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Lover's Chocolate Elixir Recipe
2 Cups Spring Water (Boiled)
Pinch of Himalayan Sea Salt
1 Tablespoon ground pumpkin seeds (use coffee grinder)
2 Tablespoon ground flax seeds (use coffee grinder)
3 Tablespoons ground Cacao Paste (use coffee grinder)
2 Teaspoons Coconut Sugar
1 teaspoon whole ground vanilla bean (Chef's Grade Vanilla)
2 teaspoons Maca Powder
1 teaspoon Algae Concentrate (Brain Feed)
1 teaspoon Cordyceps Mushroom Powder
**Sweeten with stevia leaf, inulin powder and/or xylitol for a low glycemic option.**
Place all ingredients in a high powered blender (like a Vitamix) and blend one minute until creamy smooth. Grinding the ingredients (as noted) in the coffee grinder will ensure your drink will be creamy smooth and is especially important if you don't have a very high powered blender. Cheers!


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Robbie Macdonald
Manager, Calgary Office
After several years in the HVAC and refrigeration industry, Robbie redirected his career path and joined Victoria's Samsara team. Born and bred in Victoria, Robbie ventured out to assist in the opening of our Langley office and then out to Calgary. As with most others, it was originally our team that attracted Robbie to our company. As he settled into his role, Robbie appreciated the ability to reap the immediate benefits of his work ethic. He recognized the opportunities for advancement and embraced our core belief that everyone can make a fruitful living doing what they love. His keen ability to focus on goals and exceed them set Robbie on his path to management. His focus and determination serves him well as he dedicates his positive energy to ensuring the success of his team. His warm smile and genuine charisma shines both in and out of office. During the brief moments when Robbie isn't working, he spends his time as a loving uncle to multiple nephews and enjoys time outdoors.

subset: commoncrawl


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Learn How To Run A Web Design And SEO For Lawyers In An Efficient Way - Research Study These!A web marketing for legal representatives is just as great as the intelligence of their owner, who can anticipate any issues in the market and acting appropriately. Thriving businesses be successful since the owners are passionate about what they are doing, and love performing excellent business strategies in their industry. Keep checking out if you wish to understand how to establish an extensive website consulting for attorneys design.
Is Alexa Your New Lawyer?
Is Alexa Your New Lawyer? When you need the answer to a legal question, unless you're seriously traditional you most likely pull your smartphone out and ask Siri or Alexa. Below visit the following internet page , CEO of Law Firm digital marketing agency ApricotLaw, delves into the ever-evolving uses of technology in the legal sphere.
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WASHINGTON — A top Iraqi scientist believed to have worked on that nation's biological weapons programs was detained in central Iraq on Monday, senior defense officials said.
Huda Salih Mahdi Ammash was in U.S. custody, officials said, but they cited conflicting accounts as to whether she had surrendered or was captured. Ammash was No. 53 on the list of 55 most-wanted officials from Saddam Hussein's deposed government.
Ammash was Iraq's leading microbial genetic engineer, according to U.S. officials. They said she is believed to have been instrumental in secretly rebuilding Iraq's biological warfare capabilities in the mid-1990s while she headed a biological laboratory at the Military Industrial Commission, which helped coordinate Hussein's clandestine weapons programs.
"The world is a safer place because she's off the streets," said a U.S. official who spoke on the condition of anonymity.


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Revenge Without Fear
Hardcover, 417 Pages
Price: $41.75
Prints in 3-5 business days
Commander McNesh and his colleagues are still on the trail of Peter Fletcher – will they catch him. Peter Fletcher & his accomplice realise they are close to being caught and need to make a run for it. Can they do it? Pursued over three continents Peter Fletcher decides on a plan that will put an end to being pursued. Will he get his revenge or has he lost the flight. Will Rose be there for him still? The plan takes a disastrous turn and goes wrong; the aircraft hits the water and down goes Peter Fletcher with it. Did he survive? Will Rose be left on her own? A tale in many parts – does it end in happiness or disaster.
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Product Details
- 9781291674484
- Copyright
- Graham Soloman (Standard Copyright License)
- Edition
- First Edition
- Publisher
- Graham Soloman
- Published
- December 17, 2013
- Language
- English
- Pages
- 417
- Binding
- Hardcover (dust-jacket)
- Interior Ink
- Black & white
- Weight
- 1.39 lbs.
- Dimensions (inches)
- 6 wide x 9 tall
- Product ID
- 21359215
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I was somewhat conservative in my youth ( AUH2O - Goldwater). But when I realized the US was not trying to win the Vietnam war but merely not lose it and they wanted me as cannon fodder for political reasons, I changed my views. I got involved in demonstrations. I flunked out of college.In the 90s, I went back. I was only 3 classes short of my degree in Political Science. The 3 classes I took were all seminars. Aced the seminars and learned what I should have 20 years earlier. Piece of cake. None of the students (even grad students) had a chance against me in seminars. Life experience matters. I had 20 years experience in government by then and had learned how to argue with the best at my level. Those students never had a chance, LOL!And it was just for personal satisfaction. The degree never meant anything professionally. But it meant something personally.
You got me in the feels ... right there! Yes all the good students I knew in the 70s were older men, but they were Vietnam war veterans. But glad you realized early what a CF the Vietnam war was ... it was much worse (we found out later) than "not trying to win". Being a dropout ... lucky you didn't get a draft notice. I was lucky ... next to last year to get a power-ball, but one year past the last time they acted on that power-ball. By the fall of Saigon ... I had gotten pretty cynical about the whole thing. And at least my brother and older cousin weren't hurt (physically) by the experience. War sucks if you get to close to it. You are lucky too you didn't get arrested during demonstrations .. that could have nixed your government employment. I am not against demonstrations, just cynical that they do any good. I am tongue in cheek saying previously, that the whole college population should have been specifically targeted by the draft in 1965 ... on the theory of 1) teaching young boys to be men the hard way and 2) upper and middle class parents calling for an end to the war a lot sooner. And yes, even for personal satisfaction, getting a degree is great (though it was a lot cheaper in the 70s when I did it the first time).
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Register or LoginPeople forget that young Hitchens was a liberal, and got more conservative as he ages. Something I am personally aware of in myself.Interesting. I find that I did the opposite. I entered college sort of like a conservative liberal. I was for the Vietnam War, for example. And looked down on welfare of any kind--stuff like that. As I have aged I have become more and more liberal.
People forget that young Hitchens was a liberal, and got more conservative as he ages. Something I am personally aware of in myself.
As for Hitchens, he never repudiated the left, and still considered himself a member of it to the end of his life -- while he agreed on the Iraq war, he wasn't a mindless cheerleader, You are not allowed to view links.
Register or Login so he could report on the torture allegations with authority (his final analysis: yes, it fucking well is torture). His support for the Iraq war was born of his opposition to radical (and weaponized) Islam, not his embrace of neoconservatism.
That was my impression concerning his support for the war. It may have been the only thing where I believed he was dead wrong.
I knew at a young age that war itself wasn't evil (WWII) but stupid ones were. I grew up with MASH and Star Trek and Vietnam.I decided there had to be a better way of solving problems and I've lived my life on that idea. Now, NK is making me doubt that. Insanity has to be stopped. I am logically adrift...
I knew at a young age that war itself wasn't evil (WWII) but stupid ones were. I grew up with MASH and Star Trek and Vietnam.
I decided there had to be a better way of solving problems and I've lived my life on that idea. Now, NK is making me doubt that. Insanity has to be stopped. I am logically adrift...
Likewise. I was on board with the invasion of Afghanistan, since that's where the attacks were planned and masterminded. The Iraq war, on the other hand, was purely a war of aggression and of choice. It never needed to be fought, and it was never about 9/11 or the mythical Iraqi WMD. It was always about two things: the oil, and Cheney's buddies' war profiteering.I don't know what to do about North Korea either, but I feel confident in saying that random belligerent tweets are definitely not what to do.
I was OK with Afghanistan too, but I was floored when we decided to go into Iraq. It was a helpless nation, although with an annoying leader, but who was in no way connected to 9-11. Unfortunately, 67% of the nation was buying into the propaganda that Saddam had WMD and was somehow connected to 9-11. I remember a liberal friend who was supporting the invasion. She said, "You know that Saddam had WMD at one time, so you know he has them now," as if 10 years of weapons inspections never happened. That statement was made by an intelligent person, too, but the collective war frenzy at the time prevented her from seeing the logical fallacy of her statement, even when pointed out.I knew voters would come to their senses once the human and financial costs of the fiasco slowly entered their consciousness, which they eventually always do, and which they did, but only after an enormous loss and a mountain of national debt. The fact is, we study history to avoid the same mistakes in the future, but the other fact is that we keep making the same mistakes, anyway. Each time we perceive a crisis, we perceive it as different from the last crisis, and our "learning" gets tossed out because it's a special crisis in our mind, when most of the time, it's really just a replay of the last crisis, and we fail to see the common denominators.
I remember the day. I doubted the WMD argument, but then Colin Powell said it was real. In front of the UN. And I trusted him... I hung my head and said to myself, "OK". And I learned later he knowingly LIED. If there was ever an end of innocence and trust, that was it. To this day, I am ashamed of my gullibility.
I never bought Powell's argument because it was a non sequitur. He began showing blurry satellite images of what might have been mobile chemical labs. All you could see was what looked like they may have been semi trucks with trailers. OK, that could squeak by. Maybe that is exactly what they were, but after asserting these were chem labs without giving any reasons for why they should be, he brought out diagrams of what a chem lab would look like in a semi trailer. The diagrams were well done, and clearly showed pots and vats nicely labeled. The basics of his argument were:We have these photos of tractor trailers.They might be chem labs.I have a diagram of a mobile chem lab.Therefore, these are mobile chem labs.I was on the verge of screaming and tearing out my hair. It ended with CNN camera's back in Wolf Blitzer's Situation Room as they called it. Wolf Blitzer and some good look air head co-commentator were both beaming with delight. "Well, there you have it," beamed Blitzer, "Iraq has chemical weapons, and an invasion will surely take place." (And I will surely make a lot of money reporting on it).
It wasn't what he SHOWED. It was what he SAID. He SAID they were there based on evidence and... I... believed him.
I never bought it. Maybe it was just lucky skepticism on my part, but he could have asserted more than "we have evidence" with at least a hint of what the evidence was. I can understand them not wanting to admit it came from a cab driver. Hey, cab drivers can be right about things, but it doesn't lend much to an argument. OK, OK, he may have been a cab driver, but he did come from Iraq, and the fact that he wanted Saddam gone so he could be the new president wouldn't sound fishy at all. Well... Oh forget it.


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Students wanting to become butlers attended the Chinese branch of the International Butler Academy in Chengdu, Friday, to take lessons on how to behave and act as a head servant. The training courses involve, among others thi


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Published On: 23 Mar 2014
Chop the onions.
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The Royal Danish Academy of Music 150 years


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SPD Account Manager - Maternity Cover
A full-time sales job at Heart North Wales / Capital South Wales in Wrexham/Cardiff
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Septic arthritis of the C1C2 lateral facet joint and torticollisPseudo-Grisel's syndrome.код для вставкиСкачать
84 BRIEF REPORT SEPTIC ARTHRITIS OF THE Cl-C2 LATERAL FACET JOINT AND TORTICOLLIS: PSEUDO-GRISEL'S SYNDROME JAMES T. HALLA, JOHNNY BLIZNAK, JOE G. HARDIN, and SAM FINN We present the case of a 76-year-old man who experienced the sudden development of fever, rightsided neck pain and stiffness, and torticollis. A soft tissue mass was noted on the right side of his neck, but his head was tilted to the left. Computed tomography scans (with reformatted sagittal and coronal images) of the patient's cervical spine revealed destructive changes of the right lateral masses of C1 and C2 and the clivus, and a well-delineated periodontoid soft tissue mass (confirmed by magnetic resonance imaging). After the second episode of right-sided hemiparesis, he underwent transoral surgical exploration, with anterior decompression and odontoidectomy. Histologic examination of the surgical material revealed granulation tissue, fibrosis, and chronic inflammation, consistent with abscess formation with invasion and compression of the spinal cord and bone. This case suggests that nonreducible rotational head tilt to the side opposite the side of lateral mass collapse should raise the suspicion of a possible infection. Pyogenic infections of the spine are usuall'y attributed to pyogenic vertebral osteomyelitis, which rarely affects the cervical spine (1-6). Involvement of From the Department of Radiology, Hendrick Medical Center, Abilene, Texas, the Department of Medicine, University of South Alabama, Mobile, and the Department of Medicine, University of Texas Southwestern Medical School, Dallas. James T. Halla, MD: Abilene, TX: Johnny Bliznak, MD: Department of Radiology, Hendrick Medical Center; Joe G . Hardin, MD: Professor of Medicine, University of South Alabama: Sam Finn, MD: Assistant Professor of Neurosurgery, University of Texas Southwestern Medical School. Address reprint requests to James T. Halla, MD, 1927 Pine Street, Abilene, TX 79601. Submitted for publication April 5 , 1990; accepted in revised form July 7, 1990. Arthritis and Rheumatism, Vol. 34, No. 1 (January 1991) the occipitoatlantoaxial (OAA) complex and odontoid process is even more rare (7-12). Torticollis as a manifestation of cervical spine infection has been reported, especially in children (11,13), and it may take the form of Grisel's syndrome (lateral subluxation at C 1-C2, but no radiographic destruction) or it may be secondary to vertebral osteomyelitis (1,11,13-16). Nontuberculous bacterial involvement of the Cl-C2 lateral facet joints with torticollis has not been reported. We describe a patient who suddenly developed fever, torticollis, and, subsequently, an erosive arthropathy of the right lateral facet joint of Cl-C2 and the odontoid process with spinal cord compression. The patient was found to have a mass of infected granulation tissue. He was treated with transomal anterior decompression, odontoidectomy, and long-term antibiotics with good results. Case report. The patient, a 76-year-old man, had been healthy except for osteoarthritis of the hands and knees until January 1987, when he presented at another institution with a 3-day history of a "crick in my neck." He had experienced progressive right-sided neck pain and stiffness, and he had a rotational head tilt to the left and a right-sided soft tissue neck mass at the angle of the jaw. He had no history of sore throat, hoarseness, or dysphagia. At admission, he was febrile (102°F) and confused, and he reported posterior and suboccipital neck tenderness and pain. Laboratory evaluation revealed mild leukocytosis (1 1,000 white blood cells [WBC]/mm3),and analysis of the cerebrospinal fluid (CSF) revealed 180 WBClpI (100%polymorphonuclear leukocytes), with normal glucose levels and no growth on routine cultures of CSF samples. Results of 85 BRIEF REPORTS A B Figure 1. Computed tomography images of the patient's cervical spine. A, Lateral scout view, showing prevertebral soft tissue thickening from C1 through C3, decreased space between the occiput and the atlas, and slight vertical atlantoaxial subluxation. B, Coronal view, showing erosive and destructive changes of the odontoid process and the right atlantooccipital and atlantoaxial joints, with rotatory and lateral subluxation. The erosive changes of the left atlantooccipital and atlantoaxial joints are quantitatively less, but are not well demonstrated on this image. Inset, Coronal view of the atlantoaxial joint. blood cultures were unremarkable. A routine radiograph of the cervical spine was interpreted as "normal," and results of a computed tomography (CT) scan of the head and cervical spine (without reformatted images) were considered unremarkable. Magnetic resonance imaging (MRI) was not done. Cellulitis and/or acute parotitis were considered, and treatment with cefuroxime, intravenously, was begun, with apparent clinical improvement; oral antibiotics were continued for 2 weeks thereafter. Although he became afebrile, the neck pain increased, lateral rotation decreased, and head tilt to the left worsened. When fever recurred 5 weeks later, he was admitted to another hospital, where a technetium diphosphonate bone scan revealed increased uptake in the area of the craniocervical junction; however, results of a gallium scan were negative. After otolaryngologic consultation, subaxial neck exploration was performed to rule out a malignant process; this yielded negative findings. Cultures of surgical specimens were negative. Because of the negative findings at surgery, a rheumatologic consultation was obtained. CT scans of C 1-C2, with axial, reformatted sagittal and coronal images, and a scout view, showed erosive changes of the Cl-C2 lateral facet joints, more so on the right side, with rotatory and lateral subluxation and a prevertebral soft tissue mass (Figures 1A and B), although the patient had improved clinically. Three weeks later, however, the erythrocyte sedimentation rate (Westergren) was elevated. CT scans taken at that time revealed further destructive changes of the right lateral masses of C1 and C2 and the clivus, and a welldelineated periodontoid soft tissue mass was noted (Figures 2A and B). MRI confirmed these findings. The patient suddenly developed right-sided hemiparesis and truncal paresthesias, and he was referred to the neurosurgical unit of Parkland Hospital, Southwestern Medical School (Dallas, TX). A cervical myelogram (with metrizamide contrast medium) and CT scan revealed subtle extradural compression of neural elements at the foramen magnum and a periodontoid soft tissue mass, but a diagnosis was still not apparent. Subsequently, a mass was BRIEF REPORTS 86 A B Figure 2. Computed tomography images taken 3 weeks after those shown in Figure 1. A, Sagittal view, showing a large periodontoid soft tissue mass, with destructive changes of the odontoid process and anterior arch of the atlas. Inset, Sagittal view of the atlantoaxialjoint. B, Coronal view, showing a rotational deformity to the left. Progressive destructive changes of the odontoid process, destructive changes at both the atlantooccipital and atlantoaxialjoints, with greater involvement of the right side than the left, and right lateral mass collapse are evident. Inset, Coronal view of the atlantoaxial joint. palpated transorally, and transoral drainage of the retropharyngeal area yielded 4 cc of purulent material, cultures of which grew Staphylococcus a w e u s . Blood cultures were repeatedly negative. The patient was treated with intravenous nafcillin and fitted with a Philadelphia collar, and his condition improved. He experienced less neck pain and there was stabilization of his neurologic status. However, he again developed right-sided hemiparesis, and transoral surgical exploration with anterior decompression and odontoidectomy were performed. No purulent material was obtained, but there was erosion of the odontoid process and bony destruction of the right lateral masses of C1 and C2 and the clivus. Histologic examination of the surgical material demonstrated granulation tissue, fibrosis, and chronic inflammation, consistent with abscess formation invading and compressing the spinal cord and bone. All cultures at this time were negative. Antibiotic therapy was changed to cloxacillin, and the patient was placed in halo traction. The patient's condition steadily improved. After 6 months, the halo traction was removed, and the cloxacillin was discontinued. CT scans taken at 1 year and 2 years of followup have shown stabilization of the changes (Figure 3). The patient remains well, and there are no signs of myelopathy or neck pain. Discussion. The OAA complex consists of a set of synovial articulations at the atlantooccipital, atlantoaxial, and atlantoodontoid joints. The joints work as a unit, but rotation occurs predominantly at the atlantoaxial joint, and lateral flexion occurs at the atlantoocipital joints. Involvement of this area, which has received considerable attention recently, is manifested by a characteristic clinical profile in both noninfectious inflammatory and noninflammatory arthropathies (162 1). This clinical profile includes nonreducible rotational head tilt (NRRHT), which is the characteristic physical finding in patients with lateral mass collapse, and the head tilt is always toward the side of the lateral mass collapse. The case reported here suggests that NRRHT to the contralateral side in a patient with destructive arthropathy should raise the possibility of infection. Pyogenic spondylitis is defined by Resnick as spinal osteomyelitis and disc space infection together (16). Pyogenic spondylitis of the OAA complex has rarely been reported, and such involvement may be tuberculous (22-24) or pyogenic (7-12). Tuberculosis 87 BRIEF REPORTS Figure 3. Computed tomography image taken 2 years after those shown in Figures I and 2. There are destructive changes and fusion of the atlantooccipital joint, with some reconstitution of the distorted C2 lateral masses. There is marked irregularity of the CI-C2 articulations, with surgical absence of most of the odontoid process. These changes had remained stable for 2 years. Inset, Coronal view of the atlantoaxial joint. involving the atlantoaxial region is very rare but may be associated with torticollis; nontuberculous pyogenic spondylitis of the OAA complex is even more rare. Six adult patients with pyogenic spondylitis have been described (7-10,12), and all but 1 of them had a predisposing illness ( 3 had diabetes, 1 used intravenous drugs, and 1 had a history of peritonsillar abscess). Neck pain was of sudden onset in 3 , gradual onset in 2, and prolonged in 1. Three patients were febrile, and none had clinical signs or symptoms of spinal cord impingement. Radiographic findings revealed involvement of the odontoid process alone in 2 patients, the body of C2 and the odontoid process in 2 patients, and the CI-C2 lateral facet joint, with lateral subluxation, and involvement of the odontoid process in 2 patients. No patient demonstrated torticollis on physical examination. Four patients had evidence of a retropharyngeal or peritonsillar abscess. Torticollis is a rotational deformity of the cervical spine resulting in malpositioning of the head and neck, and it results from a variety of causes (25). Torticollis secondary to nontuberculous pyogenic cervical osteomyelitis has not been associated with destructive changes in the OAA complex, although at- lantoaxial dislocation has been described in children (11,13). Grisel's syndrome occurs in children and is the concurrence of lateral atlantoaxial subluxation and torticollis, caused by localized infection of adjacent neck tissue that spreads via the lymphatic system or, more likely, the pharyngovertebral veins (1 1,13-16). While no destructive changes are noted radiographically in the OAA complex, hyperemic osteoporosis and ligamentous laxity are standard findings. Our patient had fixed torticollis, or NRRHT, with destructive changes at the OAA complex. Unlike previous descriptions in which NRRHT was toward the side of the lateral mass collapse, our patient had NRRHT toward the side opposite the lateral mass collapse. The diagnosis of septic arthritis and osteomyelitis of the OAA complex was complicated by the abnormal position of the patient's head. As we have reported elsewhere, CT with reformatted images proved a useful diagnostic tool for this region (20). The first C T scan performed on this patient did not include reformatted images and was compromised by the patient's abnormal, and painful, head position. The best procedure for early diagnosis of infectious or noninfectious disease of the Cl-C2 lateral facet joint is not yet clear. It is apparent that failure to recognize involvement of the OAA complex may delay diagnosis and have potentially serious consequences. Even though our experience with MRI is limited and we have been particularly pleased with the use of CT imaging of the OAA complex, MRI may be the preferred imaging method because of the excellent soft tissue contrast that is achievable (17). REFERENCES I . Forsythe M, Rothman RH: New concepts in the diagnosis and treatment of infections of the cervical spine. Orthop Clin North Am 9:1039-1051, 1978 2 . Stauffer RN: Pyogenic vertebral osteomyelitis. Orthop Clin North Am 6:1015-1027, 1975 3. Frederickson B , Hansen Y, Olans R: Management and outcome of pyogenic vertebral osteomyelitis. Clin Orthop 131:16&167, 1978 4. Slagel SA, Skiendyielewski JJ, McMurry FG: Osteomyelitis of the cervical spine: reversible quadraplegia resulting from Philadelphia collar placement. Ann Emerg Med 144:912-915, 1985 5. Musher DM, Thorsteinsson SB, Minuth JN, Luchi RJ: Vertebral osteomyelitis, still a diagnostic pitfall. Arch Intern Med 136:105-110, 1976 6. Lowry LD: Osteomyelitis of the cervical vertebrae. Trans Pa Acad Ophthalmol Otolaryngol 30: 173-177, 1977 BRIEF REPORTS 7. Venger BH, Musher DM, Brown EW, Baskin DS: Isolated C2 osteomyelitis of hematogenous origin: case report and literature review. Neurosurgery 18:461-464, 1986 8. Frank TJF: Osteomyelitis of the odontoid process of the axis. Med J Aust 1:198-201, 1944 9. Rimolovski AB, Aronson SM: Abscess of medulla oblongota associated with osteomyelitis of odontoid process. J Neurosurg 29:97-101, 1968 10. Ahlback S, Collert S: Destruction of the odontoid process due to atlantoaxial pyogenic spondylitis. Acta Radiol 10:39&400, 1970 11. Sullivan AW: Subluxation of the atlantoaxial joint: sequel to inflammatory processes of the neck. J Pediatr 35:451-464, 1949 12. Leach RE, Goldstein HH, Younger D: Osteomyelitis of the odontoid process. J Bone Joint Surg 49A:369-371, 1967 13. Visudhiphan P, Chiemchanya S, Somburanasin R, Dheandhanoo D: Torticollis as the presenting sign in cervical spine infection and tumor. Clin Pediatr 21:71-76, 1982 14. Parke WW, Rothman RH, Brown MD: The pharyngovertebral veins: an anatomical rationale for Grisel's syndrome. J Bone Joint Surg 66A:568-574, 1984 15. Odelberg-Johnson G: A case of cervical spondylarthritis after tonsillectomy. Acta Orthop Scand 2:302-317, 1931 16. Resnick D: Osteomyelitis, septic arthritis and soft tissue infection: the axial skeleton, Diagnosis of Bone and Joint Disorders. Second edition. Edited by D Resnick, G Niwayama. Philadelphia, WB Saunders, 1988 17. Halla JT, Hardin JG, Vitek J, Alarcon GS: Involvement of the cervical spine in rheumatoid arthritis. Arthritis Rheum 32:652-659, 1989 18. Halla JT. Fallahi S, Hardin JG: Nonreducible rotational head tilt and lateral mass collapse: a prospective study of frequency, radiographic findings, and clinical features in patients with rheumatoid arthritis. Arthritis Rheum 25:1316-1324, 1982 19. Halla JT, Fallahi S, Hardin JG: Nonreducible rotational head tilt and atlantoaxial lateral mass collapse: clinical and roentgenographic features in patients with juvenile rheumatoid arthritis and ankylosing spondylitis. Arch Intern Med 143:471-474, 1983 20. Halla JT, Bliznak J, Hardin JG: Involvement of the craniocervical junction in Reiter's syndrome. J Rheumato1 15:1722-1725, 1988 21. Halla JT, Hardin JG Jr: Atlantoaxial (Cl-C2) facet joint osteoarthritis: a distinctive clinical syndrome. Arthritis Rheum 30577-582, 1987 22. Dowd CF, Sartoris DT, Haghighi P, Resnick D: Case report 344. Skeletal Radio1 15:65-68, 1986 23. Resnick D: Osteomyelitis, septic arthritis, and soft tissue infection: the organisms, Diagnosis of Bone and Joint Disorders. Second edition. Edited by D Resnick, G Niwayama. Philadelphia, WB Saunders, 1988 24. Fang D, Leong JLY, Fang HSY: Tuberculosis of the upper cervical spine. J Bone Joint Surg 65B:47-50, 1983 25. Bland J: Differential diagnosis and specific treatment, Disorders of the Cervical Spine. First edition. Edited by J Bland. Philadelphia, WB Saunders, 1988


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In a nutshell, Powdthavee's pursuit is an attempt to quantify what we call happiness. But what we call happiness has occupied thinkers, philosophers and psychologists since at least a while before Aristotle. Happiness is a game all of its own—and a highly complex one at that. But Powdthavee argues that, since we're relying on reports from research participants all over the world to define happiness, whether we've got a firm handle on a precise definition of happiness is really not that important. Rather than comparing happiness between participants, he's interested in what changes subjective happiness for individuals, regardless of whether they agree with others on what happiness really is.
His findings are both intriguing and mildly disturbing. Its common knowledge that, for the most part, money can't buy you happiness for more than a fleeting period of time. But when you enjoy a higher relative income and you live in a relatively affluent first-world setting, your happiness will rise if your status rises at the same time as your income. In other words, outdoing the Joneses appears to enhance happiness.
Aside from the exploration of a range of happiness-impacting variables, Powdthavee elucidates the battle between psychologists and economists for the truths behind happiness in an engaging blow-by-blow on the history of the field. One example is the set-point theory, proposed by Philip Brickman, in terms of which Brickman argued that happiness and its opposite are transitory reactions to the circumstances in which we find ourselves. According to Brickman, humans adapt and their happiness returns to a baseline level that changes very little over the course of their lives. Paraplegics are far less happy on becoming paraplegics, but soon revert to the same level of happiness they enjoyed before their disability. But economists don't like the idea of human adaptation to life events. To back it up, they quote studies showing that unemployed people never really return to the same level of happiness they enjoyed while employed. And so the scientific squabbles proceed in the happiness debates, showing, for example, that people tend to recover quickly from the death of a loved one but almost never get used to long commutes to work.
And when the psychonomists weigh in with their numbers, they can tell you that the happiness enjoyed following the birth of a child is worth about $3,750 in the first year for the average Briton. And, while a marriage is worth about $5,250 in happiness, a divorce will cause unhappiness equivalent to a cash loss of about $12,000 in the first year. The unhappiness arising from serious disability is similar—in cash terms—to losing about $106,000 in the first year following the disability, say the psychonomists. And the loss of happiness from the death of a partner is equivalent to around $468,000.
Are you getting that nagging feeling you're part of game inside a bigger game that you can't quite spot?
If you are, Powdthavee has the decency to let you in on it, but only in the last few pages of the last chapter of his book. He recounts how, on a visit to his 90-year-old grandmother, he described the work he was doing.
"I told her that money makes people happy, but often not as much as we think. I told her that people habituate to good things, but also adapt to adverse events in their lives. I even told her one of the most advanced findings to date in the happiness literature: that we tend to exaggerate the importance of anything while we're thinking about it.
"My grandmother—a devout Buddhist, an ex-farmer with no formal education, 90 years of age, who looks like Yoda from Star Wars every time she smiles—leaned closer and whispered to me: 'Tell me something I don't already know.'"
I found Powdthavee's book to be a fascinating elucidation of what we therapists unconsciously think of as our stock in trade—happiness. But his book reaffirmed for me the ineffable nuances implicit in the pursuit of happiness and the relatively sophisticated and charming stories psychology has developed to makes sense of the process.
In the long, meandering and often confusing story of life that we tell ourselves, happiness and unhappiness might be thought of as the punctuation points. But like the words of the sentences they puntuate, they are just individual constituents that are essential to telling a cohesive story that has the kind of happiness quality that therapists tend to call meaning.
To read this interview, order this edition by clicking here.


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Get in synch with skating competitionThe Cape Cod Classic, the largest non-qualifying synchronized skating competition in the country, will take place Dec. 7 and 8 at the John Gallo Ice Arena on Sandwich Road in Bourne. Hosted by the Bourne Skating Club, the event will feature 60 teams from across the United States competing in this two-day event sanctioned by United States Figure Skating. Skating will take place from 5 to 9:30 p.m. Dec. 7 and 10 a.m. to 5:30 p.m. Dec. 8. Tickets are available at the door for $15 for a one-day pass, $25 for a two-day pass, $10 for a one-day senior pass, and free for children under five.
Seaside LeMans set for SeptemberThe eighth annual Seaside Le Mans --the Race for the Cape Cod Community -- will be held Sept. 6, 2008 from noon to 4:30 p.m. at Mashpee Commons. The annual fundraiser, presented and underwritten by The Davenport Companies, features teams of sponsors driving Formula One karts during an outdoor, four-hour endurance race with the top six finishers advancing to a 30-minute elite showdown to determine the winner. The event is free to spectators and features live bands and children's activities. Four local non-profit organizations are the beneficiaries for the 2008 Seaside Le Mans: Alzheimer's Services of Cape Cod & the Islands, Hospice and Palliative Care of Cape Cod, Independence House and the Marine Corps Reserve Toys for Tots. All race donations and sponsorships are sent to The Cape Cod Foundation, which distributes the funds to the designated beneficiaries. During the past seven years, the race has raised $2.15 million for Cape Cod organizations through sponsorships and matching grants. For more information visit www.seasidelemans.org.
Hyannis Marathon heating upIt's getting cold outside but "Hyannis 2008" is heating up. Registration is ongoing for the 2008 Hyannis Marathon, slated for Feb. 24, 2008. Champion runners Bill Rodgers and Frank Shorter will attend, and the event promises to be fun and exciting. The 2008 Hyannis Marathon, Half Marathon, 10Km & Marathon Team Relay will begin at 10 a.m. For more information or to register visit www.hyannismarathon.com.
Rocketing from Harlem to HyannisThe world-renowned Harlem Rockets Comedy Basketball Team will visit Hyannis on Jan. 5, 2008 at 7 p.m. to challenge a team of Barnstable High School faculty, coaches and alumni in a fun-filled, family oriented basketball game at BHS. Advance tickets are $7 and will be available at Butler's Sporting Goods on West Main Street across from the high school or at the BHS Basketball Snack Bar on game days. On the day of the game tickets at the door will be $8. Proceeds will benefit boys' and girls' basketball programs for Barnstable students. For more info visit: barnstablebasketball.com
'Tis the season to tee offBeat "old man winter" by getting your game ready for spring with indoor golf lessons at The Club at Yarmouthport, new this season. The club has a large indoor hitting net, video-computer swing analysis, and learning aids to speed the progress. They can design a program this winter to help get golfers on the fast track to great golf this spring. For more information call 508-362-8870.
One woman's marathon fundraiser
Local marathoner Maryellen Loucks will run the Boston Marathon again in 2008 for the National MS Society. Loucks, diagnosed with MS more than two years ago, is a passionate crusader for raising awareness and funds to combat the illness. Donations to help her reach the $3,000 minimum participation goal can be made out to the National MS Society and sent to: Loucks, 66 Morgan Way, West Barnstable, MA 02668.
Let the games begin
Published Date: 12/07/07Registration has opened for the 2008 Bay State Winter Games, the annual Olympic-style amateur sporting event. From Feb. 1 to 3, individual competitions in alpine skiing and figure skating, and team competition in Masters ice hockey will take place. For more information regarding the Bay State Winter Games including schedule of events, how to become a volunteer or to register, visit www.baystategames.org/winter or call the Bay State Games' office at 781-932-6555.


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