text:
Drotrecogin alfa (activated): does current evidence support treatment for any patients with severe sepsis?
DOI: 10.1186/cc4947
© BioMed Central Ltd 2006
Published: 2 June 2006
Two international multicentre randomised controlled trials of drotrecogin alfa (activated) (DrotAA), the Recombinant Human Activated Protein C Worldwide Evaluation of Severe Sepsis (PROWESS) and Administration of Drotrecogin Alfa (Activated) in Early Stage Severe Sepsis (ADDRESS) trials, have produced inconsistent results. When 28-day mortality data from these trials for patients with severe sepsis and at high risk of death are pooled using a standard random-effects meta-analysis technique, there is no statistically significant survival benefit (for patients with Acute Physiology and Chronic Health Evaluation (APACHE II) scores of 25 or more), or a borderline significant benefit (for patients with multi-organ failure). We argue that two important methodological issues might explain the disparate results between the two trials. These issues centre on early trial stopping, which exaggerates treatment effects, and reliance on subgroup analyses, which for DrotAA yields inconsistent results across different definitions of high risk. These concerns call into question the effectiveness of DrotAA in any patients with severe sepsis. Consequently, further randomised trials of this agent in prospectively defined high-risk patients are required to clarify its role in the management of severe sepsis.
Severe sepsis is a condition with important public health ramifications because it is common and has a high case-fatality rate [1]. Drotrecogin alfa (activated) (DrotAA), more commonly known as recombinant human activated protein C, is the first specific therapy for sepsis to show an important survival benefit. On the basis of the favourable results of the Recombinant Human Activated Protein C Worldwide Evaluation of Severe Sepsis (PROWESS) trial [2], DrotAA was approved for patients with severe sepsis and at high risk of death. However, regulatory approval for DrotAA was controversial [3, 4], and the recently published Administration of Drotrecogin Alfa (Activated) in Early Stage Severe Sepsis (ADDRESS) trial [5] has heightened this controversy. The results of this study demonstrated no evidence of benefit for DrotAA in patients with severe sepsis and at low risk of death, and unexpectedly raised concerns regarding its efficacy among patients at high risk of death [6]. In this commentary we argue that the cumulative evidence for a survival benefit in DrotAA-treated patients with severe sepsis and at high risk of death is weaker than originally believed. We also suggest methodological explanations for discrepant results of these two rigorous multicentre trials. These findings have important implications not only for clinicians treating patients with severe sepsis but also for the interpretation of other single, seemingly pivotal, randomised controlled trials.
Effect of DrotAA on 28-day survival
To summarize, these analyses show that the effect of DrotAA varies substantially between the two adult trials overall, and in the high-risk subgroups. This suggests that the PROWESS trial's estimate of survival benefit in severely septic patients might not be robust and that the true effect is probably more modest.
Explanations for disparate results in high-risk patients
DrotAA investigators have postulated several explanations for this between-trial difference in treatment effect among high-risk patients. These include a lower average APACHE II score and baseline risk of death in the high-APACHE II subgroup of ADDRESS than in PROWESS [5] and potential misclassification of patients with respect to the APACHE II threshold of 25 in ADDRESS [14]. The first observation suggests that the treatment effect of DrotAA may be quite variable even in patients with an APACHE II score of 25 or more, and the second highlights the practical difficulty of applying any APACHE II threshold to patient selection for DrotAA. Investigators also discovered a higher prevalence of poor prognostic factors in patients receiving DrotAA, compared with placebo, in the high-APACHE II subgroup of ADDRESS [12]. An adjusted analysis incorporating relevant baseline covariates would address this possibility. Similar adjusted analyses should be performed for the PROWESS trial, because at least some poor prognostic factors seem to be more prevalent in the high-risk placebo subgroups [15]. However, even if the adjusted and unadjusted analyses were to differ, more data would still be required to clarify the discrepant findings.
Two other more general methodological considerations may be more important in explaining the differences between the PROWESS and ADDRESS results.
First, in stopping early after a predefined interim analysis, the PROWESS trial probably overestimated the treatment effect [16, 17]. Current research suggests that such overestimation is less prominent in trials accumulating a large number of outcome events [16], such as PROWESS (469 outcome events and p = 0.005 for overall survival benefit). However, another recent sepsis trial illustrates the potential hazard of stopping early even after accumulating many outcome events. In the randomised placebo-controlled Optimized Phase 3 Tifacogin in Multicenter International Sepsis Trial (OPTIMIST) [18], investigators studied the effect of tifacogin (recombinant tissue factor pathway inhibitor) in patients with severe sepsis and an elevated international normalized ratio. A planned interim analysis of the first 722 patients (about 245 events) demonstrated a significant mortality improvement in patients receiving tifacogin (29.1% versus 38.9%, p = 0.006). However, after reaching the target enrolment of 1,754 patients (597 events), the apparent mortality difference disappeared (34.2% versus 33.9%, p = 0.88). Similar issues have arisen in oncology trials [19, 20]. These examples illustrate the potentially misleading estimates of treatment effect when trials are stopped early for efficacy, even if supported by many events and extreme p values.
Second, the PROWESS and ADDRESS trials differed in the results of an analysis of the effect of DrotAA in high-APACHE II versus low-APACHE II patients: PROWESS found a differential effect, whereas ADDRESS did not. This raises the possibility that this subgroup effect in PROWESS was due to chance. Current teaching [21–23] suggests that results of subgroup analyses are most likely to be true when they are pre-specified, and when large in magnitude and statistically significant – all of which were true of the PROWESS APACHE II subgroup analysis. However, it was one of about 25 pre-specified subgroup analyses (rather than one of few), it was not consistent across different definitions of high risk (such as presence versus absence of multiple organ failure, mechanical ventilation, or vasopressor support) [11], there is no other independent evidence to support this subgroup effect, and the biological rationale for it is unclear. If the high-APACHE II versus low-APACHE II subgroup effect in PROWESS is due to chance, then the best estimate of DrotAA's effect for any patient is the overall pooled result of the two trials, which demonstrates no statistically significant benefit (relative risk 0.93, 95% confidence interval 0.69 to 1.26). [The pooled estimate is very similar whether the phase II patients are also included (relative risk 0.95, 95% confidence interval 0.72 to 1.25) or all four trials shown in Figure 1 are included (relative risk 0.94, 95% confidence interval 0.76 to 1.17)]. Alternatively, if this subgroup effect is real, the pooled analyses in Figure 2 show that the degree of survival benefit depends on the operational definition of 'high risk of death' and at best just reaches the conventional threshold for statistical significance. In either case, more data are required to clarify the degree of benefit, if any, in this or any other subgroup of patients with severe sepsis.
Comparisons with other sepsis therapies
Single randomised controlled trials of two other therapies have recently suggested mortality benefits in critically ill patients. A trial of intensive insulin therapy was stopped early for benefit [24], and another trial showed that low-dose steroid treatment improved survival in a pre-specified subgroup of patients with vasopressor-dependent septic shock [25]. Both treatments have been incorporated into current consensus recommendations for the treatment of severe sepsis [26], similarly to the situation for DrotAA. To confirm the encouraging results of both studies, further trials are being conducted [27–31]. This situation contrasts with DrotAA, for which, to our knowledge, no additional trials in patients with sepsis and at high risk of death are either under way or planned to confirm initial findings and to resolve the subgroup discrepancies.
Patients with severe sepsis and at high risk of death are among the most vulnerable patients in the intensive care unit. In the light of new findings from the ADDRESS trial, the role for DrotAA in these patients is less clear than before. Others have raised important safety concerns by observing a higher risk of serious bleeding, including intracranial haemorrhage, in open-label use [32, 33]. We share the concerns of others [3, 15, 33–36] and believe that further trials of DrotAA in prospectively defined high-risk patients are required to clarify its role in the management of severe sepsis.
= Administration of Drotrecogin Alfa (Activated) in Early Stage Severe Sepsis
= Acute Physiology and Chronic Health Evaluation
- DrotAA:
= drotrecogin alfa (activated)
= Recombinant Human Activated Protein C Worldwide Evaluation of Severe Sepsis.
Authors' Affiliations
- Angus DC, Linde-Zwirble WT, Lidicker J, Clermont G, Carcillo J, Pinsky MR: Epidemiology of severe sepsis in the United States: analysis of incidence, outcome, and associated costs of care. Crit Care Med. 2001, 29: 1303-1310. 10.1097/00003246-200107000-00002.View ArticlePubMedGoogle Scholar
- Bernard GR, Vincent JL, Laterre PF, LaRosa SP, Dhainaut JF, Lopez-Rodriguez A, Steingrub JS, Garber GE, Helterbrand D, Ely EW, for the Recombinant human protein C Worldwide Evaluation in Severe Sepsis (PROWESS) study group, et al: Efficacy and safety of recombinant human activated protein C for severe sepsis. N Engl J Med. 2001, 344: 699-709. 10.1056/NEJM200103083441001.View ArticlePubMedGoogle Scholar
- Warren HS, Suffredini AF, Eichacker PQ, Munford RS: Risks and benefits of activated protein C treatment for severe sepsis. N Engl J Med. 2002, 347: 1027-1030. 10.1056/NEJMsb020574.View ArticlePubMedGoogle Scholar
- Siegel JP: Assessing the use of activated protein C in the treatment of severe sepsis. N Engl J Med. 2002, 347: 1030-1034. 10.1056/NEJMsb021512.View ArticlePubMedGoogle Scholar
- Abraham E, Laterre PF, Garg R, Levy H, Talwar D, Trzaskoma BL, Francois B, Guy JS, Bruckmann M, Rea-Neto A, for the Administration of Drotrecogin Alfa (Activated) in Early Stage Severe Sepsis (ADDRESS) Study Group, et al: Drotrecogin alfa (activated) for adults with severe sepsis and a low risk of death. N Engl J Med. 2005, 353: 1332-1341. 10.1056/NEJMoa050935.View ArticlePubMedGoogle Scholar
- Friedrich JO: Drotrecogin alfa (activated) in severe sepsis. N Engl J Med. 2006, 354: 94-95. 10.1056/NEJMc052759.View ArticlePubMedGoogle Scholar
- Bernard GR, Ely EW, Wright TJ, Fraiz J, Stasek JE, Russell JA, Mayers I, Rosenfeld BA, Morris PE, Yan SB: Safety and dose relationship of recombinant human activated protein C for coagulopathy in severe sepsis. Crit Care Med. 2001, 29: 2051-2059. 10.1097/00003246-200111000-00003.View ArticlePubMedGoogle Scholar
- Eisenberg P: Re: Discontinuation of Study F1K-MC-EVBP, Investigation of the Efficacy and Safety of Drotrecogin Alfa (Activated) in Pediatric Severe Sepsis. [http://www.fda.gov/medwatch/safety/2005/Xigris_dearhcp_4-21-05.htm]
- Green C, Dinnes J, Takeda A, Shepherd J, Hartwell D, Cave C, Payne E, Cuthbertson BH: Clinical effectiveness and cost-effectiveness of drotrecogin alfa (activated) (Xigris) for the treatment of severe sepsis in adults: a systematic review and economic evaluation. Health Technol Assess. 2005, 9: 1-126. iii–ivView ArticlePubMedGoogle Scholar
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- Booth FV, Short M, Shorr AF, Arkins N, Bates B, Qualy RL, Levy H: Application of a population-based severity scoring system to individual patients results in frequent misclassification. Crit Care. 2005, 9: R522-R529. 10.1186/cc3790.PubMed CentralView ArticlePubMedGoogle Scholar
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- Montori VM, Devereaux PJ, Adhikari NKJ, Burns KEA, Eggert CH, Briel M, Lacchetti C, Leung TW, Darling E, Bryant DM, et al: Randomized trials stopped early for benefit: a systematic review. JAMA. 2005, 294: 2203-2209. 10.1001/jama.294.17.2203.View ArticlePubMedGoogle Scholar
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- van den Berghe G, Wouters P, Weekers F, Verwaest C, Bruyninckx F, Schetz M, Vlasselaers D, Ferdinande P, Lauwers P, Bouillon R: Intensive insulin therapy in critically ill patients. N Engl J Med. 2001, 345: 1359-1367. 10.1056/NEJMoa011300.View ArticlePubMedGoogle Scholar
- Annane D, Sebille V, Charpentier C, Bollaert PE, Francois B, Korach JM, Capellier G, Cohen Y, Azoulay E, Troche G, et al: Effect of treatment with low doses of hydrocortisone and fludrocortisone on mortality in patients with septic shock. JAMA. 2002, 288: 862-871. 10.1001/jama.288.7.862.View ArticlePubMedGoogle Scholar
- Dellinger RP, Carlet JM, Masur H, Gerlach H, Calandra T, Cohen J, Gea-Banacloche J, Keh D, Marshall JC, Parker MM, et al: Surviving sepsis campaign guidelines for management of severe sepsis and septic shock. Crit Care Med. 2004, 32: 858-873. 10.1097/01.CCM.0000117317.18092.E4.View ArticlePubMedGoogle Scholar
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- Clinical trial: Corticosteroid therapy of septic shock – Corticus. [http://www.clinicaltrials.gov/show/NCT00147004]
- Brunkhorst FM, Kuhnt E, Engel C, Meier-Hellmann A, Ragaller M, Quintel M, Weiler N, Grundling M, Oppert M, Deufel T, et al: Intensive insulin therapy in patients with severe sepsis and septic shock is associated with an increased rate of hypoglycemia – results from a randomized controlled study (VISEP) [abstract]. Infection. 2005, 33 (Suppl 1): 19-20.Google Scholar
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- Vincent JL, Bernard GR, Beale R, Doig C, Putensen C, Dhainaut JF, Artigas A, Fumagalli R, Macias W, Wright T, et al: Drotrecogin alfa (activated) treatment in severe sepsis from the global open-label trial ENHANCE: further evidence for survival and safety and implications for early treatment. Crit Care Med. 2005, 33: 2266-2277. 10.1097/01.CCM.0000181729.46010.83.View ArticlePubMedGoogle Scholar
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Pittsburgh Post-Gazette
The ramp from the Liberty Bridge to northbound Interstate 579 will be closed during the day again this week, the Pennsylvania Department of Transportation announced on Monday.
The closure is from 9 a.m. to 3 p.m. through Friday while crews apply waterproofing to a large retaining wall. Traffic is being detoured via Forbes Avenue and the restriction has caused long delays over the past few weeks.neigh_city - Transportation
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Lot 564: REBOOT: A rare vintage 1990's
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Description: REBOOT: A rare vintage 1990's Irwin made ' Reboot ' ' Bob's Drophead Car.' Within the original box. Contents appear to have never been used, and all with original inner packing bags and card.
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How fast can you say twoallbeefpattiesspecialsaucelettucecheesep icklesonionsonasesameseedbun? This question was asked of millions of TV viewers in the now famous 1970s McDonald's television commercial promoting the Big Mac.
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Freestyle Hammerhead Chrono XL Watch, Stainless Steel, Black/Blue.
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Prisoners: A Muslim and a Jew Across the Middle East Divide
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- Brief Synopsis:
- The author describes his move to Israel as a student, his work as a prison guard, and his extended dialogue with a prisoner named Rafiq, a PLO leader, explaining how they forged a friendship despite their religious, cultural, and political differences.
- Long Synopsis:
- Jeffrey Goldberg moved from Long Island to Israel while still a college student. In the middle of the first Palestinian uprising in 1990, the Israeli army sent him to serve as a prison guard at Ketziot, the largest jail in the Middle East. Realizing that among the prisoners were the future leaders of Palestine, and that this was a unique opportunity to learn from them about themselves, he began an extended dialogue with a prisoner named Rafiq. This is an account of life in that harsh desert prison and of that dialogue--the accusations, explanations, fears, prejudices and aspirations each man expressed--which continues to this day. Prisoners is a remarkable book: spare, impassioned, energetic, and unstinting in its candour about both the darkness and the hope buried within the animosities of the Middle East.
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Employees and staff at Allegro show their support of the American Heart Association's fight against heart disease and stroke by wearing red on National Wear Red Day on Feb. 1.
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The bride-to-be is the daughter of Martha Grimes of Rineyville and the late William Grimes.
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Jarrod Hurst and Janet Robb of Elizabethtown announce their engagement and forthcoming marriage.
The bride-to-be is the daughter of Larry and Millie Robb of New Harmony, Ind. A 2002 New Harmony School graduate, she earned a bachelor's degree from Murray State University in 2006. She is a content associate at Amazon.com.
White Mills
Terri Spencer, 862-4604
I am sitting here on Wednesday morning, watching the rain come down. The severe weather passed by us. I slept through the storm warnings last night, knowing that God was in control. Today would be a wonderful day to go back to bed with a good book and curl up under the covers. I actually enjoy days like today. I love the peaceful sound of the rain and the calmness of the day. As I get older, I realize that every day is special and something to be treasured, no matter what the weather. I hope you will do the same this week.
Arvil and Theresa Meyers of Vine Grove, along with Todd and Tina Abell of Louisville, announce the engagement and forthcoming marriage of their children, Whitney Meyers and Eric Abell, both of Louisville.
The bride-to-be is a graduate of Spalding University and is a registered nurse at Norton's Hospital.
The prospective groom is a graduate of the University of Louisville and is co-owner of Woods Home Improvement in Louisville.
The wedding is Feb. 16, 2013, at St. Brigid Church in Vine Grove with a reception to follow.
Copyright © 2017
The News-Enterprise is your source for local news, sports, events and information in Elizabethtown, KY, Hardin County and the surrounding area.


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The hotel is situated in Tasch, only 15 minutes from famous Zermatt. The distance to the skiing area is 7 km while the cross-country track is 400 metres away. Tasch train station is only 150 metres away. Geneva Airport is 250 km and Milan Airport is 180 km away.This cosy family-run ski hotel enjoys a nice and informal atmosphere. It features a lobby, an in-house bakery and a restaurant. In addition to a cocktail bar and wireless Internet access, the establishment features a car park for those arriving by car.All rooms come with a bath, a TV, Internet access as well as a kitchenette and a minibar.Fitness enthusiasts can head to the gym for a good workout before unwinding in the hot tub and sauna. A spa is also available.The on-site restaurant serves Swiss and Italian specialities. A set menu dinner is offered to all guests.


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Cottage Cheese Meat Patties
|Ground beef
|500 Gram
|Cottage cheese
|125 Milliliter
|Melted butter
|50 Milliliter
|5 Milliliter
|Green onions
|2 Milliliter
Mix all the ingredients together without crushing the meat too much.
Form into 4 large or 6 medium patties.
Preheat a browning dish (Corning) 4 minutes at HIGH.
Sprinkle paprika over the patties.
Set them in the hot dish without removing it from the oven.
Press each patty down for good contact.
Microwave 6 minutes at HIGH.
Turn the patties and let stand (without cooking) 5 minutes in the oven.
The internal heat in the patties will finish cooking.
Recipe Summary
Rate It
Nutrition Rank
Nutrition Facts
Serving size: Complete recipe
Calories 2048 Calories from Fat 1619
% Daily Value*
Total Fat 181 g278.4%
Saturated Fat 77 g384.9%
Trans Fat 0 g
Cholesterol 684.2 mg228.1%
Sodium 2780.2 mg115.8%
Total Carbohydrates 8 g2.5%
Dietary Fiber 1.5 g6.2%
Sugars 5.8 g
Protein 106 g212.1%
Vitamin A 62.4% Vitamin C 32.7%
Calcium 18.3% Iron 36.5%
*Based on a 2000 Calorie diet


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Pretty polka dot dress with sweetheart neckline and enclosed zip to the reverse.
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Release Date: July 18, 2009
Record Date:
We have for you today our 201st episode of PotterCast, our Harry Potter podcast, which features further reactions to the recently released Harry Potter and the Half-Blood Prince film. Recorded live in Milpitas, California, this episode a number of opinions from members of the live audience. This discussion covers many aspects of the sixth film, as well as how this film relates to the rest of the series. In addition to this, the 201st episode features a number of pre-recorded listener opinions of the film. To submit your opinion of the film, please make a twenty-second audio recording of your thoughts and send the audio file to email@example.com or via our PotterCast Skype account. This show also contains a discussion of the recent news regarding a quote by film producer David Yates relating this thought that the final battle scene in the Deathly Hallows film would be thirty minutes long. Spoilers abound!
As a reminder, the LeakyCon DVD, which will be available to pre-order soon, will also include all wizard rock performances from our conference. If you like live wizard rock, be sure to reserve your copy of the upcoming LeakyCon Live Album of the wizard rock live shows at our LeakyCon 2009 conference.
Skype Username: PotterCast
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ATTN: The Leaky Cauldron


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KIMT News 3- As construction season rolls on more and more closures are taking place. Exit ramp closures started Wednesday on Interstate 90 going through Austin.
11th Drive NE was the first to close but eight more will follow.
Some closures will last a day and others up to three days.
This is all in effort for crews to repave the ramps while they also repair storm sewers.
Officials say they are some simple tips to follow if you run into these areas.
"The biggest thing to do it be aware of a ramp being closed, we're going to try to put up some signage to try to warn people and we're also going to try to keep nearby ramps open so if you can take an alternate route to get where you're going that's probably your best bet," said Project Engineer, Paul Schauer.
But Oakland Ave. may be a bit tricky.
"Since there isn't a convenient detour as you're heading west or a good spot to turn around, the detour's going to be by way of 14th Street going south and then Oakland Avenue going back over to the interstate again," Schauer said.
For travel information call 511 or visit their website or visit MnDOT's website.


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Oklahoma City vs Los Angeles Wrap - Los Angeles Wins 114-106
Oklahoma City was scorched by Kobe Bryant for 26 points as the Lakers defated the Thunder 114-106 in NBA action on Sunday.
Bettors who backed the Lakers were also rewarded, as they covered the closing number as an underdog of 1 at sportsbooks. Over-Under bettors saw the total score go OVER the closing total of 199.5.
Los Angeles got 20 points from Pau Gasol and another 14 points from Jordan Hill. Pau Gasol contributed 9 assists, while Jordan Hill cleaned the glass with 15 rebounds.
The Thunder got a 35-point performance from Kevin Durant, who was supported by 18 points from Serge Ibaka. Russell Westbrook had 10 assists in a losing cause for Oklahoma City, while Serge Ibaka grabbed 14 rebounds.
The Lakers hit the break trailing 52-47 before taking care of business in the second half.
Los Angeles had a 67-54 advantage in the rebounding department as they won the battle in the paint.
Los Angeles looks to continue their winning ways next game with a battle against the Kings. The Thunder will aim to get back on the winning track vs Sacramento.


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Iconic Comedian Cantinflas To Be Honored in Mexico City
By Adriana Rivera | 07/29/2011 - 13:00
Read more
By Adriana Rivera | 07/29/2011 - 13:00
Mexican film icon Cantinflas will be honored and remembered by his country and millions of fans for his upcoming 100th birthday.
Mexico City has already begun the celebration by installing over 125 of the famed comedian's paintings and photographs around the city. There will also be commemorative stamps, film screenings, and a new pictorial book with personal anecdotes to honor the actor.
Read more


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tom bateman
Local News
Motorist patience urged as county continues road repairsESSEX — Two-thirds of the way through its 2016 road construction budget, Essex County is thanking motorists for their patience — and asking for a bit more.
Local News
County approves Leamington roundabout rehabilitationThe county will spend $477,915 to rebuild a roundabout at County Road 31 and the 3rd Concession Road in Leamington.
Local News
Detours for bridge reconstruction workA pair of bridge rehabilitation projects over navigable waterways this spring will involve road closures and detours for motorists.
Local News
County to spend estimated $10M in 2016 on infrastructure improvementsThe county has plans to increase spending on infrastructure rehabilitation by more than $500,000 in 2016, bringing the estimated total up to just over $10 million.
Local News
Load restrictions placed on bridge over Silver CreekLoad restrictions have been placed on the aging County Road 8 bridge over Silver Creek until the structure can be rehabilitated.
Highway 3 road work this summer will mean detours for driversDespite no immediate plans to continue with the further expansion of Highway 3 to four lanes from two, the Ministry of Transportation is starting a "fairly significant" rehabilitation project this ...
County council to look at spending $1.5 million for improvements to transportation system in 2015County council will consider Wednesday the approval of $1.5 million in further improvements to the network of non-motorized travel routes knows at the County Wide Active Transportation System.
Chrysler Greenway trailhead closesThe Chrysler Canada Greenway's trailhead on Highway 3 closed this week because of construction associated with the widening of Highway 3 and in anticipation of future plans to unite the ...
Weight limits set for trucks on River Canard bridgeThe county is working to save the River Canard bridge from a slow death.
Lakeshore church on holdThe construction of a Catholic church in Lakeshore is on hold until officials can figure out how to access the property.


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I am visiting Switzerland with my spouse during the last week of April. We are planning to stay for week in Unter Engadin before visiting Wallis for a week.
We would like to stay in a holiday apartment. Please suggest a good base in Unter Engadin for a week in later April.
We are interested in easy hiking, mountains, seeing the natural scenery and we dislike crowds. We may visit Ober Engadin for a day or two as day excursions. We would like to visit Sils, Silvaplana, Pontresina and Diavolezza in Ober Engadin.
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Best place to stay for a week in Lower Engadin
I am visiting Switzerland with my spouse during the last week of April. We are planning to stay for week in Unter Engadin before visiting Wallis for a week.
Report Abuse
Scuol is the transport hub of Lower Engadin:
trains to
Pontresina (with connecting train and buses to St. Moritz - Sils/Segl - Soglio - Chiavenna, Bernina - Tirano, etc.)
Zernez (with connecting buses to Pass dal Fuorn - Mustair, Livigno);
Klosters (with connecting trains to Davos);
buses to
S-charl (seasonal)
Vna and Tschlin (via Martina bus)
Martina (with connecting buses to Samnaun, Nauders - Resia - Malles - Merano/Meran.
Scuol has a idyllic village center, a famous thermal spa and a castle.
Report Abuse
Thank you very much for your reply!
Scuol looks very fabulous and looks like a great base for a week. Are most of the shops and hotels in Scuol closed after Easter?
Is knowledge of German / Rumantsch necessary in Scuol?
Report Abuse
Agree that Scuol is the best base. However, weeks after Easter are between winter and summer seasons - many hotels and restaurants will be closed, cable cars/gondolas are closed, activities in general are reduced.
Hiking will only be possible at lower elevation, not in the higher mountains. It will be very quiet - but if you don't mind that, the scenery is still there! And the locals still live there, and they must eat and shop, too. The good thing is that Scuol attracts some (few) tourists in low season as well because of the spa (Bogn Engiadina).
Knowing German is of advantage, but you'll get around by English, too. Most Swiss people speak excellent English.
Report Abuse
Thank you very much Ingo
We would love to see Lower Engadine when it is not busy and some grocery shopping facility is all we need.
Glad to know that we could get around by English but I will try my level best to learn German and also some Rumantsch.
Report Abuse
"I will try my level best to learn German and also some Rumantsch"
Everybody who speaks a Rumantsch dialect (the Lower Engadin Version is called Vallader) speaks perfectly German too.
Scuol is the center of a district with 10 thousand inhabitants. These people live there all the year round. Therefore, almost all shops, restaurants etc are open all the year round. Trains and buses run all the year round too (incl. the 2 lines to Italy via Ofen Pass 2150m, resp Resia Pass 1500m); only the buses to S-charl and Val Sinestra and the cableways to Motta Naluns and Prui will start to run end May only.
Report Abuse
Zernez is excellent for access to the Swiss National Park - which is the main reason for many people to stay in the Lower rather than the Upper Engadin.
Look into these websites, there are a few fabulous suggestion:
Report Abuse
Thank you neckervd and michelhuebeli
Zernez also seems to be a good transportation hub. Is it advisable to book an apartment in Zernez or Zuoz?
Report Abuse
Scuol is bigger, nicer and sunnier than Zernez. Zernez is not ugly, but there is not much to see or to do.
Zernez is a good base for day trips to Livigno and for hikes in the Swiss National Park (both from mid May until end October, as there is too much snow in the other months).
Zuoz is a fine place in the UPPER Engadin (Engiadina Ota), closer to St. Moritz than to Scuol.
Report Abuse
Thank you neckervd for your reply and links
I have been suggested to consider Sent as a base by another who visited there in winter. Would Sent be a good base in Spring?
Report Abuse
Sent is a nice sunny village about 3 miles east of Scuol. Open http://www.sent-online.ch/cumuen/chasas/plan.html and click to all links in order to see a bit how the village and the area look.
The touristic infrastructure is not huge: 3 small hotels, 1 hostel, some holiday flats and private rooms, 1 restorant-pizzeria 2 cafes, 1 shop, 1 post office, 1 bank office, 1 ATM,
1 bus stop, endless hiking trails. For everything else, you have to go to Scuol:
1/4 hr by bus (about every hr from 6.20 until 23.36, journey time 1/4 hr) or 1 hr on foot along 1 of the 3 different hiking trails.
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Housatonic River Walk: Appalachian Trail is a 10.6 mile out and back trail located near Cornwall Bridge, Connecticut. The trail is good for all skill levels and primarily used for hiking.
Easy and flat but the nats and mosquitos made this 5 mile stretch of our 10 mile AT hike rather annoying... Bring your head net!! Some nice river views and some very cool wild flower pastures with peaks in the background. Saw a beaver and a couple herons for wild life.
Beautiful 10 mile hike I use with my scout troop for first time 10 milers. We saw an osprey this time.
Beautiful trail.. Not much elevation.
Day H.
Started on River Road in Kent, which is a dirt road that dead ends at a gate and the trail head. Walked about two miles and then turned and came back. It is a very nice section of the Appalachian trail that follows the Housatonic River. The trail here is wide and very easy to walk. The river is wide and shallow. Saw many people on the trail, some fishing, some hiking, and some thru-hikers of the AT. Beautiful scenery


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1. Oreo Cream Brownie Bars
Three layers: chocolate, Oreo cream, and brownie. AKA three layers of magic.
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This recipe takes cake mix and turns it into cookies. Sorcery.
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Maddy Botanical Cover Up
Marc by Marc Jacobs
- Cotton blend
- Neckline to hem measures approx 22" in length
- Partially lined
- Elastic neckline
- Shirred ruffle hem
- Revolve Style No. MARC-WX66
- Manufacturer Style No. MJ11705
- Modeled in size S.
- Model Measurements: Height 5'9", Waist 24", Bust 32", Hips 34"
- Size Guide
- Need size help? Contact our Style Expert!
Fashion legend Marc Jacobs introduced his diffusion line, Marc by Marc Jacobs, with a spring 2001 runway show. He has gone on to win seven CFDA awards including Womenswear Designer of the Year, Accessories Designer of the Year and Menswear designer of the year.
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NEW YORK -- Pitching with the poise of an experienced ace, Chien-Ming Wang used his buzzsaw of a sinker to stop the New York Yankees' slide.
Wang shut down the Cleveland Indians' powerful lineup, Robinson Cano homered off hard-luck loser Paul Byrd and New York ended its four-game skid by squeaking out a 1-0 victory Tuesday night.
"We needed to win that game," Derek Jeter said. "Wang deserves all the credit."
Meeting for the first time this season, the Indians and Yankees entered tied for the major league lead with 359 runs apiece.
But Wang and Byrd silenced the offenses in an old-fashioned pitchers' duel, and New York's bullpen closed it out.
"That's one thing that has never changed in this game -- pitching can control the hitting," Yankees manager Joe Torre said.
After stranding five runners in his first two at-bats, Cano connected on a 1-1 pitch from Byrd (5-5) with one out in the sixth, sending a drive over the right-field fence.
"It was a hanging curveball," Byrd said. "He wasn't hitting anything soft off me, particularly. So I tried to locate it down and away. I just missed it. It's a shame that was the game."
The Indians had their best scoring chance in the top half, when Grady Sizemore led off with a double off the center-field fence and moved to third on a long flyout.
But after an intentional walk to Travis Hafner, Wang got streaking slugger Victor Martinez to ground into an inning-ending double play.
"It worked out perfect for them," Cleveland manager Eric Wedge said. "That kid has a real heavy sinker, too. It has some run on it as well as some down to it."
Aaron Boone reached on an infield single to start the eighth and advanced on a sacrifice, chasing Wang.
Mike Myers and Kyle Farnsworth got out of the inning unscathed, and Mariano Rivera fanned two in a hitless ninth for his 13th save in 14 chances.
"Mo's got that glare about him right now," Torre said.
In his second major league season, the 26-year-old Wang (7-2) pitched five-hit ball for 7 1/3 innings -- improving to 6-1 with a fill-in save in his past nine appearances.
"We needed him and he came through," Rivera said.
Wang walked one, struck out three and has allowed only one run in 14 1/3 innings over his last two starts -- against Boston and Cleveland.
"Most guys, if they make it to second, they say how good he is," Jeter said.
This performance was especially important for the Yankees, who had dropped four straight, all at home, to match their longest skid of the year.
"He goes out there and just goes about his business. I don't think he gets too concerned about what's going on," catcher Jorge Posada said. "You can call any pitch and you know where he's going to be."
Byrd yielded six hits and three walks in seven innings. He struck out six, tying a season high.
The Indians, blanked for the fourth time this year, have lost four of five and seven of 10.
"You hate to waste an effort like that," Boone said. "We just couldn't get much going and couldn't get that big hit. But Wang had a lot to do with that."
The Yankees put their leadoff batter on in each of the first five innings but Byrd pitched out of trouble.
Jeter was back at shortstop after three games as the designated hitter because of a bruised right thumb. He shook his hand in obvious pain immediately after a fifth-inning check swing that resulted in a 1-6-3 double play. But he made a strong, accurate relay throw on Martinez's double-play ball the following inning.
- Bernie Williams went 2-for-3 in his 2,000th game for the Yankees, fifth on the franchise list behind Hall of Famers Mickey Mantle (2,401), Lou Gehrig (2,164), Yogi Berra (2,116) and Babe Ruth (2,084). "It's pretty remarkable. Especially now with the state of free agency," Jeter said. "That's why he's a fan favorite. It's been a pleasure playing with him for a lot of those games and watching him in grade school in the others."
- It was New York's third shutout this season and first 1-0 win since Sept. 17, 2005, at Toronto.
- Alex Rodriguez went 0-for-4 with three strikeouts and was booed lustily.
- RF Gary Sheffield had surgery on his injured left wrist and is still expected back in September.
- Cano extended his hitting streak to 11 games.
- Cleveland has lost 13 of 15 at Yankee Stadium since the start of the 2002 season.
- Martinez pushed his hitting streak to 10 games.
- The Indians have dropped nine of their last 12 road games.


text: The X-Men Legends wiki last edited by white_sox on 02/02/14 12:38AM View full history OverviewConsisting of two releases, the X-Men Legends games play similar to other action RPGs like Champions of Norrath and Baldur's Gate: Dark Alliance. The games allow a party of up to four different X-men at a time. In single player, the character controls one of the X-men while the other three are controlled by the AI. The player can switch X-men on the fly using the D-pad on consoles or the arrow keys on the PC. Alternatively, the games can be played cooperatively with up to four different players, each controlling their own X-man. Though this could only be done locally in the first game, the sequel allowed for online co-op play.A Classless SystemUnlike a lot of RPGs, the X-men Legends series does not have a traditional class system. However, each character has one of three (Physical, Elemental, or Mental) specific damage types that they deal against enemies. Physical X-men, like Wolverine, are especially effective at ground combat and are used in a similar fashion as traditional "tanks" in other RPGs. Elemental (like Cyclops) and Mental (like Jean Grey) damage types are usually more effective from a further distance. Enemies often have at least one specific resistance and this makes it especially important that the player have a varied group of X-men at any given time.Traditional RPG ElementsDespite the lack of a rigid class system, the series does have a lot of other traditional RPG elements. Leveling system - Defeating enemies and completing objectives will earn XP points that allows the player to level their character using a traditional skill tree. This allows the player to appropriate stats to how they want to spec out their character. The highest level in the first game is 45 while the second game features levels up to 99.Loot system - There are random loot drops throughout the game. These are in the form of equipment that can be used to increase the stats of each individual X-man. The three different types of loot are armor, belts, and backpacks (changed to gloves in the sequel). The loot can come in both Rare and Unique variants. Unwanted loot can be sold to the mutant Forge via the in-game Xtraction points.Connection to FilmNeither game has a direct connection to the X-men film trilogy released in the same time frame as the games. However, Patrick Stewart does provide his voice talents for the game, reprising his role as Professor X. Additionally, director of the first two films Bryan Singer is thanked at the end of the first game.


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Article ListingAstrological Aspects
By Llewellyn George, New A to Z Horoscope Maker and Delineator
There is an angle between every two planets in the horoscope which is measured in degrees. When the angle produces a significant interaction between two or more planets, they are said to be "in aspect." The angles which give rise to the "major ...
An Introduction to Electional Astrology
By Joann Hampar,
Electional astrology is utilized in choosing the most appropriate time to begin something. The intent is to achieve a successful outcome, and the rules applied are very specifically set toward that end. Many of the rules have their foundation in ...
Vodou - An African Shamanic Tradition
By Ross Heaven, Ross Heaven
At first sight, shamanism and Vodou - what Hollywood has introduced into the popular imagination as "voodoo" - seem to have little in common. The former seems based on peaceful co-existence with nature and the elements, while the latter, in so far ...
Who Were the Druids?
By Tadhg MacCrossan, Truth about Druids
To mention the word Druid is to evoke images of ancient wizards and wonder-workers from old Irish sagas, Welsh legends, Caesar's Gallic Wars and Scottish folktales. If you have read about the Druids, you've probably retained one of their many images ...
Where Did Runes Come From?
By Donald Tyson, The Truth About Runes
Over the last century or so, several theories have arisen on the origin of the runes, each having a strong body of supporters at different times. The nineteenth-century Danish rune scholar L. F. A. WimmerM, struck by the obvious similarity between ...
Hypnosis Myths
By William Hewitt, Truth about Hypnosis
There are probably more myths, misconceptions, and misinformation about hypnosis than any other subject. This is due in large part to movies, television, and novels that make no attempt to be truthful in dealing with hypnosis. They are more ...
Astral Projection Story #3 - Astral Space Exploration
By Llewellyn, Truth about Creative Visualization
One of the most remarkable parapsychological experiments of all time took place on April 27, 1973, at the Stanford Research Institute in California. As physicists monitored their activities, two of America's leading psychics, Harold Sherman and lngo ...
Druidic Vestments
By Tadhg MacCrossan, Truth about Druids
The appearance of the Druid is known to us from two main sources: Greco-Roman writings and medieval Irish tradition. There is also some evidence from Irish and Scottish folklore. Druids wore white tunics, which in early Ireland ...
Your Birth Number
By David Allen Hulse, Truth about Numerology
Numerology, in addition to assigning three basic number values to the letters of a name, also assigns a birth date to one number, known as the birth number. The birth number reveals influences at birth which will shape the direction your life will ...
Egyptian Magic
By Chic Cicero and Sandra Tabatha Cicero, The Truth about the Golden Dawn
Ancient Egyptian religion was a complex and beautiful balance of monotheism and polytheism, along with a good dose of pure magic. For the Egyptians there was no such thing as a separation between magic and religion. One ancient writer, Clement of ...


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Generally, the best policy in life is to admit when you're wrong and just accept the consequences. However, that attitude generally seems to be a bit less common in the world of business – at least without some government or legal prodding. So, it's especially surprising to learn that top Honda executives in Japan are taking a pay cut for the next three months following the fifth recall of the Fit Hybrid (pictured above) in the last 12 months.
2015 Honda Fit Hybrid
Honda execs take 'quality-related' pay cut after Fit Hybrid's 5th recall
- Chris Bruce
- Oct 23, 2014
Recharge Wrap-up: BYD unveils 60-ft electric bus, Honda sticking with hybrids in Europe
- John Beltz Snyder
- Oct 16, 2014
BYD has debuted a 60-foot electric bus at the American Public Transportation Association Expo in Houston, TX. The Lancaster bus, as it is called, has a 120-passenger capacity and can drive over 170 miles on a single charge. The articulated bus features low floors and no steps, thanks to in-wheel hub motors. BYD also displayed a 40-foot electric bus that drove the 1,500 miles to the show under its own power (recharging along the way, of course). Read more in the press release below.
Recharge Wrap-up: VW exec predicts EVs with 375-mile range
- John Beltz Snyder
- Oct 8, 2014
Volkswagen says EV ranges over 300 miles aren't too far in the future. Plug-in hybrids are merely a bridge to all-electric mobility becoming more practical for people who need to travel longer distances, according to Dr. Heinz-Jakob Neusser, Volkswagen's head of powertrain development. Energy density is increasing rapidly in new batteries. Speaking about the e-Golf, Neusser says, "I expect the next generation in 2015-17 will increase to around 300 km [186 miles] and the following step will be ar
Honda Fit, Vezel Hybrids recalled in Japan; US vehicles not affected
- Sebastian Blanco
- Feb 11, 2014
Honda has announced a good-sized recall of two popular Japanese-market hybrids: the Fit Hybrid and the Vezel Hybrid are both headed back into the garage. The problem this time around lies in the software program that controls the 7-speed dual clutch transmission (DCT) that could "cause a delay in the ability to begin driving or the inability to move at all." In total, 81,353 units are affected (70,929 Fit Hybrids and 10,424 Vezel Hybrids) and all were made in Japan between July 2013 and February
2015 Honda Fit set for Detroit reveal
- Brandon Turkus
- Dec 19, 2013
New Honda Fit ousts Toyota Prius as Japan's top-selling car last month
- Jeffrey N. Ross
- Nov 11, 2013
The Toyota Camry may lose its title as the best-selling car in the US next year and the Honda Civic has already managed to outsell the Toyota Corolla to become the top-selling compact in the US, but it looks like the domination woes have just hit Toyota on its own turf. Bloomberg reports that the all-new Honda Fit carries the distinction of being the best-selling car in Japan for October – the Fit's first full month on sale – outselling the popular Toyota Prius and Toyota Aqua (our T
Honda loves 86-mpg Fit Hybrid in Japan, 'may reevaluate' for US
- Sebastian Blanco
- Oct 30, 2013
We recently heard Honda chief engineer Art St. Cyr talk about the excellent fuel economy that the Japan-only Fit Hybrid gets. "You may have seen the numbers," St. Cyr told a group of journalists, "the new one-motor hybrid system gives the Fit Hybrid the highest fuel efficiency among hybrid models in Japan." With a fuel economy rating of 36.4 kilometers per liter (86 miles per gallon) using the Japanese test cycle, Honda is (justifiably) proud that the little gas-electric hatchback with a 7-speed
Why Honda of America won't fit 2014 Fit models with start/stop
- Brandon Turkus
- Sep 24, 2013
One of the most recent yet notable additions to the modern vehicle's growing suite of fuel-saving technologies is the humble start-stop system. It's rather simple - when the vehicle is stopped, the engine shuts off. It then fires back up when the driver starts to take his foot off the brake or step on the clutch. For one of the most important fuel sippers of the year, though, start-stop tech is a no-go.
Honda launches new Fit in Japan, has big expectations for North America
- Brandon Turkus
- Sep 5, 2013
Honda has officially launched the Fit sub-compact in its home market, ahead of its eventual arrival in North America. The third-generation Fit is wildly important for Honda, with the company's president, Takanobu Ito, saying, "This is the most important model."
Honda reveals next-gen Fit Hybrid
- Chris Paukert
- Jul 19, 2013
Psst! Remember late last month when we showed you those Japanese magazine scans purporting to show the next Honda Fit? The ones with the markedly more aggressive snout and Cuisinart-blade alloys? Yup, they were the real deal, but they weren't the standard model, they were images of the new Hybrid. We know this because Honda has just released a handful of images and some details on its forthcoming gas-electric hatchback, and the images line up perfectly.
- Biggest automotive sales disappointments
- Fastest-depreciating cars in the United States
- Find and compare 2017 Models


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Full profile →'">
The author is a Forbes contributor. The opinions expressed are those of the writer.
Continued from page 1
Elizabeth is clearly on to something. Little wonder she's been making regular visits to The White House recently to discuss ways to foster senior entrepreneurship as an economic catalyst and find ways to change policies to support seniors new business start-ups.
KH: Tell me about the nonprofit you co-founded, Senior Entrepreneurship Works. What's the focus?
EI: It's designed to help seniors aged 50+ build sustainable businesses, and create jobs. The focus is on seniors who are living another 20 to 30 years and cannot underwrite those years financially. The original premise was we'll just continue working longer.
That was why I launched SavvySeniorsWork.com three years ago. But then, with the recession those jobs were cut back or just eliminated. No matter how well prepared seniors were to make the transition to stay employed longer, the jobs weren't there. So we help people think about the options. We would like to get 45-to-50 year old thinking proactively about what they're going to do. Our training programs are based on how someone can start his or her own business, and help them ask first if should they, and, if yes, help them create a value proposition and figure out how best to make it happen.
KH: What's the biggest obstacle to getting started?
EI: The biggest obstacle is actually fear of entrepreneurship. We have to think of another word for entrepreneurship. Entrepreneurship is so intimidating, and people think I'm certainly not an entrepreneur. They have no concept of however they've lived their lives at home and in the workplace often involves very entrepreneurial thinking.
KH: If I am thinking of starting a business, what should I be focusing on?
EI: Do you really understand what it takes to be an entrepreneur? We all think entrepreneurially. But that doesn't necessarily mean you can start your own business. So how do you translate what you've done entrepreneurially in your life to starting your own business?
Do you understand what the financial risk is? What are the emotional risks of starting your own business?
You need to do serious research and make sure that this is a viable option for you, and you're not just grabbing at straws thinking well I'll start my own business, so I don't have to ever worry about getting a job again.
For a senior, who has been dreaming about starting a business, sometimes it can be more of a dream fulfillment and that can be a problem. They're focused on the dream fulfillment, rather than identifying the customers for their dream business. That's absolutely key. Is there a customer for this business, or is it just something your dreaming about and think will be spectacular? (Please continue reading on the next page.)


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Youth Ministries - Sunday Activities Every Sunday teens gather to strengthen their faith in a high-energy time of worship, study, fellowship and fun. Beyond the weekly gathering, there are regular retreats, Summer Youth Camp, Mission Trips, Lock-ins, high impact events, and … [Read More]
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Southwest District Leadership Conference
A Year with Luke #Luke52
Crossing Over – Week 8 with Luke the Evangelist
The Gospel of Luke, chapter 8 Read it here: [CEB] [NRSV] Jesus and his disciples cross the Galilee in a boat to continue preaching and teaching. While the western side of the sea was predominently Jewish, the eastern side was not. A gentile land, though not devoid of Jews. And Jesus gets to work doing […]


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What? You didn't bother to watch 'Saturday Night Live' last week because the presidential election is over and there's no more Tina Fey's hilarious dead-on impersonation of Sarah Palin?
Then you missed seeing Justin Timberlake in a high-cut leotard and high heels.
He played one of "the dancers" in Beyonce's Single Ladies (Put a ring on it) music video.
OK, it's a one-joke skit. But Justin does have great gams. And he's got the Beyonce hippy-jiggle down pat.
What do you think of JT's gams?
More Justin Timberlake:
Justin Timberlake boozing in Belfast.
No sparks for Justin Timberlake and Britney Spears at Madonna's concert
Justin sings Vote in a Box for Obama
Justin talks about marriage and Britney!
Madonna pulls down Justin's pants, raves about his junk!
More Beyonce Knowles:
Is Beyonce addicted to sequins?
Photo: Courtesy of NBC


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Nissan 350Z 0-240 ( 280 hp )
Nissan 350Z 0-240 , and no more space Stock Z , Manual gearbox, 280hp Top speed is around this ;) http://img88.imageshack.us/my.php?image=03072005yr8.jpg Croatia, highway
Alberto 350Z 170+mph run
This was done at power setting 3 of 4. It is 17psi, pump gas + meth. 675whp, 634/ft/lbs, no penis shaped Dyno curves here this car makes serious TQ early. 80-173mph (GPS verified) starting in 3rd gear. Car was tuned by PFSUPERCARS www.pfsupercars.com
Hitting top speed on a 2009 Nissan 350z Enthusiast
(NOTE: it is Really Hard to hold a Camera while driving really fast! lol so excuse the messy filming haha!) Was driving down to san diego on the 5 freeway, almost making it to 160 mph. But a CHP rui


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Andaman Sea Liveaboard Diving
Diva Andaman
Thailand and IndiaUSD2,600 from
The beautiful S/Y Diva Andaman Liveaboard is a stunning classic sailing yacht offering fantastic journeys diving the Similan Islands with 7 luxury AC, en-suite cabins she delivers personal attention
DiveRACE Class E
Thailand and MyanmarUSD1,201 from
The DiveRACE was custom built in December 2014 and offers dive & snorkel trips to theSimilan Islands or the Mergui Archipelago between November - April. With a crew of 15 you will be well looked after
Deep Andaman Queen
ThailandUSD858 from
- Free WiFi
The Deep Andaman Queen offers 9 en-suite, AC cabins, large dive platform with fresh water showers to rinse yourself after diving and camera rinse buckets. Explore the Similan Islands & Richelieu RockDeep Andaman Queen
Liveaboards to the Andaman Sea take divers to one of the top dive destinations in the world. With a tropical island backdrop, the Andaman Sea offers an impressive underwater topography mixed with diverse marine life, claiming some of the best diving in Thailand and worldwide. It is the unique diversity of the dive sites (suitable for different levels) on an Andaman Sea liveaboard, which promises vastly different diving experiences. Liveaboard.com offers a wide range different liveaboards in the Andaman Sea, Thailand, some with unique attributes, tailoring to your needs.
Divers on an Andaman Sea liveaboard can expect a range of topography, from soft corals and sea fans, to hard corals, deep drop offs, massive underwater boulders, swim-throughs, caves and more. Dives with manta rays, eagle rays, sea turtles, sharks, pipefish, barracuda, batfish and schools of reef fish are standard practice with the occasional presence of the graceful whale shark in season. Water conditions present mild to strong currents, good visibility and warm temperatures.
Andaman Sea Liveaboard itineraries may vary but most popular dive sites/areas include:
KOH LANTA is rated as one of the best dive areas in Thailand, hosting two popular dive sites: Hin Daeng & Hin Muang. Renowned for their beautiful pink and purple soft corals giving them their name, the topography is simple yet intricate with Thailand's biggest vertical wall, outcrops, ledges, small inlets, canyon like formations and rocky bays. Adding to the terrain is the incredible marine life of which whale sharks, manta rays and grey reef sharks are the creme de la creme. Visibility is often up to 25m unless the waters are plankton rich.
SURIN ISLANDS offer regular sightings of cruising white tip reef sharks, barracuda, batfish, ghost pipefish, bumphead parrotfish, napoleon wrasse, octopus, mantis shrimp, blue spotted jawfish and the rarer sightings of seahorses, frogfish, manta rays and whale shark. Depths range from 5 to 30 meters with warm clear waters, the coral formations in these waters act as a good barrier with fields of staghorn corals dominating the shallows. You may see the occasional passing eagle rays in the blue.
SIMILAN ISLANDS are possibly the most popular dive destination in Thailand. White sandy beaches, granite boulders above and below water, vibrant reefs all create an exceptional diving landscape topped with a plethora of marine life. A variety of dive sites home over 500 species, to name a few: leopard sharks, guitar rays, whitetip sharks, blue spotted stingrays, clown trigger fish, rabbit fish, scorpion fish, snappers, emperor fish, giant trevally and angelfish. Macro lovers will enjoy finding tiny ghost pipefish, mantis shrimps, porcelain crabs, cleaner shrimp and more.
RICHELIEU ROCK to the south east of the Surin Islands is renowned for whale shark sightings and other pelagics like the Manta Ray, barracuda, giant trevallies and dogtooth tuna. This site also provides a plethora of critters, porcelain crabs, tiger tail sea horses, pipefish, harlequin shrimp, nudibranch etc.
KOH TACHAI located on the northwest of Similan Islands National Park, this site is tailored to the more advanced diver with drop offs up to 70m, swim-throughs, strong currents around. The waters are graced with whale sharks, manta rays in the months of February-April feeding on plankton. Common sightings of leopard sharks, Napoleon wrasse, Hawksbill turtles, groups of batfish, banded sea snake, barracudas, trevallies and sharks.
KOH BON south of Surin Island is known as the perforated island, classified as a deep dive due to a fantastic wall dive that goes down to 42m on the southwest side. Also frequented by a great number of leopard sharks, the usual suspects such as the morays, white tip reef sharks cohabit these waters. Also a popular cave diving spot, this should only be attempted with the right certifications.
There are many dive areas in the Andaman Sea so you can dive different locations dependent on the time of year. Liveaboard trips to the more remote areas in the Andaman Sea, such as the Similans, Richelieu Rock and Hin Daeng only run from November through to May due to weather conditions making these inaccessible. The best time to dive these sites is end of February when an increase in currents attracts the larger marine creatures like whale sharks and manta rays. Visibility ranges from 25-40m during this period and water temperatures range between 28-31C. Some dive areas are tailored for the more advanced diver so it may be better to check with your Liveaboard cruise what dive experience you need before deciding your itinerary. It is possible to rent equipment on most cruises, however, as most divers know, it is always recommended to have your own gear. If you are bringing your own equipment, bring a DIN adapter as Thailand uses the standard yoke system. You may not need more than a 3mm neoprene shorty or full body wetsuit bearing in mind after a 3 or more dives a day, you may get cold.
Most dive sites have fantastic opportunities for the avid underwater photographer so remember to bring your camera and battery charger! Some Liveaboards tailor to specific languages so it may be worth checking before booking if you are more comfortable in another language other than English.
The currency is the Thai Baht but it is recommended to take US dollars with you also. Electricity voltage runs at 220 volts and it is recommended to bring a universal adapter.
The nearest recompression chamber is in Phuket.
Thailand liveaboards that cruise the Andaman Sea may depart from different ports, usually from Chalong Pier in Phuket or Thap Lamu Pier in Khao Lak, Phang-Nga Province. Transfers to the port is provided from Phuket International Airport or your hotel. Please notice some liveaboards may even depart from one port and return into another, i.e depart from Phuket and return to Khao Lak. Some International flights fly directly to Phuket or you can get a connecting flight from Bangkok. You can reach Khao Lak overland from Phuket.
Andaman Sea Diving Reviews
Very goodDiving Andaman Sea in February on the Sawasdee Fasai
5 out of 5Diving Andaman Sea in February on the MV Pawara
I loved it !Diving Andaman Sea in February on the Deep Andaman Queen
Ion comples really nice, for sure we will come againDiving Andaman Sea in February on the Manta Queen 6
Good and calm, warmDiving Andaman Sea in January on the Diva Andaman
Some of the best in Thailand.Diving Andaman Sea in February on the Hallelujah
In the north there are only a few boats, so the dives were more relaxing and the reefs were not damaged. So more fishes and also other creatures to find.Diving Andaman Sea in January on the MV Pawara
Lots interesting thing to see.Diving Andaman Sea in January on the Hallelujah Liveaboard
the wrecked had so much life around it you could lose you buddy only 8 feet way for all the fishDiving Andaman Sea in January on the MV Pawara
Interestingly diverse, many islands have caves and tunnels, and the isolated pinnacles are interesting too.Diving Andaman Sea in December on the Thai Sea
It was a great experience. I loved the quietness out in the middle of the ocean.Diving Andaman Sea in December on the Manta Queen 3
nice places with nice coralDiving Andaman Sea in November on the Deep Andaman Queen
Warm sea, clear waters, loads of diversity.Diving Andaman Sea in November on the Deep Andaman Queen
I have no doubt that I visit again.Diving Andaman Sea in October on the Hallelujah Liveaboard
Overall it was great. I would do it againDiving Andaman Sea in February on the Deep Andaman Queen


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sweet dreams
Turning to Documentaries After Tragedy
"Some might turn to religion in such situations. I turn to the arts. I want to call up a documentary that can speak to the spirit of loss, grief and, yes, hope for redemption."
Tom Roston
2 min read
December 17, 2012
Doc Soup


text:
Watch on YouTube | You're Watching Episode: 863
More Laura in the Kitchen Recipes:
Serves 4-6Prep time: 15 mins
Cook time: 30 mins
4 Potatoes (about 1 1/2lb) peeled and diced into 1/2 pieces
1 Yellow Onion, diced
4 Tbsp of All Purpose Flour
4 Tbsp of Unsalted Butter
8 Slices of Bacon
3 cups of Chicken Stock
3 cups of Whole Milk
1/2 cup of Sour Cream
1 1/2 cups of Shredded Sharp Cheddar
Chopped Green Onions
Salt and Pepper, to taste
1) In a large dutch oven or soup pot, cook the bacon until it becomes nice and crispy, about 4 minutes. Remove to a paper towel lined plate using a slotted spoon and set aside.
2) Discard any fat that the bacon rendered and add the butter and onion and saute until the onion becomes translucent and develops a bit of color, about 4 to 5 minutes.
3) Add the flour and stir constantly for 1 minute, add the milk, stock and potatoes and bring to a simmer and cook for about 20 minutes or until the potatoes are tender.
4) Add the sour cream, cooked bacon and cheese and stir everything together and cook for 5 more minutes.
5) Adjust the seasoning to taste and serve.When youre ready to serve, sprinkle some chopped green onions over the top with a little extra sprinkle of cheese.


text:
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