text:
Most English teachers have a pen that just calls their name. For some, Flair pens are all the rage. For others, Sharpie pens deliver just the right amount of color pop and smooth writing.
Alright, I hear someone laughing at me. It's my husband. I mean…am I really writing about pens and their awesomeness? Why, yes I am. A bad pen can ruin an otherwise perfect day.English teachers do so much writing. From office passes to essay feedback to lesson plans to conference notes to meeting notes to grading to recommendation letters to…do I need to go on?
Because of all of this writing, a girl (or guy) must have good pens.
Or 20.
These are my absolute favorite. PaperMate isn't paying me to sing their praises, but they probably should.
I adore InkJoy pens.
Aren't they pretty?
They come in so many colors and make writing fun.
I've been using these pens pretty much exclusively since September and have yet to have any problems. No ink leakage or empty pens or anything else of the sort. They don't smear and they don't bleed through paper. They are perfect.
Ok, I'll stop, but if you are looking for the perfect set of pens for an English teacher, you have my recommendation.
This post includes amazon affiliate links, which means I make a small commission if you choose to purchase through one of the provided links. Thanks!


text:
Automotive Testing Expo Europe 2017 Show Review
Automotive Testing Expo Europe 2016 Show Review
Automotive Testing Expo Europe 2015 Show Review
Automotive Testing Expo North America 2014 Show Review
Automotive Testing Expo India 2014 Show Review
Range Rover Velar crash test montage October 2017
Click here to watch the video
A modular digital microphone array from Siemens PLM Software gives an instant overview of sound sources on any noise-generating object
Click here to watch the video
In a preview of an article to appear in the forthcoming September issue of ATTI, Dearman Engine Company's chief technology officer, Nick Owen, reveals the details behind the testing of its zero-emissions engine at the company's new dedicated liquid air R&D facility.
In a preview of an article to appear in the forthcoming September issue of ATTI, Dearman Engine Company's chief technology officer, Nick Owen, reveals the details behind the testing of its zero-emissions engine at the company's new dedicated liquid air R&D facility.
Having spent 25 years at Ricardo – 10 of which involved planning the company's global R&D and running its R&D portfolio in the UK – Nick Owen is a self-confessed IC engine man. However, that hasn't stopped him from embracing a new and unique challenge at Dearman Engine Company, a start-up pioneering the development of a zero-emissions liquid nitrogen powerplant for refrigerated transport applications, buses and commercial vehicles.
Now responsible for a 30-strong engineering team, the chief technology officer is overseeing the full testing and development of the piston engine at the company's brand new Dearman Technology Centre, located near Croydon, in the UK. Housing a range of custom-built test cells, in which Dearman's technologies are undergoing extended durability testing, when fully operational the center will enable the testing of four engines simultaneously, along with full system testing, supported by low-volume manufacturing and build capabilities.
What does the full and testing development program entail?
2014 was the first year of Dearman's first engine prototype, and a lot of that was about making the fundamentals of the technology work, so it was very much a laboratory environment focusing on experimental development. In 2015, we have designed and are now testing and developing a second generation engine that has more design for manufacture in it. So that is more like a familiar engine development program, in that you have performance, efficiency and durability targets, and those are the focuses of development.
What is the duration of this part of the test program?
This year has been complicated by the move into our new facility. We first ran the second generation engine at the end of May in our Imperial College lab and then moved here [the Dearman Technology Centre] in early June. So, testing began in earnest in early June. We're aiming to get our first product into production in 2017 so there will be testing of prototypes running right up till then, and probably beyond as we develop upgrades and new products.
What software, programs and processes are you putting the engine through?
We have developed our own in-house simulation model for the engine's performance and efficiency. I guess you could compare it to a code such as GT Power or Ricardo Wave in that it's a one-dimensional code that we validated from the first lab engine last year and used to develop the concepts of the second generation engine. We also use off-the-shelf codes, such as: Ansys for finite element analysis; Fluent for CFD; and Amesim and MatLab for system models and control.
What have the results been so far?
The second generation engine is 30% smaller for the same power and 30% more efficient in its use of liquid nitrogen, and that is really the headline output of what we've achieved. The second generation engine was meeting its performance and efficiency targets within two hours of running, compared to about five months doing it the hard way the first time around.
What aspects of the testing program are the most challenging?
One of the key things that is causing us to think quite hard at the moment is that there just isn't any accelerated life testing methodologies for a Dearman engine. IC engines have been with us for a very long time, and the industry has become very good at knowing what tests to apply in order to break them and how to equate the number of hours of that test to a number of years of real life. We simply don't have that, so we're having to learn as we go.
Durability is the same sort of issue that it is any piston engine; we have moving parts that can wear, so we have the same generic concerns that any IC engine has. But we have things that are more specific to a Dearman engine, such as sealing a piston that never gets hot. So, we don't use a conventional piston ring, we have a specially developed field technology that we've developed with a supplier, so a lot of focus of development has been around that and around getting the shape of the piston correct in an engine that's cold and stays cold.
What testing equipment, machinery and technologies are housed in the Dearman Technology Centre?
We've got four test cells, a rig room, a machining room and a clean engine assembly room. Of the four engine test beds, one is in commission and the second is about to be commissioned. They look not dissimilar to an IC engine test bed in that you have a Dearman engine driving a motor generator. We've essentially constructed our own testing systems because they have so many special requirements, so we've acquired motor generators, which are driven with a National Instruments control system. The rig room is for testing devices such as liquid nitrogen pumps, and we have a little bit of prototype manufacturing capability with a laser and milling machine.
How long will it be before the Dearman Technology Centre is fully operational and able to test four engines simultaneously?
It'll hopefully be two engines in a couple weeks, three around the end of this year and probably all four at some point in 2016. The four testbeds are aimed at small and larger Dearman engines, with a pair of each so that you can have one engine running longer durability and the second one for shorter, more exploratory tests iterating different hardware or control setups.
Read the full story in the September 2015 issue of Automotive Testing Technology International!
July 31, 2015
Tier 1 supplier GKN's software and electronics manager, Michael Schomisch, discusses how software development is becoming increasingly important in vehicle testing
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With the Mercedes GLC F-Cell SUV unveiled at Frankfurt this week, Daimler has revealed the extensive testing process the first production plug-in hydrogen-powered car was put through
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The business development manager, who will be presenting at Automotive Testing Expo in Novi, Michigan, discusses current measurement tools and techniques used to measure high-speed targets, including thermal cameras and contact and non-contact temperature measurement systems.
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The German tire giant looks back on 50 years of testing and development at its flagship facility
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The system designed for ADAS and autonomous vehicle testing enables engineers to add as much hardware- or software-in-the-loop as they wish
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subset: commoncrawl


text:
Stephenson L.M.,Public Health Unit |
Biggs J.S.,Public Health Officer |
Sheppeard V.,Director |
Oakman T.L.,Public Health Unit
Communicable diseases intelligence quarterly report | Year: 2016
In 2013 an avian influenza outbreak occurred in a large poultry farm in Young (approximately 2 hours north-west of Canberra.) The responsible strain was H7N2, which is highly pathogenic and can affect humans. Daily surveillance was required for those individuals who were possibly exposed. This was conducted through the use of daily message through the short message service (SMS). A total of 55 people were identified as having had high risk exposure and requiring monitoring during the surveillance period from 16 to 25 October 2013. A SMS message was sent daily to each contact within 2 groups. (Group 1 were contacts who agreed to take Tamiflu prophylaxis, and Group 2 were contacts who were under surveillance but declined Tamiflu prophylaxis). The average daily response rate for SMS was 66% (median 75%) over a 9 day period. Of those who nominated to receive the daily SMS 98% confirmed they'd received the SMS and it reminded them to take their Tamiflu medication. The public health unit (PHU) team found the use of SMS to be less time consuming than conducting telephone follow-up interviews. The PHU team believed that the use of the technology decreased the likelihood of additional staff being required to assist in the outbreak. Utilising SMS was a new initiative for the PHU and staff found it overall easy to use. These findings confirm there can be significant benefits to using SMS during a large surveillance activity. The application of SMS during this outbreak was estimated at 2.5 times more cost effective that telephone follow-ups and would substantially reduce staffing costs further in the event of a very large outbreak.
PubMed | Director of Surgery and Peri Operative Programs at THP., Senior analyst within the Strategy Management and Project Management Office at THP., Senior analyst within the Strategy Management and Project Management Office at Trillium Health Partners THP in Mississauga, Director of Medical Device Reprocessing at THP. and 5 more.
Type: Journal Article | Journal: Healthcare quarterly (Toronto, Ont.) | Year: 2017
There is increasing awareness of the importance of medical device reprocessing (MDR) for the provision of safe patient care. Although industry service standards are available to guide MDR practices, there remains a lack of published key performance indicators (KPIs) and targets that are necessary to evaluate MDR quality for feedback and improvement. This article outlines the development of an initial framework that builds on established guidelines and includes service standards, KPIs and targets for evaluating MDR operations. This framework can support healthcare facilities in strengthening existing practices and enables a platform for collaboration towards better MDR performance management.
PubMed | Director, Former Chief Resident, Chief, Chief Resident and Fellow
Type: Review | Journal: Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons | Year: 2016
The purpose of this study was to describe the trends pertaining to the use of the fibula free flap for mandibular reconstruction during the past 10years.A systematic review for publications on the fibula free flap in mandibular reconstruction in the PubMed and Scopus databases was performed from January 1, 2005 until December 31, 2014. Publications were classified by topic, number of patients, and country of origin. The study period was split into 2 periods. The first 5-year period was compared with the second 5-year period.Eighty-five publications were identified. There was an increase in publications regarding restorative decision making (11 vs 9), surgical techniques (13 vs 6), outcomes (20 vs 10), and computer-aided design and computer-aided manufacturing (CAD-CAM; 8 vs 2) in the second 5-year period. The number of patients reported also increased in publications on surgical techniques (1,085 vs 59), outcomes (777 vs 254), bisphosphonate-related osteonecrosis of the jaw and osteoradionecrosis (165 vs 28), and CAD-CAM (65 vs 15) in the second 5-year period. The United States, India, China, and Europe produced most of the publications.In the past 10years, there was a surge in publications on the use of the fibula free flap for mandibular reconstruction. There was a 1.8-fold increase in the number of publications and a 3.4-fold increase in the number of patients undergoing this method of mandibular reconstruction in the second 5-year period. Publications from the United States, India, and China contributed to a large increase in the number of patients in the second 5-year period. More interest in CAD-CAM technology was seen in the second 5-year period that was not seen in the first 5-year period.
Kongsri S.,Mahasarakham University |
Limwattananon S.,Khon Kaen University |
Sirilak S.,Director |
Prakongsai P.,International Health Policy Program |
Tangcharoensathien V.,International Health Policy Program
Reproductive Health Matters | Year: 2011
This study assessed trends in equity of access to reproductive health services and service utilization in terms of coverage of family planning, antenatal care and skilled birth attendance in Thailand. Two health indicators were measured: the prevalence of low birthweight and exclusive breastfeeding. Equity was measured against the combined urban-rural areas and geographic regions, women's education level and quintiles of household assets index. The study used data from two nationally representative household surveys, the 2006 and 2009 Reproductive Health Surveys. Very high coverage of family planning (79.6%), universal antenatal care (98.9%) and skilled birth attendance (99.7%), with very small socioeconomic and geographic disparities, were observed. The public sector played a dominant role in maternity care (90.9% of all deliveries in 2009). The private sector also had a role among the higher educated, wealthier women living in urban areas. Public sector facilities, followed by drug stores, were a major supplier of contraception, which had a high use rate. High coverage and low inequity were the result of extensive investment in the health system by successive governments, in particular primary health care at district and sub-district levels, reaching universality by 2002. While maintaining these achievements, methodological improvements in measuring low birthweight and exclusive breastfeeding for future reproductive health surveys are recommended. © 2011 Reproductive Health Matters.
Carrington S.C.,Resident |
Stone P.,Director |
Kruse D.,Research Director
Journal of Foot and Ankle Surgery | Year: 2015
An accessory soleus muscle is a rare anatomic variant that frequently presents as an asymptomatic soft tissue swelling in the posteromedial ankle. Less frequently, the anomalous muscle can cause pain and swelling with activity. We present the case of a 17-year-old male with exertional compartment syndrome and associated tarsal tunnel syndrome secondary to a very large accessory soleus muscle. After surgical excision, the patient was able to return to full activity with complete resolution of symptoms. © 2015 American College of Foot and Ankle Surgeons.
Kuhn K.M.,Director
American journal of orthopedics (Belle Mead, N.J.) | Year: 2013
Acetabular fracture-dislocations are severe injuries that require urgent closed reduction of the hip and often require surgery to restore hip stability. Other authors have described acetabular fracture-dislocations associated with femoral neck fractures, but to our knowledge, this case report is the first to describe an acetabular fracture-dislocation in association with an ipsilateral pertrochanteric fracture and subtrochanteric extension. The polytraumatized patient initially was not stable enough for prolonged surgery. Through a 3-cm anterolateral hip incision, a 5-mm Schanz screw was introduced percutaneously into the femoral head through the primary fracture site under fluoroscopic guidance. With inline traction on the leg, the Schanz screw was used to manipulate the femoral head back into the acetabular fossa. The Schanz screw was removed, the head remained reduced, and a skeletal traction pin was placed to maintain length and alignment of the pertrochanteric fracture until definitive stabilization was possible. We propose a staged treatment strategy consisting of early closed reduction of the hip, and after the patient has been stabilized, reduction and fixation of the fractures. This strategy may be useful in managing an unstable polytraumatized patient or a patient who requires prolonged transfer to receive definitive care.
Allard D.J.,Director
Health physics | Year: 2015
This presentation provides an overview of the Commonwealth of Pennsylvania's experiences and ongoing studies related to technologically enhanced, naturally occurring radioactive material (TENORM) in the oil and gas industry. It has been known for many years that Pennsylvania's geology is unique, with several areas having relatively high levels of natural uranium and thorium. In the 1950s, a few areas of the state were evaluated for commercial uranium production. In the late 1970s, scoping studies of radon in homes prompted the Pennsylvania Department of Environmental Protection (DEP) Bureau of Radiation Protection (BRP) to begin planning for a larger state-wide radon study. The BRP and Oil and Gas Bureau also performed a TENORM study of produced water in the early 1990s for a number of conventional oil and gas wells. More recently, BRP and the Bureau of Solid Waste developed radiation monitoring regulations for all Pennsylvania solid waste disposal facilities. These were implemented in 2001, prompting another evaluation of oil and gas operations and sludge generated from the treatment of conventionally produced water and brine but mainly focused on the disposal of TENORM solid waste in the state's Resource Conservation and Recovery Act Subtitle D landfills. However, since 2008, the increase in volumes of gas well wastewater and levels of Ra observed in the unconventional shale gas well flow-back fracking water has compelled DEP to fully re-examine these oil and gas operations. Specifically, with BRP in the lead, a new TENORM study of oil and gas operations and related wastewater treatment operations has been initiated (), supported by an American National Standards Institute standard on TENORM () and a U.S. Government Accountability Office report on shale resource development and risks (). This study began in early 2013 and will examine the potential public and worker radiation exposure and environmental impact as well as re-evaluate TENORM waste disposal. This presentation summarizes conventional and unconventional oil and gas well operations, geology and respective uranium/thorium content, radium content in oil and gas wastewater, treatment solids, radon in natural gas, the scope of other TENORM issues in the state, regulatory framework, national regulations and guidance. It also provides an overview of past and the status of ongoing TENORM studies in the Commonwealth (; Rowan and Kraemer 2012; ).
Jandourek A.,Director
Hospital practice (1995) | Year: 2014
Few publications of prospective studies have described patient outcomes in community-acquired bacterial pneumonia (CABP)-associated bacteremia. Our objective, in performing this subgroup analysis, was to assess outcomes in subjects with CABP-associated bacteremia in 2 randomized, double-blind clinical studies comparing treatment with ceftaroline fosamil versus ceftriaxone. Our analysis summarizes baseline subject demographics, distribution of baseline pathogens isolated from blood cultures, clinical response rates at Day 4, and clinical cure rates at end of therapy and test of cure (8 to 15 days after end of therapy) in subjects with bacteremic CABP in the ceFtarOline Community-acquired pneUmonia trial vS ceftriaxone in hospitalized patients (FOCUS) studies. In the FOCUS studies, 23 of 614 patients in the ceftaroline fosamil-treated group and 22 of 614 patients in the ceftriaxone-treated group had CABP-associated bacteremia. Baseline demographics were similar between groups. Streptococcus pneumoniae was the most common baseline bloodstream isolate. For subjects with CABP-associated bacteremia, clinical response/cure rates were similar at Day 4 (60.9% vs 59.1%), end of therapy (69.6% vs 72.7%), and test of cure (69.6% vs 68.2%) for ceftaroline fosamil and ceftriaxone, respectively. In subjects with CABP-associated bacteremia, ceftaroline fosamil demonstrated similar clinical outcomes at Day 4, end of therapy, and test of cure compared with ceftriaxone.
PubMed | Director and VMMC & Safdarjung Hospital
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2017
Paretic upper limb in stroke patients has a significant impact on the quality of life. Modified Constraint Induced Movement Therapy (mCIMT) is one of the treatment options used for the improvement of the function of the paretic limb.To investigate the efficacy of four week duration mCIMT in the management of upper extremity weakness in hemiparetic patients due to stroke.Prospective single blind, parallel randomized controlled trial in which 30 patients received conventional rehabilitation programme (control group) and 30 patients participated in a mCIMT programme in addition to the conventional rehabilitation programme (study group). The mCIMT included three hours therapy sessions emphasizing the affected arm use in general functional tasks, three times a week for four weeks. Their normal arm was also constrained for five hours per day over five days per week. All the patients were assessed at baseline, one month and three months after completion of therapy using Fugl-Meyer Assessment (FMA) score for upper extremity and Motor Activity Log (MAL) scale comprising of Amount of Use (AOU) score and Quality of Use (QOU) score.All the 3 scores improved significantly in both the groups at each follow-up. Post-hoc analysis revealed that compared to conventional rehabilitation group, mCIMT group showed significantly better scores at 1 month {FMA1 (p-value <0.0001, es0.2870), AOU1 (p-value 0.0007, es0.1830), QOU1 (p-value 0.0015, es0.1640)} and 3 months {FMA3 (p-value <.0001, es0.4240), AOU3 (p-value 0.0003, es 0.2030), QOU3 (p-value 0.0008, es 0.1790)}.Four weeks duration for mCIMT is effective in improving the motor function in paretic upper limb of stroke patients.
PubMed | Director
Type: Journal Article | Journal: Annals of emergency medicine | Year: 2017


text:
Lex stretched out to her full length on the thin memory-foam mattress, luxuriating in popping sound her joints made. She relished the lighter, if enhanced gravity the colonists enjoyed here at the lunar base.
The month-long lunar cycle made it hard to get enough sleep sometimes, but the heavy window coverings helped block out the sunlight during the moon's day. She finished her stretch with a sigh and a hum, and then reached for the release on the window shade. She raised the blinds to let in the sun's rays. Once her eyes adjusted to the light, she marveled once again at the view of Earth from her quarters. Looking down from so far away, Lex mused that she had made it all the way to the moon but had still never seen New Zealand from closer than a quarter-million miles away.
Most of the residents at the Lunar Geological Survey Colony, or LGSC, held fast to the customary 24-hour cycle, but Lex preferred an extended 30-hour day. She also preferred not to be called Alexia.
Most of the scientists on Luna worked in mine-shaft-like tunnels, extracting and testing the composition on the rocks below the surface of the moon. They were fascinated by stones and dirt in a way that perplexed Lex. Happily, she was not involved in that aspect of life on the moon. Though she did appreciate dirt in another respect.
Lex was a botanist. Her passion was firmly rooted in all things agriculture. Her job here was to figure out what types of plant, edible and non-edible alike, would thrive here at LGSC. It was not the first colony built on the moon, but so far it was the largest. The earlier colonies were more experimental in nature, populated with engineers, doctors, and volunteers, whose only purpose was to live and breathe and be studied for negative side effects of living on the moon. That was nearly a decade ago now. These days, those earlier colonies were being realigned for use as dormitories. The powers-that-be had plans for the future of the existing colonies on the moon, as well as plans to build more, both here and on Mars. That meant the colonies would have to be more self-reliant. That's where Lex came in.
She wasn't sure at this point what those plans were, but it didn't matter much to her at this point. At the very least, it meant a kick-ass opportunity for a motivated young botanist. Not only was the money exceptional, but the view was to die for.
Lex slipped off her sleeping clothes, a one-piece flannel romper, and began the low-water bathing process that all colonists had to use in place of actual showers. More water was being shipped at this very moment, but in the intervening days and weeks until all colonies were upgraded to basic plumbing, water was strictly regulated. A shower was weeks away, and a bath would only be a dream until she was back on Earth's surface. After cleaning and dressing, she slipped on her felt-soled mag boots and headed to the kitchen.
Meals were served three times a day in the galley, but the kitchen stayed open around the clock to accommodate those who had trouble following the customary sleep schedule. There were certain teams that worked set schedules, working one of two "daytime" shifts. There were others, like Lex, who set their own schedules. Since there was no "clocking in" on the moon, their work was evaluated by the level of success they achieved and not the hours logged.
Tonight the moon was in its first quarter, meaning that Luna, the nickname the rock boys used for LGSC, was just past sunrise and had a couple of weeks left of sunlight. It was past midnight, Houston time, and most people were deep asleep, resting up for another exciting day of dust-gathering and rock-poking.
Lex found it nearly impossible to sleep with the sun shining in around the edges of her window shade. She slept less during the lunar day, but made up for it on the flip side. She was well-rested from the last two weeks of night. She stretched and rose from her bed, ready for the another productive day of green-thumbing.
There was nobody in the dark corridor and only one other person in the galley. Jay Wilson was the colony's lone engineer. His duties ranged from keeping the tunnels safe for working, making sure the colony stayed air-tight and livable, and for fixing anything that broke down around the place. These responsibilities kept Jay plenty busy, but he, too, worked his own schedule.
Lex's mag-boots kept her from bouncing down the hallways in the moon's limited gravity. In the halls, there was carpeting to muffle the sound of her clomping feet. In the galley, however, she did her best to thump along as softly as possible to avoid waking anyone. When she entered, Jay did not look up, but greeted her nonetheless. He knew, as everyone else, that they two of them were often the only ones up at this hour.
"Morning, Lex," said Jay through his hand. He seemed to be deep in thought, holding his head up with a loose fist, mostly covering his mouth.
"Hey there, Jay. Need anything from the kitchen?" she asked. His reply was little more than a mumble, and she grinned as she passed through the eating area into the large kitchen for breakfast. She grabbed some coffee, which Jay had been thoughtful enough to brew, and picked up a couple of muffins. At the table, she plopped a muffin next to his clipboard and settled into a seat across the table from him.
"Anything exciting?" she asked, indicating his work.
"Hmm, no, not so much." He leaned back and rubbed his face with one hand while he picked up the muffin with the other. Jay was a stout man in his late fifties and wore glasses with heavy black frames. His glasses were now laying next to his coffee, and he was studying his tablet without them. Lex stifled a giggle as his teeth sank halfway through the muffin and the paper cup it was baked in.
Grinning, she said, "Trying to increase your fiber?"
"Nobody likes a wise-ass," he said, after finishing his bite and wiping crumbs from his heavy stubble. His great mouth opened in a massive yawn, and that's when Lex noticed the dark circles under his eyes.
Her humor was replaced with concern as she noticed how haggard he appeared. "You alright, old man?"
"Oh, I'm fine. Don't you worry about me, Alexia."
"Lex," she said, but grinned. If he was feeling good enough to pick on her, he was okay. "So what's up? Gravity toilets acting up again?"
"I wish. This is from the Far Side colony," and he tapped the tablet in front of him. "Their water reclamation system is on the fritz. Jenkins and Hobbes down there can't seem to get a handle on it on their own. Their notes are unintelligible and I am really, really not looking forward to Roving over there to help them out. Those lazy bastards. If they would do their daily maintenance like they're supposed to, this shit wouldn't happen."
Lex stayed quiet as she ate her breakfast. Stanley Jenkins and Mike Hobbes were good guys. She knew them from orientation, a weeks-long process that everyone had to endure before making the jump to the moon. But she knew better than to argue with her comrade. He was in a sour mood, and she did not want to make him any worse.
"In my day, you didn't get rewarded for kissing up to your superiors and you weren't granted favor for being a playboy. Those two young hot shots are what is wrong with the world and the reason it's going to hell. It's guys like those that are the reason we had to start looking to the skies for habitable landscape in the first place. Now they're screwing up what we have up here, too. Good-for-nothings."
"When do you plan to head over?" She didn't mind letting him vent, but refused to encourage his bad-mouthing anyone. She knew better than anyone how hard those two men had worked to get here, and they were anything but lazy. But saying so would do nothing for the older engineer's mood, so she skirted the issue.
"I'll probably try to get over there after lunch," he said, he said with a sigh. Lunch could be four hours away or six, depending on how his morning inspections went.
"Give me a call when you're ready. I'll head over with you. I want to take some specimens over and see how they do on that side. I'm not sure yet how much impact there is from the reflected light of Earth, and I'd like to grow a few things over there to compare."
"That sounds like a good plan, my dear," he said, "but are you sure they'll fare as well with someone else tending them? You're a natural, you know, and no one at Far Side has your touch."
She grinned at the compliment. He wasn't one to hand those out freely, and she thought not to make a big deal of it, for fear of it being the last she heard from him.
"These particular plants require little attention, and I can set up an automated lighting and watering system so that no one needs to bother with them. And I think it's time I started making weekly rounds anyway. All the colonies are going to need a hydroponics lab eventually. I may as well start surveying for the best locations at each colony. Maybe you could help with that part?" She cocked an eyebrow at him and grinned, hoping to charm him into agreeing without too much persuasion. It didn't have to be him that helped, any of the engineers at any of the other colonies would be sufficient, but she felt like Jay needed a little excitement. She was starting to see some signs of boredom in his attitude. He had lost the passion he had had for life on the moon when she first met him eight months ago. He had been there less than a year himself at the time, and still ogled like a kid at the sight of their distant Terran home. Now he just seemed tired all the time and had little passion for anything that he couldn't consume.
He stared at his tablet for a few moments, then fixed his gaze on her. "Missy, I think that might be just the thing I need. But wipe that damn grin off your face. You didn't con me into anything with that pretty smile of yours. This is purely a good business idea. This place can survive without me for a day or two each week while we run around. And you're right. It is time to start getting everyone ready for the next phase of habitation up here on the old girl. You know, those idiots on the surface are going to start sending up more and more people to start building and expanding on those colonies whether we're ready for them or not. It's best we start getting ready. I'll give you a holler before I roll out. Don't make me wait on you."
Lex gave him a mock salute and rose from the table. She bussed their breakfast and slipped out of the galley without another word, smiling the whole time.


text:
- A beautifully printed hemp cover for your eReader, tablet or iPad! Keeps the screen safe from smudges
and scratches without enclosing it in a chemical cocoon.
- Our hemp is undyed and unbleached – just its beautiful natural color. Hemp is lovely to the touch – cool,
smooth but not slick, washes over and over and lasts absolutely forever.
- Digitally printed with artwork "Find", featuring a beautifully detailed warbler on a Southern pine branch,
by fabulous Athens artist and tattoo artist David Hale. The artwork on the flap, which is David's studio
LoveHawk's logo, is repeated in the unique aluminum closure.
- The interior is a gorgeous and unique vibrant pink hand-dyed cotton by Athens fiber artist Anita Heady.
- Even the closure is specially made for this cover in 30% recycled aluminum.
- Covers are individually handcrafted here in Athens, Georgia.
Simply measure your device to be sure you choose the right size cover:
- Covers for eReaders – finished size is 7 x 10 inches (17.75 x 25.4 cm), and fits Kindles (but not Kindle
Fire), Kobos and Nooks.
- Covers for Tablets – finished size is 11-7/8 by 8 inches (30 x 20.32 cm), and fit most tablets, the iPad mini,
and the Kindle Fire.
- Covers for iPads – finished size is 12-1/2 x 8 inches (31.75 x 20.32 cm) and fits the original iPads.


text:
Red Devil is a census-designated place (CDP) in Bethel Census Area, Alaska, United States. The population was 48 at the 2000 census.
Motorcycle Accident Law Lawyers In Red Devil Alaska
What is motorcycle accident law?
Cases involving people who have suffered an injury in a traffic accident on a motorcycle for which another driver may be at fault. A traffic collision may affect vehicles, their occupants, pedestrians, and animals and may result in injury, property damage and/or death. A number of factors contribute to the risk of collision including; motorcycle design, speed of operation, road design, and driver impairment. People who are injured in motorcycle accidents may be compensated for their injury, lost income, and pain and suffering.


text:
Bio & Incident Details
Age: 39
Tour: 8 years
Badge # 026
Cause: Automobile crash
· Leave a Reflection
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Investigator Herman Scott was killed in an automobile accident on FM 31 while responding to a gang-related call.
During the response, his vehicle hit a deer and crashed head-on into an oncoming car. His vehicle then burst into flames.
Investigator Scott had been employed with the Harrison County Sheriff's Department for eight years, and is survived by his wife and two children.


text:
Sandboxie 3.76
All versionsSee all
Sandboxie is meant for running programs independently from the rest of the system, as if they were in a "separate box". This means that once the application running separately is closed, the changes it has made are automatically erased. This is particularly useful as malware protection, because, even if the program is infected, it will not be able to do any damage to your system. So, if you sandbox your web browser, you can feel free to visit any site without worrying about malware and privacy issues. Another use of this application is for program testing, by either reviewers or developers, which eliminates the need to use a virtual machine.
Using the program is very easy. During installation, the program will create a desktop shortcut to run a protected instance of your browser, but you can also run any other application by simply right-clicking on the desired program's icon and use the option "Run Sandboxed". This way, you will hardly ever need to use the Sandboxie's graphical interface, which is a sort of control panel from where you can set the preferred options. Unfortunately, this interface is not very attractive.
Perhaps you think that Sandboxie's free version is quite limited and the price for the complete version is somewhat high. Let me tell you that there are applications that can do something similar to what Sandboxie does. Some of them allow you to freeze your whole system in time and get back to the starting point afterwards. In addition, some antivirus apps can automatically detect suspicious programs and offer to run them in a sandbox. However, I do find Sandboxie's method a lot easier.
Review summary
- It is easy to use
- It provides a safe way to run programs
- The price for the paid version is high
- The interface is not attractive


text:
USA Women Team wins FIFA Cup for the third time, long time after 1999 when they had won last. The dominance of USA Team, progressively assertive as its deep tournament run unfolded, was crystal clear. Carli Lloyd showed it all.
With this win USA Women's Soccer will continue to gain popularity, more advertising and endorsement dollars as Fox Channel finds it out. With USA Women's Soccer - it is bipartisan compared to more Democratic slant for USA Men's Soccer due to popularity among Hispanic population. For sure USA Women's Team success and popularity will 'rub' positively for USA Men's Soccer as well.
Talking of Men's Soccer, Chile scored a major win in almost a century after defeating mighty Argentina in Copa America. Chile would be savoring this win greatly given that South American soccer is always overshadowed by super powers of the game - Brazil and Argentina. For world's greatest soccer player - Lionel Messi - the bad luck in championship games continues.


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Sept '09 Vols-Au-Vent
The September 2009 Daring Bakers' challenge was hosted by Steph of A Whisk and a Spoon. She chose the French treat, Vols-au-Vent based on the Puff Pastry recipe by Michel Richard from the cookbook Baking With Julia by Dorie Greenspan.
The day the new challenge was revealed I had a good laugh, I wondered if some sneaky Daring Baker had been spying on me over the weekend because I had just bought puff pastry to make Pasteis de Nata. No really.
Then it hit me... making our own puff pastry. What?! But HOW!?! I was excited and a bit nervous but after reading all the tips from the fantastic hostess as well as watching a video she'd included as help, I decided it didn't look as intimidating as I thought it would be.
Then I made my first lot.........
Before I tell you my story that I am thoroughly embarassed about, let me assure you, puff pastry is not actually that hard to make so don't make up your mind at this point never to try it yourself, I promise you, this was a mistake of someone just not thinking ;)
Anyway, what I ended up doing with my first batch of pastry... I'm actually blushing right now...
Ok, so I looked at the recipe and it says 4 sticks of butter (I ignored the grams... still not sure why). I decided I was going to halve the recipe so I only needed 2 sticks of butter. So I folded in 2 blocks of butter.
I baked the first lot and went with the recommendation of putting a silicon mat ontop of the pastries, then removing etc. Butter everywhere! I thought... what on earth am I doing wrong?! This just can't be right!
So I baked the next lot, making sure they were thoroughly chilled, except this time I didn't use the silicon mat because the first lot, although bathed in butter, didn't rise high enough. Still, butter everywhere. They also rose so much that they fell over.
By now I'm swearing off puff pastry forever!
Then I had a lightbulb moment. I had a good look at the recipe again... yup... 2 sticks of butter for half the amount. *think think think* Oooooooh! 1 stick of butter = 115g..... Our 1 block of butter = 250g.... Soooo, I had folded in 2 blocks of butter which is 500g instead of 225g!!!!
I even remember thinking "Wow... I didn't realise how much butter goes into puff pastry! No wonder living off pies is just a no-no!"
Oh man... my husband laughed at me for quite a while as I ranted and raved about what a n00b I am. LOL!
I hope my little "moment" gives you a chuckle ;) Oh, and I forgot to mention that I'd decided to try this out on the day when we were having friends over for coffee so my husband went rushing out to the shops to get cookies etc just in case. Thankfully, it was a cool day in Ireland and I managed to make another lot of pastry in time :) What can I say, I'm persistent!
I was planning on doing some savoury ones later in the month like using a spanakopita filling but I really did get carried away with making sweet ones which were fantastic. I sprinkled the tops with vanilla bean caster sugar before baking which added a lovely flavour and sugary crunch.
I will definitely be making my own puff pastry from now on, I enjoyed the whole process and the end result is great.
- Food processor (will make mixing dough easy, but can be done by hand as well)
- Rolling pin
- Pastry brush
- Metal bench scraper (optional, but recommended)
- Plastic wrap
- Baking sheet
- Parchment paper
- Silicone baking mat (optional, but recommended)
- Set of round cutters (optional, but recommended)
- Sharp chef's knife
- Fork
- Oven
- Cooling rack
Prep Times:
- About 4-5 hours to prepare the puff pastry dough (much of this time is inactive, while you wait for the dough to chill between turns…it can be stretched out over an even longer period of time if that better suits your schedule)
- About 1.5 hours to shape, chill and bake the vols-au-vent after your puff pastry dough is complete
Michel Richard's Puff Pastry Dough
From: Baking with Julia by Dorie Greenspan
Yield: 2-1/2 pounds dough
Steph's note: This recipe makes more than you will need for the quantity of vols-au-vent stated above. While I encourage you to make the full recipe of puff pastry, as extra dough freezes well, you can halve it successfully if you'd rather not have much leftover.
There is a wonderful on-line video from the PBS show "Baking with Julia" that accompanies the book. In it, Michel Richard and Julia Child demonstrate making puff pastry dough (although they go on to use it in other applications). They do seem to give slightly different ingredient measurements verbally than the ones in the book…I listed the recipe as it appears printed in the book. Baking with Julia
2 1/2 cups (12.2 oz/ 354 g) Unbleached All-Purpose Flour
1 1/4 cups (5.0 oz/ 142 g) Cake Flour
1 tbsp Salt (you can cut this by half for a less salty dough or for sweet preparations)
1 1/4 cups (10 fl oz/ 300 ml) ice water
1 lb (16 oz/ 454 g) Unsalted Butter, very cold
plus extra flour for dusting work surface
Mixing the Dough:
- Check the capacity of your food processor before you start. If it cannot hold the full quantity of ingredients, make the dough into two batches and combine them.
- Put the all-purpose flour, cake flour, and salt in the work bowl of a food processor fitted with a metal blade and pulse a couple of times just to mix. Add the water all at once, pulsing until the dough forms a ball on the blade. The dough will be very moist and pliable and will hold together when squeezed between your fingers. (Actually, it will feel like Play-Doh.)
- Remove the dough from the machine, form it into a ball, with a small sharp knife, slash the top in a tic-tac-toe pattern. Wrap the dough in a damp towel and refrigerate for about 5 minutes.
- Meanwhile, place the butter between 2 sheets of plastic wrap and beat it with a rolling pin until it flattens into a square that's about 1" thick. Take care that the butter remains cool and firm: if it has softened or become oily, chill it before continuing.
Incorporating the Butter:
- Unwrap the dough and place it on a work surface dusted with all-purpose flour (A cool piece of marble is the ideal surface for puff pastry) with your rolling pin (preferably a French rolling pin without handles), press on the dough to flatten it and then roll it into a 10" square.
- Tip: Keep the top and bottom of the dough well floured to prevent sticking and lift the dough and move it around frequently.
- Starting from the center of the square, roll out over each corner to create a thick center pad with "ears," or flaps.
- Place the cold butter in the middle of the dough and fold the ears over the butter, stretching them as needed so that they overlap slightly and encase the butter completely. (If you have to stretch the dough, stretch it from all over; don't just pull the ends) you should now have a package that is 8" square.
- To make great puff pastry, it is important to keep the dough cold at all times. There are specified times for chilling the dough, but if your room is warm, or you work slowly, or you find that for no particular reason the butter starts to ooze out of the pastry, cover the dough with plastic wrap and refrigerate it .
- You can stop at any point in the process and continue at your convenience or when the dough is properly chilled.
Making the Turns:
- Gently but firmly press the rolling pin against the top and bottom edges of the square (this will help keep it square).
- Then, keeping the work surface and the top of the dough well floured to prevent sticking, roll the dough into a rectangle that is three times as long as the square you started with, about 24"
- Tip: Don't worry about the width of the rectangle: if you get the 24", everything else will work itself out.
- With this first roll, it is particularly important that the butter be rolled evenly along the length and width of the rectangle; check when you start rolling that the butter is moving along well, and roll a bit harder or more evenly, if necessary, to get a smooth, even dough-butter sandwich (use your arm-strength!).
- With a pastry brush, brush off the excess flour from the top of the dough, and fold the rectangle up from the bottom and down from the top in thirds, like a business letter, brushing off the excess flour. You have completed one turn.
- Rotate the dough so that the closed fold is to your left, like the spine of a book. Repeat the rolling and folding process, rolling the dough to a length of 24" and then folding it in thirds. This is the second turn.
Chilling the Dough:
- If the dough is still cool and no butter is oozing out, you can give the dough another two turns now. If the condition of the dough is iffy, wrap it in plastic wrap and refrigerate it for at least 30 minutes. Each time you refrigerate the dough, mark the number of turns you've completed by indenting the dough with your fingertips. It is best to refrigerate the dough for 30 to 60 minutes between each set of two turns.
- The total number of turns needed is six. If you prefer, you can give the dough just four turns now, chill it overnight, and do the last two turns the next day. Puff pastry is extremely flexible in this regard. However, no matter how you arrange your schedule, you should plan to chill the dough for at least an hour before cutting or shaping it.
Forming and Baking the Vols-au-Vent
Yield: 1/3 of the puff pastry recipe above will yield about 8-10 1.5" vols-au-vent or 4 4" vols-au-vent
In addition to the equipment listed above, you will need:
- Well-chilled puff pastry dough
- Egg wash (1 egg or yolk beaten with a small amount of water)
- Your filling of choice
- Line a baking sheet with parchment and set aside.
- Using a knife or metal bench scraper, divided your chilled puff pastry dough into three equal pieces. Work with one piece of the dough, and leave the rest wrapped and chilled.
- Tip: If you are looking to make more vols-au-vent than the yield stated above, you can roll and cut the remaining two pieces of dough as well…if not, then leave refrigerated for the time being or prepare it for longer-term freezer storage. See the "Tips" section below for more storage info.
- On a lightly floured surface, roll the piece of dough into a rectangle about 1/8 to 1/4-inch (3-6 mm) thick. Transfer it to the baking sheet and refrigerate for about 10 minutes before proceeding with the cutting.
- For smaller, hors d'oeuvre sized vols-au-vent, use a 1.5" round cutter to cut out 8-10 circles. For larger sized vols-au-vent, fit for a main course or dessert, use a 4" cutter to cut out about 4 circles. Make clean, sharp cuts and try not to twist your cutters back and forth or drag your knife through the dough. Half of these rounds will be for the bases, and the other half will be for the sides.
- Tip: This assumes you will be using round cutters, but if you do not have them, it is possible to cut square vols-au-vents using a sharp chef's knife.
- Tip: Save any scrap by stacking—not wadding up—the pieces…they can be re-rolled and used if you need extra dough. If you do need to re-roll scrap to get enough disks, be sure to use any rounds cut from it for the bases, not the ring-shaped sides.
- Using a ¾-inch cutter for small vols-au-vent, or a 2- to 2.5-inch round cutter for large, cut centers from half of the rounds to make rings. These rings will become the sides of the vols-au-vent, while the solid disks will be the bottoms. You can either save the center cut-outs to bake off as little "caps" for you vols-au-vent, or put them in the scrap pile.
- Dock the solid bottom rounds with a fork (prick them lightly, making sure not to go all the way through the pastry) and lightly brush them with egg wash.
- Place the rings directly on top of the bottom rounds and very lightly press them to adhere.
- Brush the top rings lightly with egg wash, trying not to drip any down the sides (which may inhibit rise). If you are using the little "caps," dock and egg wash them as well.
- Refrigerate the assembled vols-au-vent on the lined baking sheet while you pre-heat the oven to 400ºF (200ºC).
- Tip: You could also cover and refrigerate them for a few hours at this point.
- Once the oven is heated, remove the sheet from the refrigerator and place a silicon baking mat (preferred because of its weight) or another sheet of parchment over top of the shells. This will help them rise evenly.
- Tip: I found using a silicon mat was a bit too heavy and they didn't rise as much as baking without anything on top
- Bake the shells until they have risen and begin to brown, about 10-15 minutes depending on their size.
- Reduce the oven temperature to 350ºF (180ºC), and remove the silicon mat or parchment sheet from the top of the vols-au-vent.
- Tip: If the centers have risen up inside the vols-au-vent, you can gently press them down.
- Continue baking (with no sheet on top) until the layers are golden, about 15-20 minutes more.
- Tip: If you are baking the center "caps" they will likely be finished well ahead of the shells, so keep an eye on them and remove them from the oven when browned.
- Remove to a rack to cool. Cool to room temperature for cold fillings or to warm for hot fillings.
- Fill and serve.
For additional rise on the larger-sized vols-au-vents, you can stack one or two additional ring layers on top of each other (using egg wash to "glue"). This will give higher sides to larger vols-au-vents, but is not advisable for the smaller ones, whose bases may not be large enough to support the extra weight.
Although they are at their best filled and eaten soon after baking, baked vols-au-vent shells can be stored airtight for a day.
Shaped, unbaked vols-au-vent can be wrapped and frozen for up to a month (bake from frozen, egg-washing them first).
Oh yes, and I will be making Pasteis de Nata again but this time with my own pastry!


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@SenateMajLdr The people have had a voice. They re-elected President Obama to a 4 year term. Not 3 years and 4 months.Not complicated.
Don't assume what a student needs - ask how you can be helpful. #c57 #nacada16
Isnt it great you can strike up a conversation with someone in this room and not spend 15-20 minutes explaining what you do?! #vivaNACADA15
Men apply for a job when they meet 60% of the qualifications. Women apply when they meet 100%. #c15 #nacada14 apply!


text:
10/20/2017AG Act hearing set for Oct. 24; contact your congressional representative
10/19/2017Dairy Business Association wins victory in settlement of lawsuit with state regulators
The upcoming calendar is currently empty.
Click here to view past events and photos »
DBMMC Member Survey 7/21/2017
DBMMC Member Survey 8/4/2017
2763 Manitowoc Rd. Ste B | Green Bay, WI 54311
Ph: (920) 883-0020 | Fx: (920) 857-1063


text:
Course Provider: The Jewellery Atelier
Contact Name: Xenia
Telephone: 07870440762
Gibb Street
The Custard Factory
West Midlands
Course Length: 3 hours
Price: £50
5 star rating, 7 reviewers.
3 hour Silver Ring Making Class for beginners - The silver ring/earring/necklace making workshop is designed for beginners. You will learn how to make jewellery from silver, using sawing, shaping, texturing, filing, soldering, polishing and finishing techniques.
The aim of the silver ring making workshops is to give you the opportunity to create a truly unique design and make jewellery that you can take home and wear with pride. You will learn various jewellery making techniques and have a good foundation of skills. This is also a great environment to develop your creativity and do something fun with like-minded people.
What's included in the price?
3 hours - £50pp (maximum group of 10) including material and refreshments
Susan Coleman -
Odile -
C Sharp -
Jenny -
Gill Whitehouse -
Sheila Parmar -
Juliet Williams -
Browse all UK
Jewellery workshops courses,
and Fine jewellery: gold and silver smithing courses
This craft course provider has been awarded Silver status for receiving 5 or more 5 star ratings from previous students.
The Students' Choice award ensures that course providers get recognised for their efforts in the teaching and practice of UK craft.
They also allow tutors to gain valuable feedback on their courses and for new students to find the course that's right for them.


text:
Happy Friday! I posted about this nail polish on Instagram the other day, and today I wanted to do a quick Essie Gel Couture review. I was drawn to this nail polish because of the claim that it lasts up to 14 days. Normally, I can make it about a week with my nail polish, but that is with touching up small chips. I was hoping that this would make it the week without having to touch it up.
I have to say that so far, this polish has exceeded my expectations. I have tried two different colors, and I've made it to 11 days with nearly flawless nails, not needing any touch-ups at all. To use this polish, you do need to purchase a special top coat. There are no lamps needed, and you use normal nail polish remover to take it off (my favorite is this one). It also has a wider brush than the original Essie bottles do. I did notice I needed to soak my nails in remover for a bit longer than I do normal polish.
This polish is currently available in 42 different colors…I will definitely be picking up some new ones for fall!
This was taken on day 11 of wearing my Essie Gel Couture nail polish. Only the very tips of my nails on some fingers are showing signs of wear. This color is The It-Factor.
Essie Gel Couture Nail Polish | Essie Gel Couture Top Coat | Nail Polish Remover
Linking up with Fabulous and Fun Life,


text:
|» Products
|» Imitation Fancy Anklets
|» Imitation Designer Payal
Imitation Designer Payal
Our enterprise is run by a team of highly qualified personnel, who helps us to manufacture and export an exclusive range of Imitation Designer Payal. To design this payal we use optimum quality silver and bras metal. We polish this payal and decorate with crystals and beads to give an eye catchy looks. Clients can avail our Imitation Designer Payal in different designs and finishing from us.
- This payal features meenakari work and stone embellishments
- This range of payal is known for its smooth finishing and glossy look
- Can be worn by women of all age groups
Further Details:
We offer a wide range of Imitation Designer Payal to our valuable customers. These are fashionable, trendy and available in a variety of designs and patterns. These are high durability, low maintenance costs and attractive patterns. We provide Beautiful Anklets Which makes you more adorable. These are available in various colors and designs. These are available at market leading price.
|Imitation Designer Payal
|Product Code
|Product Name
|Imitation Designer Payal
|Brand Name
|Origin place
|Rajkot, Gujarat, India
|Material Used
|Brass metal and Diamonds
|Suitable For
|Imitation Jewelry for women
|Other Details
|Possible as per the requirement
|Price & Order
|Get Mfg. Rates
|Payment Terms
|Cash and Cheque (Advance 10% Payment)
|Minimum order qty
|As per customers requirement (wholesale)
|Sample Availability
|Packing & Delivery
|Packing Type
|Standard carton packaging
|Delivery lead time
|Approx 6 working days


text:
Read about the Starlight trial results in the American Journal of Clinical Nutrition.
The PriceExam protocol was recently published in BMC Public Health and presented at the World Public Health Nutrition Association Conference in Cape Town.
A recently published NutriSales paper estimates the reductions required in the sodium content of packaged food and other sources of dietary sodium to achieve the WHO sodium target in New Zealand.
A new NIHI publication by DIET Programme Director, Cliona Ni Mhurchu and Masters Student, Tara Mackenzie was featured in the New Zealand Herald on the 9 Sept.
This research published in the Nutrition Journal modelled health gain and cost impacts of achieving national targets for sodium reduction by using an established dietary sodium intervention model to study 10 interventions designed to meet the targets.
Results from the NutriSales project estimating population food and nutrient exposure have been published in the British Journal of Nutrition.
Nutrition labels have a minor impact on New Zealand consumer healthy food choices, according to the latest study from the University of Auckland. Read more
Read how the Starlight app was conceived and developed to conduct all aspects of the Starlight study (including consent, registration, randomisation, data collection and intervention delivery).
Low salt and gluten-free food products will be easy to identify using an updated version of the Foodswitch smartphone app, available now, that helps New Zealanders to shop for healthy foods.
Congratulations to Wilma Waterlander, Co-Principal Investigator for the Price ExaM study for being awarded the Emerging Researcher Best Poster prize at the Auckland University School of Population Health Research Showcase.
Public health expert and DIET Programme Co-Investigator, Professor Boyd Swinburn will jointly lead a new international commission on obesity, launched by prestigious medical journal, The Lancet.
A huge thank you to everyone who took part in the Starlight study. Recruitment is now closed and the team will begin analysing the data in the New Year.
Congratulations to the Price ExaM team, who received ethics approval on 10/11/15. The team is now finalising the study procedures, and will begin recruiting in February 2016.
Unfortunately, the Starlight app is not working properly for iPhone users running iOS9. The development team are working on fixing this and we will let you know once this has been done. We apologise for this issue.
Dr Wilma Waterlander demonstrates the Virtual Supermarket at the recent NIHI showcase. This software will be used in the Price ExaM study which will explore the effects of price on food purchases.


text:
Quality control and responsibility is embedded throughout the company and at every level. From procurement to pre-construction, construction to post-handover, we have a dedicated and accountable team that recognises their role in, and the importance of, delivering a quality product and service.
Quality inspections for each project are planned in advance and follow a logical sequence. In addition to this, we have a comprehensive plan for each project to ensure continuous quality checks and communications between all parties involved in the build process.
Supply chain and subcontractor management
Castleoak is extremely experienced in construction management and our work on site is delivered via a proven tried and tested team of partners. This team has proven successful project delivery, achieving high project quality within agreed budgets. We attach great importance to maintaining these excellent working relationships with our supply chain to continue this high level work.
Castleoak has a committed and well established supply chain, experienced in working with us in our specialist sector.
After care
Delivering a quality product does not stop at handover. That's why our dedicated customer care team operates independently from our construction team and is assigned to supporting our customers through the 12-month warranty period.
After care begins during the handover phase where our customer care team will visit the project and introduce themselves to the customer to ensure there is a good working relationship in place ready for the final handover.
At the end of the 12-month warranty period, any final work is scheduled and overseen by the Customer Care Manager, agreed and signed off jointly with our customer.


text: godlikeness definition October 17, 2017 AZ Dictionary Link to this page noun: The quality of becoming godlike. hawaii to be godlike. View More Related Sources Definition for "godlikeness" The quality of becoming godlike. View More Sentence for "godlikeness" There is no 'godlikeness' without such… View More Same Context for "godlikeness" love-bite View More How would you define godlikeness? All the definitions on AZdictionary were written by people just like you. Now's your chance to add your own! Your Full Name Your definition Post Definition


text:
What Would Have Been the Grams II
Half a year ago, I archived some photos I had taken over a long time into a Intagram dedication post because I don't use my account. 🙁 I wanted to start using it again at the beginning of the past summer because it's one of my favorite apps, but somehow life always catches up with me despite how much I enjoy taking photos. I still take photos, mostly of my friends and I, but I end up forgetting about Instagram. So here's just another archive of my life since May 2016 when that post was written! Perhaps it will give me a boost to come back!!


text:
Event DateSaturday, February 14, 2015
What better way to celebrate Valentine's Day than enjoying a 2 course meal + cocktail at Thornbury Golf Centre?
Only £24.95 per couple (includes cocktail on arrival)
Main Course
10oz Rump Steak
Cooked to your liking, topped with garlic and herb butter
Served with chunky chips, salad & onion rings.
Seared Sea Bass Fillet Set
Set on Thai stir fried vegetables
Served with sautéed potatoes & lemon wedge.
Feta, Mediterranean Vegetable & Pine Nut Tart
Served with rosemary roasted potatoes and a panache of vegetable
Classic Tiramisu
Citrus Tart
With a chantilly cream
Warm sticky toffee pudding
Served with vanilla custard
Valentines Cocktail
Only £24.95 per couple (includes cocktail on arrival)
To book or for more information call 01454 281144 or enquire here


text:
After releasing "Roman Holiday" during Sunday night's 2012 GRAMMY Awards, Nicki Minaj just released a brand new track "Starships." Which is the next single off Nicki's Pink Friday: Roman Reloaded (4/3/2012) is this poppy dance beat single "Starships." It's produced by RedOne and will likely be all her techno Barbz's fave club song.
She added: "I want to start the year off with making people feel good. The [Grammy] performance was the performance, that was my clear craziness, and now it's time to make people dance and have fun, and that's all I want to do."
'Starships' is available to download now in the US and will be released in the UK in the coming weeks.


text:
Contact Info / Websites
Entry #64
Well hello there,
I have put together a compilation of much of my music from the last six years.
You can also stream it (more or less, i forgot to add a few tracks to the video) if you choose.
Some tracks that are already here on Newgrounds are in the album (albeit at a higher quality). But most of it hasn't been uploaded anywhere before.
- 16 comments
You must be logged in to comment on this post.
2014-09-25 20:02:13
I actually wouldn't mind getting this album! hahahaha, I love all your instrumentals you do. But, I have to have "I'm afraid of Clowns" in the mix! heehee
oh well, you can always add it yourself. i lost the original files for that sadly.
2014-09-25 21:26:50
For a man bleeding from his lower half he is awfully enthusiastic on his dancing.
he knows that before there can be pleasure, there must be pain.
2014-09-25 22:24:42
Ahh, but can we do more with it than just listen? As long as we give proper accerdi cccerd cre AS LONG AS WE CREDIT YOU FOR IT. I also wish the video changed colors, I'd love that.
you can use the music in non commercial works. but i also don't mind if you use it in something such as a newgrounds or youtube thing if as you say you credit me, with a link to my newgrounds or YT page.
2014-09-25 22:38:28
This lobster's so hot that all the butter melted
2014-09-25 22:41:56
Holy wiener suckeronis! Another album! *faints*
2014-09-26 01:53:30
The music is giving me an erection
2014-09-26 09:11:01
Hot release... maybe later, if I can pull a nice bird this evening ;)
Compositionaly, you're one of the best musicians here, with a masters in late 20th century cookie popping.
2014-09-27 17:12:24
I will surpass Fernando to be king of the manwhores
2014-10-15 21:46:53
You're not selling enough merch. Where the fuck's my stuffed Fernando stuffed inside a dolphin carcass plush?
2014-10-31 05:33:10
Say, did you compose the midi tunes in Pleasure Island (the RPG)? Very excellent tunes, your talents are (almost) wasted here.
2014-11-07 09:03:17
hey dude! you are awesum! :D
2015-01-03 15:58:52
what is a obster?
2015-02-10 20:51:51
On a scale from 1 to 10, 10 being the best, how much do you love moaning in your videos ?
2015-03-26 20:16:40
What about the song at the end of CopsOnFireWithErections?
2015-04-16 04:18:47
Hey, I'm your 18,000th fan!
I like to think I have significance!
2015-04-25 04:49:39


text:
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Ms. Elizabeth Gartley
| Daniel F. Mahoney Middle School | 240 Ocean Street | South Portland, Maine | 04106 | Tel: 207-799-7386


text:
It's Only Natural
Pasadena, California 91105
It's Only Natural is the latest of our Pasadena gallery upcoming art exhibitions. The artwork selected for this show is from our past online themes of Women, Men, The Naked Truth, Body Image, 7 deadly Sins and Duality. This gallery exhibit showcases the organic interpretations of these six themes from artists all over the world. The mediums explored range from paintings to photography to video and mixed media. Artwork at the exhibit is for sale so come for the experience and go home with a masterpiece! This an amazing opportunity to view and purchase fresh and inspired art as well as to meet some of the artists showcased in the exhibition.
There will be a live art demonstration by artist Annie Terrazzo and live Musical Performance by Kids Without Instruments.
It's Only Natural will be viewable by appointment from July 27 to August 4, 2013. Call (310.491.0269) to arrange a private viewing.
It is free to attend and as always we will have wine and bites! The show is from 5:30 PM to 9:00 PM at the Pasadena art gallery located at 545 S. Raymond Ave. in Pasadena. Located near the intersection of S. Raymond Avenue (1 block from Fair Oaks Blvd.) and California Blvd. near Old Pasadena in Southern California. Look for the dark blue awnings. There is ample parking.


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text: The New Kanghong Hotel (Xinkanghong Dajiudian) is a five-minute drive from the golden sand beach. This Qingdao hotel is only two kilometers from the Anzi Port. The hotel's commercial center covers a host of business services from typing and photocopying to faxing and flight train and bus ticket reservation services.


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A place to discuss geeky games, comics, toys, videogames, technology movies and TV shows. Also best comicbook blog in the freaking UNIVERSE!
FeedBurner Chicklet
New Comic book day April 2, 2014
It is new comic book day and here is what is on my list to pick up:
The Guardians of the Galaxy prequel by Abnett and Lanning. I can't wait for the movie so I might as well start reading the comic.
Inhuman #1
New superheroes are being created due to the Terrigen Mist being released on Earth. Meet them here. I always pick up first appearance books.
Ghost Rider #2
The guy drives a car. That is weird but what isnt is the amazing art work.
Did I miss anything?
Subscribe to: Post Comments (Atom)


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E-Z-GO Watering System (Fits Trojan 6-Volt Models)
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Fits E-Z-GO 6V Trojan batteries (batteries are not included)
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Minnesota Home Health Care
Minneapolis, St. Paul and Surrounding Areas
24 Hour Service Available
Call 763.417.8888
Intake Fax 763.417.0055
Published Date: 09 - 14 - 2017
Home Health Care, Inc. To Attend Fall Conferences
We enjoy getting to see friends and colleagues at the many wonderful Fall Conferences we attend. These include the MNHSWA Fall Conference from October 4-6th in Hinckley, the MSSA Metro District Fall Conference on October 5th in St. Paul, the Fall Aging Conference (presented by the St. Paul and Minneapolis Senior Workers Associations) on October 26th at the Earle Brown Heritage Center....and more!
Published Date: 08 - 01 - 2017
Home Health Care, Inc. to Sponsor CEU with Allina Health's United Hospital
We are excited for our upcoming CEU event with Allina Health! This Thursday, August 3 from 12:00 – 1:00pm, Anita Raymond, LISW, CMC will be presenting on "Guardianship/Conservatorship and Less Restrictive Alternatives" at United Hospital, and sharing insights on different options for decision making. Thank you for hosting our event!
Published Date: 07 - 19 - 2017
Excellence in Dementia Care CEU at Primrose Retirement Community of Mankato, MN
We are excited to bring a FREE CEU event to Southern Minnesota care givers! Next Monday, July 24 from 2:00 – 4:00pm, Janelle Johnson, LSW, JD will join us at Primrose Retirement Community in Mankato, MN for a session on "Excellence in Dementia Care: Educating, Equipping, and Empowering Care Givers." Many thanks to our friends at Primrose for your hospitality.
Published Date: 07 - 10 - 2017
CEU with St. Johns Hospital
We are excited to work with another provider of Twin Cities Physicians, Steven Atkinson, PA-C, MS for a CEU at St. Johns Hospital this Thursday, July 13! Steven will speak on key ways to understand and ethically treat geriatric depression and anxiety. Thank you Twin Cities Physicians and St. Johns Hospital!
Published Date: 07 - 07 - 2017
Skills Fair at St. Lucas Healthcare Community
We are excited to be a part of the Skills Fair at St. Lucas Healthcare Community! On July 13, Clinical Liaison, Liz Gionfriddo, COTA/L, will be in attendance meeting with other Southern-Minnesota healthcare professionals and sharing some valuable information. We're excited to see everyone there!
Published Date: 06 - 26 - 2017
CEU on Wheels with Dr. Clemencia Rasquinha, MD, CMD provider for Twin Cities Physicians
We are excited to partner with Twin Cities Physicians for our next CEU on Wheels on June 28! Dr. Clemencia Rasquinha, MD, CMD will present on "Ethical Practices in Geriatrics" to Cambridge Medical Center social workers. They will also enjoy a tour of Ecumen North Branch Assisted Living and Memory Care!
Published Date: 06 - 20 - 2017
Dr. John Brose, PHD, LP, LMFT, LADC Will Join us at Providence Place for our Next CEU Event
We are preparing for our upcoming CEU event taking place at Providence Place Skilled Nursing & Rehabilitation! From 12:00 – 1:00pm, Dr. John Brose, PHD, LP, LMFT, LADC will join us for an engaging presentation. We hope to see you there!
Published Date: 06 - 05 - 2017
CEU Event at Nagel Assisted Living & Memory Care
Reminiscence Expert Jessica Melcher, MSW, LISW will join Sunflower Communities on Wednesday, June 7 from 8:00 – 9:30am for their next free CEU event! Jessica will speak on the benefits of "Harnessing the Power of Reminiscence." RSVP to Sunflower Communities at: email@example.com
Published Date: 05 - 23 - 2017
CEU Event with Birchwood Care Center of Forest Lake
We're excited for our upcoming CEU event at Birchwood Care Center in Forest Lake! This Wednesday, May 17 from 7:30 - 9:00am, Community Liaison Karissa Flies, MSW, LGSW will speak on ways to "Identify & Prevent Substance Abuse in Seniors."
Published Date: 05 - 15 - 2017
Falls Prevention Training
Falls are all too common among the elderly, and can lead to serious injury. Our team of therapist not only work with those who have fallen to aid in their recovery, they also teach Fall Prevention. Zach, one of our amazing PTs, visited Kingsway Retirement Living in Belle Plaine recently to work on falls prevention with residents there.
Published Date: 05 - 01 - 2017
Nurses' Week + Speech/Hearing Month
This month we honored our nurses and speech language therapists, as we celebrated Nurses' Week, and Better Speech and Hearing Month. Gift bags were given to our deserving employees.
Published Date: 04 - 01 - 2017
SPSWA Spring Conference
We were thrilled to once again attend the SPSWA (St. Paul Senior Workers Association) Spring Conference at the North Heights Lutheran Church in Arden Hills. This year the theme was "Continuing A Caring Community".
Published Date: 03 - 15 - 2017
MSSA Conference & Expo
We enjoyed being at the MSSA Conference & Expo at the Hilton Hotel in Minneapolis. The theme this year is "Assuming Our Responsibility For Change". The Minnesota Social Service Association supports the health and human service profession through education, advocacy, and member benefits.
Published Date: 03 - 02 - 2017
Often, home care services are needed after a hospital stay or injury; which can happen on a weekend. That's why we've made ourselves more available to you. Our intake team is now in the office seven days a week, and available 24/7 by phone.
Call us today if you or a loved one could benefit from our home care services, at 763.417.8888.
Published Date: 03 - 01 - 2017
Training to Serve Class
We provide many special training classes for our staff. Thank you to Training to Serve who spoke at our LGBT aging awareness and inclusivity training this month. Training to Serve's mission is "…to provide education, tools and resources to improve the quality of life of LGBT people as they age."
Published Date: 01 - 27 - 2017
Welcome to Our Brand New Website!
We are proud to be recognized as a Top-10 service provider in the Twin Cities and Southern Metro area. As a top Medicare/Medicaid-certified agency, we are excited to bring you a new user-friendly website that highlights our services. Our goal is to provide care in the comfort of your home that can help reduce future injury or illness, and keep you safe and secure. Whether you need nursing, therapy or home health aide assistance, our website has information to help you find the services you need.
Call today if we can be of help to you. And be sure to check us out on Facebook, Twitter, and LinkedIn!


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Our mission is anchored by an indisputable fact: Young people have the best chance to rise above the barriers of poverty when they succeed academically. Education neither begins nor ends within the walls of the classroom. We have built a foundation of supports designed to position children and youth to achieve in school.
Early childhood programs establish strong attendance behaviors and emphasize social-emotional learning. Dynamic academic engagement extends beyond mandated class time, through things like enriching summer programs. College admissions test prep and campus visits make higher education more than just a dream. Internships and summer youth employment teach workplace behaviors and shape ideas of an independent adulthood.
Pre-K centers
have an attendance rate of 90% or higher
Of Students
ended the school 2016 year with typical and strong social-emotional competencies
reported liking their fruits and veggies more after being in our Go!Kids program
Education and Leadership
Summer Enrichment
College and Career Readiness
Every Step of the Way
A Proactive, School-Based Approach to Health Care
School-based health centers are often the only form of health care for children and youth in low-income neighborhoods.
Combating Chronic Absence
During Attendance Awareness Month, Children's Aid redoubles its efforts to get kids to #SchoolEveryDay.
Children's Aid Celebrates High School Graduates
The Next Generation Center celebrates the latest young people to earn their high school equivalency degree.


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From Alexander Hamilton to Daniel Jackson, 3 March 1800
To Daniel Jackson, 3 March 1800
NY. March 3rd. 1800.
I have received your letter of the seventeenth of February with it's enclosure.
The proceedings of the Court Martial in the case of James Barrons will be considered as void, his offence being of a capital nature—You will have him brought before any General Court Martial which may be now sitting
at Fort Independence, or which may hereafter sit there in your vicinity—
I agree with you that the Court did wrong in finding Frederick Remington guilty of a breach of the second Article of the sixth section of the Rules of War—But
as the charge against this person being is general, and there being are sections in the Articles Rules of War, which pun define and punish the his Offence, you will ratify the sentence decision It is my opinion therefore that you may ratify the sentence of the Court and consider that part of the sentence it which relates to finds the particular a Article of which there prisoner guilty of a the breach of a particular article as surplusage
(Df, in the handwriting of Thomas Y. How, Hamilton Papers, Library of Congress).


text:
- Fleetwood Modular Homes Low-Quality Materials, Poor Build and finish Internet
- Fleetwood Manufactured Homes Furnaces they install in their homes made by Coleman Internet, Oregon
- Homes Of Merit Aka Champion Homes - central Mobile Homes the new modular house from HELLLLLLLLL ripoff Bartow, Labelle Florida
- Jacobsen Modular Homes They couldn't be built any cheaper if they tried. Ocala Florida
- Palm Harbor Homes Mold in walls Houston Texas
- city of pittsburgh Russel blaich,Department of Permits, Licenses, and Inspections the city of pittsburgh will not do anything in the case of a home at (((REDACTED))) pittsburgh pa ,that home is infested with rats racoons rats roaches and a very large hole in the roof of that home with a huge tree lodged in that hole and my home is next door to it, black mold growing into my building next door and bathroom floor sinking and rodents scratching on the walls of my owned building my tenants got injuries due to the black mold and sinking floors and roaches pittsburgh Pennsylvania
- Fleetwood Of Oregon - Hunts Manufactured Homes - Hunts In Gorst ripoff DON'T BUY A FLEETWOOD Mobilehome the are JUNK!! Bremerton Washington
- Grandview Mobile Home Park Paul Chad COMINGORE properties Black mold, cockroach feces, garbage piled under home, no ac in bedrooms,holes in walls/ceilings.. Seffner Florida
- Fleetwood homes in tenn. sold crappy mobile home and will not repair for their crappy work lafayette, Tennessee
- Fleetwood Homes Bryan Pate ripoff wiil not repair defects in mobile home Dawsonville georgia
- Laurie Hall and or Dave Mitchell My Yorkie Breeder, 23rd street, Zephyrhills, fl house is full of mold dangerous toxic black mold, 6/2014, Laurie Hall of zephyhills Fl is a METH head House is dangerous, toxic black mold, leaky black mold, wet walls Zephyrhills Florida
- Report: #1043343
Fleetwood modular homes
Fleetwood modular homesInternet, Florida United States of America
Fleetwood modular homes FLA. Black mold growing in bathroom walls Internet, Florida
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This report was posted on Ripoff Report on 04/15/2013 09:25 AM and is a permanent record located here: http://www.ripoffreport.com/reports/fleetwood-modular-homes/internet-florida-/fleetwood-modular-homes-fla-black-mold-growing-in-bathroom-walls-internet-florida-1043343. The posting time indicated is Arizona local time. Arizona does not observe daylight savings so the post time may be Mountain or Pacific depending on the time of year.
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Latest Stories
WGN Unveils their Historical Fantasy Series Salem
January 12, 2014
WGN America Announces Ten Commandments Miniseries
January 12, 2014
"If nothing else we want this show to be scary."
Whoops, it doesn't look like we have any episodes for this season! Try clicking on another season above!
About This Show
- Summary
Ten Commandments is a scripted series that will feature ten different filmmakers who will take on a single Commandment with their own modern interpretation of that Commandment.
Genre: Drama
Network: WGN America
Status: In Development


text:
Summer's Over: 'Setsuden' Summer, That Is
Daylight is getting shorter in Tokyo, but indoors the capital is brighter than it has been in months.
Tokyo workers walked into offices this week that are better lit and cooler. For the first time since the March 11 disasters, the capital is alive with the hum of electricity-powered machinery operating at full capacity following the official lift of government-mandated energy-pinching measures in areas run by the beleaguered Tokyo Electric Power Co. last Friday.


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Guangdong Academy of Medicine Science
Guangdong Academy of Medicine Science
Qiu F.,Guangzhou Hospital of Traditional Chinese Medicine |
Hou T.,Guangdong Academy of Medicine Science |
Huang D.,Guangzhou Hospital of Traditional Chinese Medicine |
Xue Z.,Guangzhou Hospital of Traditional Chinese Medicine |
And 3 more authors.
Molecular Medicine Reports | Year: 2015
Disease biomarkers for diagnostic and prognostic purposes are most likely within an extremely low concentration range and are thus masked by the presence of high-abundance proteins. Therefore, removing high-abundance proteins is the main challenge for identifying disease biomarkers. In addition, the solution obtained from high-abundance protein depletion kits contains a rich array of compounds, which interfere with isoelectric focusing (IEF). In the present study, the effect of two commercial kits was evaluated and the downstream IEF protocol was optimized. High-resolution results could be obtained according to the following conditions: The ProteoPrep Blue Albumin and IgG Depletion kit depleted albumin and IgG; immobilized pH gradient strips (typically 18 cm) were rehydrated with sample buffer containing 250 μg serum proteins at 30 v for 6 h, 60 v for 6 h, 200 v for 2 h, 500 v for 2 h, 1,000 v for 2 h, 5,000 v for 2 h, 10,000 v for 2 h and then focusing at 10,000 v up to 110 k vhs. In addition, the protein spots identified by matrix-assisted laser desorption ionization time-of-flight mass spectrometry demonstrated that all proteins had a low abundance. The present study not only provides a definite and effective method for removing high-abundance proteins, but also provides a proper protocol (protocol C) for downstream IEF. The present study includes a comprehensive investigation of serum proteomics, which paves the way for serum protein research.
Liang Y.-H.,Guangdong Academy of Medicine Science |
Liu L.,Guangdong Academy of Medicine Science |
Chen D.-L.,Guangdong Academy of Medicine Science |
Lin C.-Y.,Guangdong Academy of Medicine Science |
And 3 more authors.
Journal of Huazhong University of Science and Technology - Medical Science | Year: 2015
Lead placement for ventricular pacing variably impacts the physiological benefit of the patient. This study evaluated the ventricular lead performance and safety of right ventricular outflow tract septal pacing in patients with bradyarrhythmia in South China over 60-month follow-up. Totally, 192 patients (108 males, and 84 females, 63±21 years old) with bradyarrhythmia were randomly divided into two groups. The right ventricular outflow tract septum (RVOTs) group had lead placement near the septum (n=97), while the right ventricular apex (RVA) group had a traditional apical placement (n=95). RV septal lead positioning was achieved with a specialized stylet and confirmed using fluoroscopic projection. All patients were followed up for 60 months. Follow-up assessment included stimulation threshold, R-wave sensing, lead impedance and lead complications. The time of electrode implantation in both the ROVTs and RVA groups were significantly different (4.29±0.61 vs. 2.16±0.22 min; P=0.009). No differences were identified in threshold, impedance or R-wave sensing between the two groups at 1st, 12th, 36th and 60th month during the follow-up period. No occurrence of electrode displacement, increased pacing threshold or inadequate sensing was found. The long-term active fixation ventricular electrode performance in RVOTs group was similar to that in RVA group. RVOTs pacing near the septum using active fixation electrodes may provide stability during long-term follow-up period. © 2015, Huazhong University of Science and Technology and Springer-Verlag Berlin Heidelberg.
Wu H.-J.,Guangdong Academy of Medicine science |
Zeng H.,Guangdong Academy of Medicine science |
Liang C.-H.,Guangdong Academy of Medicine science |
Cui Y.-H.,Guangdong Academy of Medicine science |
And 2 more authors.
Chinese Journal of Medical Imaging Technology | Year: 2011
Objective: To explore the imaging features of benign fibrous histiocytoma (BFH) of long bones. Methods: Imaging findings of 9 patients with BFH proved pathologically were retrospectively analyzed. X-ray plain film were obtained in all patients, and 4 patients underwent MR, 4 patients underwent CT scanning. Results: All lesions appeared as solitary. BFH occurred in the tibia (5 patients), femur (3 patients), fibula (1 patients). X-ray showed osteolytic lesions with eccentric thinning of the cortex. Sclerosis was found in the margin of the lesions to variable extent. CT revealed dense soft tissue in the lesions. Two lesions were restricted to bone, 2 tibia lesions destroyed the cortex but soft tissue mass did not form. Periosteal reaction was not found in alll lesions. MRI manifestations included a hypo to isointense lesion on T1WI and hyperintense signal intensity on T2WI. There was homogeneous or heterogeneous moderate to significant enhancement of the tumor after administration of contrast medium. Conclusion: Imaging features of BFH in long bones can provide clues for clinical diagnosis.
Zhang Y.,Guangdong Academy of Medicine Science |
Zheng Q.-J.,Guangdong Academy of Medicine Science |
Wang S.,Guangdong Academy of Medicine Science |
Zeng S.-X.,Guangdong Academy of Medicine Science |
And 3 more authors.
American Journal of Infection Control | Year: 2015
Background and Objective Observational studies have suggested an association between diabetes mellitus and the risk of surgical site infections (SSIs), but the results remain inconclusive. We conducted a meta-analysis of prospective cohort studies to elucidate the relationship between diabetes mellitus and SSIs. Methods We searched PubMed, Embase, and Web of Science databases and reviewed the reference lists of the retrieved articles to identify relevant studies. Associations were tested in subgroups representing different patient characteristics and study quality criteria. The random-effect model was used to calculate the overall relative risk (RR). Results Fourteen prospective cohort studies (N = 91,094 participants) were included in this meta-analysis, and the pooled crude RR was 2.02 (95% confidence interval, 1.68-2.43) with significant between-study heterogeneity observed (I2 = 56.50%). Significant association was also detected after we derived adjusted RRs for studies not reporting the adjusted RRs and calculated the combined adjusted RR of the 14 studies (RR, 1.69; 95% confidence interval, 1.33-2.13). Results were consistent and statistically significant in all subgroups. Stratified analyses found the number of confounders adjusted for, sample size, and method of diabetes case ascertainment might be the potential sources of heterogeneity. Sensitivity analysis further demonstrated the robustness of the result. Conclusions This meta-analysis suggests diabetes mellitus is significantly associated with increased risk of SSIs. Future studies are encouraged to reveal the mechanisms underlying this association. © 2015 Association for Professionals in Infection Control and Epidemiology, Inc.