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Top photo taken by Fleur Challis photography
It's already been two weeks since HYPER JAPAN, and I'm sure most of us are wishing we were back there watching the stage events, buying cute things and eating yummy food. Hopefully this post will make you feel like you're still watching the Japanese street fashion show! Kairi from Wales is into all sorts of fashion, so let's find out some more about this fabulous fashionista!
At HJ2011 Kairi and Rachel took to the stage as a sweet Lolita pair in OTT accessories from head to toe, including some gorgeous cake clips from Now,Voyager. For the HJ2012 fashion show they were a fairy-kei pair and they both looked fantastic! Kairi's outfit took influences from both fairy and pop kei. Both these styles are heavily themed around the 80s, however fairy kei makes more use of pastel colours compared to the bolder colours of pop-kei. Popular brands for both these styles include SPANK! and 6%DOKIDOKI. My favourite part of the coordinate had to be the GameBoy necklace! It was just so awesome.
Left: Photography by Pat Lyttle, Right: Kairi explaining her style in the fashion show
The salopette Kairi wore is part of her 'Candyholic' fashion project – being the creative and talented person she is she can easily transform old unwanted pieces into very trendy items. This time was no exception, she completely edited it herself using posca pens, hand cut glitter motifs, rhinestones, beads… and even old children's jewellery! I can reveal it cost her less than £10 to create the outfit and accessories. As well as looking amazing in the fashion she also sends out a personal style statement, a "retaliation against disposable fashion culture".
All very interesting! Join me again next Friday for another fashionista, plus a tour of Hello Kitty's Kawaii Paradise to come! Bye bye ~ ☆ミ(o*・ω・)ノ
It's that time of the week again and this time we have Welsh lolita expert Rachel Claire! From rural Wales, Rachel is a talented fine art painter, and has a real passion for Japanese street fashion. A lot of her art is influenced by fantasy and rococo culture, and can be viewed here. Her creativity she shows in her art also shows in her brilliant fashion coordinations. Though mainly a sweet lolita, she is also seen in styles such as fairy-kei, and is an inspiration to many UK fashionistas. Here are some of my favourite photos from her blog:
Left: a fairy-kei type coord, Middle: sweet lolita coord, photo taken by Steffi Santiago, Right: coord inspired by Reira from the anime NANA
At HYPER JAPAN 2011 Rachel modelled in the 'Cute and Colourful' fashion show decked in cute accessories from head to toe. She looked lovely in her outfit featuring Angelic Pretty's 'Candy Fairy', and appeared with adorable lolita Kairi, who was wearing Angelic Pretty's 'Miracle Candy'. The two obviously impressed the public with their pretty coordinations and were interviewed for the HYPER JAPAN youtube and Mo-am magazine's youtube.
Rachel and Kairi in the 'Cute and Colourful' fashion show, both photos taken by Saoirse Clohessy
If you have any suggestions for next Friday's fashionista please email me at firstname.lastname@example.com! Bye bye ~ ☆ミ(o*・ω・)ノ
Welcome to the official blog of HYPER JAPAN's Kawaii Star of the Year, Scarlett!
This is where you can find out all about Scarlett, what she loves, and what she thinks you will love. Scarlett was voted Kawaii Star of the Year at HYPER JAPAN 2011 in July 2011, and now she is our ambassador of everything cute! Find out more on the HYPER JAPAN website and at the next HYPER JAPAN will be held in Earls Court, London on 25-27 July 2014.


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New Delhi - Rural Development Minister Jairam Ramesh Wednesday said the Unique Identification number(UID) was being used for making payments under rural employment guarantee schemes in Jharkhand to cut delay in payments.
The Mahatma Gandhi National Rural Employment Guarantee Scheme(MGNREGA) was the biggest customer of the UID project.
Talking to reporters, Ramesh said the ministry was keen on steps to curb the delay in payments to beneficiaries of MGNREGA. He said UID had been used in MGNREGA payments in Jharkhand and the "results have been positive."
The minister said MGNREGA beneficiaries get payment through banking correspondents in about 10 minutes through micro-ATM (automated teller machine) using the UID number.
"He (the worker) gets the payment on the spot through micro-ATM (automated teller machine)," Ramesh said.
Ministry officials said that about 80 percent of MGNREGA payments were made through banks and post offices for which 100 million accounts had been opened.
In 2010-11, nearly 55 million families were provided 2500 million person-days of work under MGNREGA.

subset: commoncrawl


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MADISON (WKOW) -- As of 9:30 p.m., the Madison Water Utility says water pressure was restored to most customers affected by the main break.
Ten homes on nearby Cross Street will be without water until repairs are complete. Crews were expected to fix the main in two to four hours. Those customers were notified by crew members on scene.
MADISON (WKOW) -- A water main break Friday night could lead to a few icy roads in Madison.
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January 8, 2000
John J. Howard, MD., Chief
Division of Occupational Safety and Health
P.O. Box 420603
San Francisco, California 94102
Dear Dr. Howard:
Home Work Safety Rules.
The incredible events of the past week regarding Federal OSHA's issuance of a Standards Interpretation regarding OSHA Policies Concerning Employees Working At Home (on 01/04/2000), should send a message to us all. This is an issue that without fail will not go away. Further, it is our opinion that this is an issue that will be actively pursued by diverse groups of individuals in our State and we had better be prepared for the deliberation. We believe that California will be the site for deliberation on this issue.
The point of this communication is to request that, as the head of Cal-OSHA, you include our group (the ASSE–California Governmental Affairs Council) as designated participants for appointment to any established or newly created Advisory Committee, Task Force, or other "groups", formed by Cal-OSHA to address this important issue. We offer valuable resources and expertise to your Agency, and we are certain that our representation and participation with any Cal-OSHA "group" will be a positive addition to the to deliberations that will be required.
The American Society of Safety Engineers (ASSE) is the oldest and largest Society of Safety Professionals in the world. Founded in 1911, ASSE represents in excess of 32,000 dedicated safety professionals. Included in this membership are Certified Safety Professionals, Professional Engineers, ergonomists, academicians, fire protection engineers, system safety experts, industrial hygienists, physicians, occupational nurses, and an impressive collection of other disciplines, skills, and backgrounds. We pride ourselves on our dedication to excellence, expertise, and commitment to the protection of people, property, and environment on a worldwide basis.
State Membership Breakdown
The 11 California ASSE Chapters are active participants in a wide variety of public and private sector policy issues. There are approximately 2750 ASSE members in our state working to protect people, property, and the environment.
ASSE-California Governmental Affairs Council (CGAC)
The CGAC was officially formed in January 1999. This current organization (CGAC) represents a recreation of the "old" California Governmental Affairs Committee, formed in 1984 when the geographic area of Region I – ASSE was the entire State of California. This "committee" was disbanded when the geographical area of Region was changed to include California, Oregon, Washington, Alaska and Hawaii (June 1997).
Our current organization, The American Society of Safety Engineers-California Governmental Affairs Council, hereafter CGAC, is a coalition of California Chapters of the American Society of Safety Engineers formed for the purpose of addressing Governmental and Legislative Affairs within California. As stated in our bylaws, "All California Chapters of the American Society of Safety Engineers are members of CGAC. Each California Chapter can appoint one representative, called Council Member, to represent their interests in CGAC." Also included in our bylaws, is the provision that on all official business matters, the President of the ASSE-CGAC (or designee) will be the designated spokesperson for the Council.
In closing, we want to once again, acknowledge you and the Agency for all of the "good work" you have done for the benefit of the regulated community. The value of a sound Workplace Safety and Health effort is a central belief that we all have devoted our efforts toward. We sincerely appreciate the Cal-OSHA contributions.
ASSE Region I-California Governmental/Legislative Affairs Committee
Frank E. Wente, CSP
***Response from the California Department of Industrial Relations, Division of Occupational Safety and Health***
18 January 2000
Dear Mr. Wente:
Thank you for your letter 8 January 2000 offering the participation of the ASSE California Governmental Affairs Council on any advisory group or task force on the work-at-home issue. If the Division of Occupational Safety and Health hosts any formalized advisory group or task group on the work-at-home issue, I would be pleased to include the ASSE California Governmental Affairs Council.
U.S. Secretary of Labor, Alexis Herman, announced on 5 January 2000 in a Press Release that she had asked the National Economic Council to convene and interagency working group to examine the broad social and economic effects of telecommuting. I also understand that several committees of Congress will conduct hearings in February and March 2000 on the work-at-home issue. I would encourage the ASSE-California Governmental Affairs Council to participate in these important public policy debates.
Meanwhile, I would like to encourage the ASSE-California Governmental Affairs Council to actively participate in the Division's rulemaking to amend Title 8 of the California Code of Regulations, Sections 334, 335.1, and 336. I am enclosing a copy of the rulemaking Notice of Proposed Action and Notice of Public Hearing, Initial Statement of Reasons and the Text of the Proposed Regulations for your group's review. See enclosures. Thank you again for your letter.
John Howard, Chief
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Cervical Myelopathy - Nitin Bhatia, MD
Dr. Sechrest: Hello, I'm Dr. Randale Sechrest, your host for eOrthopod.TV. Today I have with me, Dr. Nitin Bhatia. Dr. Bhatia is a spine surgeon, who is the Chief of Spine Surgery, at the University of California Irvine. Dr. Bhatia did his undergraduate training at Stanford. He then went on to Baylor College of Medicine where he completed his M.D. degree. From there, he did orthopaedic surgery training at UCLA. From there, he finished a spine fellowship at the University of Miami. Today, he practices complex spine surgery at University of California Irvine. Good day, Dr. Bhatia.
Dr. Nitin Bhatia: Thank you for having me.
Dr. Sechrest: Dr. Bhatia, today what I would like to discuss is a concept that we're familiar with but I don't think patients are sometimes familiar with; and that's when we have a condition called cervical myelopathy. Now for you and I that means there's too much pressure on the spinal cord and we begin to see problems in the body, throughout the whole body, because of that increased pressure. But, tell us a little bit about what causes that problem, how it presents, and how you begin to look at patients who have this problem.
Dr. Nitin Bhatia: Sure. That's a great question. Cervical myelopathy is a problem caused by abnormal pressure on the spinal cord. The reason it becomes such a problem is because it can be very difficult to diagnose. It doesn't frequently show up as shooting pain in the neck, or down the arms, but rather it can slowly progress and cause dysfunction of somebody's hands, arms, legs, and feet. Usually it takes months or even years to gradually progress where people go from being completely normal to gradually losing some function of their hands and legs. Some of the classic signs we see are problems using fine motor function of the hands. For example, buttoning your buttons on a shirt, holding a knife or fork. In Japan, the classic sign is that people can no longer use chopsticks that they've used since they were 2 or 3 years old. Other common signs are numbness of both hands and people can also have severe balance problems. I actually had a patient one time who had such bad myelopathy, before he had surgery, that he was walking down the sidewalk and the police pulled over to arrest him thinking he was drunk in public because his balance had gotten so bad. Usually it's caused by a problem of cervical spinal degeneration, what we call spondylosis.
Dr. Sechrest: Now let's go back and define a few terms. One is the whole concept of cervical. We're really talking about the neck.
Dr. Nitin Bhatia: Exactly.
Dr. Sechrest: And we're talking about the 7 vertebrae that make up the neck. This term spondylosis, tell us about that, what is spondylosis?
Dr. Nitin Bhatia: Spondylosis is a fancy medical term for essentially arthritic changes of the neck. Just with time the discs and the joints and the other parts of the neck slowly degenerate and wear out a little, and that's what we call spondylosis.
Dr. Sechrest: Okay. And arthritis, when you say degenerative arthritis, we probably ought to distinguish that between rheumatoid arthritis or some folks think of arthritis as a systemic disease that affects all the joints. But what we're talking about really is wear and tear arthritis for the most part.
Dr. Nitin Bhatia: Exactly, and that's the most common arthritis that we see, we call it osteoarthritis, and it's the typical arthritis that affects most people just as we get older. Now you mentioned some people do have problems like rheumatoid arthritis, but those are much more uncommon and affect people somewhat differently. So, yes, it's the wear and tear type of arthritis.
Dr. Sechrest: And, you know, lots of patients come to us with neck pain, for example, and we tell them they have arthritis. What makes the patient who develops cervical myelopathy different than the person that we see every day that has just neck pain from arthritis?
Dr. Nitin Bhatia: You know, patients who come to me with myelopathy ask me that all the time. "How come I have this myelopathy and this problem with my hands but my spouse doesn't?" They also have neck pain. And unfortunately we don't have a lot of good answers why. One of the answers is just a little more unlucky. Their arthritis may cause more pressure on the spinal cord by constricting the space of the spinal canal more than other people with arthritis of the same age. Some people are also born with slightly smaller spinal canals than others. Just like my hands or fingers may be longer, shorter, fatter, skinnier than yours, our spinal canals that our spinal cord travels down can be a little larger or smaller than everyone else's. So if you're born with a slightly smaller spinal canal, which we call congenital spinal stenosis, you're more prone to having pressure on the spinal cord and spinal nerves earlier than if you're born with a regular size spine.
Dr. Sechrest: When I'm a patient, when should I become concerned, what symptoms should I start thinking about, "oh gosh, maybe this is cervical myelopathy".
Dr. Nitin Bhatia: The classic warning signs are problems with the fine motor function of the hands, numbness in both arms or hands, and problems with balance. Those problems are probably the early onset of them. Later on in the problem, you may actually see significant weakness or problems even opening the hands as well as bowel and bladder problems.
Dr. Sechrest: Okay. So it really does, it can affect the whole spinal cord and pretty much the whole body.
Dr. Nitin Bhatia: For sure.
Dr. Sechrest: Does this ever get to point to where you're completely quadriplegic? Where you can actually be paralyzed from the neck down?
Dr. Nitin Bhatia: You can, and the way we grade it, one of the classic grading scales grades from 0-5 and 5, which is the severe end, is actually quadriplegia where you're paralyzed from the arthritis and the compression on the spinal cord and the resultant myelopathy.
Dr. Sechrest: And this occurs slowly, over a period of time – not all of the sudden at one time?
Dr. Nitin Bhatia: Usually it's fairly slowly. People may get the first symptoms say one year and then 6 months later they get a little worse and they stay at that level and then they get a little worse, and it's what we call a stepwise fashion. Occasionally, people can have a rapidly progressive form of it. Unfortunately, just this week I saw a patient in my office who, over the past 2 weeks, has gone from completely normal to wheelchair bound because it was rapidly progressive cervical myelopathy.
Dr. Sechrest: Really. It was just from the arthritis type. It just got worse and worse?
Dr. Nitin Bhatia: Exactly.
Dr. Sechrest: We talked a little bit about balance and you mentioned the patient who actually looked like he was drunk. Define balance. Is this where I'm just not quite as good on my snow skis anymore? Or is this something that is really apparent to me?
Dr. Nitin Bhatia: You know, it becomes more and more apparent. The cervical myelopathy tends to be a problem as we get older because it's an arthritis degenerative related problem, so we see it more in older patients than younger patients. And even without myelopathy, as we get older, our balance gets a little off, but people with the balance problems from myelopathy kind of walk like they're drunk. Their gait, instead of being normal with what we call a narrow-based gait with their feet together becomes wider. They tend to kind of lurch back and forth. They may even find themselves needing a cane or a walker to balance themselves when they're walking.
Dr. Sechrest: So let's say that I'm concerned. I'm starting to have some of these symptoms and I've decided it's time for me to see a physician and probably a spine surgeon, or maybe I've seen my primary care physician and they said we need to send you to a spine specialist. How do you address that patient when you see them in your office? What's the tip-off for you and what do you do next?
Dr. Nitin Bhatia: One of the most important things is getting that patient to my office. One of the hardest parts about cervical myelopathy is that these symptoms are kind of vague. People say, "Oh, I'm getting a little more clumsy or have some numbness", but it's not always a distinct neck pain or shooting pain so people forget to think about the neck and unfortunately, a lot of times, I see people who had symptoms 6 months ago or 8 months ago and it's taken them that long to be diagnosed with a neck problem and end up in my office. Once they get to my office we do a full history to make sure that the symptoms make sense and fit with what our thoughts are and then do a physical exam; and we're looking for abnormal neurologic findings that are compatible with pressure on the spinal cord. People can have abnormal reflexes. They can have weakness. They can have numbness. They could have ataxia, which just means poor balance when walking. Frequently, we'll get x-rays that will show arthritic change of the neck, but many people have that and that in itself by no means diagnoses cervical stenosis, which is the nerve compression, or myelopathy, which is the nerve problem. So usually you end up with an MRI scan that actually shows us the spinal cord and the space around it or lack thereof which is very important in making the diagnosis.
Dr. Sechrest: Now is that usually enough to decide what needs to be done in treatment or are there any electrical tests or any other radiologic test that you typically will get?
Dr. Nitin Bhatia: Usually that's enough. Sometimes, on patients who have a lot of other things going on, we may get other tests like an EMG test or even a specialized CT scan. But usually the MRI scan gives us a very picture of what's going on in regards to the nerve compression.
Dr. Sechrest: Tell me a little bit about the patients that you see. You had mentioned that it's usually the older patient that you begin to see cervical myelopathy. What's the youngest you could expect? Can you start to think about this in middle age? Or is it really an elderly problem?
Dr. Nitin Bhatia: You can. Like I mentioned, we see it more commonly as we get older. So, in patients over the age of 60 years old, it occurs in about 1 in 1000 people. Younger than that, especially than 40 it's quite rare, although some people are unfortunate in that they have this congenital spinal stenosis, or spinal canals that are narrower than they should be, and even small amounts of degeneration can lead them to have these symptoms. That's quite rare but we do see it, and I've seen it in patients as young as their early 20s.
Dr. Sechrest: Once you've made this diagnosis and you've done the MRI scan, and you're relatively certain that the problems you're seeing, the neurological problems, are a result of the cervical myelopathy. What are my choices as a patient? Is this something that can be treated without surgery; or us this something that's going to require surgery?
Dr. Nitin Bhatia: The only permanent solution is surgery. We have to take the pressure off of the spinal cord to stop the ongoing damage. Physical therapy doesn't change that although it may help some neck pain and may provide some improvement in the dexterity of the hands. It doesn't fix the compression on the spinal cord, that's really the problem. A lot of people won't even offer injections such as epidural injections in someone who has this because adding that extra fluid around the already tight spinal cord can make it even worse. So surgery really is the only option for this problem.
Dr. Sechrest: When you recommend surgery what are my expectations as a patient from the standpoint of what the surgery can do? Is this going to reverse the problem?
Dr. Nitin Bhatia: The sooner we get to it the better the reversal. So, if somebody comes in and they mild symptoms in their hands and we catch it early, they can probably get back to normal. But if somebody comes in later where they're having to use a walker to walk or maybe even in a wheelchair, they'll likely get better but they won't go back to normal.
Dr. Sechrest: So you can stop the progression of the disease, but you can't really guarantee that they'll have improvement and probably not complete reversal.
Dr. Nitin Bhatia: Right, and most studies show that the progression of the disease stops very well. So the official goal of the surgery is to stop progression. But most studies also show that most of the patients get one or two grades better. So if you come in as a Grade 2, which is kind of mild, you can probably go back to being normal at Grade 0 or 1. But if you come in as a Grade 4 you'll probably go to a Grade 2 and still have some mild symptoms. So you'll improve somewhat.
Dr. Sechrest: Okay. You mentioned a grading system. Could you define that grading system in a way that I, as a patient, can understand it? How many grades are there and what's a Grade 0 versus a Grade 2?
Dr. Nitin Bhatia: Sure. The numbers we use for people with myelopathy are officially 0-5, but the numbers that matter are 1-5, 1 being just some mild pain; and it's graded based on how much we walk. So 2 is you're having some problems walking. 3 is you're having problems walking and you require some sort of cane or walker, but you can probably still work. 4 means that the walking has now become so bad that you probably can't work, and 5 means that you're essentially wheelchair-bound.
Dr. Sechrest: Okay. It sounds like anybody who has a diagnosis of cervical myelopathy is going to end up with an operation, unless there are other reasons not to operate that make is riskier to operate than not operate. Let's move on to procedures that can be used to treat cervical myelopathy. What are my options in terms of surgery? What type of surgery is available to treat this problem?
Dr. Nitin Bhatia: There are a variety of surgeries that are available. The fundamental goal of all of them is to take the pressure off of the spinal cord. Usually we divide the surgeries into surgeries from the front of the neck, which we call anterior surgeries, or surgeries from the back of the neck called posterior surgeries. A kind of general rule of thumb, and this doesn't hold true for everybody, is that if it involves two or less levels in the neck, for example, two disc spaces, the front of the neck probably provides better results with less complications. But if it involves three or more levels, surgery from the back of the neck likely provides better results with less complications. Now obviously each patient is a little different and their compression is a little different, that's a general idea of how the surgeries are done.
Dr. Sechrest: Okay. Well, let's divide them into the front and the back I guess and sort of look at it first from the front. What are we talking about? What do you actually do when you try to go in and relieve this pressure from the front?
Dr. Nitin Bhatia: When we come in from the front, we want to take the structures that are pushing on the spinal cord out. Usually it involves the discs, which are like the shock absorbers in between the vertebral bodies, which are the bones in the neck. In between each bone and the bone next to it, there is a disc. With time those discs tend to collapse and as they collapse and bulge out. It's that bulging that then pushes towards the spinal cord and causes the problems. So we need to go in and remove those discs in what we call a discectomy to open up the space for the spinal cord. Now, sometimes, there's actually pressure behind the vertebral bodies as well because they sit in front of the spinal cord. Some people actually have ligaments, we all have ligaments, but some people's ligaments become ossified, or actually turn into bone and cause significant pressure on it, and then we have to take those ligaments away. To do that we take out that small piece of bone of the vertebral body that's blocking, and that's called a corpectomy. These procedures are very well tolerated. It's the kind of the surgery, if it's just a discectomy; frequently the hospital stay is at most just overnight. Some people even go home the same day, and even if it's a corpectomy, which sounds like a much bigger procedure, most people go home the next morning. Depending on your surgeon, people may not even wear a neck collar and some surgeons put patients in neck collars for 2 months. I tend to put them in for about 2 weeks, just until the skin is nicely healed, and then they usually don't need a neck collar after that at all.
Dr. Sechrest: So, after you take out the disc, or if you have to do a corpectomy, you take out the corpus, what do you do at that point? Obviously, you've got a big gap there.
Dr. Nitin Bhatia: Exactly, and we have to do something with that gap. We know if we take out the disc or even part of it and don't fill it with something, over time that disc will collapse because the stabilizing force is collapsed, and maybe over 6 months, 1 year, or 2 years, the neck gradually falls forward and you end up with more and more problems. So we have to reconstruct that area that we've opened up, and that's what we call a fusion. Usually what we do is we take bone from the bone bank, or bone from the patient's hip, or a mechanical device that replaces the disc and the bones that we've removed that allows the bones to have rebuilt stability and allows them to heal together with essentially, once they're healed, as much strength as they had before surgery if not more.
Dr. Sechrest: So, basically, if I can paraphrase what you're saying, is that you take out anything that appears to be causing pressure on the spinal cord, and then you come back and replace that with bone graft or something that is narrower than what you took out, so that you've made that space bigger for the spinal cord.
Dr. Nitin Bhatia: Exactly.
Dr. Sechrest: Now, do you use metal plates or any hardware when you do that or do you just put the bone graft in?
Dr. Nitin Bhatia: I use metal plates and hardware because we know the results, especially if you have to do more than one disc, are better if you use the metal plates and hardware.
Dr. Sechrest: Okay, so you're using the metal plate mainly to hold everything in place while it heals? Do you ever go back in and take those plates out?
Dr. Nitin Bhatia: Sometimes you can. Rarely patients will want them taken out because they just don't want them, and very, very rarely they'll cause some problems with swelling, especially in patients who have had problems swelling before that. In that case we may take them out. But it's extremely rare to need them taken out.
Dr. Sechrest: Okay. It's not something you tell patients then, and you would discourage that I'm assuming.
Dr. Nitin Bhatia: Yeah, if they don't need it taken out we just leave it in.
Dr. Sechrest: So, I think I understand that piece. Let's move to the back now and what's available from the back? Are we doing the same thing?
Dr. Nitin Bhatia: The procedures from the back of the neck are a little different. Instead of going in and taking the discs out, we can't do that from the back of the neck, mainly because it's somewhat unsafe. But what we do is we open up the space for the spinal cord and allow it to move away from the discs and the things in the front of the neck that are pushing on it. It's what we call an indirect decompression and it works wonderfully well. There are really two main kinds of it for myelopathy. One is called a laminectomy where we actually cut away the bones over the areas where the spinal cord has pressure on it; and nowadays, when we do a laminectomy, we usually do a fusion as well and a fusion is where we put the screws and rods in to hold it in place. The reason we do that is we know if you don't do the fusion with the laminectomy, the neck again will fall into that forward position over a years and you're making it a lot more than you started in. A second procedure, which I tend to prefer, is called a laminoplasty. In that we don't actually remove the bone. What we do is cut the bone and create a hinge, kind of like in a door. So one side is partially cut whereas the other side is cut through and through. We then open it, like you would open the hinge of a door, allowing the spinal cord more space to move away from the compression. The real benefit of it is you don't need a fusion because we've maintained the bone, and the neck doesn't fall into that forward position or kyphosis. You don't need the screws or rods, and it works very well and is a very rapid procedure. It's actually not that commonly done in the US simply because many surgeons are not trained in it. It's very commonly done in Japan where they see many, many cases of this myelopathy because of some genetic predisposition that they have to it, and it works wonderfully well for them.
Dr. Sechrest: Do you think that's changing? Do you think more US surgeons are beginning to adopt the laminoplasty technique now that they see how it works?
Dr. Nitin Bhatia: Undoubtedly, and, in fact, our group has published and presented some of the biggest series of patients with laminoplasty and, after we first presented them, I got calls from my friends, who are very good surgeons around the country, who said, "Thank you for showing that, because it's not something that we're taught or even talk about very much in the US; and it really provides another great option for treating these patients".
Dr. Sechrest: You mentioned that the difference between whether you choose going from the front to the back really is determined more about how long a segment of the neck is really involved. Like the shorter segments you do better from the front, and the longer – Why is that? Why do you tend to do better from the front than you do in the back? Any explanations for why?
Dr. Nitin Bhatia: The main reason for that is that, when we come in from the front of the neck, there's not a lot of muscle that we have to get to, to get there. In fact, if you push on your neck here, you feel kind of a firm structure. That's the spine. It's fairly close to the front of the neck, which surprised me the first time I found that out 10-15 years ago in medical school. So, because there's not a lot of muscle there, there's not a lot of soreness after surgery, in fact, most patients say that it doesn't hurt them at all. There are very low complication rates when you've got only one or two levels to do, because the healing of the reconstruction and fusion part heals very nicely. Once we go more than two levels, though, it's harder for the body to heal all those levels of reconstruction consistently. So, even if two out of those three levels may heal, the third one may not, and that can lead to problems down the future although it doesn't always.
Dr. Sechrest: So, in that case then, going through the back and damaging that muscle is probably less of a problem than trying to get all that bone to heal in front.
Dr. Nitin Bhatia: Exactly.
Dr. Sechrest: I see. I see. Well, you'd mentioned that the primary goal of either one of these operations from the front or the back is primarily to stop the process. Let's talk a little bit about results from all of these things. What is the expectation if I'm a patient and I decide I'm going to have to have surgery? Let's just summarize what a reasonable expectation, realistic expectations, of what you can from this surgery? And corollary to that is – Does it last?
Dr. Nitin Bhatia: Great questions. The expectations are that the progression of the myelopathy will stop, once the pressure is taken off of the spinal cord. Most people tend to get significantly better within 6 months of the surgery, and usually even much faster in that 6 weeks – 3 months; and the improvement will continue for 18 months after surgery. Most people don't have problems again at the areas that were operated on. Now sometimes, for example, if we only do one level in the front of the neck, there's nothing that saying that problems can't occur above and below that just because of the patients' predisposition to it. But, for the areas we operate on rarely, very rarely, do the problems come back.
Dr. Sechrest: Okay. You mentioned that you're going to begin to see improvement for 6 months, maybe even longer?
Dr. Nitin Bhatia: Yes.
Dr. Sechrest: Then at one point it will stabilize and you sort of are as good as you're going to get at that point.
Dr. Nitin Bhatia: Exactly.
Dr. Sechrest: Let's move to something that obviously we, as surgeons, don't like to talk about a lot, and that is, potential complications. What can go wrong with this procedure?
Dr. Nitin Bhatia: Sure. I think the first complication everyone worries about when we talk about spine surgery is paralysis: "Oh my gosh, what's the risk of me waking up and having an injury to my spinal cord?" Fortunately, nowadays with our new technologies including great operating room microscopes so we can see everything we need to do, and spinal cord monitoring which actually a patient's spinal cord throughout the surgery and can tell us if anything's going wrong as well as the improvements in the anesthesia and surgical training. Surgeons, who are fellowship trained and only do spine surgery, tend to have a fair amount of experience with this. The complication rates are extremely, extremely low. The risk of something like paralysis is likely 1 in 2000 give or take a little and depending on the severity of the problem. The other kind of complications are the typical surgery kinds of complications – maybe bleeding a few tablespoons, most patients do not require any sort of transfusion from this. As with any surgery there is a minimal risk of an infection that is usually well taken care of with some antibiotics. Usually from the surgery in the front the throat is a little sore for a few days afterwards, sometimes up to a few weeks. Rarely, people can have problems with their voice for extended periods after surgery, because there's a nerve that goes to the voice box that's near the spinal cord there. That's why I always do my incisions on the left side of the neck because the nerve on that side is a little more protected than the nerve on the right side of the neck, although either way you go in the risks are quite low. Probably, in general, if you put all of the risks together, they're probably less than half a percent for significant ongoing complications after a procedure like this.
Dr. Sechrest: Well, it sounds like, clearly given a very serious condition, that the surgical risks are very acceptable, I think, especially given the new techniques we have today. Do you have any advice that you would give to a patient who is faced with making this decision? Obviously this is a serious decision and a serious problem. Anything we haven't talked about that you would want to convey to patients that are faced with trying to either decide whether they need an evaluation or faced with the decision about whether to proceed on with surgery or not?
Dr. Nitin Bhatia: Well, I think the first question is, if you've seen our discussion, and have some of these symptoms, it's worthwhile pursuing the evaluation of the neck and getting that MRI scan, because the diagnosis is one of the hardest things. Then getting in to see a good fellowship trained spine surgeon is really important. I would make sure that the patient and that surgeon have a good relationship and develop a good understanding; and, if patients are uncomfortable for whatever reason, and want to make sure that surgery is really the right option, get a second opinion to check. Go to your local University. Go to the local other spine practitioner who has a good reputation and see if they agree, but make sure you're comfortable, and if this really is a problem that if you're having symptoms, you will need to have surgery and the sooner we get to it, the better the results.
Dr. Sechrest: One final question, and that is, a lot of patients end up going to their regular medical physicians for problem. So, if I'm a patient and I think that I might have these symptoms and I go to my regular primary care physician, who may not be as familiar with this and I'm reassured that the primary care physician says, "Well, you know, I don't think there's anything wrong. Let's watch this." I think, from our discussion that we've just had, you would probably say that's probably a bad idea.
Dr. Nitin Bhatia: I would say that's a bad idea. You know, it's not the primary care physician's fault.
Dr. Sechrest: Right.
Dr. Nitin Bhatia: I mean, they have such a phenomenal breadth of knowledge. Unfortunately, this is one of those problems that really, there's so much to learn in medical school, that it's one of those problems that's not really touched upon and, if it is, it's 15 minutes in 4 years of schooling. It's the spine surgeon's job to know and, if you think you have these symptoms, make an appointment with your spine surgeon, have a good evaluation, have him listen to your history, and then have him figure it out. We're really it out. We're really the experts for this sort of problem. We're the ones who should be making the diagnostic and therapeutic treatment decisions.
Dr. Sechrest: Yeah. I think that's good advice, and I like the way you put it. I think that you're right. We can't all know everything, and this is one thing that not moving quickly or not being prudent can result in permanent damage.
Dr. Nitin Bhatia: Exactly.
Dr. Sechrest: Thanks. Thanks a lot for helping us understand this better and thanks for taking such good care of your patients.
Dr. Nitin Bhatia: My pleasure. Thanks for having me.
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.
The information on this website is not intended to replace the advice or care from a healthcare provider. The information on this website is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments, or treatments. The information should NOT be used in place of visiting with your healthcare provider, nor should you disregard the advice of your healthcare provider because of any information you obtain on this website. Discuss any activities presented in this website with your healthcare provider before engaging in the activity.


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The Australian National University in Canberra will slash about half the staff and cut funding at its internationally renowned school of music. Existing staff say it's a blow that the school won't recover from, but the ANU says the major restructure will mean the school will be able to survive and ...Friday 15 June 2012
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Laughing, Jets veteran-G Pete Kendall gave his take on the 400 lb., 16-year veteran of the NFL. Hes hard to miss, Kendall explained.
Washington will line up opposite of Jets rookie-C Nick Mangold, who appeared unfazed by the mismatch but understands that he has his work cut out for him. According to Mangold, the biggest DT he ever went up against was Miamis Keith Traylor just a few weeks ago, who Washington out-weighs by over 50 lbs.
When asked whether he could use his speed or his excellent technique to stop Washington, Mangold chuckled and responded, I could use some help.
Head Coach Eric Mangini couldnt agree more with Mangolds witty, but still poignant, observation. There will be different things we can do to all share the load, he stated in his daily presser when asked how the Jets might attack the defensive powerhouse.
Mangold even toyed with the idea of trying to bulk up for Sundays game, possibly on a carb-intensive diet as per Manginis suggestion. After a few moments of contemplation, he ultimately shot down the idea with another witticism, joking with reporters that, I dont think I could load up enough.
Mangini also took time to address how the team would prepare for a Browns club with a new offensive coordinator. In his view, the difference will be minimal. The system will remain pretty much in tact, he said, noting that there might be a few different plays thrown in.
The Jets rookie-HC has known Clevelands new offensive coordinator, Jeff Davidson, for a long time. The two were on the Patriots coaching staff during their three recent Superbowl victories, and Mangini believes this previous relationship could give him a bit of an edge in the match-up this weekend.
During his press conference, Mangini insisted that each offensive coordinator has their own fingerprint, which is their unique style of play-calling. When asked about his familiarity with Davidsons offensive mindset, Mangini answered cryptically, Ive seen his fingerprint before.
The Browns biggest weapon on offense right now is TE Kellen Winslow. Winslow, a former first-round pick by Cleveland, spent his first two seasons in the NFL on the sidelines recovering from various injuries. This year, however, he has been on the field and just as productive as the Browns had hoped when they drafted him, leading the NFL in receptions by a tight end.
Mangini credits Winslows success this season to the fact that hes explosive and he runs like a wide receiver, but Jets LB Jonathan Vilma has a different theory. Vilma believes that it all boils down to the abilities of Browns QB Channing Frye.
Vilma complimented Frye on his strength and speed, comparing him to Buffalo Bills QB J.P. Losman not a good sign considering Losman threw for 328 yards and a touchdown against the Jets in Week Three. The Jets managed to pull out a win in that game, but Jets fans should still be praying that Frye is a whole lot less like Losman than Vilma believes.
-Mangini said that he was pleased with the fact that players were running in between drills during yesterdays practice. The players ran between drills on Thursday as well, but it was primarily to stay warm with wind-chills below freezing at Hofstra.
-WR Jerricho Cotchery received praise from his coach, who said that his run blocking has been outstanding and he showed great strength on his runs after-the-catch.
-RB Leon Washington told reporters that he doesnt feel confidence is a major factor in his recent success. Its not so much confidence as experience, the star rookie explained. I feel the more I play, the more experience I get.
-Mangini said that CB David Barrett in making progress in his recovery from an injury earlier this season and would not rule out Barrett playing on Sunday, provided there were no setbacks. He added that the statuses of RB Cedric Houston and OL Trey Teague are similar at this point in time.
-In preparation for Sundays game in the famous Dawg Pound in Cleveland, the Jets opened practice today to Who Let the Dogs Out?, by the Baja Men. Song number two in the Cleveland-based playlist was the theme song to the Drew Carey Show, which chants the phrase Cleveland rocks! dozens of times.
New York Jets
-FB B.J. Askew (Foot): Questionable
-CB David Barrett (Hip): Questionable
-WR Laveranues Coles (Calf): Questionable
-WR Tim Dwight (Thigh): Questionable
-RB Cedric Houston (Knee): Questionable
-OL Trey Teague (Ankle): Questionable
-RB Kevan Barlow (Calf): Probable
-LB Matt Chatham (Foot): Probable
-T Anthony Clement (Back): Probable
-DE Shaun Ellis (Back): Probable
-DL Bobby Hamilton (Knee): Probable
-LB Brad Kassell (Thigh): Probable
-OL Pete Kendall (Thigh): Probable
-CB Justin Miller (Hip): Probable
-QB Chad Pennington (Calf): Probable
-S Kerry Rhodes (Thigh): Probable
-DL Dewayne Robertson (Hand): Probable
-WR Brad Smith (Thigh): Probable
-DL Kimo von Oelhoffen (Knee): Probable
Cleveland Browns
-CB Leigh Bodden (Ankle): Questionable
-S Justin Hamilton (Ankle): Questionable
-WR Dennis Northcutt (Ribs): Questionable
-S Brodney Pool (Hamstring): Questionable
-S Brian Russell (Ankle): Questionable
-T Ryan Tucker (Illness): Questionable
-FB Lawrence Vickers (Elbow): Questionable
-TE Kellen Winslow (Knee): Questionable
The team has a walk through tomorrow before traveling to Cleveland on Saturday. Be sure to check back to JetsInsider.com for a full game preview!


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Poehler Fey 2016…They're the funniest candidates since Ross Perot.
(Source: seeyouseeoriginalposts)
Hey, we're BustedTees. We were founded in 2004 (Kerry vs. Bush, to give you some perspective) by the guys from CollegeHumor.com.
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Welcome! You are browsing as a guestWould you like to see projects made from this pattern and much more? join Ravelry now What am I missing?
© YarnAddictAnni
My Pretty One
This pattern is available for £3.00 GBP buy it now
Sleeveless summer top with v-neck and an all over lace pattern.
Pattern available from Artesano/Manos del Uruguay stockists in the UK, Germany, Sweden and France.
Modelled photo is copyright Artesano.


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haha... awesome game arsenal. RESPECT from liverpool
Arsenal Shots
Norwich Shots
haha... awesome game arsenal. RESPECT from liverpool
Русские вперед!
since Zidane I haven't seen this. that was it!!!!
this rating is bullshit kocsielny made a lot of interception in the game.i think he should get at least a 7
as close to porn as football can get
Ramsey D:
this is my arsenal ... f***off haters .....
so hard to say who de man of de match is giroud for 2 assist ozil for 2 goals Ramsey for 1 goal 1 assist wilshere for 1 goal 1 assist Szczęsny for 5 saves all amazing
2 unbelieveable teamplay goals, 1 fantastic individual solo goal and 1 great,precise counter-attack goal. World-class!!! It's not football, It's art. I love this team so much! <3
درود بر ارسنال
Ladies and Gentleman, this beautiful sport can't get much better than this.
beauty goal. giroud's flick is absolutly class! he made that goal happen
we need 3 more goals and a clean sheet
what a save!!!!!!
Crazy goal, for sure on of the goals of the season
Amazing goal *.*
amazing goal *.*
Santi Cazorla returned to the Arsenal starting line-up for their Premier League game against Norwich at Emirates Stadium. In-form midfielder Aaron Ramsey drops to the bench after playing twice for Wales in the international bench. Mikel Arteta and Mathieu Flamini are retained at the heart of the Gunners' midfield. Team in full: Szczesny, Sagna, Mertesacker, Koscielny, Gibbs, Wilshere, Flamini, Arteta, Ozil, Cazorla, Giroud Subs: Fabianski, Vermaelen, Jenkinson, Monreal, Rosicky, Ramsey, Bendtner
Swagio you really a clueless....
according from arsenal.com "Arsenal should have Mesut Ozil and Santi Cazorla available in tandem for the first time"
Fuck you from Armenia
could be a massive killing here, but you saw what happened to Tottenham...
My XI for norwich Szczesny Jenkinson vermallen BFG Gibbs Ramsey Flamini Arteta Gnarby. Giroud. Wilshere Bench Fab Kosh Monreal Ozil Sagna Bendtner Miyachi My XI for b.dortmund Szczesny Sagna BFG kosh Gibbs Flamini. Ramsey Rosicky Ozil. Carzola Giroud Bench Fab Vermallen Monreal Gnarby Arteta Berndtner
Arsenal have had ...a wonderful start ,apart from the first and the last one .It would be difficult to see ,Norwich cause Arsenal great harm .Unfortunately ,football does not follow solid logic .We watched Cardiff punish Manchester city ,and West Ham over run spurs .It could be an apt tactics or pure mother luck .So Norwich would need a lot of luck ,to keep out Arsenal .Arsenal v Norwich could end as much as 4-0 says austin4sports
0-0 or 1-1
Giroud 2,Ramsey 1,Ozil 1,Cazorla 1.
seems we failed again to see ozil-cazorla to play together as ozil got injured after intl break. fuck
Arsenal 2-1 Norwich
2-0 to Arsenal
4-1 or 4-0 Cazorla + Ozil will be deadly, and Arsenal are at home
ok 5-0
ارسنال میبره
Cazorla and Ozil to start?! Ohhhhh to be a GOONER, i can't wait to see them rollin'.
cazorla is a great addition rigt now for gunners. he is in demand & good to have him back. i cant wait to see him playing with ozil
fuck an international break. cant wait for my gooners
2-0 to arsenal
arsenal 1-1 Norwich


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Jackson Will Says Diana Ross Gets the Kids?
The will, written by Michael Jackson nearly seven years ago to the day, was filed this morning in an L.A. court.
The document, dated July 7, 2002, estimated the King of Pop's estate at more than $500 million, and gives that entire estate to the Michael Jackson Family Trust -- completely cutting out the mother of two of his three children, Debbie Rowe.
Jackson named his mother, Katherine, as a beneficiary of the trust, and, most importantly, the guardian of Jackson's three children. But the most interesting note in the will is this: Jackson states that if Katherine is unable to take care of the kids, Diana Ross (yes, THAT Diana Ross) is to be their guardian. What? Was Liz Taylor not available?!
The will also designates Jackson's longtime lawyer, John Branca, and music exec John McClain as co-executors of the will.
In a statement to the Associated Press, Branca and McClain said: "The most important element of Michael's will is his unwavering desire that his mother, Katherine, become the legal guardian for his three children. As we work to carry out Michael's instructions to safeguard both the future of his children as well as the remarkable legacy he left us as an artist, we ask that all matters involving his estate be handled with the dignity and the respect that Michael and his family deserve."
TMZ has the entire will. Read it here.
|Michael Jackson
|Jackson's Kids
Not really that surprising. I'm an adoring fan and all but, let's not forget THE MAN WAS NOT MENTALLY STABLE.
Michael Jackson was not unstable. He new who he wanted to have his children.
the most important thing is to make sure that his kids are ok. katherine should get those kids because thats what Michael wanted, if something happen to her then, do whats in his will Diana Ross should get those kids as he stated. people should stop speaking on other people, if they were not a close friend to no what he wanted. as the old saying paper dont lie.


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text:
Saw Wreck-It Ralph on Saturday. Needless to say, it was fantastic. And it looks like I found a new fandom to become a part of.
This is the only piece of fanart I've made so far. I'll try to draw the main characters sometime this week. I decided to start with Sourbill because he looks like the simplest to draw. I should probably do more digital stuff also.
Sorry for the smudge. My eraser was covered in gunk and I don't know how. I ended up using another eraser.


text:
Date: 1 year ago
Runtime: 13:44
Views: 113,060
Bareback Raw Breeding a 22 y/o Black College Twink
His parents were away, so I went over to teach him how to take dick. He sucks my dick, I rim his ass; fuck him rough, hard and bareback; cum in him and then keep fucking it deeper.
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text:
Browns wideout Davone Bess arrested for alleged assault
Fort Lauderdale, FL, United States (4E Sports) – Cleveland Browns wide receiver Davone Bess was arrested at a Florida airport for allegedly assaulting an officer.
Bess, who left the Browns late in the season to deal with personal issues, was taken into custody by police at the Fort Lauderdale International Airport.
He was charged with assaulting an officer, resisting arrest and disorderly conduct, according to a Broward County Sheriff's department report.
According to the report, Bess appeared to be "under the influence of an unknown narcotic," and was "looking through" the officer as he spoke to him.
Bess posted $100 bond and was released from jail late Friday morning, an information officer for the sheriff's department confirmed.
A Browns spokesman said the team is "aware of the situation and currently working to gather more information."
The incident was the latest in a series of troubles for the Browns receiver, who was also being investigated for a photo that he posted on Twitter depicting a possible banned substance.
NFL spokesman Greg Aiello also had declined to say what the league may or may not do about the photo.
The photo, posted on Bess' official twitter account, @davonebess, shows a small bag of a greenish-brown substance that reportedly looks like marijuana, and more of the substance spread on the table.
The photo also contains what looks like a cigar, similar to the one in the photo posted by Bess in December on his since-closed Instagram account, a beverage of some kind and a 5-hour Energy drink.
The photo Thursday was one of a series of Tweets removed from his account.
Bess missed the final two games of the season for personal reasons and was placed on the non-football/reserve list.
After the Browns acquired him, he received a contract extension through 2016 worth $11.5 million, including $5.75 million guaranteed. He's due to make $3.067 million next season.
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text:
If you choose a Marriott, don't stay at a Residence Inn if getting the most points is your goal. They are more comfortable for a longer stay (more like a studio/1 BR apartment than a hotel room), but you accrue points at a lower rate than their regular (not extended-stay) hotels.Actually, Hilton's Homewood Suites earn at the same rate as any other Hilton. Starwood's Elements earn at the same rate as any of their brands (although they are damned hard to find). Hyatt's Summerfield Suites also earn at the same rate as any other Hyatt brand. Its just Marriott.
I think this is true for most chains/brands with extended stay hotels.


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Ghd offers high-end hair care products and accessories often used by professional stylists. Although the company manufactures hairdryers, hairbrushes, and styling and care products, most people equate the brand with flat irons and hair straighteners. Ghd produces a variety of straighteners with wide, medium, and narrow plates. Before buying a new or used ghd styler, learn about the brand's most popular product ranges, V Gold and eclipse, and know how to choose the ideal plate width for your hair.
Ghd V Gold
The ghd V Gold series features hair straighteners designed to improve the way the accessory slides through the hair and to promote shine. These straighteners come with plates made of aluminium, similar to those of ghd IV stylers. The aluminium has a thin ceramic coating for improved gliding, and this combination produced excellent heat and smoothing properties. V Gold stylers are lighter than ghd IV models, making them easier to handle, especially when curling.
The ghd V Gold Classic is suitable for all hair types and has contoured edges for effortlessly creating curls and waves. Its protective plate guard allows the user to pack up the styler directly after use, and it switches off automatically after 30 minutes.
Ghd Eclipse
The ghd eclipse features patented tri-zone technology that guarantees constant delivery of the optimum styling temperature. This provides faster and longer-lasting results. The precision-finished plates glide through hair perfectly, and mid-pivoting improves grip and heat transfer. The outer case remains cooler for improved handling.
Hair Straightener Plate Width
When buying a new or secondhand ghd straightener, choose the ideal plate width for your hair. Slim plates, which usually measure 2,5 to 3 centimetres, are suitable for short hair. Medium plates measure 3 to 4 centimetres and work best on medium-length styles. Wide plates, which usually measure about 6 centimetres, are suitable for long, thick hair. The ghd range also includes Cloud 9, Limited Editions, and Midnight Deluxe products, so you can easily find a new or used straightener that is perfect for your hair.
Ghd hair styling and hair care products have an excellent reputation among professional and everyday users. These straighteners have plates that smooth and shine hair, and their design allows curling, creating waves, and other heat styling techniques. Choose the plate width and styler series best suited to your hair when shopping for ghd straighteners.


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I entered back into the world of counseling. But this time it was different, my counselor didn't make me feel guilty for all the things I wasn't doing. Just the opposite of guilt, she helped me to see that God loved me just the way I was. And that there was nothing I could do to make Him love me more or love me less. He loves me.
It was hard for me to truly accept what she was saying. There had always been this idea in my head that I needed to work to please God. I needed to be a certain way, believe certain things, and act like a Christian. I was good at being a Christian and doing missions. I had read the bible several times, had a Masters of Arts in Christian Education, read all the important books, attended the conferences, and even wore the t-shirts. I was Christian.
My counselor asked me to read Redeeming Love by Francine Rivers and every morning to listen to "How he Love Us" from Kim Walker. She encouraged me to stop trying to work for God's approval but to rest in his love.
My heart began to transform.
The book Redeeming Love broke me at so many different levels. I spent late nights reading and weeping. It hit emotions that had been tucked deep away and brought them up from my soul like an explosive fountain. I could identify with the main character in the story. I knew her pain, shame, anger, unbelief, and sense of entitlement.
My counselor shared that it is God's kindness that leads to repentance. That statement was revolutionary.
Oh, the freedom! Yes, freedom from bondage.
Finally, I didn't have to perform for God. I didn't have to perform for the world. It wasn't about me and what I could do. It was about being and believing Him at His word. Resting in Him. Enjoying Him. It was like meeting a new God. I was telling everyone about this new found relationship (giving a great big hug to God in a photoshoot that Shane was doing for my blog).
During this time, I began to trust God. It took time for me to see that He didn't want to harm me and that He wanted to love that little girl that was lost and searching for grace.
I began to live by faith and not by works. My heart changed. I trusted Him.
And I began to trust my husband…
The steadfast love of the Lord never ceases;
his mercies never come to an end;
they are new every morning;
great is your faithfulness.
"The Lord is my portion," says my soul,
"therefore I will hope in him."
Lamentation 3:22-24


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Johnson, Stephen Ph.D. in Physics and Astronomy, December 2008
Ph.D. in Physics and Astronomy, December 2008----------------------------------------Ph.D. DissertationResonant-Infrared Laser Ablation of Polymers: Mechanisms and ApplicationsPh.D. AdvisorRichard Haglund, PhysicsCommittee MembersEva HarthShane HutsonRonald SchrimpfKenneth Schriver----------------------------------------
Effects of the absorption coefficient on resonant infrared laser ablation of poly(ethylene glycol). Johnson, SL; Schriver, KE; Haglund, RF; Bubb, DM, JOURNAL OF APPLIED PHYSICS, 105, 024901 , (2009)
Phase explosion and recoil-induced ejection in resonant-infrared laser ablation of polystyrene. Johnson, SL; Bubb, DM; Haglund, RF, APPLIED PHYSICS A-MATERIALS SCIENCE & PROCESSING, 96, 627-635 , (2009)
Mode-specific effects in resonant infrared ablation and deposition of polystyrene. Bubb, DM; Johnson, SL; Belmont, R; Schriver, KE; Haglund, RF; Antonacci, C; Yeung, LS, APPLIED PHYSICS A-MATERIALS SCIENCE & PROCESSING, 83, 147-151 , (2006)


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Thornton - Local Area Photos and Information
Local Area Photos | Local Business Directory | Local Real Estate | Local Employment Center
Thornton is a populated place located in Whitman County at latitude 47.121 and longitude -117.39.
The elevation is 2,310 feet. Thornton appears on the Thornton U.S. Geological Survey Map. Whitman County is in the Pacific Time Zone (UTC -8 hours).
Whitman County: Cities & Towns | ZIP Codes | Schools | Features (airports, churches, hospitals, etc.)
BOUNDARY MAPS: | Garfield-Oakesdale Division | Whitman County
Thornton - Searchable Map, Aerial Photos & Driving Directions
|BIG Map |
Driving Directions |
Data Source - USGS GNIS FID: 1509005
BOUNDARY MAPS: | Garfield-Oakesdale Division | Whitman County
Nearby Cities, Towns & Census Designated Places
Thornton, WA
(< 0.1 mile)
Cashup, WA (4.1 miles S)
Balder, WA (4.3 miles N)
Sunset, WA (4.5 miles W)
McCoy, WA (5.8 miles NE)
Donahue, WA
(6.4 miles NNE)
Flaig, WA (6.4 miles ENE)
Oakesdale, WA (7 miles E)
Huntley, WA (7.1 miles W)
Rosalia, WA (8 miles N)


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Hi, i'm Fran/ Lefran/ Magic Fran, 23 and an Illustrator from the UK working in the games industry in London.
Here i'll post some of my work, photos and general things I find interesting, amusing or pretty, including work by other artists which I always label.
I love illustration, drawing, watching films, Drinking tea and owls, and in general I'm a bit of a nerd. Please don't ask me to follow you! >__<
Image of me above by Muonbee.
Jb Vendamme
Reminds me of all the Spidey vs Hulk art there was at Collectormania. :D


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Uncovering Fool's Gold: Discern Truth in an Age of Error
- Thursday, May 19, 2005
The spirit of our age is one of tolerance. But the church is the keeper of timeless truth. Too often, Christians in our culture throw discernment to the wind and accept everything that's labeled "Christian" without testing to make sure it truly aligns with the truth of God's Word. The consequences can be disastrous.
It's only by developing discernment that you can be sure to walk in God's wisdom. Here's how you can discern truth in an age of error:
Desire wisdom. Humbly acknowledge your own potential for self-deception. Distrust your personal feelings and cast scorn on self-sufficiency. Look to the Bible as the final arbiter of all things.
Pray for discernment. Ask the Holy Spirit to guide you into all truth.
Obey the truth. Once you know the truth, act accordingly. Understand that if God sees you obeying what He has already revealed to you, He will choose to reveal more to you.
Follow discerning leaders. Find and emulate leaders who display an ability to discern, analyze and refute error, and teach Scriptures clearly and accurately. Learn from their example how to think critically and clearly.
Depend on the Holy Spirit. Understand that the Holy Spirit is the ultimate counselor. Be filled with the Holy Spirit and stay attuned to the Spirit through frequent prayer. Rely on the Spirit's strength rather than just your own.
Study the Scriptures. Read the Bible regularly. Memorize it. Ponder it. Pray about it. Discuss it. Get to know God's real message well, so you'll recognize counterfeit teachings when you encounter them. Examine everything carefully using the Bible (rather than personal experience, a human teacher, or a feeling) as your standard of what's true and good.
Shun what's false. When you come upon corrupt, erroneous doctrine (which often contains a portion of truth mixed with contaminating falsehood), know that the only proper response is to shun it completely. Don't compromise by diluting biblical truth with secular ideas. Test the doctrine you hear against the truth of the gospel.
Beware of watered-down preaching. Look for a church where preachers derive their messages directly from the Bible. Don't settle for shallow, warm and fuzzy messages that simply present secular ideas dressed up as Christian principles. Make sure you're learning more and more about the Bible each week during your worship service.
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Was £30.00
Now £27.00
10% Off
Save a total of £3.00
£13.50 per 100ml
Item in stock
Standard Delivery
Click & Collect
Dolce Body Lotion 200ml
Item No.1170049003
Dolce is a gentle, feminine mix of white flowers, introduced by the freshness of the Neroli leaves and defined by the White Amaryllis, a South African flower used for the first time ever in scent. A unique and opulent combination of White Water Lily and bold White Daffodil blend perfectly with the full-bodied White Amaryllis. Dolce's elegant packaging is reminiscent of a vintage fragrance flacon. The flower stopper pays tribute to Sicilian customs and a thin black grosgrain ribbon, presented in an elegant bow, conjures images of the white shirts and bow-ties that were a signature of early Dolce&Gabbana catwalk shows. The final, and most personal, touch: Dolce signed in a flourish of black script, a replica of Domenico Dolce's father's own signature.
Deliveries are between 8am - 6pm, Mon - Sat.
FREE if you pay with your Debenhams card
FREE delivery on all orders over £30 (normally £3.99)
Deliver to store for collection ( 160 participating stores ) FREE
Debenhams is happy to exchange or refund your purchase within 28 days providing the goods are in a fully resaleable condition (including tags) and not within the exclusion policy*. This policy does not affect your statutory rights. You can return unwanted items either by visiting your local store (the fastest way to get a refund), by arranging a courier collection or returning by post. Exclusions apply to selected products. For instructions on how to return products and information on Debenhams refund policy visit the returns and refunds section of the website.


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The median home value in Richmond, CA is $229,800.
This is
lower than
the county median home value of $414,600.
The national median home value is $170,100.
The average price of homes sold in Richmond, CA is $229,800.
Approximately 45.19% of Richmond homes are owned,
compared to 44.24% rented, while
10.57% are vacant.
Richmond real estate listings include condos, townhomes, and single family homes for sale.
Commercial properties are also available.
If you see a property you're interested in, contact a Richmond real estate agent to arrange a tour today!
Learn more about Richmond Real Estate.
Light Industrial use - Plenty of yard-space, 2,400sf of office-space plus 23,800sf of warehouse space with roll up doors, a lot of natural lights, security alarm and surveillance camera, parking, electric gate entry.
Good investment property - fully rented. Close to San Pablo Ave. bus line and Del Norte BART. New Safeway close by. Tandem parking possible. Buyer may want to live in largest unit (3 bedrooms/ 2 baths) and rent out the other 3. Across from El Cerrito City Hall.
Welcome to the top of the hill! This 2008 custom built home w/ close to 5,000 SqFt means lots of living spaces means room for all of your ideas. Enjoy peaceful serenity and sweeping views from this unique hilltop location surrounded by your huge 2.83 acre lot. Make this home your getaway, every day!
Well located in Richmond, this property consists of 6 2bd/1bth units. On site laundry and parking, and tremendous rental upside make this an unbeatable property! Incredibly well maintained, do not miss it!
Rare Ocean Front Property with Unparalleled Views!! Feel the ocean mist on your face from decks & patio. Enclosed sunporch off lrg living rm - both with Panoramic Views. Nice hardwood floors. Lower level in-law unit (permit unknown)
Bright family home, with great floorplan in quaint Point Richmond with some bay views and steps to the beach. 3 bedrooms and 2 baths. Large 2 car garage. Lovely landscaping with plum, apricot, apple and pear trees.
VIEW VIEW & MORE VIEW. See both the Bay and Golden Gate bridges, Oakland & Emeryville too from the living & dining rooms and the master bedroom. Beautiful hardwood floors throughout. Dining room opens to back patio and ample gardening space.
VIEW VIEW & MORE VIEW!!!See both the bay & Golden Gate Bridges, Oakland/Emeryville too from the living/dining rooms and Master bedroom. Beautiful hardwood floors. Dining room opens to back patio and ample gardening space. No rear or side neighbors. Professionally landscaped front yard.
Random plank hardwood floors throughout this home upstairs and down. Over 2000 sqft plus of living space. Formal living room, family room, formal dining room. Deck of off of Master bedroom. Backs up to open space. Must see to appreciate.
Pacific Union International
One Letterman Drive, Building C, Suite 300
San Francisco, CA 94129
Email Us | Visit our Real Estate Website


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Santa Claus
I may not believe in Santa Claus anymore but I do believe in everything he stands for. To many children he stands for hope and dreaming in their troubled lives. Santa is that individual they may not know but makes their dreams come true when mommy and daddy struggle to pay rent each month or when they feel like they don't have a family. Santa is their miracle worker and they savior in many cases even if he brings a toy they won't care about in 6 months.
I think may kids believe Santa for reasons other than him delivering presents under the tree. Sure, I loved the presents Santa brought me when I was a kid but I also loved the idea of him being a miracle, and something amazing that was happening in my life. Thinking back to all of that, I still feel the magic that every kid experiences around this time. Hoping and wishing that Santa has them on his good list, behaving extremely well when mom or dad threatens to call Santa. It's hard not to be festive during the holiday season but I feel like many see it as easy to forget about the magical feeling kids have about Santa.
I realized this over Thanksgiving when my step-mom scolded my dad and I about discussing a non-real Santa figure in close range of my 7-year old brother. I love having a baby brother who still believes in Santa and has all of his innocence in this broken society. It's such a joy to watch him believe in Santa and love a man who brings him toys and lets him visit, even if he takes post in the middle of a mall. I'm so thankful to have been able to experience the christmas magic of believing in Santa Claus so I choose to believe for all of the kids in the world who need a miracle, or hope, or want to see the magic in life when everything seems dull.
I choose to spread the Christmas cheer and hope that Santa will visit our tree this year and leave something fun underneath to keep the Christmas magic alive. When I'm in the position to do so (aka when I have a full time job) I want to make sure that children still get the chance to believe in Santa Claus and bring them a Christmas full of joy and wonder.


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Princess Cruises News Center
Cruising Article – 2013-01-23
Best things to do in Skagway, Alaska
Alaska cruises
Now that the summer has brought warm weather to the Northern hemisphere, many American travelers have decided to explore the Last Frontier – Alaska. This state boasts a number of wondrous sights and vacationers can see more of the area by booking an Alaska cruise. Among the numerous sites to explore, vacationers should make sure that their itinerary includes a stop in the beautiful city of Skagway.
Located on the Alaskan Panhandle, Skagway was originally considered a city before being incorporated as a borough in 2007. The town first sprung up in the late 1800s at the height of the Yukon Gold Rush and has since become the hub of tourism in the region thanks to its lush mountain scenery and numerous historical attractions. Here are some of the most popular things to do in Skagway.
White Pass and Yukon Route Railroad
One of the best ways to explore the region aboard a scenic steam train, and Skagway lies on the White Pass and Yukon Route railroad. A holdover from the prospector days, the train line was originally used to haul away gold ore but now serves as a 41-mile tour for travelers looking to explore the area's hills and mountains during the summer months.
Klondike Summit
Mountains pervade the area, but the one that interests most travelers visiting Skagway on an Alaska cruise is the Klondike Summit. Also known as the White Pass Summit, this peak stands 3,292 feet above sea level, and the path that leads to is offers stunning views of towering waterfalls, postcard-quality vistas and excellent glimpses of the original Dead Horse Trail and Tormented Valley.
Bald Eagle Preserve
Nature lovers will want to head out of town to check out the beautiful neighboring city of Haines, which boasts a wealth of natural beauty and a thriving animal population. Though the area is home to a number of majestic species, it is perhaps best known for its bald eagle population. Haines has the largest concentration of bald eagles in the world, and travelers can see these rare creatures at the Alaska Chilkat Bald Eagle Preserve.
Red Onion Saloon
It's easy to catch up on the cultural heritage of Skagway at the Red Onion Saloon. A popular bordello during the Klondike Gold Rush, the saloon has since softened its image and is now a lively bar/restaurant and a National Historic Building.
Alaska is also a natural destination for outdoor adventures. The summer opens opportunities for hiking, nature watching, ziplining, flightseeing and more. Click here to start planning your Alaska cruise.
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Herb Lemon Butter
Time: 20 minutes, plus 30 minutes to chill. Compound butter (butter blended with flavorings) is a great and simple way to add taste and texture to a dish.
This recipe goes with Grilled Grass-fed Rib-eyes with Herb Lemon Butter
Yield: Makes 1 cup, enough for 16 steaks
More From Sunset
Nutritional Information
Amount per serving
- Calories: 54
- Calories from fat: 96%
- Protein: 0.2g
- Fat: 5.8g
- Saturated fat: 3.6g
- Carbohydrate: 0.6g
- Fiber: 0.2g
- Sodium: 1.7mg
- Cholesterol: 16mg
- 1/2 cup unsalted butter, softened
- 1/4 cup chopped fresh basil
- 1/4 cup chopped fresh cilantro
- 1/4 cup chopped fresh flat-leaf parsley
- 1/4 cup chopped fresh mint
- 1/4 cup chopped fresh oregano
- 2 tablespoons fresh lemon juice
- Finely shredded zest of 1 lemon
- 1/4 teaspoon kosher salt
- 1/4 teaspoon freshly ground black pepper
- 1. Whirl ingredients in a food processor until smooth, about 2 minutes.
- 2. Lay a piece of plastic wrap on a work surface. Using a rubber spatula, scrape butter lengthwise onto plastic. Lift top edge of plastic up and over butter to meet bottom edge of plastic. Roll butter toward you, evening it out into a log about 4 in. long. Twist ends of plastic to seal. Chill until firm, about 30 minutes.
- 3. Remove plastic and slice off 1/4-in. portions (1 tbsp.) to serve over steaks.
- Make ahead: Up to 1 week chilled, or up to 1 month frozen, wrapped in several layers of plastic.
- Note: Nutritional analysis is per tbsp.
My Notes
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Herb Lemon Butter Recipe at a Glance
- COURSE: Sauces/Condiments
- CONVENIENCE: Make-Ahead
- MAIN INGREDIENT: Dairy
- DIETARY CONSIDERATION: Low Sodium
- COOKING METHOD: Food Processor
- PUBLICATION: Sunset
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Northend Beach House
Beautifully remodeled Northend beachhouse. Close to the best beach on the island. Luxurious finished including travertine and bamboo floors, gourmet kitchen with subzero and Viking range. Each bedroom with own bath. Private pool area with built in BBQ. Professionally decorated with tropical flare. The ultimate hideaway!
This material is based upon information which we consider reliable, but because it has been supplied by third parties, we cannot represent that it is accurate or complete, and it should not be relied upon as such. This offering is subject to errors, omissions, changes including price or withdrawal without notice. EQUAL HOUSING OPPORTUNITY


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Downtown Sew & Vac, your easy living store, is located in downtown Iron Mountain, Michigan
The Lindhaus vacuum cleaner is one of the lightest and quietest machines you will find. The sleek low profile design allows the machine to lay flat to get under furniture.
The brush roll automatically shuts off if a sock or something accidentally gets sucked up so you never have to worry about breaking a belt. No tools are required to change the brush roll or clean the base housing.
This is a low maintenance durable machine that is priced right!
The Lindhaus floor washer is fantastic for commercial or residential use. It is light weight and maneuverable. It cleans ceramic, vinyl, wood, and is great on low nap carpet. The drying time for hard surfaces is about 30 seconds. This machine is best in its class.
* * * * * * * * * * * * *
Sebo is designed and manufactured in Germany using the highest quality materials and comes standard with a 5 year warranty. All models have hospital class S Filtration and high capacity filter bags. They don't loose suction as the bag fills because of the unique design. The easy to change bag is sealed so what goes in, stays in.
We carry a wide selection of Sebo machines.
Visit the Sebo website at www.sebo.us and download a picture of a machine you would like to order. Bring the information to the store and we will give you a $70 discount off most models.
Don't buy online. . . Buy at Downtown Sew & Vac and save $$.
* * * * * * * * * * * * *
Simplicity makes a full line of machines and like most brands we sell, they put their money in the machine. By that I mean, they don't have an inflated mark-up to cover marketing hype so you get a better value for your dollar.
Simplicity uses superior quality bearings in their brush rolls. Many of their brush rolls are metal with a protective rubber clutch pad on both ends, something you don't see at the big box stores.
Ask about our Great Prices!
We beat the competition on most machines.
* * * * * * * * * * * * *
Downtown Sew & Vac
Directions: Downtown Sew & Vac is located in downtown Iron Mountain, Michigan, 1 block east of Highway US-2 at the corner of Hughitt Street and Iron Mountain Street. There is on street parking by the store or at the free public parking lot across the street.


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Good news for those businesses that want to invest in energy-efficient technology. DTE Energy is expanding an incentive program.Because of strong demand, the company says it's expanding its program and extending the deadline to apply through the end of August.The program is designed to help businesses pay for the cost of switching to more energy efficient T8 fluorescent lighting.For more information on the program and the incentives, visit www.dteenergy/saveenergy.
WJBK-TV | Fox 2 16550 West Nine Mile Rd.Southfield, MI 48075Main Station: (248) 557-2000Newsroom: (248) 552-5103