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BioMed Research International
Volume 2013, Article ID 794984, 6 pages
Reduction of Orbital Inflammation following Decompression for Thyroid-Related Orbitopathy
1Division of Oculofacial Plastic and Reconstructive Surgery, UCSD Department of Ophthalmology, CA, USA
2Thyroid Eye Center, UCSD Department of Ophthalmology, La Jolla, CA, USA
3Division of Oculofacial Plastic and Reconstructive Surgery, Department of Ophthalmology, The Permanente Medical Group, Sacramento, CA, USA
4UCSD Department of Ophthalmology, La Jolla, CA, USA
5UCSD Department of Neurosciences, La Jolla, CA, USA
6Division of Pediatric Ophthalmology, UCSD Department of Ophthalmology, CA, USA
Received 3 April 2013; Accepted 30 May 2013
Academic Editor: Anton M. Jetten
Copyright © 2013 Sang-Rog Oh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Purpose. Thyroid-related orbitopathy (TRO) is associated with inflammation, expansion of orbital fat, enlargement of extraocular muscles, and optic neuropathy (ON). We examined the effects of orbital decompression on the inflammatory and congestive signs of TRO in patients who underwent emergent orbital decompression. Methods. This retrospective, consecutive study included patients with ON from TRO who underwent orbital decompression. Pre- and postoperative orbital inflammatory signs in the operated and nonoperated, contralateral eyes were graded with the 10-item clinical activity score (CAS). Results. Thirty-one orbits were included. Postoperatively, 22 patients and 29 orbits had resolution of ON while the remaining 2 patients had improvement in visual acuity. Mean preoperative CAS was 9.5 ± 0.4. At 12 months, postoperative CAS was 2.1 ± 0.6 () in the operated eye and 3.2 ± 0.5 () in the nonoperated, contralateral eye. Conclusion. In our series, 94% of orbits had resolution of ON. There was also a statistically significant postoperative reduction in the CAS in both the operated and nonoperated, contralateral eyes. This phenomenon may be due to lowered venous congestion, decreased intraorbital pressure, and diminution in inflammatory factors.
1. Introduction
Thyroid-related orbitopathy (TRO) affects approximately fifty percent of patients with thyroid dysfunction [1]. Current understanding of the pathophysiology of TRO suggests that dysregulation of orbital fibroblasts leads to the cellular changes that are responsible for enlargement of extraocular muscles and expansion of orbital fat [2]. However, the exact pathophysiology of TRO has not been clearly elucidated. The active phase of the disease, which usually lasts from six to twelve months, is characterized by discomfort, eyelid retraction, proptosis, eyelid and conjunctival edema, exposure keratopathy, restrictive strabismus, and, rarely, optic neuropathy (ON) [3].
Humoral and cell-mediated immune processes are likely involved and result from cross-reactivity against shared antigens in both thyroid and orbital tissues, causing immune-mediated inflammation [4–6]. Based on this understanding, immunomodulatory therapy aimed at reducing the active inflammatory phase of the disease has been advocated. Corticosteroids [7] and external beam orbital radiation [8] (XRT) are commonly used agents for TRO, with newer modalities, such as rituximab (RTX), being investigated [9, 10]. Presently, there is inadequate evidence to ascertain whether medical treatment reliably shortens the active phase of TRO, and there is no agreement on the standard therapeutic protocol for the treatment of TRO [11, 12].
For symptomatic patients without sight-threatening disease, orbital decompression is indicated after the active inflammatory phase has passed, and the patient's disease has stabilized [13]. In three to five percent of cases, compressive ON and vision-threatening corneal exposure can be seen, requiring prompt treatment [14, 15]. It is thought that optic nerve compression at the orbital apex from enlarged extraocular muscles, increased inflammation, and orbital fat hypertrophy are responsible for ON [16]. Some have suggested that ON persisting after medical and surgical therapies may be due to optic nerve ischemia or optic neuritis [17, 18]. We previously described ON after botulinum toxin administration for restrictive myopathy which was reversed after corticosteroid therapy followed by prompt orbital decompression [19]. Although corticosteroids, XRT, and orbital decompression have all been shown to be beneficial, there is no universal agreement in the sequence or efficacy of treatment for ON from TRO [20].
Numerous studies have examined the visual outcome after orbital decompression in patients with ON [21–34]. Several studies have noted CAS and inflammatory indices following surgical and medical treatment for ON, but they were not the studied in depth [35, 36]. We present a series of patients who underwent expeditious orbital decompression for ON. The goal of this study was to compare the effects of surgery on not only visual recovery, but also disease activity status.
2. Materials and Methods
We retrospectively reviewed the medical records of all patients who underwent orbital decompression surgery for ON from TRO, between 2000 and 2010, at the University of California, San Diego, Shiley Eye Center. The UCSD Human Research Institutional Review Board approval was obtained. We analyzed these patients' records and extracted information regarding demographic characteristics, thyroid status, and previous medical treatments, as well as relevant ophthalmic findings including pre- and postoperative diplopia and the type of orbital decompression performed. Exclusion criteria included previous eyelid or orbital surgery, any history of previous unrelated optic nerve disease, and decreased visual acuity from other causes.
2.1. Optic Neuropathy
ON was diagnosed on evidence of decreased visual acuity along with color vision abnormality on Ishihara (Ishihara Medical Supplies) or Hardy-Rand-Rittler (Richmond Products, Albuquerque, NM, USA) color plates, a visual field defect not related to other ophthalmic diseases, or a relative afferent pupillary defect in unilateral or asymmetric cases. All cases had orbital apex crowding on imaging studies, confirming that the optic neuropathy was related to their TRO.
2.2. Orbital Inflammation
Preoperatively, patients were examined for proptosis, lid retraction, restrictive strabismus, conjunctival injection, chemosis, periocular erythema, pain, and edema. They were then graded with the 10-item CAS. At three, six, and twelve months of followup, postoperative CAS in both the operated and nonoperated contralateral eyes was again assessed.
2.3. Orbital Decompression
All patients underwent maximal decompression ± removal of the bony lateral rim as previously described (DOK and BSK) [37–39]. Orbital fat decompression was performed as well. Two milliliters of peribulbar steroid (1 : 1 mixture of triamcinolone acetonide 40 mg/mL and methylprednisolone sodium succinate 125 mg/mL) was administered at the time of surgery.
2.4. Outcome Measures
Improvement of optic neuropathy was determined by improvement in visual acuity by 2 or more lines, resolution of color vision abnormality, resolution of visual field defects, and resolution of relative afferent pupillary defect. Pre- and postoperative CAS were compared.
Statistical analysis was carried out using SPSS 14.0 (SPSS, Inc., Chicago, IL, USA). Statistical significance was set at
3. Results
Twenty-four patients underwent orbital decompression for ON. Seven patients had bilateral ON. Average age was 55.1 ± 14.3 years. The cohort included 7 men and 17 women. All 24 patients had decreased visual acuity compared to their previous baseline examination, 15 patients had a relative afferent pupillary defect, and 13 patients had color deficiency. All 24 patients had worsening visual field deficits, when compared to baseline testing, and optic nerve edema on dilated funduscopic examination.
All 24 patients underwent orbital decompression within 7 days of presentation. Each orbit in the bilateral cases was considered separately. In all, 31 orbits were included in the study. Ten patients were treated elsewhere with either intravenous or oral corticosteroids and were taking corticosteroids when they presented to the Thyroid Eye Center. They were treated with corticosteroids for an average of 8.4 weeks prior to orbital decompression. The other 14 patients began treatment with oral corticosteroids after their initial visit at the Thyroid Eye Center for ON. These patients were treated for an average of 4.6 days prior to orbital decompression. Following orbital decompression, oral corticosteroids were tapered within 7 days in all 24 patients. None of the patients had reactivation of their TRO after surgery. 23 patients had pre-operative diplopia. Two patients had resolution of their diplopia after decompression. One patient had no diplopia before and after surgery.
At 12 months, 29 orbits (94%) in 22 patients (92%) had resolution of ON. The remaining 2 patients (8%), who had unilateral ON, had greater than 2 lines of improvement in visual acuity, but had residual color vision and visual field deficits. Average reduction in exophthalmos after surgery was mm. Preoperative CAS was . At 6 months, postoperative CAS in the operated eye was , and at 12 months, postoperative CAS in the operated eye was (Figure 1). In the nonoperated, contralateral eye, preoperative CAS was . At 6 months, postoperative CAS in the non-operated, contralateral eye was , and at 12 months, postoperative CAS in the non-operated, contralateral eye was (Figure 1).
Ten patients had been treated with corticosteroids for an average of 8.4 weeks when they presented to the Thyroid Eye Center. Their preoperative CAS of and their post-operative CAS was . This was not statistically different from the other 14 patients, who were treated with corticosteroids for 4.6 days prior to orbital decompression.
3.1. Selected Cases
Case 1. A 50-year-old male presented with bilateral optic neuropathy. His visual acuity was 20/60 in both eyes with impaired color vision (Figure 2(a)). His pre-operative CAS was 9 in both eyes. Six months after bilateral orbital decompression, his visual acuity was 20/20 in both eyes with full color vision (Figure 2(b)). His post-operative CAS was 2 in both eyes at 6 months of followup.
Case 2. A 49-year-old female had been previously treated elsewhere with intravenous pulsed corticosteroids six months prior to presentation and was taking oral corticosteroids when she was first examined at the Thyroid Eye Center. Her visual acuity was 20/80 in the right eye and 20/70 in the left eye with impaired color vision in both eyes (Figure 3(a)). Computed tomography of her orbits showed enlarged extraocular muscles and orbital apex crowding (Figure 3(b)). Her pre-operative CAS was 9 in the right eye and 10 in the left eye. After bilateral orbital decompression, her vision was 20/20 in both eyes with resolution of color vision defects (Figure 3(c)). Postoperative CAS was 2 in both eyes at 12 weeks after surgery.
Case 3. A 47-year-old female presented with optic neuropathy in the right eye. Her visual acuity was 20/60 in the right eye and 20/25 in the left eye. She also had impaired color vision in the right eye (Figure 4(a)). Her pre-operative CAS was 10 in the right eye and 9 in the left eye. After right orbital decompression, her visual acuity was 20/25 in the right eye with resolution of optic neuropathy (Figure 4(b)). Her post-operative CAS was 3 in the right eye and 4 in the left eye at 8 weeks of followup. She later had left orbital decompression for disfiguring proptosis, with symmetric exophthalmometry measurements (Figure 4(c)).
4. Discussion
Our cohort included 24 patients who had urgent surgical orbital decompression for ON. Ninety-four percent had reversal of ON. Among these patients, the average CAS at presentation was . Postoperatively, the average CAS was , . Patients who had been treated with corticosteroids prior to their presentation to the Thyroid Eye Center for an average of 8.4 weeks prior to their surgical decompression had preoperative CAS of . This group also had a statistically significant decrease in CAS after surgery . To the authors' best knowledge, this is the first report of a reduction in inflammatory signs and symptoms after urgent surgical decompression for optic neuropathy (keywords: orbital decompression, clinical activity score, inflammation, congestion, Graves' disease, orbitopathy, and optic neuropathy).
After orbital decompression, there was a statistically significant reduction in orbital congestion such as chemosis, pain, and eyelid edema [40]. At 12 months, average CAS decreased from 9.5 to 2.1 (Figure 1). Ten patients had been treated with chronic corticosteroids prior to their decompression (8.4 weeks). These patients had similar CAS scores pre- and postoperatively, when compared to those who were started on oral corticosteroids for a short period prior to their decompression (4.6 days). We hypothesize that resolution of congestive symptoms brought on by expansion of orbital fat and extraocular muscle hypertrophy may be partially explained by relief of venous stasis. By expanding orbital volume, there is improved venous outflow with subsequent relief of congestion. It may be impossible to distinguish with certainty if the reduction in CAS is from decreased inflammation, reduction in venous congestion or both.
Some reduction in inflammatory signs such as conjunctival injection and erythema of the eyelids, however, cannot be entirely explained by changes in hydrostatic pressure and intraorbital volume. When the CAS was examined in the nonoperated, contralateral eye, we noted a statistically significant reduction from 7.4 to 3.2 (Figure 1). Orbital fibroblasts and orbital stem cells have been postulated as targets for immunoglobulins in TRO [2, 41]. All patients underwent orbital fat removal during surgery, and perhaps it is this reduction in inciting factors in the operated eye that leads to a decrease in overall inflammatory cascade, with a reduction of inflammation in the contralateral eye. The mechanism may be similar to sympathetic ophthalmia, where there is improvement in the contralateral eye after enucleation of the inciting eye [42]. Another possibility is spontaneous improvement from disease modulation as time progresses (Rundle's curve). Pre- and postoperative inflammatory indices such as erythrocyte sedimentation rate or C-reactive protein were not obtained in our study group. Ultimately, histopathologic studies evaluating the molecular and cellular changes in the orbital contents before and after orbital decompression are necessary to fully elucidate this phenomenon. Lastly, the effect from perioperative oral and intraoperative periorbital steroid effects cannot be ignored.
Surgical decompression of the bony orbit is traditionally advocated for disfiguring proptosis after the inflammatory phase of TRO has stabilized, unless there is optic neuropathy or vision threatening corneal exposure [13, 15]. The deep lateral wall, medial wall, and the orbital floor may all be decompressed, with exquisite attention paid towards maximal apical expansion [19, 43]. Some studies have shown efficacy of performing medial wall decompression for compressive ON [44]. In the current series, all patients underwent maximal orbital decompression of all three walls, as it is our opinion that a maximally decompressed apex gives the best visual outcome and relief of optic nerve crowding, as well as the best chance to reduce orbital congestion. Some have advocated a "balanced orbital decompression" where the medial and lateral walls are removed with retention of the floor to decrease the risk of new onset of diplopia [45]. In our cohort one patient did not have preoperative diplopia and remained free of diplopia postoperatively. Interestingly, two patients had resolution of their diplopia following surgery. The remaining patients had diplopia before and after orbital decompression.
TRO activity normally follows Rundle's curve where there is an initial deterioration of the symptoms followed by a period of stability and then improvement [46]. From start to finish, this time course is approximately 1 year. Traditionally, definitive intervention is initiated after the disease has stabilized. In this study, we treated ON with maximal decompression prior to disease stabilization and noted stability at one year. The results of our study raise the question whether early intervention for optic neuropathy improves clinical outcome [47].
This study is limited by several factors. First, it is retrospective in nature. A randomized, controlled study comparing medical and surgical therapy for ON in patients with bilateral disease would be ideal, but would be difficult to conduct. Second, histologic examination of orbital tissue before and after orbital decompression may reveal changing inflammatory markers, but may not be feasible as tissue sampling may not be possible. Third, some patients in the cohort were treated with corticosteroids for 8.4 weeks while others were treated for a much shorter duration, prior to orbital decompression. Although they all had similar preoperative CAS and similar statistically significant reduction in CAS after surgery, this represents a confounding variable that cannot be ignored. Fourth, our mean postoperative follow-up period is 12 months. Ideally, a longer follow-up period could be studied to rule out late reactivation of disease. Fifth, although the CAS objectively measures active disease status, it is difficult to differentiate inflammatory from congestive signs. Finally, there were a limited number of patients. A multicenter study with large numbers would be needed to strengthen the findings of the study.
In summary, we describe the resolution of inflammatory and congestive symptoms in patients treated for ON with orbital decompression. Future studies are directed towards longer-term studies both on a prospective basis and aimed towards defining a cellular and molecular basis to explain these findings.
Conflict of Interests
None of the authors has conflict of interests with the submission of this paper.
This study was presented at the ASOPRS 41st Annual Fall Scientific Symposium, October 13-14, 2010, Chicago, IL, USA. Generously supported by Steve and Kathleen Flynn, the Bell Charitable Foundation, and an unrestricted grant from Research to Prevent Blindness (RPB), New York, NY. None of the authors have any financial interest to disclose.
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Community Thanksgiving slated
Arkoma's sixth annual Citywide Community Thanksgiving Service will be held at 7 p.m. Nov. 21 at Arkoma Assembly of God, 205 Sumner Ave. in Arkoma. The church will provide the music and a nursery.
Hearts of Gold events planned
Project Compassion is collecting new, unwrapped gifts and monetary donations to purchase gifts for area nursing home residents this holiday season through Dec. 19. There will be two kick-off events for the Hearts of Gold collection drive from 11:30 a.m. to 1 p.m. Dec. 5 at St. Luke Lutheran Church, 5401 Free Ferry Road in Fort Smith, and from 5:30-7 p.m. Dec. 7 at Hampton Inn-Van Buren, 1916 N. Sixth St. in Van Buren.
Items needed include sweatshirts and sweatpants, nightgowns, pajama sets, lounge pants, plain t-shirts and house shoes. Sixes range from medium to 5X. Drop off locations include the Project Compassion office, 1205 S. Albert Pike, Room 114; all Simmons Bank locations and Hampton Inn-Van Buren.
Call 783-2273 or email firstname.lastname@example.com for information.
Museum to host Evening in the Past
The United States Marshals Museum will host its third annual An Evening in the Past holiday event from 6:30-9 p.m. Dec. 11 at the Bonneville House, 318 N. Seventh St. in Fort Smith. This year's event will feature both the younger and older Thomas Jeffersons from Colonial Williamsburg visiting with guests about how the third president's views evolved over his career. There also will be 18th century French inspired entertainment, food and cocktails. Tickets are $75 and are available through eventbrite.com.
Visit usmmuseum.org for information.
Planning underway for Christmas Honors
The ninth annual Christmas Honors program is gearing up for its assembly workshop from 9 a.m. to 2 p.m. Dec. 15 in Hall C at the Fort Smith Convention Center, 55 S. Seventh St., and wreath distribution Dec. 16. Wreath pickup and storage will take place Jan. 8.
Visit www.CristmasHonors.org of the Christmas Honors facebook page for information or to volunteer.

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You should know exactly what you're getting when you walk into "21 and Over" because the title explains it all. It's another teen comedy that romanticizes the 21st birthday threshold and treats alcohol like it's an all healing elixir. This isn't a movie for those old enough to have actually experienced the night though. This is for those who dream about the day they can pop out their driver's license and strut into a bar legally for the first time ever.
Those people will find "21 and Over" amusing, while in the process building up their dream birthday night even further, but the older crowd will walk out of this unimpressed, finding the shenanigans the characters get themselves into to be outlandish, despite some inevitable reminiscing on some of their own crazy nights. But what kills this movie from the same writers of "The Hangover" isn't that it's absurd (so was The Hangover); it's that it's not funny. At all.
Jeff Chang (Justin Chon) is a pre-med student, pressured into becoming a doctor by his pushy father (Francois Chau). In the morning, he has a very important medical school interview, so he needs to stay in and get some sleep, but it's his 21st birthday and his best friends, Miller (Miles Teller) and Casey (Skylar Astin), have surprised him with a visit and have other plans.
Although they promise to have him home at a reasonable time, they end up getting him completely wasted. Soon, Jeff can't even speak and they don't know where he lives. Miller and Casey quickly find themselves in a race against time, doing their best to get Jeff hope and prepped so he doesn't miss the most important interview of his life.
Writing a comedy must be hard. Comedy screenwriters typically aren't consistent, at least not in the way a dramatic writer like Aaron Sorkin is. No, they can produce a hit, one that manages to keep the laughs coming at a consistent pace, but that in no way guarantees they"ll be anything more than a one hit wonder. Jon Lucas and Scott Moore, the writers of "21 and Over" can attest to that.
A quick glance at their filmography shows writing credits for "Four Christmases," "Ghosts of Girlfriends Past," "The Change-Up," "The Hangover" and "The Hangover Part II". Precisely one of those movies was funny enough to be good. If their last couple movies are any indication, what they're doing now is no secret. They're trying to capture the magic that was "The Hangover," but comedy requires surprise. It requires fresh ideas, not rehashes. They basically remade "The Hangover" with "The Hangover Part II" and now they've done it again with 21 and Over.
As with "The Hangover" movies, the story here revolves around a mystery: where exactly does Jeff live? They're give clues of course, but they're so blatantly obvious, it's insulting. When the characters finally figure it out 45 minutes to an hour after you already have, it means nothing. The story exists solely as a means for the characters to get in wacky situations and force as much alcohol down their throats as possible. This gives way to slow motion puking and the eating of a tampon, which, I suppose if you're really that drunk, could look like a candy bar.
This type of humor is of the lowest form. It grosses out to gain laughs, it tries to convince that the mere sight of a naked man is somehow funny and it overvalues the otherwise normal day that is someone's 21st birthday by devaluing things that actually matter like friendship and happiness.
"21 and Over" is the most wrongheaded party movie since last year's "Project X," which shared a similar skewed view of the world, one that would be easy to dismiss were it not so sad. I don't want to over exaggerate; this is not a cinematic travesty-it contains at least a few legitimate laughs-but it's repulsive, immature and poorly written. It's a retread of Lucas and Moore's previous work, so why waste your time with it when the same, but superior film exists elsewhere?


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|Project by dgreen50
|posted 09-23-2016 06:26 PM
|1047 views
|2 times favorited
|7 comments
This project resulted from my wife needing a place to put her ring when she washed dishes —so she would not lose it. The cup itself is elm as far as I can tell and the saucer is maple. The top is wenge and the handle is walnut. the "steam" rising off the wenge is represented by painted dowels cut and re-glued. The finish is mineral oil. The challenge of this project was top turn the cup and saucer in a pleasing proportion which I think I accomplished. Anyway it is something different to add to my box making and wood turning skills.
7 comments so far
#1 posted 09-23-2016 08:05 PM
Oh, steam.
-- Directions are just the Manufacturer's "opinion" on how something should be assembled. ----Mike, Waukesha, WI
#2 posted 09-23-2016 11:36 PM
That is very cool.
-- Roger from KY. Work/Play/Travel Safe. Keep your dust collector fed. firstname.lastname@example.com
#3 posted 09-24-2016 12:16 AM
Very cool and nice looking ring box! I originally thought this was for an engagement ring—would have loved to see the look on the bride's face when she got this thing!
-- Dean -- "Don't give up the ship -- fight her 'till she sinks!" Capt James Lawrence USN
#4 posted 09-24-2016 05:50 AM
I thought someone had stubbed out joints on your project. :) Good work.
-- Rick M, http://thewoodknack.blogspot.com/
#5 posted 09-24-2016 10:40 AM
Very smart idea for ring storage and it will fit good on kitchen desktop.
-- Ivan, Croatia, Wooddicted
#6 posted 09-24-2016 03:48 PM
I like how you think, and now you have me thinking. Nice work!!
-- My reality check bounced...
#7 posted 09-24-2016 05:01 PM
This is very creative and it looks great.
helluvawreck aka Charles
-- helluvawreck aka Charles, http://woodworkingexpo.wordpress.com
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Hello everyone, have been out of the loop for a while now in posting new blogs for everyones enjoyment! Had a minor surgery and now I am recovering. Trying to get back into the swing of things that keep my grounded, like blogging about anything! Just wanted to also thank everyone for the prayers/thoughts during and after my surgery. I really won't know more until next week, so I will keep you all posted. In the meantime I will have something new posted for later today. Please feel free to share your thoughts and comments. But to add a little punch into this catch up blog, I wanted to post a video for you all to see. Please take a look.
Filed under: Everyday Thoughts, Spiritual |


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Journalist and game inventor Walsh presents a lovely tribute to the unsung heroes who brought us the classic toys that have enchanted millions.
This large-format, colorful book on the genesis of particularly successful toys fuses the captivating weirdness of the Guinness Book of World Records with the fine explication of The Way Things Work. First, Walsh lays out a few parameters: the toys had to be over ten years old, they had to sell in the tens of millions and up, they had to be developed outside the mega-toy companies--this is a salute to the entrepreneur--and the inventor had to be known (thus no tops or jacks). Walsh's house of marvels starts with the dawn of the 20th century and the Flexible Flyer, continuing on to the Beanie Babies. This is human-interest territory, for the inventors were often misfits who worked in their garage or had a sudden inspiration that would be their one-and-only contribution to toyland. The enthusiastic text complements the handsome photography, and Walsh isn't afraid to traipse into the psychology of toys--the vulnerability of Raggedy Andy, the scent of a Crayola--or explore the radical politics that led to the Landlord's Game (a precursor of Monopoly): "a practical example of the immorality of rent gouging, land monopolies and other corporate monopolies." He offers the goods on the inventor of the Slinky, who ran away from his family to join a Bolivian religious cult; the bawdy roots of Barbie; and the first Super Ball, which surprised even the inventor, Norm Stingley: "as soon as I opened the mold this stuff immediately tried to get out and tore itself to pieces." When it comes to the enigmatic Rubik's Cube, Walsh gives no solutions away--but then maybe he couldn't, since it's the purlieu of abstract group theory and presents 43 quintillion wrong combinations. So don't feel bad.
A worthy, fascinating, and overdue tip of the hat to toymakers who have made so many so happy.


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No products
A fantastic educational game from the multi-award winning Chimp and Zee range. Each player gets three silly socks to start and on their turn each player takes a sock from the machine. If that sock matches one they already have they keep it and put it in their laundry basket, but be careful! If you pull out a pair of pants you lose your turn! The first player to collect three matching pairs wins. This game contains a 3D washing machine which will keep children entertained. Silly Socks is great fun for children and easy for parents to explain. Silly socks can help your child learn through play. Easy to set up, you can start playing in just a few minutes and everyone has a chance to win. Only takes ten minutes to play and is great fun even when it's not your turn. Helps to teach about colours, shapes, matching, and co-ordination along with developing the ability to play together. The game is presented in a quality cardboard carton complete with carry-handle and glitter printing. This game is for 2 - 4 players and suitable for ages 3 - 5 years.
Contents: washing machine with plastic door surround, 4 washing baskets, 32 socks (16 pairs), 4 pants, rules.
Warnings: Not suitable for children under 36 months, small parts, choking hazard.
Availability date:


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Copper fell today as attractiveness of industrial metals declined on negative macroeconomic data from Europe and the United States. The bad fundamentals erased yesterday's positive mood and drove most commodities down.
The eurozone manufacturing Purchasing Managers' Index slipped from 47.7 in March to 45.9 in April, the lowest level in 34 months. German unemployment increased by 19,000 jobs. That was an unpleasant surprise as analysts predicted a small decrease.
While traders get used to bad news from Europe, the USA usually was a source of optimism. It was not so today. Factory orders declined by 1.5 percent. Employment rose by 119,000 — not a bad figure if one forgets that forecasters promised an increase by 178,000.
All in all, today was a bad day for commodities. Nonfarm payrolls will on be released on Friday and should have a great impact on markets, confirming today's employment report or proving it wrong. An interesting thing is that poor employment may be not a totally bad for riskier assets. The Federal Reserve may consider a next round of easing if the employment situation will become bad enough. Quantitative easing means a weaker dollar and higher prices for commodities as a result.
Copper price was down from $3.8300 to $3.7855 per pound as of 18:37 GMT on COMEX today, while daily low was $3.7655.
If you have any questions and comments on the commodities today, use the form below to reply.


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Exceptional home with OCEAN VIEWS just steps from the ocean access! Elevator serves all floors. Central vac, 3 family rooms, multiple master suites, tons of owners storage and a true garage. Proven rental history with great potential adding back in owner use time. Awesome cul de sac location adds privacy and peace of mind. Private Pool and Hot Tub. Backs to community open space. Top level features bright open living plan with generous size kitchen and stainless appliances. A half bath. Large dining area and ships watch with glorious views of the ocean. The largest of the master suites is on this level and boasts a separate shower and soaking tub. Mid level has 4 bedrooms and a large great room with deck access to the hot tub. The lower level offers two bedrooms, full bath and a recreation room with kitchenette , ping pong and sitting area. Community features include Pool, Tennis, Beach access, Nearby bike paths. Stocked 7 acre lake for fishing fun.
Listing courtesy of Premier Properties Of The Outer Banks.
Listed by Whitney Hawkins
Copyright 2018 Outer Banks Association of REALTORS®. All rights reserved.
The data relating to real estate for sale on this web site comes from the Broker Reciprocity Program of the Outer Banks Association of REALTORS®. Real estate listings include the name of the brokerage firms and listing agents. Information is believed to be accurate but is not warranted. Copyrighted by Outer Banks Association of REALTORS®. All rights reserved.
Real estate listing held by brokerage firms other than Real Estate Company are marked with the Broker Reciprocity logoSM or the Broker ReciprocitySM thumbnail logo (a little black house) and detailed information about them includes the name of the listing brokers.
This information is deemed reliable, but not guaranteed. Neither the Outer Banks Association of REALTORS®, nor the listing broker, nor their agents or subagents are responsible for the accuracy of the information. The buyer is responsible for verifying all information.


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Why Black Note Is The Perfect Gift To Send This Holiday Season
The season of giving is almost here again, and for most of us that means frantic scurrying around hot, busy department stores, trekking through the frosty air laden with heavy bags, and battling for parking lot spaces all in the hopes of securing the perfect gifts for friends and family.
Getting gifts right is crucial, and can often be just as stressful as the shopping experience itself- how many times have we stood in front of a selection of sweaters or socks, comparing the merits of each before making a dubious selection we hope the reciprocator will at least pretend to be thrilled about?
But there is a far simpler option than wracking your brains over generic and often meaningless products. If you're gifting a smoker, choose a close substitute to traditional tobacco products that doesn't contain the harmful chemicals. If you're gifting a vaper, choose products you know they will use and enjoy.
As any vaper will tell you, e-juices are always a gift gratefully received. As they are expendable, vapers will always need more. So, not only is an e-juice a thoughtful gift that reflects their lifestyle, but you'll also be safe in the knowledge that you're not wasting hard earned dollars on a useless present. The incredible range from Black Note are perfect if you're thinking of gifting a vaper this Christmas.
The Line Up
Amongst the plethora of gimmicky flavors, tobacco is up and above the most popular choice for many vapers. Black Note gets as close to the real thing – our products even capture the smell of fresh, high quality tobacco that for has nostalgic connotations for many generations. Every flavor note is free from colors, dyes and additives, with lab reports available for each blend, so you know that the gift you are giving is truly of the highest quality.
The e-liquids from Black Note are a real indulgence, like a good bottle of whiskey. Each crop of tobacco plants used are specially selected and cross-bred to ensure only the healthiest varieties are used for each flavor note. Each blend is crafted from years of experience to produce e-juices that have an individual personality which can't be replicated in a lab or factory floor. Gifting a Black Note e-juice is gifting a first-class experience to be enjoyed and savored.
If you're looking to go all-out, why not consider an e-juice equivalent of a selection box? The Classical Notebook contains an example of each unique e-juice, so whoever you're gifting will be able to sample each flavor. Intrumenthol contains a choice of premium blend 10ml Black Note e-juices, including our special menthol blend.
Customized Labels
The Black Note 30ml bottles are perfect as stocking stuffers. Each comes in premium, individual packaging, and it's even possible to include a personalized label, so each gift can carry a unique message to that special person. Also, who doesn't love a gift that has been tailored especially for them, with their name on it? The best part is it won't cost you any money, as we offer the label customization service totally free of charge.
The Classical Notebook and Instrumenthol are both displayed in a stunningly superior presentation box that reflects the refined nature of the e-juices they contain. It also makes wrapping a breeze.
Black Note Guarantees
The best part about choosing Black Note as a gift this Christmas is that you can order online, which allows you to dodge all the tedious hours spent stuck in December traffic and trawling endlessly round over-crowded shops; your gift will be delivered directly to your door, and you can even track its progress through the web page. You really can't go wrong with a gift from Black Note, as we're so sure you or your friends and family will love our e-juices, we offer a 90-day money back guarantee and all U.S. orders are eligible for free return.
We also offer a loyalty promotion; If you've already been enjoying the Black Note experience, you can earn points through our reward system, so you could even treat yourself to an early Christmas present after all your thoughtful gifting.
Michael Grey
Latest posts by Michael Grey (see all)
- Why Black Note Is The Perfect Gift To Send This Holiday Season - Dec 9, 2016
- How E-cig Flavors Can Help You Kick Your Smoking Habit - Oct 25, 2016
- Should 'Kid Friendly' Vape Flavors Be Banned? - Oct 24, 2016


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Yamaha Psr Keyboard
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Categories: Uniforms & Workwear : Scrubs
Fashion Seal Healthcare® Ladies' Printed V-Neck Tunics - Superior Uniform Group Inc
- 65/35 Fashion Poplin® Prints
- Set-in sleeves
- Side vents
- 2 lower pockets
- Scissor holder in right pocket
- Reinforced, bartacked V-neck
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Beckham's Barn Rock and Gem Shop
Reprint of article in Lake Murray Magazine - April 2006 - copyright THE STATE. Used with permission
What a gem!
| In the
Midlands, thousands of these natural wonders can be found in one place
— Beckham's Barn, Rock and Gem Shop in Irmo, where owner Joan
Beckham still pursues her little-girl fascination with rocks. "It's
like a hobby that got out of control," she says. "I appreciate the
finer gemstones, but I like snakeskin agate and ocean jasper, too. Those
minerals still fascinate me."
Beckham and her late husband, Claude, opened the shop about 25 years ago. Her knowledge of rocks comes from lifelong study and visits to gem shows across the country. The largest national show is in Tucson, Ariz., every February. But the State Fairgrounds hosts one each November. Beckham also is affiliated with such local organizations as the S.C. Gem and Mineral Club.
In her barn-like shop on Kennerly Road near Irmo, Joan moves from stone to stone, saying complex genus names with ease. "Here's some fluorite, selenite and calcite in white, blue, green and orange. There's blue Celestite and labradorite from Madagascar. We have uvarovite, a green garnet found only in Russia. We have Baltic amber and many newer types of amber from South America. Now that other countries are opening up their borders to gem exploration and stones are being polished in different ways, more things are available now than ever before."
On a hobby level, Beckham says, it is a lot of fun to cut and polish rocks, and she has all the materials and machines for that. "Some of our customers are also interested in making their own jewelry. Although we don't do any jewelry designing here, we do offer bead-stringing, bead-knotting and wire-wrapping classes."
Children who come into the shop love pyrite, or fool's gold, because it looks like real gold but is fairly inexpensive.. Children also like tumbled stones because they are smooth and feel good in their hands.
Some older children are becoming collectors. "One regular customer is a 12-year-old boy who spends his allowance on faceted stones" "He has quite a nice collection so far. He has some tourmaline, a pretty little emerald and a small, odd-shaped sapphire that would never have worked in jewelry but it's a great piece in a collection. These are all very affordable, just a few dollars a piece in most cases."
Some of her adult customers are intrigued by crystals and what they believe to be healing powers. A collector might buy a beautiful crystal cluster. A natural-healing enthusiast might buy a larger, less intricate specimen. "We have lots of natural crystals and healing wands made of solid stone." "I believe in the soothing nature of rocks. One of the most memorable trips I ever took was to a rock show in Nevada. On the way there, we stopped at the Valley of Fire in a national park just outside Las Vegas. The rock formations were beautiful and so calming."
To show off some of the shop's natural crystals, joan points to a foot-high geode displayed on the floor. "See that?" she asks. "See how it's been cut open? That's some beautiful amethyst in the center. And here's more quartz: clear, smoky, citrine and rose. Quartz has six sides, all uneven. Some of our customers like the state's official gem, which is amethyst, found in Antreville. The purple comes from small amounts of iron."
To help explain color and quality, Beckham reaches into two bowls and plucks out two amethysts: one is lavender, one is deep purple.
"See the difference? The pale stone is a South Carolina amethyst. It's not as colorful, not as valuable as a darker amethyst from, say, Brazil. But it's a South Carolina stone, and it's pretty rare, and that makes it interesting to a lot of people."
Other South Carolina discoveries include garnet, found near Lake Murray. The state's official rock, blue granite, is found in Winnsboro.
"This mica is from South Carolina," she says, holding a small, white rock in her hand. "Mica is actually a large group of about 30 minerals. Here's another South Carolina mineral: barite, from McCormick County. It's usually colorless or white. In jewelry-making, it's often used as a backdrop for brightly colored crystals."
Nodding toward a shelf full of brown rocks, Beckham points out that up close, the rocks are surprisingly rich and lustrous. "Petrified palm wood," she says, picking up a hefty slice of solid rock. "Thousands of years ago, it was real wood here in South Carolina. Thanks to volcanic activity, pressure and lots of time, it has turned to stone. You can see these pieces have been polished by man, but inside they're marked by nature. We also have petrified wood from Arizona, Washington and Oregon, but customers like the South Carolina samples best."
When asked what her favorite stone is, Joan pauses a moment before answering. "I have several, but one of them is yellow sapphire," she says, offering up the large, emerald-cut ring on her left hand. "I love sapphires in general. They are such hard stones, and they sparkle."


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Hi All, The past few years have been witness to helpful advances in web accessibility for people with disabilities. On the technical side screen readers and web browsers are getting much better at presenting a very functional and friendly web. Quality guidelines on how to construct web sites have also made progress thanks to efforts by many associated with the W3C and similar groups around the world. However at times I can't avoid the feeling that those of us interested in web access are a bit like the people who set sail on the Titanic so many years ago. Take a browse to <http://turbotaxweb.intuit.com> and you might see what I mean. This is Intuit's online version of their popular Turbo Tax product. The combination of design and technology that Intuit is using virtually eliminates any of the advances made in web accessibility over the past few years. Those using screen readers and web browsers incorporating Microsoft's Active Accessibility might as well turn that feature off. Aside from a few links to leave the Tax return and such, the Online Turbo Tax site does not use any links that you can use to navigate the program. The opening screen of the web site is just one example of what can be found throughout Turbo Tax Online. You are asked whether you want to start a new return, continue and existing one or transfer data from last year. However the only links one finds on the page are for information about privacy and copyrights for the web site. To successfully choose any of these start points, screen reader users must turn on whatever commands their program uses for mouse navigation and issue actual mouse clicks on the text associated with each feature. Attempting to use Turbo Tax online reminds me of trying to use Netscape when that browser first came out and lacked any keyboard navigation. You must ask for the font of text on the screen to determine what is a link that you can select. Microsoft Active Accessibility and Internet Explorer make using Turbo Tax online a bit easier. You can review the onscreen text in a screen reader fashion but when moving the mouse pointer to issue actual clicks, you are navigating the screen reader unfriendly version of the page. As an example, choosing the Start New return option takes you to a page where you must read and acknowledge a usage agreement. You can read this with the JFW Virtual PC or Window-Eyes MSAA mode on but then must find text near the bottom of the page indicating that you Accept or Do Not Accept. These are not links so you'll have to issue mouse clicks on the text. And so it goes with the rest of the program. I have not used the web site enough to know whether one can successfully complete a tax return with the limitations I've described. The help for the web site talks about being able to navigate from section to section of the Turbo Tax Easy Step Interview for example but once I've started a return I haven't found a way to do that with a screen reader. Following step-by-step I have been able to enter basic demographic and tax filing status details about myself. The income screens come next and my initial impression of those was that they were quite cluttered because again it is difficult to know what's a link and what is not. I and I suspect others will write to Intuit asking them to address these issues. The fact that their software programs like Turbo Tax, Quicken and alike get more and more inaccessible with each new release doesn't leave me much hope that the online version of their programs will be much improved for next tax year. For this year it is more of the trial and error of assorted software that's unfortunately all too much of the reality of accessing the computer with a screen reader in the year 2000. While I don't desire the days of DOS again, I do wish the state of accessibility with the computer would return to one where we are asking: "How do you use that program?" more often than "Does that program work with a screen reader?" I'm a realist though and by no means am I discounting the advances that have been made in accessibility. For anyone, access technology user or not, it is plainly obvious that one can do much more with a computer today than one could five or ten years ago. However, as a percentage of the total one can do with a computer, I do believe that what screen reader users can successfully do has declined as computing technology has advanced in the past several years. As a comparison, suppose at the zenith of computing accessibility what someone not using a screen reader could accomplish was worth $1,000. I'd estimate that screen reading access in terms of a percentage was worth $800 or eighty percent of the computing applications were available to a screen reading user. Let's say that today the total one can do with a computer is worth $10,000 I'd honestly say that what one can access successfully with a screen reader is worth about $5,000 or at best fifty percent of the total available without a screen reader. Obviously we are all better off today than in the past but my point is that screen reading users are falling behind. KellyReceived on Saturday, 15 January 2000 05:47:29 UTC
This archive was generated by hypermail 2.3.1 : Tuesday, 13 October 2015 16:21:07 UTC


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Nollywood actress, Juliana Olayode has giving us some hint about something dark that happened to her when she was a little girl.
Olayode who was in the TV series "Jenifa's Diary" joined millions of people by posting her woman crush Wednesday yesterday, August 9, 2017. The actress this time around showed herself some love by posting a throwback photo of her.
In the caption of the photo was a line about sexual abuse. "My #wcw goes to this cutie. This was me, many years ago. It was about this time, the sexual abuses began. It was torment in those days... Details are in Chapter 2 of Rebirth" she wrote.
"Rebirth: From Grass to Grace" is Juliana Olayode's autobiography. "Writing this book brought me a mix of emotions. I cried hard, laughed hard, smiled, giggled…and had to forgive some people over and again" wrote the actress on her site.
On her Instagram page on Wednesday, August 9, 2017, this is what she wrote about her autobiography and its release.
"I am finally naked, but unashamed. You have been asking me what #rebirth is. Now, you know! I have been counting down, for months, to the release of my book, Rebirth!
"I fought the idea when it was suggested; I did not want to spill my beans for the world to read. Social media celebrity attacks are vicious enough already, why add more fuel to the fire?
"I eventually gave in though. Why? Because I want you to know me. I want you to know I am just like you. I failed, struggled, and faltered like you, but in the end, my story changed in untold ways.
"I shared very personal details; hawking on the streets, suffering sexual abuses, dropping out of school, failing at auditions and more.
I cried a lot while writing this book. I also smiled and laughed. I am sure you would tell me you did the same after reading the book.
"It is my utmost desire that reading Rebirth would be a major turning point in your life. If Juliana Olayode, once a beggar on the streets, could become the celebrated figure she is today, across the world, then you have no excuse to settle for anything short of GREATNESS!
"The book is full of surprising revelations. I promise it would be a worthwhile read."
Rebirth: From Grass to Grace will be released on Wednesday, August 16, 2017.
Juliana Olayode left Jenifa's Diary in May 2016. Popularly known as Toyosi in on the TV series, she took to her website to write about her relationship with Funke Akindele, popularly known as Jenifa.
In a two-part post, the actress shared who Funke Akindele was to her, and who she was to the award winning actress.
According to her, the post is a response to people who have described her as proud and misunderstood her exit from "Jenifa's Diary."


text: This reminds me of my old iPhone 4... Once a couple of days no matter who I call or where I am the call drops. When I take the phone away from my ear it's says "Call ended". My proximity sensor is working just fine, at least I think so... I do not think that this is a iOS bug since my other iPhones with iOS 6.0.1 do not have this problem. What should I do ? I can't take it to Apple because I live in Romania and..well, there is no Apple here... Only Premium Resellers, Authorised Resellers and Authorised Carriers (The Carriers sell only iPhones & iPads) If I take it to Orange Romania I have to wait about one week until I recieve a new iPhone because I live in a medium town at the border with Hungary and the Orange Service is in Bucharest (capital city) wich is like 1,000 KM away from me. (Orange Romania is my Carrier. Got my iPhone on a 2 year contract : iPhone 5 16GB - 358 Euros and 31 Euros per month for 2 yers - pretty damn expensive !) Also, there is a chance I will recieve back my iPhone becase this happends once a couple of days so the guys at the Service will test my iPhone a couple of hours and if they don't see the problem they will just send it back to me and say that there is no problem so yea, it sucks b*lls. Is this a iOS bug or my iPhone 5 has Antennagate ? What should I do ? Any suggestions ? (Sorry for my english) Kudos !


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Aeronautical Development Agency, (ADA), an autonomous Body and a Society under Ministry of Defence, Govt. of India, entrusted with the task of Design and Development of Light Combat Aircraft (LCA – Tejas). ADA is in need of bright, young and energetic engineers for Project Fellowship as Project Assistants, as per details below
Name of the Organization:
Aeronautical Development Agency
Last Date:
29th April 2016
Age Limit:
Up to 28 years (General) 31 (OBC) and 33 (for SC/ST)
1. Project Assistant {01 Post}
Pay Band
Rs. 25,000/- pm plus HRA as per rules
Educational Qualification
First Class B.E. / B.Tech / Equivalent (Aeronautical Engg / Mechanical Engg / Electrical & Electronics Engg / Electronics & Communication / Electronics & Instrumentation Engg / Computer Science Engg) with minimum 60% Marks or 6.75 CGPA and a valid GATE score (2015 / 2016)
How to Apply :- (a). Candidates are requested to apply only on-line.
(b). On registration, applicants will be provided with an on-line Registration Number which
should be quoted for future reference
(c). Registration is kept open from 01st April, 2016 to 29th April, 2016, till 17:00 PM.
(d). The candidates must submit the online application well in advance without waiting for the closing date. Print out of the application will be required to be submitted at the time of interview.
(e). The candidates are required to upload the following documents compulsorily without which application will be treated as null and void:-
(i). Scanned photo of size 110Wx140H px (Image JPG).(file size should not exceed 25KB)
(ii). Scanned legible copies of Degree Certificate/ Marks card PDF file and the file size should not exceed 1 MB.
(iii). Scanned legible copies of GATE score card PDF file and the file size should not exceed 1 MB.
f. Only those applications received against present advertisement shall be considered for short-listing and selection of candidates for Project Assistant – 1. Whoever has already registered in the website, should apply afresh with valid GATE score as applicable.
Important Links


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Ninja Chronicles
Wednesday, July 3, 2013
Researcher Reports Two HIV Patients Showing No Signs of Virus in Wake of Stem-Cell Transplants
"Dr. Timothy Henrich of Harvard Medical School and Brigham and Women's Hospital in Boston today reported on the case of two HIV-positive patients who show no trace of virus following stem-cell transplants. The findings were presented at the International AIDS Society Conference on HIV Pathogenesis, Treatment and Prevention in Kuala Lumpur, Malaysia."
Full story via Amfar.org:
Published Wednesday, July 03, 2013
Newer Post
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It's Easter and here in England that means time for hot cross buns. The fact that you can buy them in the shops since shortly after Christmas doesn't take away the enjoyment - although I can't imagine why you'd eat the buns before Easter?! Someone must do, since the shops sell them, right?
Anyway, I made these myself yesterday, and boy! are the home made version 100 times scrummier than the store bought kind! And they make the whole flat smell sooooo nice. These are already good reasons for making the buns.
But recently I've been thinking about traditions. Since I've moved to England, traditions have become more important to me. They are like a string of pearls that divides the year and ties me to Denmark and my history.
Which is probably why I make such an effort to make different things during the year, things that I used to do with my own family, like making Christmas cookies and marzipan, or baking fastelavnsboller before Lent. Some of these things I've actually never done alone before, my mum would usually do them and I'd be a mere recipient.
Now I do these things, and I feel more connected to them and why I/we do them at those times of year. Also because I sometimes feel I need to know more about them to explain them to T. I find it interesting how we do things quite automatically, these traditions. Only when we're "thrown out" of our own culture do we start to really see our own traditions. And discover that they do have meaning for us, other than simply going through the motions.
The meaning certain traditions have for us may be rooted in your religious reasons for celebrating (or whatever, usually there is some kind of celebration, with food!), the history of your country etc.
To me I think the most important part of keeping these traditions 'alive' although I live in a different country, is the memories I have of doing these things all my life, with my family. Continuing the traditions is a way of feeling connected with Denmark and my family and friends.
But then there are also new traditions. The English ones. I feel that, living here now, I must get to know them, perhaps to better understand the people here. Although I doubt I'll ever feel English! And we are two people here, so all sorts of things need to somehow amalgamate into... a third thing, perhaps..? I'm not sure, entirely.
Also, I want to take in the English traditions for T, because it shouldn't just be the Danish ones that are home made as it were. And that brings me back to the hot cross buns. They're English, but I'm not. Still, I can make them and enjoy them too.
However, I don't think I'll ever like tea!
Did this make any sense at all?


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NASHVILLE - Senators today approved Republican Gov. Bill Haslam's plan to limit jury awards in civil damage lawsuits.
The 21-12 vote was largely along partisan lines and followed some four hours of often contentious debate.
It caps damages for noneconomic damages like pain and suffering at $750,000. In "catastrophic" cases such as severe burns or paralysis, the cap is $1 million.
House members passed the bill earlier this week, but the Senate version must go back to the House to deal with minor changes.
Republican proponents said the business-backed bill boosts job creation by promoting more predictability for companies.
"It's the global economy," Senate Majority Leader Mark Norris, R-Collierville, told colleagues.
Norris said lawmakers "on both sides of the aisle have railed all year long about the importance of jobs and economic competitiveness. What we're discussing is legislation that's designed to put us on a level playing field and, most importantly, it is designed to provide predictability and certainty for businesses."
Democratic opponents, however, charged the bill substitutes the judgment of state lawmakers for that of juries and also rewards "bad actors" and swindlers like ponzi-scheme operator Bernie Madoff.
Juries, said Sen. Andy Berke, D-Chattanooga, are a "way for citizens to play the most important role we have in our society" and serve as a "check on the abuses of power.
"Who better to make these decision in society? We do not allow the powerful ... and the rich to make these decisions but our juries," Berke said.
Sen. Eric Stewart, D-Belivere, later chastised colleagues, saying, they "put a price on the life of our children. They put a price on the life of our parents and grandchildren. They put a price on the life of the weak, the paralyzed, the neglected - all under the guise of economic development."


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CHARLES Green yesterday blasted HMRC after Rangers were consigned to liquidation – and the prospect of playing in the Scottish Third Division under a new name.
HMRC rejected a CVA offer by Green's consortium that would have given those owed money 9p in the pound.
The hammer blow means liquidation will be rubber-stamped tomorrow, when the CVA is officially rejected by creditors.
Green will now buy the club's assets for £5.5million – the same sum administrators Duff and Phelps, who will be replaced by accountants BDO as liquidators, have collected in fees.
Last night, angry Green insisted the club will keep the name Rangers Football Club and still play at Ibrox. And he pleaded with other clubs not to consign the newco to Division Three.
Green said: "Let's not gloss over things – at the moment, if the CVA does fail on Thursday, and it is looking as if it will on HMRC's current position, then we are not even in the SPL. Forget about playing in Europe, we might not even be playing in Glasgow."
But he then added: "The solemn promise I can make to Rangers fans today is that this club will continue as Rangers Football Club and will continue to play at Ibrox Stadium.
"I am hugely disappointed by the decision of HMRC not to support the CVA proposal. That disappointment will be felt acutely by Rangers fans across the world.
"Frankly, I do not see what benefit will be achieved by this decision. My consortium's offer for a CVA amounted to a total of £8.5million.
"Now we will have to complete the purchase via the formation of a newco, the purchase price and therefore the amount available to creditors will be £5.5million.
"I can understand HMRC deciding that football clubs which do not pay their taxes need to be punished, but by effectively banning Rangers from Europe for three years all that will happen is that there will be less revenue generated by the club and less money paid to the taxman."
The fallout from the liquidation means former owners of the club, including Craig Whyte, could be the focus of legal action as the taxman tries to recoup the lost millions.
Liquidation means the club's new owners escape the debt of £21million to the taxman, as well as the "big tax case" bill, estimated at £75million.
Whyte, who used future season ticket sales to buy the club, could also be pursued after he shut down payments to HMRC as the club careered towards administration.
Both HMRC and Ticketus, the other major creditor, are not expected to challenge the newco purchase deal Green has struck with Duff and Phelps.
SPL clubs must now decide whether they want Rangers to remain in the league – or to banish them to play against the likes of Annan Athletic, East Stirling and the other Rangers, from Berwick.
Fans of other clubs have been lobbying their team's directors, demanding they boot Rangers out of the SPL after believing the EBT scheme amounted to "cheating", in allowing Rangers to pay wages to big signings they would otherwise not have been able to afford.
HMRC claim their decision allows Rangers to make a fresh start.
They said: "A liquidation provides the best opportunity to protect taxpayers, by allowing the potential investigation and pursuit of possible claims against those responsible for the company's financial affairs in recent years. A CVA would restrict the scope of such action.
"Liquidation will enable a sale of the football assets to be made to a new company, thereby ensuring football will continue at Ibrox.
"It also means the new company will be free from claims or litigation in a way which would not be achievable with a CVA. Rangers can make a fresh start."
Administrator Paul Clark said he was disappointed the CVA failed. He added: "We've structured a deal with Charles Green so if a CVA couldn't be concluded, we still had the fall-back of a new company and an asset sale which would mean Rangers would survive."
Clark blamed "delinquency" on tax payments for the HMRC pulling the plug on any CVA.
He said: "They feel that because of the company's previous delinquency on its tax payments and their general concerns over EBTs, they felt the moneys being offered to them were simply not enough."
SPL clubs are set to vote on Rangers' future at an AGM next month.


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Kelly Clarkson
The very first winner of American Idol, she was everything that the show started out wanting to be. Coming from humble beginnings, she was a truly undiscovered, raw talent. She was sweet and could have been the girl next door. You just wanted to root for her. All these years later, I find myself still rooting for her. She has a pretty kickass name too, so there's that.
She's had a ton of great songs, but this one is probably my favorite because she's real and honest and she tells it like it is.
Kid Rock
The punk in a trucker hat, he's personifies everything he stands for. Partying, good music, total disregard for what anyone thinks about him. He's caught some heat from others in the industry for his generally conservative outspoken views, but I admire him for staying true to what he thinks even if I almost never agree with the guy. I also commend him for his summer tour pricing strategy this summer. He's about to pull off what Pearl Jam tried to all those years ago - cutting down the profits of the middlemen in music, getting back to the connection between the stage and the fans. For that, I say thank you.
Known as much for their stage antics, platform shoes, outrageous outfits and signature makeup as they are for their music, you can't deny that they've influenced rock music. Turn it up, sing along, stick your tongue out. Go ahead.
Lenny Kravitz
Quite possibly one of the sexiest men in music, he's one of my favorites. When he was cast as Cinna in the Hunger Games, I was a happy girl. Thank you sweet lord baby jesus for putting this man on a big screen. Yum. His music has always been pretty mainstream radio rock, fairly predictable, but damn good.
Kool and the Gang
They are as much a part of the 70s as any other group could claim to be. Their music just made you want to get up and dance. Go on. Get up.
Kenny Chesney
I'm not generally a fan of country music, but I have to admit to liking him. He's laid back and relaxed. I dig that. And this song...don't even get me started.
Alicia Keys
This girl is on fire. No, really, she is. She shot to fame with her first album and hasn't looked back since. Her range and control is rare, and she's one of the few singers out there who can pull of a capella performances in these days of studio alterations.
KC & the Sunshine Band
Another group with a firm grip on the 70s, they incorporated funk, disco and rock somehow, creating some of the party anthems we all know and love, and probably will forever. Did you sit down after the Kool & the Gang song??? Get back up.
Kings of Leon
This good old fashioned rock band came out of the heartland, and their music shows their roots. Composed of brothers and cousins, there is a flow to their music that just tells you they've been at it for a good long time, and that it comes from within, like they have some special connection to each other and to the music. Throw in some amazing lyrics, and this is what you get.


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Holiday 2014
Santa Claus, an Angel Tree, Holiday Photos, and Extended Hours Create a Festive Setting for Contributions to Community Partners
(ORLANDO, Fla.) – June 2014 – On Friday, November 7th, the Christmas adage "'tis better to give than receive" again rings true when The Mall at Millenia gives back with a host of traditional events and holiday activities that will warm hearts throughout the season. From a grand arrival worthy of a Hollywood premiere to donations to local charities, The Mall at Millenia has planned Christmas celebrations that are sure to create lasting family memories and fulfill every child's fantasy.
As has become tradition, each holiday season The Mall at Millenia undergoes an extravagant transformation into a festive wonderland of holiday music, décor, and events. The community celebration begins with the arrival of Santa Claus whose over-the-top entrance heralds a level of holiday spirit and decorative grandeur one can only expect from this luxury retail center. At 5:30 p.m. Santa's Spectacular Rooftop Arrival begins and at 6:45 p.m. Santa lands atop the Neiman-Marcus store where, to the echoing report of a grand fireworks display, he proclaims the start of the holiday season. Accompanied by a host of Christmas characters, Santa then makes his way to his home away from home, The Mall at Millenia's child-friendly holiday village, Hollyville.
During Santa's Arrival, attendees will find a variety of festivities taking place at the Mall's main entrance. Amidst stilt walkers, magicians, elves, and strolling entertainers, holiday classics played by a DJ ring throughout the celebration as guests enjoy food and drink samples created and donated by The Mall at Millenia food court vendors and restaurants. Admission to enjoy the entertainment is complimentary while a $15 donation per family of four, with all donations benefitting Orlando's Arnold Palmer Hospital for Children is required for access to the food and drink samplings.
Also in the spirit of the season, at noon on November 7th the Salvation Army Angel Tree begins to bloom on the second level of the Orangerie Café. Yet another way to give back to the community, during its stay through Friday, December 12th, this very special giving tree allows all shoppers to "adopt an angel" with donations creating a special holiday for local children in need.
Picture Perfect
Nearly every photo album in America shares a common likeness: A picture of a child with Santa Claus.
The Mall at Millenia is making sure this tradition continues.
From 7:30 p.m. on November 7th through 5 p.m. on Christmas Eve, Santa Claus will be at his post to greet children, hear special wish lists, give gifts, and pose for photographs that will last a lifetime. With a variety of photo styles and individually-priced packages available, guests who choose to snap their own shots are requested to make a $10 donation to Arnold Palmer Hospital for Children.
Extended Shopportunities
Although days grow short as you reach December, The Mall at Millenia offers a solution: To make visits easier and more convenient, during the holiday season more shopping hours will be added to each shopping day. (www.mallatmillenia.com/events/holiday-hours). And while it doesn't happen often in a 1.2 million square foot retail center, on rare occasions when a shopper may not be able to find the right gift, The Mall at Millenia American Express Gift Cards (www.mallatmillenia.com/gift-cards) are available online and at the Concierge Desk, solving every shopping challenge as the perfect choice for those on your shopping list. One Card. Endless Possibilities.
About The Mall at Millenia
Non-Holiday daily shopping hours are Monday through Saturday from 10 a.m. until 9 p.m. and Sunday, 11 a.m. until 7 p.m. Many restaurants are open through midnight seven nights per week. For more information, call (407) 363-3555 or visit the Mall's web site at MallatMillenia.com.
About The Forbes Company
Based in Southfield, Mich., The Forbes Company is a nationally recognized owner, developer and manager of distinctive regional shopping centers that provide exceptional retail experiences in each of their respective markets. For more information, please visit TheForbesCompany.com.
About Taubman Centers, Inc.
Taubman Centers, Inc. (NYSE: TCO), a real estate investments trust, owns, develops, acquires and operates regional shopping centers nationally. Taubman Centers currently owns and/or manages 28 urban and suburban regional and super regional shopping centers in 15 states. Taubman Centers is headquartered in Bloomfield Hills, Michigan.
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For more information, contact:
Brenda Lounsberry, Marketing Director


text: We recently had the pleasure of guiding Mark Berg on a barramundi shoot for his Fishing Addiction series, as well as an episode for The Next Level. August can be a tricky month fishing wise, as it's often the change-over month from winter to summer species. As it happens, we had a hot spell in July and plunging temperatures both on land and water in August, which did not make fishing easy. Knowing we had to produce quality fish, we made the decision to head north, as we knew good Barramundi were being caught in Peter Faust Dam. Peter… read more →


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Las Vegas Hotels! Official Site! Best Deals! Lowest Discount Prices Everyday! Las Vegas Cheapest Hotels!
We have all the casino hotels at discount prices! Cheapest room rates, economy Las Vegas hotels with casino. Las Vegas Strip, cheap hotels and lowest prices on hotel rooms. Our cheap room rates and cheap hotels are right in the heart of the Las Vegas Strip. The best deals for hotel rooms at the Bellagio, Luxor, Venetian, Paris Las Vegas, Mandalay Bay, MGM Grand! We are Las Vegas Hotels, Official Site, lowest priced hotel Reservations. Las Vegas casinos and casino hotels. Room rates, hotel rates, Las Vegas casinos and hotels. On the Las Vegas Strip the casinos, and hotel discount, best deal, and best hotel discounts at the following economy
hotels. For cheap hotels, or cheapest room rates in Las Vegas, our Las Vegas cheap hotels and Las Vegas cheapest hotels are a best deal.
Updated Sunday, December 16, 2018
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Las Vegas Hotels, Cheapest Room Rates in Las Vegas.
Las Vegas Casinos


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Daily transfer news and rumours roundup - 29th November 2016
Here are the top transfer stories and rumours from 29th November 2016 featuring Theo Walcott's shock admission about one of his teammate's future at the club. Meanwhile, Inter Milan are ready to test Chelsea's resolves in January by making a big money move for one of their biggest stars.
However, the biggest news of the day has come from Paris where PSG have finally made their move to break the MSN trio at Barcelona.
Lionel Messi heading to PSG?
PSG officials have reportedly initiated talks to sign Lionel Messi in a reported £200million deal next summer. Messi's future at Barcelona has come under increasing doubt after the Argentine refusing to sign a new deal with the Catalan club. It is believed that Messi is looking for a fresh challenge and sees Premier League or Ligue 1 as his ideal destination.
PSG are ready to break the bank to land Messi and beat the likes of Manchester City, Manchester United and even Real Madrid to Messi's signing.
Inter ready to bid £ 50milion for Diego Costa
Inter Milan are ready to shock the entire football world by making a £50 million bid for Chelsea's Diego Costa in January, according to reports from Calcio Mercato. The report suggests that Costa is still not buying into the idea of Antonio Conte's style of play and their public bust-up a couple of weeks ago has made the matter even worse. Although Costa is scoring goals for fun, he is not ruling out the possibility of quitting Chelsea in the near future.
Walcott confirms Giroud's frustration
Theo Walcott has given Arsenal fans food for thought after the winger openly claimed that striker Olivier Giroud is getting increasingly frustrated at the lack of starts he has got in recent weeks. Despite scoring a late equaliser against Manchester United, manager Arsene Wenger has decided to stick with Alexis Sanchez as his main man which has sparked rumours of Giroud leaving Arsenal in January.
New suitor identified in Memphis Depay's chase
Serie A side AS Roma are set to sign Manchester United outcast Memphis Depay on a season-long loan in January. Everton and Spartak Moscow were in contention to sign Memphis in January, however, United want Depay to gain his confidence back and believe that a slower paced league like Serie A could benefit the Dutch winger. A decision on Memphis' eventual destination is yet to be made.
Everton to beat Manchester United and Liverpool to sign Van Dijk
Everton manager Ronald Koeman is ready to anger his former employees Southampton after declaring his interest in in-form defender Virgil Van Dijk. According to reports from Daily Star, Koeman has initiated talk with Van Dijk's representatives and is even ready to pay Southampton's £40million asking fee. Koeman believes Manchester United and Liverpool will make a summer move for Van Dijk, hence the Everton boss is adamant on closing a deal in January.
Courtois holding Chelsea to ransom with Real Madrid interest
Chelsea goalkeeper Thibaut Courtois has put his new deal on hold amid growing interest from Real Madrid, according to reports from Marca. The report claims that Courtois is not sure of extending his Premier League stay once his contract ends in 2018 and Real Madrid's willingness to bring the Belgian back to La Liga has put an end to Chelsea's hopes of agreeing a new deal with Courtois.
The 24-year-old will wait till Real Madrid's transfer ban is ended in January 2018 before deciding on his future with Chelsea.


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Great racing at county novice road event
Moyne village played host to the County Novice B Road Championships last Sunday where athletes had to contend with strong headwinds.
In the Ladies 3k a group of four athletes went to the front right from the start, with the wind at their back and they included Rebecca Doocey (Clonmel), Aine Doocey (Fethard), Frances Long and the eventual winner Brigid Gleeson, both representing the host Club.
These four athletes were still together at 1k and also as they turned at halfway for home. Then as they approached the 2 km mark Brigid and Frances upped the pace that saw them pull clear of Aine and Rebecca and from here to the finishing line they matched one another stride for stride and it was only very close to the finishing line that Brigid edged in front to win her first County title in 12 mins 48 secs with Frances winning the Silver medal one second adrift, great performances by both athletes.
In the battle for the Bronze medal Rebecca edged in front with 500m to go and she kept that tempo going all the way to win the Bronze medal when finishing strongly in 12 mins 52 secs with Aine Doocey finishing 4th in 13 mins 12 secs.
Then we had Ger McDonald of Clonmel also running well when finishing 5th in 13 mins 48 secs with her club mate Deirdre Healy finishing 6th in 14 mins 54 secs. Breda McNamara of Moyne also ran very w ell when finishing 6th in 14 mins 15 secs and along with Brigid and Frances won the Gold medals and retained the Moyne Cup for another year. The Clonmel team of Rebecca, Ger and Deirdre won the Silver medals on 14 points. The Bronze medals were won by the Moyne team of Catherine Dunne 10th (14:41), Rosie Cleere 11th (14:15) and Ashling Maher 12th (15:04).
In the Men's race an entry of 28 athletes went to the start. With the strong headwinds a group of ten athletes set the early pace and this group stayed together as they passed through the village. Then as they approached 4k a group of four athletes went clear and they included the eventual winner, Donal Keane of Dundrum along with his club mate Colm Bradshaw, Paddy Cummins of Moycarkey Coolcroo and Dermot Logue of Coolquill. The race finish this year was in the village and with 1km to go Donal Keane increased the tempo and went clear to win the title convincingly in 20 mins 50 secs, great running.
The tussle for the minor placings was decided inside the last 200m with Dermot Logue of Coolquill holding off the fast finishing Colm Bradshaw of Dundrum to win the Silver medal in 21mins 5 secs with Colm winning the Bronze medal in 21 mins 7 secs.
For the record 4th Paddy Cummins (Moycarkey Coolcroo) 21 mins 8 secs, 5th John Russell (Coolquill) 21 mins 14 secs, 6th Sean McGrath (Dundrum) 21 mins 24 secs, 7th Ross Alexander (Coolquill) 21 mins 34 secs, 8th Paudie Coen (Dundrum) 22 mins 1 sec, 9th Gary Grant (Clonmel) 22 mins 12 secs and 10th Liam Shanahan (Thurles Crokes) 22 mins 21 secs. In the team event with three to score Dundrum were the worthy winners of the Premier Cup on 14 points with Donal, Colm and Sean, last won by them in 2010. The Silver medals were won by the Coolquill trio of Dermot, John and Ross while the Bronze medals were won by the Moyne team of Jody Sweeney 11th (22:56), Richard Daly 14th (23:09) and Damien McDonnell 15th (23:09) on 40pts beating Clonmel by one point. 5th were Moycarkey Coolcroo on 53 points with Moyne's 2nd team on 67 points.
The County Chairman, Billy Purcell, at the Presentation of the medals thanked the Moyne Club for once again promoting two great races and he thanked the Ladies committee for the Post Race refreshments.
May 19th – The County Senior Ladies 5k and Men's 10K Road Championships takes place in Fethard over a new course starting at 12 noon.
April 24th – Morrison BMW 6k Road Race – Clonmel – 7pm – Contact 086 1660888
April 26th – Faugheen 5k open Road race – Faugheen, Carrick on Suir – 7.30pm contact 08601608165
May 1st – RUN4FUN 4 mile road race – Cahir – 7.30pm – contact 086 1660888


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Ciprofloxacin Ofloxacin Ophthalmic Preparations
Why has my veterinarian prescribed this medicine?
Fluoroquinolones are antibiotics used to treat bacterial infections. This medication has been prescribed to treat a bacterial infection of the eye. These infections may occur on the cornea (clear part of the eye) or in the conjunctiva (pink parts around the eyelids).
How do I give this medication?
"If you are giving more than one eye medication, make sure you allow at least 5 to 10 minutes between medications, or follow the specific instructions from your veterinarian."
- Instill the drops or the ointment in the pet's eye(s) as directed by your veterinarian. READ THE LABEL CAREFULLY.
- Wash your hands before and after administering the medication.
- Do not touch the eye with the tip of the dropper or tube
- DO NOT give the pet more medicine than directed and do not give more often than directed.
- Try not to miss giving any doses.
- This medication may cause stinging upon application.
- If you are giving more than one eye medication, make sure you allow at least 5 to 10 minutes between medications, or follow the specific instructions from your veterinarian.
What do I do if I miss giving a dose?
Give the dose as soon as possible. If it is almost time for the next dose, skip the missed dose, and continue with the regular schedule. Do not give the pet two doses at once.
How do I store this medicine?
- Keep this medicine out of reach of children.
- Store this medicine in a tight, light resistant container.
What are the potential side effects?
"This medication may sting a bit when instilled in the eye."
- This medication may sting a bit when instilled in the eye.
- Side effects are unusual with this medication.
- If the eye looks worse after starting the medication, contact your veterinarian.
- If you notice anything unusual, contact your veterinarian.
Are there any possible drug interactions?
- Make sure to tell your veterinarian what other medication you are giving to your pet.
- Quite often, your veterinarian may prescribe two different medications, and sometimes a drug interaction may occur. In this case, your veterinarian may vary the dose and/or monitor your pet more closely.
- Contact your veterinarian if your pet experiences any unusual reactions when different medications are given together.
This client information sheet is based on material written by:
© Copyright 2009 Lifelearn Inc. Used and/or modified with permission under license.