each other for Winning Team, and the chance to qualify at the World Championship Ranch Rodeo in TX. Tea...More


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BCS Championship Ring Stolen From Chris Rainey
Published June 20th, 2011
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The home of Chris Rainey and Moses Jenkins was found burglarized on Sunday morning near the 3300 block of Southwest 42nd Street. Several items were reported missing, including Rainey's 2008 BCS National Championship ring. Other items included a television, a Sony Playstation, Gucci duffle bag, several pairs of shoes, and two men's watches. The two current UF players were not home at the time, and were out of town to verify if anything else was taken. GPD is asking anyone with information to contact the police at (352)393-7670.
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- First BCS Poll


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FAAS caters to the needs of galleries and by providing a range of services that can improve a gallerys efficiency and lower its shipping costs while maintaining the high level of safety and security required in dealing with high value works of art, antique furniture and objects of a fragile nature. FAAS project managers combine years of experience in managing time sensitive shipments and servicing both local galleries and foreign galleries during art fairs.
We specialize in:


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John Sexton Junior sat in court and watched as jurors were shown a video of the murder scene inside 94 year old Ann Parlato's home. Jurors saw bloody sheets and the partially covered body of the victim.
In September of 2010, the Pasco County Sheriff's Office was called to Parlato's home when a neighbor discovered her body. Sexton was Parlato's lawn man.
Today, jurors heard testimony from Parlato's neighbors about what they saw the night of the murder.
David Carlin was in his bedroom when something got his attention.
"We heard like a loud thud. It was loud enough to alarm the dogs and wake her up."
Carlin and his girlfriend, Devlin Saunders, and a roommate went to investigate the noise. Devlin Saunders says she saw a figure in Ann Parlato's window and it was not her.
Assistant State Attorney Mike Halkitis asked Devlin to tell the jury what she witnessed. "I saw the lawn care man in the window. It sounded like he was in the sink doing dishes. Could you hear water running? yes."
Halkitis then pointed at Sexton and asked Devlin, "is that the person, this person right here that you saw in Miss Parlato's home sometime after midnight? Yes sir. Any doubt in your mind? None."
Halkitis also asked David Carlin what he saw.
"Do you see anything unusual in the driveway? His truck. And could you tell how it was parked? It was backed in."
Carlin says he wrote down the tag number of the vehicle. He also said he saw a man who appeared to be Sexton in the window.
The defense attorney asked Carlin to describe who he saw. "His hair, stature that kind of stuff. But you didn't notice any particular details about this person, correct? No sir."
Throughout today's proceedings, John Sexton showed no emotion.
200 South Parker Street, Tampa, FL 33606
Telephone: 813.228.8888
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Old Strange and Wonderful
|19 year old Canadian college student, studying costuming for theatre. I have a dream blog and a craft blog, and this...is my crack blog.
I'm starting to watch Doctor Who again (because I'm pretty sure I've missed a lot of episodes already). I thought I'd...
I suddenly have this crushing desire to cosplay Idris. Idek.
from Doctor Who Series 6: The Doctor's Wife


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Don Brayton of Des Plaines, Ill., brought his 1936 Chevrolet Master Deluxe Town Sedan to Chevy Vettefest in Rosemont, Ill. This car belonged to John's grandfather, who really loved it. During World War II, John's grandfather joined the armed service and went off to fight for his country. He was afraid that the scrap drives would take his car while he was gone, so he completely disassembled it. He built an L-shaped shelf around the car and then covered the parts with all types of stuff.When people looked in the garage, all they saw was an empty space and what looked like a pile of junk. Six years ago, John hauled the parts out of the garage and put the car back together. Now he has a gorgeous Chevy that escaped becoming a battleship or army tank. It's the oldest unmodified Chevy at this weekend's show, which continues tomorrow at theStevens Convention Center in Rosemont. If you're in the area, come and see me there..
Gunner's Garage with John Gunnell
"Gunner" is one of of the most prolific authors and most visible characters in the old car hobby. He has written dozens of books about old cars for Krause Publications and is the former editor and publisher of Old Cars Weekly. His collecting pursuits range from old Pontiacs, to MGs, to retired police cruisers, to Indian motorcycles. He remains a frequent contributor to Old Cars Weekly and owns and operates Gunner's Great Garage, a classic car restoration and gift shop in Manawa, Wis.
Save 78% Today!
The 2015 Collector Car Price Guide is NOW AVAILABLE and you do not want to miss out. This guide contains over 250,000 listings from over 140 car and truck makers.2015 Collector Car Price Guide
Check these out too:
Old Cars Auto Restoration Guide Vol. II
Standard Catalog of Chevrolet 1912-2003
Standard Catalog of Pontiac 1926-2002
Standard Catalog of Ford 1903-2002
- Automotive Marketplace


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Simmer chicken broth and chopped onion for 15-20 minutes in a covered small saucepan, until onions are soft. Heat milk in microwave for 1-2 minutes. In a separate medium-sized stockpot, melt butter then add flour, salt and pepper. Cook together, stirring constantly, for 2 minutes, then whisk in warmed milk. Stir and heat together on medium heat until soup starts to thicken, about 5-8 minutes. Add warmed chicken broth and continue to stir until well blended. Add cheeses and stir until completely melted. Stir in seamed broccoli. Add more salt and pepper to taste, if needed. Serve immediately in bowls or bread bowls.
Go to full version of


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Nothing better than SEIKO quality and at this price a real bargain.
SEIKO® Coutura Chronograph Watch
Item # WNPX-232950
- Google+
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SEIKO® Coutura Alarm Chronograph Watches... easy, elegant precision!
Sporty, sophisticated SEIKO® Chronograph Watches offer you SEIKO world-class reliability!
- Precise quartz movement
- Chronograph measures split-second and accumulated elapsed time (up to 12 hours in increments of 1/ 20 th of a second)
- Scratch-resistant Hardlex&trade crystal
- Stainless steel screw-on caseback, case and bezel
- Water resistant to 328'
- Secure push-button deployment clasp
- Date display at 3 o'clock. Each weighs 5 ozs.
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Men's SEIKO® Chronograph Watch, Two-tone
- 2-tone link bracelet... stainless steel and gold-tone
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- Brushed and polished link bracelet in your choice of stainless
- High-contrast black dial
- Luminous silver-tone minute and hour hands
- Silver-tone bar hour markers.
- Reviews
Customer Reviews
Very nice
This is the nicest watch I've owned. The price at SG was very competitive. The sub-dial for stopwatch minutes is very, very slightly off center - most people would never notice. Other than that the quality of this Seiko is excellent. This watch compares favorably to others costing much more.
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Includes 4 cutting disks for metal, 3 cutting disks for plastic, 3 thin cut disks, 1 EZ mandrel and storage case.
Includes cloth polishing wheel, polishing compound, abrasive brushes and buffs and storage case.
Smooth-finished wood storage case includes 27 plastic sleeve-lined holes which hold 1/8 inch shank rotary tool bits and accessories, plus 5...
The Dremel EZ Drum mandrel makes sanding band changes as easy as PULL/PLACE/SECURE.
You'll be impressed with this most-complete selection of accessories that fit any rotary tool with a 1/8 inch collet or chuck.
Large 1-5/8 inch diameter 80 grit diamond-coated cut-off wheel slices through hard materials quickly and easily.
Dremel Workstation combines the operation of a drill press, rotary tool holder and flex shaft machine in one space-saving attachment.
Carbide Shaping Wheel works hard, runs cool, stays clean.
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Colombo, Sri Lanka, 22 Jul 2011 -- Over 150 small-scale fishers in Sri Lanka's Puttalam district will benefit from safety equipment distributed by the FAO Regional Fisheries Livelihoods Programme for South and Southeast Asia, (RFLP), an initiative funded by the Kingdom of Spain.
The equipment - which includes GPS systems, life rings, first aid kits, life jackets and VHF radios - was handed over to fishers at a ceremony held today at the Coastal Environmental Centre in Kandakuliya, Puttalam district.
Taking part in the event were representatives of District Fisheries Office of the Department of Fisheries and Aquatic Resources, the Sri Lankan navy and police, and FAO.
Jose Parajua, Regional Programme Manager of RFLP said, "Small-scale fishers in Sri Lanka face considerable risk on a daily basis. This equipment will save lives, reducing the vulnerability of fishers and their families alike."
In addition to providing safety equipment, the FAO RFLP programme also delivered a comprehensive series of training sessions for over 800 small-scale fishers on topics including first aid, survival at sea, safe diving, fire fighting and out-board engine repair.
"By providing training to those who can then train others, a significant contribution is made to the safety of fishers in Sri Lanka," Mr Parajua said.
RFLP is currently operational in the fisheries districts of Negombo, Chilaw and Puttalam and is implemented by the FAO in collaboration with the Ministry of Fisheries and Aquatic Resources Development. The Regional Fisheries Livelihood Programme for South and Southeast Asia (RFLP) sets out to strengthen capacity among participating small-scale fishing communities and their supporting institutions in Cambodia, Indonesia, the Philippines, Sri Lanka, Timor-Leste and Viet Nam. By doing so the RFLP seeks to improve the livelihoods of fishers and their families while fostering more sustainable fisheries resources management practices.
Regional Fisheries Livelihoods Programme for South and Southeast Asia
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Can owner of easement terminate it & prevent me access to my property?
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Does the ten year statute for a prescriptive easement claim on my property begin before I bought the land?
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How do you create an easement for access to utility meter?
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June 07, 2014 16:46
The corner of my house was built on the property line I had a written but not recorded easement with the neighbor
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I own property on which there is a vested prescribed easement (50+ yrs. driveway) to my neighbor who owns a single family home.
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I have a neighbor who uses my driveway. He has no legal easement to do so. He has his own easement. Can I fence off his access?
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Is a sign posted in an easement prohibiting access and saying violators will be prosecuted have legal affect?
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Our neighbors have an easement that runs on our land (appurtenant). They have begun a dog grooming business
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The county clerk will not accept my easement signed in blue ink, is the easement still legally binding?
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Can an owner of a privately owned road narrow the easement which serves others?
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Can an easement be recorded in Suffolk County, NY, in the form of a map if all metes and bounds are clearly label on 8.5x11 page
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Whem someone say something stupid and you think: Please kill me.
Cuando alguien dice algo estúpido y piensas : Por favor matame.
Music & Films & Books. I'm a Dreamer. I've got a war in my mind. Lana Del Rey. Stay strong bitches.
Paper Stacks, a collaboration by FiftyThree and ALLDAYEVERYDAY.


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When we heard that paranormal author Jamie Manning was going to have his trilogy published, we just had to get the scoop. We'll talk with Jamie about the release of his debut novel, Blood Born and his journey as a writer.
BF: Jamie, you recently announced that your YA paranormal series, The Blood Prophecy Trilogy,
Continue reading A Conversation with Jamie Manning


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Nazareth, Israel Vacations - Travel guide to Nazareth, Israel accommodations and vacation packages. Visit Nazareth, Israel for getaways and adventure travel. Plan your Nazareth, Israel vacation today.
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Nazareth, Israel Middle Eastern - Holy Land Christian Tour, Featured the Home of Jesus Christ from Nazareth,Israel Hotels, Flight, Restaurants
Nazareth, Israel Youth Hostels - Al Atabeh guesthouse was opened in May 2010. It's located in an 200 years old mansion inside the old city of Nazareth. It's close to major sites in Nazareth like the Basilica and Mary's well. In addition there is an on-site retstaurant.
Nazareth, Israel Bed & Breakfasts - Welcome to the new Kattouf Guest House! The Kattouf Guest House is a 200 year-old Arab mansion turned guest house that offers private rooms in a unique old world atmosphere.
Nazareth, Israel Youth Hostels - The Fauzi Azar Inn is a three-story stone building from the 18th century. We boast a 6 meter high, hand....
Nazareth, Israel Hotels & Resorts - The Club Resort is Suitable For Groups, Holidaymakers and Business Travellers, Conventions, Workshops and Seminars, and is Just a Short Walk Away from
Nazareth, Israel Hotels & Resorts - The Casa De Maria Hotel is just across from Basilica of the Annunciation, inside the historical old city.
Caesarea, Israel Vacation Rentals - Vacation suite apartment at Neot-Golf resort, Caesarea, Israel. Perfect family holiday ,free use of sauna, swimming pool, fitness room, squash, tennis, mini-golf. Also nearby beach, golf, horse rid...
Jerusalem, Israel Sight-Seeing Tours - Israel private & personal tours ,Can include 4 x 4 Jeep excursions in Israel. Licensed guide. Israel tours, tours in Israel ,adventure trips by camel & hiking tours. Safari to Eilat, Negev, Dead Sea, Judean desert, Jerusalem, Masada, Galilee, Golan
Jerusalem, Israel Bike Tours - Eight days: Cycling on paved roads and occasional hard pack desert tracks. Chosen one of the world's best trips by Bicycling, Outside, and Men's Journal
Jerusalem, Israel Sight-Seeing Tours - Custom designed private Israel tours with local tour guides. Jerusalem Private Tours ,Sea of Galilee Tours ,Israel Off the Beaten Track Tours ,Israel Classical tours with a personal touch . For individuals, couples ,families and small groups.


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Opel unveiled at the Essen Motor Show, the Astra OPC Nurburgring-Edition, a limited edition that express the respect that Opel has for the 'most charming' race track in the world. It will be limited to only 835 units and will go on sale early next year.
The Astra OPC Nurburgring-Edition is offered with the second generation IDPlus2 chassis, that offers the OPC its maximum driving dynamics. Next to it Opel offers: ESP-Plus, TC-Plus traction control, various brake-assisting functions and electronic dampers CDC.
Under the hood there is a turbocharged 2.0-litre petrol engine that delivers 237 hp. The Astra OPC makes the 0 to 60 mph sprint in 6.2 seconds and hits a top speed of 151 mph.


text: Baby Name Poll Calli vs. ? I need a girls name that goes with Calli. I can't seem to find a name that fits just right. I need your help! Which baby name is best? Calli ? View Results » create your own baby name poll » more baby name polls


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By mswatcher
via youtube.com
Submitted: May 14 2013 / 05:05
This particular audibilization is just one of many ways to generate sound from running sorting algorithms. Here on every comparison of two numbers (elements) I play (mixing) sin waves with frequencies modulated by values of these numbers. There are quite a few parameters that may drastically change resulting sound - I just chose parameteres that imo felt best.


text:
IRVING, Texas – The first day of OTA practices saw a fair share of new faces. Most of them were rookies just trying to learn the system, while some of the veterans were out there knocking off the rust.
Defensive end
Hargrove was out of football in 2012, serving a suspension as part of the Saints' bounty-gate scandal that accused the organization of paying players to injure opponents. Hargrove received an eight-game suspension that was later lifted. Still, the damage was done and Hargrove hasn't forgotten.
"If you lost a year of paychecks, how would you feel?" Hargrove asked on Tuesday. "Playing football is what I do for a living. They took my earning power away. That's the main thing. But I don't worry about what the league has done. I just play ball."
Hargrove is excited about doing just that with the Cowboys, who could use some depth at defensive end behind starters
"I just play where they need me," he said. "It looks like it will be (defensive) end, but I feel like I can do whatever. I'm just excited about this opportunity."
Hargrove has just seven years of experience over the last nine seasons. Suspensions for violations of the NFL's substance abuse policy wiped out his 2008 campaign and then last year he spent waiting and wondering how the Saints scandal would shake out.
Hargrove admits there was a time this offseason when he wasn't sure if the phone would ever ring again.
"It definitely stopped ringing," he said. "I didn't know. But I kept working hard and just stayed ready at all times. You just never know what's going to happen. The way last year unfolded, nothing surprises me now. I'm putting it behind me and trying to move forward. I had to deal with it. It's a new day in my life. I'm trying to continue my career and finish up in a strong way."


text:
Hunter's Specialties® Scent-A-Way Fresh Earth Kit
Item # WX2-193549
- Google+
This item cannot ship via any of our Next Day or Second Day Express delivery methods.
You must be 18 years of age to purchase this item.
Shipping restrictions apply to this product under some jurisdictions. Known age, state and local shipping restrictions are applied at checkout and may result in changes to an order. PLEASE NOTE: We do not accept returns of Ammunition for safety reasons. NEVER use any Ammunition unless it is specifically designed for your firearm.
This item cannot ship via any of our Next Day or Second Day express delivery methods.
This item cannot ship to Canada.
This item cannot ship internationally.
- Details & Specs
Hunter's Specialties® Scent-A-WayTM Fresh Earth Kit leaves an earthy "cover scent".
A 32-oz. bottle and two 12-oz. spray bottles filled with sure-thing scent control, proven in the lab AND in the field, where it counts!
Scent-A-Way prevents and controls odors in four ways, so you stay sneaky and odor-free all day long... and it leaves a fresh earth cover scent for extra precaution. Safe on all clothing and materials, environmentally friendly. Not harmful to the skin.
Order yours ONLINE today and enjoy the scent-neutral advantage!
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text:
Women's Basketball
Spartans Return Home to Face Northwestern on Thursday Night
Jan. 7, 2009
Michigan State Spartans (9-6, 2-2) vs.
Date: Thursday, Jan. 8
Purchase Tickets
Listen to Spartan Sports Podcasts
Statistically Savvy (Big Ten Edition)
Junior Allyssa DeHaan is first in the Big Ten in blocks with 3.60. Also in the conference's top-10 is redshirt junior Lauren Aitch (fourth in field goal percentage - 52.7%), junior Mandy Piechowski (sixth in 3-point field goal percentage - 41.0%), sophomore Kalisha Keane (eighth with 2.07 steals per game), redshirt junior Aisha Jefferson (ninth in points - 12.9) and sophomore Brittney Thomas (ninth with 3.31 assists).
Stepping It Up in Conference Play
Statistically Savvy (NCAA Edition)
Individually, junior Allyssa DeHaan is fourth in the country in blocked shots with 3.6 per game.
On this Date
Keys to MSU Success
Spartans' Dynamic Duo
DeHaan's scoring has shown to be a deciding factor in most Spartan games. When she reaches double-digits, Michigan State is 7-0 this season and are 43-14 in her career. Also, when she leads the team in scoring, MSU is 27-4, including a 4-0 record this season. Meanwhile, MSU is 25-11 when Jefferson tallies double-figures, including a 6-4 mark in 2008-09.
Crashing the Glass
By contrast, the Spartans have allowed only 13.6 offensive rebounds per game and have allowed the opposition to grab only 32.3% of their possible offensive rebounds.
Spartan Efficiency Per 40 Minutes
Jefferson is third in scoring averaging 22.2 points per 40 minutes (trailing only Ohio State's Jantel Lavender - 26.8 and Penn State's Tyra Grant - 24.6). Also, classmate Lauren Aitch is sixth at 20.5, freshman Courtney Schiffauer is 13th at 16.3 and DeHaan is 15th at 16.0. In regard to rebounding, redshirt freshman Lykendra Johnson is fifth with 11.8 boards per 40 minutes, while DeHaan is eighth at 11.4 and Aitch is 15th at 10.3.
Holding Down the Opposition (First Half Edition)
MSU allowed only 12 points in the first half against Delaware State on Dec. 18 and 13 points to Detroit on Nov. 19. The 12 points against the Lady Hornets tied the previous school record for a first half, set on Jan. 16, 2003 against Indiana.
Welcome Back
DeHaan Reaches Milestone...
...And Approaches Another
Let's Play More Time
New Heights
Defense in the Post
Breslin Celebrates No. 20
Fans Continue to Pack the Breslin
In the early stages of 2008-09, the Spartans are fourth in the Big Ten, averaging 4,890 fans through six games.
RPI Watch
About Northwestern
The Wildcats are averaging only 60.1 points per game, while allowing a Big Ten high 63.1 points. Northwestern is third in the conference, shooting 43.6%, but have given up a league worst 40.9% clip to the opposition. On the board, they have held their opponent to only 34.9 rebounds per game, good for third in the Big Ten, but have been able to grab only 32.8 per game, which is 10th. Like the Spartans, the Wildcats have had troubles with the turning the ball over, averaging 19.2 per outing.
Sophomore center Amy Jaeschke has led the Wildcats this season, averaging 16.9 points (fourth in the Big Ten), 9.6 rebounds (third) and 3.0 blocks (second), while shooting 50.2% from the field (fifth) and playing 36.5 minutes (second). Kristin Cartwright and Meshia Reed are also close to double-figures, averaging 9.6 and 9.2 points per game, respectively. Jenny Eckhart is seventh in the Big Ten with 3.6 assists per game, while Erin Dickerson is second, knocking down 51.1% (24-of-47) of her attempts from behind the arc.
Against the Wildcats
at the official


text:
521 Posts in 248 Topics by 263 members
Content Editor Discussions
SilverStripe Forums » Content Editor Discussions » Setting the spell checking language
Forum for content editors and CMS users.
Moderators: martimiz, Sean, biapar, Willr, Ingo, swaiba, simon_w
Page: 1 2
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Re: Setting the spell checking language
21 April 2010 at 4:37pm
Hello all, I am trying to change to a UK English instead of US english, I've tried folloiwng the instructions above but I have had no luck.
Here is what I have tried.
edited mysite/_config.php with
HtmlEditorConfig::get('cms')->setOption('spellchecker_languages', '+Deutsch=de');
(using german first just so I can see the change in what is selected but I cant even get that).
Not sure if I need to be editing other files etc.
Any help would be great
Community Member
43 Posts
Re: Setting the spell checking language
21 April 2010 at 6:41pm
With SS 2.3.7 I had to edit CMSMain.php in CMS/code - I know patching a core file is dirty and brings more work if it comes to upgrading to a new SS version.
But when you replace line 102 in CMSMain.php with
HtmlEditorConfig::get('cms')->setOption('spellchecker_languages', '+Deutsch=de');
it should work
Re: Setting the spell checking language
21 April 2010 at 8:13pm
Hi Platypus
Yes I'm on 2.4 but I do that (removing//commenting out the existing line) and I now see that under the spell checker drop down that german is the spell checker (which is good) but then when I click the actual spell checker button the whole browser locks up. In chrome it says the script has run too long or something like that, so I'm not too sure what to do now.
Re: Setting the spell checking language
22 April 2010 at 7:42pm
also guys I have just noticed after installing a fresh SS 2.4 copy on wamp that the spell checker crashes my browser.
Where as up on my live website wen hosted version of the same file, the spell check operates normally. Is there any reason why it would behave in such a way on my local machine???
Also does anyone know what code I need to use to change the default spell checking language to English UK or English / Australian.
I see German is +Deutsch=de
Where abouts are these codes listed??? I cant find the document.
Any help would be great
Community Member
43 Posts
Re: Setting the spell checking language
23 April 2010 at 5:41am
Hi, regarding SS 2.4 I'm sorry, I currently only use 2.3.7. But I can help you with these codes... they are not SS related, and it's also not TinyMCE. These are Google's Language Codes ;-) You can find them here: http://sites.google.com/site/tomihasa/google-language-codes
Community Member
89 Posts
Re: Setting the spell checking language
19 November 2010 at 10:46am
I've put this into my _config.php and it seems to do the trick:
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text:
One of the biggest names in the industry Samsung boasts some of the best image sensor technologies on the market. Over the past 30 years they have refined their production techniques, manufacturing some of the world's best-performing security cameras, digital video recorders and network control systems.
Samsung provide a comprehensive range of products and complete solutions ranging from city surveillance to the protection of streets, airports, ports, industrial facilities and military installations. Samsung's world leading imaging technology coupled with cutting edge design makes their equipment some of the most reliable and adaptable available so you can rest assured that you are safe with Samsung.
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text:
Republicans are on offense in scores of House and Senate races as persistent economic woes and lukewarm support for President Barack Obama continue to weaken Democrats' hold on Congress.
The president and his party are determined to minimize the losses six months before the November elections. But Democrats privately acknowledge the economy and support for Obama must improve before then to avoid the defeats that could cost them control of the House and possibly the Senate.
Primaries in Indiana, Ohio and North Carolina on Tuesday kick off an intense eight weeks of contested elections. There also are two special House elections to fill vacant Democratic-held seats in Pennsylvania and Hawaii. The outcome could be a clear indicator of the political mood.
"I need your help once more," Obama says in a video message to backers, a plea that underscores the troubles for Democrats. "This year, the stakes are higher than ever," the president adds, warning that Republicans would "undo all that we have accomplished."
Although Obama isn't on the ballot, a Democratic shellacking would be seen as a rebuke of the president's first two years in office, much like 1994 was for President Bill Clinton when the GOP reclaimed the House and Senate.
Obama and his party must defend dozens of seats in the 80 or so House races that are competitive; they include some districts that Democrats have held for decades.
The party also faces serious Senate challenges in at least nine states, including Nevada, where Majority Leader Harry Reid trails in the polls. Democratic seats in Illinois and Delaware, once held by Obama and Vice President Joe Biden, respectively, are also in jeopardy.
While Republican prospects are looking up, infighting between moderates and angry conservatives might dash the party's hopes.
At this point, analysts for both parties say Republicans probably will pick up as many as three dozen House seats, and possibly the 40 needed for control. The GOP is expected to win a few Senate seats, though the 10 necessary to take control is considered a long shot.
Related articles by Zemanta
- Republicans Eye Three Symbolic Senate Seats (politicalwire.com)
- Democratic seats once thought safe up for grabs (bendbulletin.com)
- Florida Democrats get a primary fight in Senate race, too (hotair.com)
- GOP Eyes Senate Trifecta, As Obama Shuns Giannoulias (riehlworldview.com)
2 Responses to "Republicans gain while Democrats slip"
The inspector queries,
why did you skip that weld ?
The weldor answers, I'm doing my job as per today's revised print. Engineering deemed said law is unnecessarily ambiguous, and the plan is to let it fail in and upon itself regularly so that we can cash in those favors.
Queries the Inspector, does this not alarm you ?
Weldor answers, I have none that would owe this lowly craftsman favor for I owe my country above all else.
Inspection : we have a new print for you.
Weldor : how many volts / amps will you expect your trickle charge of sameness to hold an arc together this time and what do I get for hiding the deletions from the structural engineer.
Inspector :He's just a piece of paper wrapped around those electrodes illiterate one.
Tesla is crying.
If any are worried there were no politicians electrocuted, inert gas shares electrons willingly and will not ,I repeat are not combustible.
Republicans gain while Democrats slip, and while either party is our only choice, we the People lose.
Comments are closed.


text:
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The Anti-Bride Guide: Tying the Knot Outside of the Boxby Carolyn Gerin and Stephanie Rosenbaum
Staff Pick
This informal guide cheerfully reminds the reader that every tradition began as an innovative new idea, and that the ceremony should be tailored to fit you — not the other way around! Filled with savvy advice (which two wedding elements should you have professionally done?) and creative suggestions (how can your bridesmaids look "official" without matching dresses?), this book is here to inspire and empower the bride who is going beyond a generic cookie-cutter wedding.
Synopses & Reviews
Publisher Comments:
We know, we know, traditions die hard, but more and more of us are getting married these days and we want to forge our own fete. Forget the Bridal Galleria, forget the country club, The Anti-Bride Guide is the ultimate guide to creating the ultimate party. Fun to read and illustrated throughout with line drawings, each chapter (the place, the dress, the food, etc.) offers up fabulous advice and unusual ideas for those brides looking for more than the usual haunts and the standard fare. Dozens of unique tips throughout give the bride great insider advice on how to deal with all the wedding eventualities (last minute lipstick stain on dress, what to do about a facial break out on wedding day, etc.) A quick planner and resource guide at the end keeps the bride on track. Tabbed chapters have pockets for stuffing brochures and clippings, and a flexi-pocket at back manages the overflow.
This delightful guide is filled with entertaining advice and practical tips for brides who are searching for more than the standard fare, from dealing with a lipstick stain on a wedding dress to handling a caterer from hell, and features tabbed chapters that have handy pockets for brochures and clippings.
Into a sea of pearl white and pale blue comes the hot pink and orange Anti-Bride Guide. The perfect book for anyone alienated by the high-brow wedding industry, this practical guide fills a huge gap in the wedding planner market. A riot to read and filled with sassy illustrations, each chapter offers up fabulous advice and unusual ideas for those brides looking for more than the standard fare. Hundreds of fantastic tips give great insider advice on how to deal with any and all wedding eventualities (lipstick stain on dress, caterer from hell, wedding day breakout). A handy planner and resource guide keeps the bride on track, and tabbed chapters have pockets for stuffing brochures and clippings. For the bride who wants her wedding her way, this is the ultimate guide.
About the Author
Carolyn Gerin is the principle of her own graphic design firm in San Francisco. She is the co-author of Anti-Bride Guide.
Stephanie Rosenbaum lives in San Francisco and is a regular contributor to the Bay Guardian and San Francisco Magazine.
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text:
There may come a time when Chris Christie and Andrew Cuomo, two supremely ambitious pols and potential rivals in the 2016 presidential cycle, need some distance. But that moment won't arrive anytime soon.
Instead of jockeying for advantage, the two Northeastern governors -- the Republican from blue-state New Jersey and the Democrat from bluer-state New York -- have developed an unexpectedly warm working relationship over the past 18 months, marked by occasional dinners and more frequent cell phone contact, aides say. Not coincidentally, both also enjoy approval ratings at the 70-percent level, a novel, post-Hurricane Sandy occurrence for Christie and a nearly two-year constant for Cuomo.
(PHOTOS: Chris Christie's career)
"I think their relationship has been good since Day One," said Mike DuHaime, a senior adviser to Christie. "I think they've governed in a very similar fashion -- both very good governors, very competent, very popular. That doesn't mean they agree on everything, but there's been a lot of places of mutual interest."
It's not quite a "bromance," but it comes close. And it's a geographical and political oddity, given the ambitions both men are believed to harbor for the future -- and the test that the relationship could face this year, as Christie campaigns for reelection.
"Both governors have a shared fidelity to pragmatism and have built brands premised on doing the right thing and not the political thing. So it's easy to understand why they work well together," said Phil Singer, an adviser to Cuomo's campaign.
It's a relationship that's been on public display since Sandy ravaged their states in late October, and that was brought into sharper focus when Christie and Cuomo issued a joint statement denouncing Congress for slow-walking the Sandy aid package on New Year's Day.
"When American citizens are in need, we come to their aid. That tradition was abandoned in the House last night," they said in their statement the following day. "The people of our states can no longer afford to wait while politicians in Washington play games."
They have governed in fairly similar fashions, a fact that has earned both men the ire of Democrats in their states -- a bigger problem for Christie at home than Cuomo, but one that has made New York's governor a target for liberal critics like MSNBC's Chris Hayes and Daily Kos's Markos Moulitsas.
Indeed, in his first week campaigning in 2010, political observers noted the similarities between Christie, who'd gotten national attention for brawling with the teachers unions, and Cuomo, the New York political scion who talked about "tangling with the public employee unions going forward."
On the surface, they don't seem like natural political allies. But they have similar approaches to governing -- in addition to their policies on fiscal issues, both keep an extremely tight circle of deeply loyal advisers who closely reflect their bosses' viewpoints. And both are seen by others in their party as go-it-alone types who could face real tests in a presidential primary.
Christie, the former prosecutor who some Republicans viewed as the one who got away in 2012, enraged Mitt Romney backers by appearing with President Barack Obama post-Sandy, and has been casting himself in a bipartisan light since late last year. He's more socially conservative than another Northeastern presidential hopeful, Rudy Giuliani, but is viewed with some skepticism by party insiders after railing against Republican House Speaker John Boehner.
Cuomo became a hero in the LGBT community when he pushed through New York's gay marriage legislation in 2011. But the son of a liberal icon, Mario Cuomo, has caught flak for frequently moving toward the center on fiscal issues in New York. He's tacked hard left in recent months, including a State of the State speech last week that read like a progressive wish list -- a "women's equality act," a focus on climate change, gun control.
However, Cuomo's hard line against assault weapons could be an uncomfortable point of contrast for Christie, who has said little about the raging gun control debate beyond being dismissive of the National Rifle Association's proposal to put armed guards in schools.
They've come by their odd couple friendship honestly, through joint control of the Port Authority, the bi-state agency that oversees the region's airports, several tunnels and bridges, and the World Trade Center site, which is still being built out, more than 11 years after terrorists destroyed the twin towers.
And they've often shared a common enemy -- New York City's Mayor Mike Bloomberg. In their roles controlling the ground zero site, they've sided against the mayor on more than one occasion in wresting control of some aspects of the memorial from the city.
They also locked arms to keep fares from rising too high on cross-river bridges in 2011. Most important may have been Cuomo's lack of protest when Christie scuttled a planned, new Hudson River tunnel linking the states. Instead, Christie announced a $1 billion construction project related to the Port Authority-controlled Bayonne Bridge, a move that will create construction jobs.
Late last year, the private-sector Laborers union, whose members will work on that project, were the first to endorse Christie.
Other governors from the two states that straddle the Hudson River and the nation's most powerful media market have had a good rapport, an easy fact to forget given what one political operative dubbed the "revolving door of governors" in both states (Jim McGreevey and Jon Corzine in Jersey, Eliot Spitzer and David Paterson in New York).
"When I was governor, I got along very well with [George] Pataki," said New Jersey State Sen. Richard Codey, a Democrat who served an initial stint as acting governor after Christie Todd Whitman was selected for George W. Bush's Cabinet after his 2000 election, and then from 2004, when McGreevey resigned, until Corzine was elected.
It is possible to work well together, he said, adding, "But I certainly wasn't running for president."
Should either man ultimately seek the White House , they will run very similar campaigns -- one center-right, the other center-left -- as leaders interested in solutions, not partisanship. Whether that's what their party bases will want is very much up for debate.
Both are national figures now, for different reasons. Christie has courted national attention since he completed his first budget in 2010 and became a storyline himself at different points during Romney's campaign. Cuomo, by contrast, has had an almost allergic reaction to national and most local media attention, and has only gained attention since the 2016 cycle began the moment 2012 ended.
"Cuomo stays away [from the media] and Christie can't get enough," Codey quipped.
During the immediate Sandy aftermath, Christie was a constant national cable TV news presence, especially when he toured devastation with Obama, whom he praised for his performance. Cuomo did quick sounds bites with national press as he visited storm-ravaged areas, but he was a more frequent presence on NY1, the local Time Warner affiliate that had a countdown clock for several years to log how many days it had been since the governor had agreed to an interview with them.
Ana Navarro, a former John McCain adviser and current CNN commentator, was blunt on Twitter about how each has been served by their handling of the storm's aftermath: "It's amazing how Christie has overshadowed Cuomo."
To be sure, Christie was able to maximize the moment out of contrast with a dysfunctional national GOP, especially against the backdrop of the fiscal cliff debacle.
Yet unlike Christie, who has amassed chits nationally campaigning for other people, Cuomo has done little for other Democrats outside the state. Within New York, Democrats privately wish he would do more -- none would be quoted saying so -- and have lamented that he is so far staying out of the race to replace Bloomberg.
Christie's 2013 reelection could provide an immediate test of just how thick the bond has become and may reveal their bond to be a fleeting thing, born mostly of the necessity of joining forces after Sandy's turbulent tour of the region.
Codey said he expects Cuomo to endorse and campaign for Christie's eventual opponent, whoever that may be.
"If he has presidential aspirations, he wouldn't want to be accused of not helping a Democratic neighbor," Codey said, suggesting the relationship with Christie is not "that strong if I asked" for help should he run or should an alternative Democratic nominee seek Cuomo's aid.
"But that remains to be seen."


text:
The Art of the Article: Magazine Writing Workshop
Main Library
tags: General Audience
1,234 people like this -Like
Ever have a great idea for a magazine article, but do not know where to start? From fillers to features, the CWC can help you write a great piece that starts you on your way as a future journalist. Join Andrea Malouf to learn techniques of interviewing and visual writing, as well as understand elements of article writing, such as the sidebar and the hook.
This is a two-part workshop:
Cost: $30. Registration is required. To register, call 801-957-2192 or visit slcc.edu/cwc.
Location: SLCC Community Writing Center (CWC), Library Square
Contact Information: 801-957-2192


text:
Question: How can I create a PDF form to be completed and saved with comments using only Adobe Reader?
Answer: If you created the PDF in Acrobat 9, you can select Advanced > Extend features in Adobe Reader and click save. Make sure your files is completely finished and save it under a different name. Using this feature will cause other form features to be disabled.
If you are using Acrobat X, you will select File > Save as > Reader Extended PDF > Enable additional features.
You'll find this and many other useful short video clips at http://tv.adobe.com/watch/acrobat-tips-and-tricks/enabling-usage-rights-for-adobe-reader/


text:
Hey SHOP-A-HOLICS!!! This post is dedicated to all of you!
Looking for shops/boutiques on SALE? Scroll down to see some of your favorite brands having an ongoing SALE!!!
ZARA END OF SEASON SALE until July 27, 2012!
- Sale up for grabs is up to 50% off on great selections!
- Visit Zara stores are located at Glorietta3, Rockwell, EDSA Shangrila Mall, MOA, Trinoma and Greenbelt 5.
- Enjoy further reductions until July 29, 2012.
Greenhills Tiangge Mid-Year Bangketa SALE runs from July 13 - August 13, 2012.
Do not forget to join my BIG THANK YOU giveaway!
here's the link: http://pepang.com/post/25568138575/bigthankyou
Forever 21 SM Makati 3-day Sale on March 16 - 18, 2012.
Get up to 50% off on selected items!
Forever 21 credit card holders can get in as early as 8:30 AM, just bring your card and a valid ID. SM Advantage card holders will also get discounts on regularly priced items.
Landmark SALE runs now until March 18, 2012! Enjoy up to 50% off on great selections!
- Zumba dance lessons from Regine Angeles
- Fun, fitness tips from Dyan Castillejo
- A primer on Breast Cancer Awareness from Melissa de Leon and Maritoni Fernandez
- Interactive games and raffles from Cristalle Henares
- Musical serenade by The Akafellas
- Skin care and beauty advice from Maricar Reyes
March 16 - 18, 2012 from 11am to 9pm, as the Rockwell Tent makes way for "Great Explorations: Shop to Travel. Travel to Shop.
Enjoy up to 70% OFF at Zoo York in Robinsons Place Manila from February 16 to March 31! Ecko Unltd items also included!
Get your Team Manila shirts at Team Manila Lifestyle Stores and the Big Outlet Sale this summer :)
Have your Sarap-to-the-Bones Fried Chicken for take-out for just Php 299 from February 20 to March 31, 2012 only. Available in all Max's Restaurant nationwide.
Free coupons from Dominoes! Download these coupons for free from their website.
Happy Shopping everyone! ♥


text:
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Get your Web security, network perimeter security, and application layer security gateway up and running smoothly. This indispensible, single-volume reference details the features and capabilities of Microsoft Forefront Threat Management Gateway (TMG). You'll gain the real-world insights, implementation and configuration best practices, and management... more...
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Among the tests you perform on web applications, security testing is perhaps the most important, yet it's often the most neglected. The recipes in the Web Security Testing Cookbook demonstrate how developers and testers can check for the most common web security issues, while conducting unit tests, regression tests, or exploratory tests. Unlike... more...
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The definitive guide to incident response--updated for the first time in a decade! Thoroughly revised to cover the latest and most effective tools and techniques, Incident Response & Computer Forensics , Third Edition arms you with the information you need to get your organization out of trouble when data breaches occur. This practical resource... more...
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Former Republican Vice Presidential candidate Sarah Palin was in Louisiana this weekend to promote a new book and she got a chance to meet some of the bearded stars of the A & E, hit television show, "Duck Dynasty."
Palin commented on the meeting Sunday on Facebook saying, "Had a blast meeting the duck commander gang, as well as the great folks who came to the book signing."
The former republican Vice Presidential candidate recently released a book called, "Good Tidings and Great Joy: Protecting the Heart of Christmas."
This wasn't the first time Palin met a member of the famed Robertson family. She took a photo with Willie Robertson, the CEO of the family business and main star of the show, at this year's National Rifle Association Convention.
She has praised the family for promoting conservative values.


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BEN BOVA: Worry about high water before nuclear power plants
People are still pretty scared of nuclear power, but I think we have a lot more to fear from flooding than from radioactivity.
Flood waters burst through a dam in Idaho last month, forcing thousands of residents to flee their homes. In Eastern Europe, heavy rains caused flooding that killed at least eight people.
In Pakistan, monsoon floods have killed more than 1,500 people, washed out bridges and roads, knocked down telephone lines, destroyed crops and made upwards of 3 million people homeless. Flooding caused massive landslides in China that killed 1,117, according to the latest count.
And remember, according to the Bible a flood wiped out the whole human race, except for Noah and his family!
I don't know what the insurance industry actuarial figures are, but I'll bet that you stand a much bigger risk of being drowned in a flood than you do of being killed by a nuclear power plant accident.
The 1986 nuclear accident at the Chernobyl nuclear power plant in Ukraine (then part of the Soviet Union) was an out-and-out disaster, of course, but even including that, nuclear power has been much safer than any other form of generating electricity. The accident at the Three Mile Island (TMI) nuclear plant in Pennsylvania in 1979 killed nobody. News reporters were getting almost surly after a few days when there were no dead bodies to focus on.
I was editing Omni magazine then. Shortly after TMI, we sent one of our editors to the Bahamas to cover a story. He arranged to spend the weekend. Unhappily, he fell asleep on the beach one afternoon; when he returned to New York he was so badly sunburned he looked like something out of a bad monster flick.
A victim of solar energy! If he'd fallen asleep on Three Mile Island he would have been much better off.
My point is that people are frightened of nuclear energy because it's something relatively new in human experience. We've had experiences with floods since … well, at least since Noah's time.
Coal-mine disasters don't stop us from mining coal. Even the recent BP oil-well blowout in the Gulf of Mexico has led to nothing more severe than a temporary ban on deep-water drilling.
Natural gas is the cleanest of the fossil fuels, but it's also the most likely to be involved in deadly accidents. I've kept a running file on accidents involving natural gas and propane. It's stuffed with stories and headlines such as: house explodes near Pittsburgh; fire ignites blast in gas storage facility; gas-line fire forces hospital evacuation; man severely burned in propane explosion; train carrying propane explodes in upstate New York; gas blast hurts seven in dorm.
We've lived with the dangers of coal mines, oil-well blowouts and natural-gas explosions for generations.
But nuclear power? Scary, man. Radioactivity. You can't see it, you can't feel it. But we all know that even a low-level dose of radioactivity can have dire consequences years later: cancer, for example.
I suspect, too, that much of the general public's fear of nuclear energy stems from a confusion between nuclear power plants that generate electricity and the nuclear bombs that destroyed Hiroshima and Nagasaki, Japan, and brought World War II to an end.
The image of a nuclear bomb's mushroom cloud has hung over the nuclear electricity generating industry, especially after the scare of Three Mile Island. So although nobody was killed or even injured in the TMI accident, nuclear energy nearly died in the United States. Even today, with this nation needing desperately to wean itself from fossil fuels in general and imported petroleum in particular, the nuclear industry has barely scraped itself off the ground.
If we treated the dangers of flooding the way we treat the dangers of nuclear power, there'd be no new hydroelectric dams built and pressure groups would be insisting that old dams be shut down. But we keep building hydroelectric dams. The Aswan Dam in Egypt has caused enormous environmental damage along the Nile River, but nobody's picketing for that "cause." The mammoth Three Gorges hydroelectric project in China's Yangtze River has displaced some 1.3 million people, flooded archeological and cultural sites and increased the danger of landslides. Where's Greenpeace when we need them?
Stop worrying about nuclear power. Keep a canoe handy.
Bova is the author of nearly 125 books, including "Able One," a technothriller. Bova's website address is www.benbova.com.
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Sacroiliac Joint Fusion - Carter Beck, MD
Dr. Sechrest: Hello, I'm Dr. Randale Sechrest, your host for eOrthopod.TV. Today I have as my guest, Dr. Carter Beck. Dr. Beck is a neurosurgeon. Dr. Beck did his medical school training at the University of Chicago School of Medicine. From there he finished a neurosurgical residency at Stanford University. Good morning, Dr. Beck.
Dr. Beck: Good morning, Randale.
Dr. Sechrest: Thanks for joining us today. What I'd like to discuss today is your approach to a very common problem in patients with low back pain which is not necessarily a spine condition, but a condition of a joint right next to the spine called the sacroiliac joint.
Dr. Beck: Yeah, it's an important problem.
Dr. Sechrest: Let's talk a little bit about that joint causes problems. How do you know if you have a sacroiliac joint dysfunction or sacroiliac joint pain?
Dr. Beck: Well, that's one of the problems, I think, for the physicians involved is it can be fairly difficult to tell at times whether the pain somebody's describing is coming from the sacroiliac joint. The sacroiliac joint is a joint that is between the sacrum, which is the tailbone, and the ilium, which is the wing, the fan-shaped bone which goes out to form the hip joint. So it's really the transition between the spine and the hip, and it's been notorious over the years for causing people trouble. Typically people have pain down around their tailbone. It's sort of a V-shaped area that can be tender to the touch. It bothers them when they sit. It bothers them when they stand. It bothers them when they lie in bed, and there is a pattern, which those of us who see a fair amount of it begin to recognize. But it's often difficult to make the diagnosis. One of the first ways to find out whether the sacroiliac joint is the culprit and is what is bothering a patient is to have a steroid injection, and we have physicians who will put a needle into the joint, inject some steroids, and some Novocain, and if that causes a patient immediate or significant pain relief which lasts them a week or two, you have a pretty good idea at that point that that may be the cause of what's bothering the patient.
Dr. Sechrest: Now a couple of questions. In my research, I've talked to folks who deal with patients without spine surgery, who've never had spine surgery, and even in that population the statistics are probably 1 in 5, 20%, of people who come into your office complaining of low back pain. As you go through a history and physical and ultimately make a diagnosis that 20% of those people will actually have pain that's coming from the sacroiliac joint and not coming from the spinal column itself. Now I think that figure even goes up when you're dealing with patients who've had spine fusions, for example, and I'm interested in your take on patients who've had maybe one or two fusions with several segments in the spine, why are these people prone to developing pain after that in that sacroiliac joint? What's causing that?
Dr. Beck: Well, that's an interesting problem and that's one of the things that has gotten me particularly interested in the diseases. Right now the sacroiliac joint is one of the things which is limiting my success, and people who have very diseased spines, I'm able to reconstruct a very, very diseased spine in an elderly patient and take on things that we wouldn't dream of 10 years ago. Sometimes the results, the degree of pain relief, how happy a patient is when I'm finished with that is being limited by what we think is the sacroiliac joint. There's a principle in spine surgery that when you fix one joint, there frequently is a complication or a disease which develops in an adjacent segment. The spine has many joints in it and adjacent segment disease is something we struggle with. Unlike an appendix where you only have one, and when you have appendicitis and you take out the appendix, the patient's never going to have a problem with their appendix again. In the spine, there are dozens of joints and one of the things that we see is that the next joint in line is often the one that goes next. So a patient comes in with a problem at say L4-5, a year or two later they may have a problem with L3-4. The extension of that principle is to say what happens if you've done a reconstruction or a fusion on three levels at the base of the spine and now the sacrum is fused to the lumbar spine, what's the next joint, the adjacent segment to that going inferiorly? Well, that's the sacroiliac joint. So I think that one of the problems with the sacroiliac joint is it's essentially it's adjacent segment disease. It's the next mobile structure, which can be prone to arthritis, to which the forces from the lumbar spine can be transmitted.
Dr. Sechrest: So what's happening is you fix the problem in the spine. That pain goes away. Now all the stress is transferred to the sacroiliac joint and now the patient's complaining of pain in a different area.
Dr. Beck: Exactly.
Dr. Sechrest: That's really aggravated the sacroiliac joint.
Dr. Beck: Exactly.
Dr. Sechrest: Now, you had mentioned that the diagnosis of this is really comes down to injecting the joint and see if you can make the pain go away. Do you ever do any type of imaging studies or x-rays or anything? Will they help you at all make this diagnosis?
Dr. Beck: Yeah, I think all of the above can help, but not with a very high frequency. Something can be learned about the sacroiliac joint on a plain x-ray. We can learn something sometimes on an MRI scan. We can learn something from a CAT scan, or even a bone scan which is a nuclear medicine study where a radioactive tracer accumulates in joints that are arthritic, and there's a classic finding on a bone scan for what we call sacroiliitis which means disease in the sacroiliac joint, arthritic disease.
Dr. Sechrest: And there are lots of things that can cause pain in the sacroiliac joint. I think the Number 1 cause that I see is just what we would consider idiopathic, which means, we don't know what's causing the problem. It's not really an arthritis that you can say, "These people haven't had spine surgery so you can't really blame a spine fusion for it.†But they just walk in off the street and for some reason or a dysfunction in the sacroiliac joint and I don't think we ever know the cause.
Dr. Beck: Right. What most of think is that there's some laxity in the joint, and it seems to be a more frequent problem in women. Women's pelvises are shaped differently than man, and during childbirth, their ligaments all around a woman's pelvis are relaxed to permit the birth of the child. It may be that on some those patients that ligamentous laxity never really restores itself, and over time, 20, 30 years, that laxity becomes painful.
Dr. Sechrest: I think we should point out that there's some systemic arthritides, like rheumatoid arthritis, ankylosing spondyloarthropathy, and even psoriatic arthritis that can affect that joint, because that's a synovial joint like any other joint in the body. So anything that affects the rest of the synovial joints can actually affect the sacroiliac joints and ankylosing spondylitis is one of the classics that actually affects the sacroiliac joints to the point where, late in the disease, they even fuse together like the spine does in ankylosing spondylitis.
Dr. Beck: Absolutely.
Dr. Sechrest: Well, let's move on a little bit to discuss the treatment options for patients who have been identified as having sacroiliac joint pain. What do we do with those patients these days?
Dr. Beck: Well, like all of these arthritic disorders there's a gradation of treatment and there's variation in the severity of the pathology. There are some people who have very mild sacroiliac dysfunction and their pain coming from their sacroiliac joint and simply physical therapy or acupuncture or chiropractic is enough to control it. Sometimes just taking anti-inflammatories will calm it down and make it go away. Sometimes the pain and the discomfort is significant enough that repeated injections become necessary. We certainly see that fairly frequently in our practice, and for patients who have had repeated injection and continue to relapse, continue to be symptomatic and have the most severe case of sacroiliac disease, the option for surgery is now sometimes considered.
Dr. Sechrest: It's interesting because I've read lots of studies with people injecting all sorts of things into that joint. They've tried cortisone. They've tried the new Hyaluronic acid. Some folks of people have injected phenol. There are all sorts of things that have been tried in terms of injecting into that joint. The bottom line is not many of them work. I mean the cortisone works for a short period of time, but everything else has had a pretty poor track record in terms of actually giving people permanent relief from that.
Dr. Beck: Yeah, as we discussed off camera earlier, this is one of those diagnoses that kind of gives a surgeon or a spine specialist the chills because it can be so hard to treat. None of the treatments that we've had over time have been uniformly effective, and there have been a number of different approaches to surgery on the joint which have been tried over the years, and some of them more or less abandon or reserve for only the most extreme cases because they aren't uniformly effective.
Dr. Sechrest: Now you, as a surgeon who deals with this on an ongoing basis because obviously you do a lot of spine fusions and a lot of those patients will end up, or a significant portion of those patients will end up, with some degree of sacroiliac joint dysfunction and pain. When do you advise patients to consider a surgical option for this type of a condition.
Dr. Beck: Well, this is a moving target right now and I would say the short answer to that is very rarely, only in the most intractable cases. I've recently had patients in my practice who have had multiple successful spine surgeries for very significant degenerative problems in their spine, degenerative scoliosis, and spondylosis and stenosis, all of those 'oses' in the spine, and the spine surgery has worked well on them and they wind up with sacroiliitis. Fortunately it doesn't happen that often, but it does happen. Those patients who then go into injections and the injections work, but unfortunately the relief is brief, and they have repeated injections, and it doesn't go away. Some of those patients may be candidates for surgery. We're, at the moment, in the process of evaluating a modified approach to the surgery for this which is a fusion which may be more effective because of some technological advances.
Dr. Sechrest: Well, describe that for me. In the old days, we made big incisions, we opened up that joint, took all the cartilage off that joint, put big screws across the pelvis, it was a huge operation, and most surgeons would really steer patients away from that type of an intervention. As I understand it, like everything else in surgery, we're moving to more and more minimally invasive techniques. What are we doing these days with the sacroiliac joint? What's available to us?
Dr. Beck: Well, I agree with what you said. In my training, when I was trained, a concept of sacroiliac fusion was thought of as sometimes a treatment worse than the disease, and so we steered clear of it. The modern armamentarium for spine surgery, and by extension sacroiliac joint surgery, offers us an opportunity to look at procedures which are less invasive, less destructive, easier to get over, a lower complication rate. One of the things that has been a big advance in the last 5, 10 years is the occurrence of something called bone morphogenetic protein. There are companies that have developed synthetic, biologically recombinant proteins which are involved in the stimulation of bone fusion or bone formation, and by extension that means that we can stimulate a fusion to occur. Whereas in the old days it was maybe 50-50 on whether a surgeon's operation actually led to fusion as he had intended, today maybe we can approach in other areas of the body, 90, 95, 99% fusion rates. So bone morphogenetic protein is something which may make the sacroiliac fusion, which was in the old days a hit or miss operation, something that's more effective, easier to do, and maybe a solution to this problem.
Dr. Sechrest: So if we go back to the notion of creating a fusion; in the old days, as you said, basically the only thing we had to do was to remove the cartilage or remove the surface of the bone that we're trying to fuse so that we've got raw bony surfaces that are lying together, and then we either put bone graft, which is usually bone that's taken out of the body somewhere else and placed in there. In some ways, that was used as sort of a fertilizer to try to stimulate the bone growth and then hold everything together as tight as we can while it healed. If I understand you correctly the bone, the BMP, the bone morphogenetic protein is actually something that's almost a drug, something that can be squirted into an area and it acts like a stimulant, a fertilizer, that tends to make those two bones more likely to grow together. Is that correct?
Dr. Beck: Exactly right, and it's finding increasing use, this bone morphogenetic protein, what we call BMP, is finding increasing use in orthopaedic surgery and then spine surgery, both areas where sometimes what we need to do with a bad joint is fuse it and, just to be clear like you say, if this is a joint, and it's broken and we can't restore the normal function of the joint what we try to do is get the body to treat that joint like a fracture and get the two bones to fuse together.
Dr. Sechrest: Well, describe for me a little bit about the procedure, the way we use this new technique in the sacroiliac joint. Again, in the old days, we made big incisions so we could see that joint, and that joint's pretty deep down in the body. How are getting into that joint and how are you getting that bone morphogenetic protein into that joint so that it will fuse?
Dr. Beck: Well, one of the modifications of the old operations that I'm evaluating is done through a very small incision over the joint on the back, essentially on either side of the tailbone, and make a small incision, go down, cut the ligaments over the top of the joint, expose the joint, and then drill a hole essentially into the joint which causes either side of the joint to be roughened up, to expose the interior of each of the bones; and then screw in a titanium cage that has many holes in it. It's essentially a cylinder that has perforations all the way around. That cylinder we fill with a sponge that has this bone morphogenetic protein on it, and while we're early in evaluating this technique, the hope is that that will be sufficient to stabilize the joint but maybe some distraction with this cylinder or tensioning of the ligaments, and then stimulating the bones to heal together. The good news on this technique so far is that it's very well tolerated by patients. It is not a painful operation to recover from so far, and we're very early in looking at this approach to this operation. It looks good.
Dr. Sechrest: So, like a lot of minimally invasive procedures, we've reduced the size of the incision and hopefully reduced the amount of destruction of normal tissue we have to make to actually get the job done.
Dr. Beck: Exactly.
Dr. Sechrest: Now is this an outpatient procedure? Or is this something that the patient should expect to stay in the hospital? Overnight? Two days? Three days? How long?
Dr. Beck: Well, I think ultimately if this turns out the way we're hoping, it will be an outpatient procedure. Sometimes that is guided, not by the physician or the surgeon, but by the insurance policy. Medicare, for example, went with any implanted device, tends to want patients in the hospital overnight even if the physician thinks that unnecessary. Whether that's wasteful of the taxpayers' dollar or not is another discussion, but ideally this, I think, will be an outpatient procedure. If we can develop an outpatient procedure which effectively treats sacroiliitis, I think that would be a big step forward.
Dr. Sechrest: No, I think there's a huge population of patients that could benefit from that. Well, let's talk a little bit about the recovery. So, if this gets to the point to where, today, what I heard you say, is probably it's one night in the hospital depending, and if you're elderly and ill, it might be a couple of days in the hospital. But if this gets to be an outpatient procedure, how long does it take for this to heal? What does the patient expect after the surgery is done? How much pain? Are they restricted? How long does it take before it's healed?
Dr. Beck: Well, I'm not sure I know at this point, Randale. I'm early in evaluating this particular approach to this problem and this surgery. But fairly minimal recovery is what it appears. There, of course, will be incisional pain, some soreness, around the joint. That's normal. That kind of incisional pain or muscular pain usually resolves within a week or two of surgery and is usually very well tolerated by patients. Healing in this situation, implies also that the bone is fusing together, and with all fusions, some of the procedures successfully go on to fusion and some don't. In most fusion operations what we expect is a time course of 6 weeks or 3 months before there's been substantial bony healing and essentially the intention of the operation is complete, but we know that that process of fusion actually goes on for much longer than that. I think most patients, though, who undergo any kind of fusion operation, they don't really have symptoms associated with the fusion after the first month.
Dr. Sechrest: Okay. How about the risk to the patient? Do you find that there's any significant risks in this operation that are not present in the general operation?
Dr. Beck: Well, all surgery carries with it risk, as you know. All medical procedures have risk of infection or risk of bleeding, risk of the anesthetic, there are some things we just can't get away from when it comes to operating on human beings. In this instance, the sacroiliac joint is in a relatively safe place in the body. There are not a lot of structures which are jeopardized by approaching this joint posteriorly or from the backside. We really don't have to cut through muscle to get in there. You really don't have nerves, spinal nerves, anywhere nearby that they are jeopardized. So in general I think that addressing this sacroiliitis surgically is intrinsically safe by this method, safer certainly than opening the pelvis or doing more aggressive old style approaches to this problem.
Dr. Sechrest: Now, in terms of restrictions for patients after surgery, do these patients have a cast? Do they have any sort of brace on? Or are you letting them pretty much go on their own and activity as tolerated? What's the norm?
Dr. Beck: Yeah, there's really no effective way to brace the sacroiliac joint. Whereas in the lumbar spine we can put a corset around the patient's middle section. You really can't do that with the sacroiliac joint. It's part of their pelvis and their hip region, and those things need to move unless you're going to put somebody on a stretcher for 3 months. So there is no immobilization. Obviously we wouldn't want a patient waterskiing a week after an operation like this. But activities of daily living, at this point, we think are acceptable immediately after the surgery. I operated on a patient with this disorder yesterday and she's up in the hall walking yesterday afternoon.
Dr. Sechrest: And probably going home today.
Dr. Beck: And going home today.
Dr. Sechrest: What do you think the future for this technique is? Are you satisfied at this point that you're early results are good enough to continue to explore this avenue, and continue to recommend this operation to patients?
Dr. Beck: At the present time, we're using these techniques only for the worst of the worst. Anybody with sacroiliitis doesn't need this operation. We are talking about patients who have had upwards of 5, 6, 7, 12 injections and at one or both of those sacroiliac joints the injections are effective, the diagnosis is not in doubt, but the pain is intractable and we think we've reached the end of utility with injection treatments. So for the worst of the worst, the really intractable cases, we are at this point, recommending this. We do not have any long-term success measures at this point. I think the future, because of the technological advances that we've talked about, may be bright, and this has been a very difficult problem in spine surgery and orthopaedic surgery over the years, and we're going to continue to chip away it and, with any luck, what we're doing today is going to turn out to be the thing.
Dr. Sechrest: Can you give any closing remarks to patients who may be suffering from sacroiliac joint dysfunction and pain? Any sort of pearls of wisdom that you would provide them either about non-operative treatment, things they should try before they consider this operation, and maybe a little bit of advice about when they should consider looking for someone who would potentially do this type of procedure for sacroiliac pain?
Dr. Beck: Well, as I said, I think at this point sacroiliitis is, for the most part, a non-operative problem and I think patients who are really struggling with this and really have this diagnosis should be being treated regularly by somebody has some expertise in treating sacroiliitis. I think that's the most important thing. The sort of "catch as catch can" approach for really a significantly disabling problem is probably not good enough. So, see a specialist, see a physician who thinks critically about sacroiliitis and follow their advice, and that may just be physical therapy and anti-inflammatories. It may be acupuncture or chiropractic. It may be injections and it may ultimately be surgery.
Dr. Sechrest: And it sounds like to me that despite the bleak sort of prognosis for surgical correction of this problem in the past, patients should understand that there may be a much better option on the horizon.
Dr. Beck: Well, we're hoping. We're looking at it and we keep trying to help these patients and we'll find out.
Dr. Sechrest: Thanks very much. Good information.
Dr. Beck: Thank you.
Dr. Sechrest: Thanks for watching today. If you have questions about the topic that we discussed today, or any orthopaedic topic, be sure to visit eOrthopod.com. If you're an orthopaedic surgeon or healthcare provider interested in participating as a guest on eOrthopod TV, you'll also find instructions on how to apply to become a guest on eOrthopod TV. Thanks for watching.
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Reader Comments (Page 1 of 1)
Hopefully that works (and wont get overloaded to not be able to show em).
Thats all not-stuffed-with-tauren-pictures I could gather, it seems to end pretty fast and theres currently no world bosses. Phase 1 if you could say. And yeah wowinsider can use some of those if they wish to (but not mmo-champ those guys are mean)