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Number of neuropsychiatric symptoms in subjects with normal cognition and subjects with mild cognitive impairment (MCI).
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Geda YE, Roberts RO, Knopman DS, et al. Prevalence of Neuropsychiatric Symptoms in Mild Cognitive Impairment and Normal Cognitive Aging: Population-Based Study. Arch Gen Psychiatry. 2008;65(10):1193–1198. doi:10.1001/archpsyc.65.10.1193
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Little is known about the population-based prevalence of neuropsychiatric symptoms in mild cognitive impairment (MCI).
To estimate the prevalence of neuropsychiatric symptoms in MCI and normal cognitive aging in a defined population.
Cross-sectional study derived from an ongoing population-based prospective cohort study.
The Mayo Clinic Study of Aging.
We studied a random sample of 1969 individuals without dementia from the target population of 9965 elderly persons residing in Olmsted County (Minnesota) on the prevalence date (October 1, 2004). Neuropsychiatric data were available for 319 of 329 subjects with MCI (97.0%) and 1590 of 1640 subjects with normal cognition (97.0%). Neurologic, cognitive, and neuropsychiatric data were obtained from the study participants. A classification of MCI, dementia, and normal cognitive aging was adjudicated by an expert consensus panel. Accordingly, 329 subjects were classified as having MCI and the remaining 1640 subjects were classified as having normal cognition.
Main Outcome Measure
Neuropsychiatric Inventory Questionnaire score.
Multivariate logistic regression analyses were conducted after adjusting for age, sex, and educational status. By considering both the odds ratio (OR) and the frequency of a symptom, the most distinguishing features between the 2 groups were apathy (OR, 4.53; 95% confidence interval [CI], 3.11-6.60; P < .001), agitation (3.60; 2.18-5.92; P < .001), anxiety (3.00; 2.01-4.48; P < .001), irritability 2.99; 2.11-4.22; P < .001), and depression (2.78; 2.06-3.76; P < .001). The OR was highest for delusion (8.12; 95% CI, 2.92-22.60; P < .001); however, it was rare in both subjects with MCI (11 of 319 [3.4%]) and those with normal cognition (6 of 1590 [0.4%]). Thus, the population attributable risk for delusion was only 2.62% compared with 14.60% for apathy.
Nonpsychotic symptoms affected approximately 50% of subjects with MCI and 25% of subjects with normal cognition. In contrast, psychotic symptoms were rare.
Mild cognitive impairment (MCI) is the transitional state between normal cognitive aging and dementia,1-3 although various other terms have been proposed to describe this transitional state.4-9 Subjects with MCI constitute a high-risk group because they develop dementia at a rate of 10% to 15% per year compared with 1% to 2% per year in the general population.10
The original operational definition of MCI focused on amnestic MCI: (1) a memory complaint, preferably corroborated by an informant; (2) impaired memory for age at psychometric testing; (3) normal general cognitive function; (4) intact activities of daily living; and (5) absence of dementia.1 Although amnestic MCI is the most widely investigated and empirically validated construct, the first international consensus panel on MCI has also endorsed the nonamnestic construct proposed by Petersen.11 A detailed definition and classification of MCI have been reported.11,12
We and others13,14 have reported the frequency of neuropsychiatric symptoms in MCI in clinical settings; however, little is known about these estimates in a population-based setting. The Cardiovascular Health Study (CHS) group reported the first prevalence estimate of neuropsychiatric symptoms in MCI.15 However, the study did not include control subjects with normal cognition from the same population; therefore, the investigators compared the prevalence of neuropsychiatric symptoms in patients with MCI recruited in one population with the prevalence in control subjects with normal cognition from a study conducted in a different population by other investigators.16 We measured the prevalence of neuropsychiatric symptoms in subjects with MCI and in subjects with normal cognition from the same population as part of an ongoing population-based study in Olmsted County (Minnesota).17
We conducted a cross-sectional case-control study comparing 319 subjects with MCI with 1590 elderly persons with normal cognition. Both groups were identified as part of the Mayo Clinic Study of Aging, a population-based investigation designed to estimate the prevalence and incidence of MCI in Olmsted County (Minnesota). Extensive details of the design and conduct of the study have been reported elsewhere.17 We describe in brief the study design and methods directly pertinent to the neuropsychiatric study. October 1, 2004, was selected as the prevalence date, and subjects were recruited using a stratified random sampling from the target population of nearly 10 000 elderly individuals in Olmsted County. We used equal allocations of men and women in 2 age strata: 70 to 79 years and 80 to 89 years.17
The study was approved by the institutional review boards of the Mayo Clinic and the Olmsted Medical Center. All participants underwent neurologic, psychometric, and neuropsychiatric evaluations. An expert consensus panel of nurses, physicians, and psychologists determined the classification of subjects as having MCI, dementia, or normal cognitive aging on the basis of published criteria.1,18,19 Subjects with dementia were excluded from the case-control comparison.
The Neuropsychiatric Inventory Questionnaire (NPI-Q) was administered to a spouse or other informant for all study participants.20 The NPI-Q is a shorter version of the Neuropsychiatric Inventory (NPI), which is a structured interview with established reliability and validity.21 Both the NPI and the NPI-Q measure 12 emotional behavioral domains. We chose to use the NPI-Q because it was selected by the Uniform Data Set initiative of the National Institute on Aging.22
Data for observed emotional behavior on the NPI-Q were gathered from a spouse or informant knowledgeable about the study participant. The structured interview addressed 12 neuropsychiatric domains: sleep, apathy, delusion, depression, anxiety, euphoria, agitation, eating/appetite, hallucination, disinhibition, irritability, and aberrant motor behavior. There was a yes or no screening question for each domain. If the respondent answered affirmatively, further questions were asked in order to rate the symptom in terms of severity (1, mild; 2, moderate; or 3, severe). Thus, the maximum score for symptom severity would be 36.
Subjects who had neither dementia nor normal cognition were classified as having MCI according to published criteria,11 as follows: (1) cognitive concern expressed by a nurse, physician, informant, or participant; (2) cognitive impairment in 1 domain or more (executive function, memory, language, or visuospatial); (3) normal functional activities; and (4) no dementia. Subjects with MCI could have a clinical dementia rating of 0 or 0.5; however, the final diagnosis of MCI was not based exclusively on the clinical dementia rating but on all available data. Subjects were further classified as having amnestic or nonamnestic MCI, as having single- or multiple-domain MCI, and according to the presumed causes of MCI (eg, vascular, traumatic, psychiatric, or degenerative). The diagnosis of MCI, dementia, Alzheimer disease (AD), or normal cognition was made by consensus, considering all of the data obtained. If the information obtained by 1 of the 3 evaluators (nurse, physician, or psychometrist) was inconsistent with the final diagnosis, this was noted as discordance.17
We compared the prevalence of neuropsychiatric symptoms in subjects with MCI and subjects with normal cognitive aging using multivariate logistic regression analysis to adjust for age (continuous variable), sex, and educational status (years of education as a continuous variable). We quantified the magnitude of the association between MCI and a specific neuropsychiatric symptom by computing the odds ratio (OR) and the corresponding 95% confidence interval (CI). We also computed a population-attributable risk (expressed as percentage) using the formula {[P(OR − 1)] ÷ [1 + P(OR − 1)]} × 100, where P is the prevalence of the neuropsychiatric symptom in subjects with normal cognition.23 The population-attributable risk considers both the frequency of a particular neuropsychiatric domain and the magnitude of the corresponding OR. Thus, we used the attributable risk to order the symptoms by overall importance. We also conducted stratified analyses by MCI type (amnestic MCI vs nonamnestic MCI). Statistical testing was done at the conventional 2-tailed α level of .05. All analyses were performed using commercially available software (SAS version 8.2; SAS Institute, Inc, Cary, North Carolina).
In addition, we conducted 2 sets of sensitivity analyses to examine potential sources of bias. In particular, we computed propensity scores to investigate bias in 2 settings. First, we considered missing data as a potential source of bias. Some neuropsychiatric symptoms such as nighttime behavior were prone to have missing data. This resulted either from absence of an informant or from the informant's being unable to recognize the symptom. This happened even though nearly 90% of the informants were spouses. Second, we considered refusal to participate in the study as a potential source of bias. It is possible that refusers might be systematically different from participants. Details of the calculation of propensity scores have been published elsewhere.24-26 Our propensity scores were based on age (continuous variable), sex, and educational status (continuous variable).
Between October 1, 2004, and September 1, 2007, a total of 1969 participants without dementia were randomly selected and gave consent for the study. There were 329 subjects with MCI and 1940 subjects with normal cognition. Neuropsychiatric data were available for 319 of the 329 participants with MCI (97.0%) and 1590 of the 1640 participants with normal cognition (97.0%). Table 1 gives their demographic data. There was an almost equal number of men and women in the group with normal cognition; however, there were more men in the MCI group. As expected, subjects with MCI were older than those with normal cognition. Hence, we controlled for age (continuous variable) by entering it as a covariate in the multivariate analysis. Within the MCI group, more subjects had amnestic MCI (232 of 319 [72.7%]) than nonamnestic MCI (87 of 319 [27.3%]). In the group with amnestic MCI, 61.2% were men, whereas in the group with nonamnestic MCI, 47.1% were men.
The median educational status in the group with normal cognition was 13 years and in the MCI group was 12 years (P < .01). The difference between the 2 groups remained significant when educational status was dichotomized at 12 years (P < .01). All analyses that compared the OR of neuropsychiatric symptoms between the MCI group and the group with normal cognition were adjusted by age, sex, and educational status.
Table 2 gives the frequency of neuropsychiatric symptoms in elderly participants with MCI and those with normal cognition, along with ORs, associated 95% CIs, and P values. Approximately 51% of subjects with MCI and 27% of those with normal cognition had at least 1 neuropsychiatric symptom (Figure). The prevalence of neuropsychiatric symptoms in subjects with MCI was significantly higher than in subjects with normal cognition; however, there was no difference between the 2 groups for hallucination and aberrant motor behavior. Symptoms were ordered by descending magnitude of the population-attributable risk, which considers both the frequency of a symptom and the magnitude of the OR. The most distinguishing neuropsychiatric feature between subjects with MCI and those with normal cognition were apathy (OR, 4.53; 95% CI, 3.11-6.60; P < .001), followed by agitation (3.60; 2.18-5.92; P < .001), anxiety (3.00; 2.01-4.48; P < .001), irritability (2.98;2.11-4.22; P < .001), and depression (2.78; 2.06-3.76; P < .001). Delusion, euphoria, and hallucinations were rare in the group with MCI and virtually absent in the group with normal cognition. For example, delusion was present in 11 of 319 subjects with MCI (3.4%) and 6 of 1590 subjects with normal cognition (0.4%). Thus, the OR of delusion was large and the corresponding CI was wide (OR, 8.12; 95% CI, 2.92-22.6; P < .001). However, the population-attributable risk for delusion was only 2.62% compared with 14.60% for apathy. Disinhibition was noted relatively more frequently in the MCI group (15 of 319 subjects [4.7%]) compared with the group with normal cognition (26 of 1590 subjects [1.6%]). There was no difference between the 2 groups regarding hallucinations (P = .69).
Table 3 gives stratified analyses by MCI subtypes. These analyses were conducted to explore whether the prevalence of neuropsychiatric symptoms varied by MCI subtype. There were 232 subjects with amnestic MCI and 87 subjects with nonamnestic MCI. The comparison between amnestic and nonamnestic MCI was made by computing ORs and the corresponding 95% CIs for each neuropsychiatric domain. The OR was computed by comparing subjects with a specific MCI subtype with all subjects with normal cognition. Hallucinations were not significantly associated in either group. The OR and 95% CI for euphoria approached significance in the group with amnestic MCI (OR, 2.44; 95% CI, 0.49-12.2; P = .28), whereas it was significant in the group with nonamnestic MCI (6.64; 1.33-33.1; P = .02). However, this finding should be interpreted with caution because euphoria was rare, noted in 2 of 232 subjects with amnestic MCI and 2 of 87 subjects with nonamnestic MCI.
The OR and 95% CI for apathy were higher in the group with amnestic MCI (OR, 5.17; 95% CI, 3.44-7.77; P < .001) than in the group with nonamnestic MCI (2.82; 1.42-5.58; P = .003). Similarly, the ORs for agitation and irritability were slightly higher in subjects with amnestic MCI compared with those with nonamnestic MCI. In contrast, the ORs for depression, delusion, anxiety, and disinhibition were higher in subjects with nonamnestic MCI compared with amnestic MCI. The OR for delusion in the group with nonamnestic MCI (OR, 12.7; 95% CI, 3.70-43.6; P < .001) was almost twice that in the group with amnestic MCI (6.65; 2.07-21.4; P = .001); however, the symptom was rare in both groups. The OR for appetite was comparable between the 2 groups.
We used the demographic data obtained (age, sex, and educational status) to compute propensity scores for each subject. We then used these scores in analyses that weighted these data more heavily toward subjects with higher propensity for missing data or for refusal to participate in the study. We performed 2 sets of sensitivity analyses. In the first set of analyses, we adjusted the observed results back to the complete data set of 1969 subjects who participated in the study. In this analysis, the propensity score reflected the propensity of missing data per variable. In the second set of analyses, we adjusted the observed results back to all subjects who were eligible for the study (1969 participants plus 1657 subjects who refused and 669 with partial participation).17 In neither of these assessments did we observe markedly different results before and after propensity adjustment.
We illustrate our findings using the missing data for nighttime behavior. The primary analyses showed an OR of 1.80 (95% CI, 1.25-2.60). The propensity-weighted analysis adjusted for missing data yielded an almost identical OR of 1.79 (95% CI, 1.24-2.58). The other adjustments for missing data were even smaller because far fewer observations were missing for the other neuropsychiatric symptoms. In the analyses for refusal to participate, the adjustments back to all the individuals who were eligible for the study produced relatively minor differences in ORs. For only 1 symptom, aberrant motor behavior, the adjustment resulted in a qualitatively different conclusion because the OR increased from 2.30 (95% CI, 0.70-7.61; P = .17) to 3.17 (95% CI, 1.04-9.66; P = .04). However, even this difference was relatively small and statistically not significant.
We report the prevalence of neuropsychiatric symptoms in 319 subjects with MCI and 1590 subjects with normal cognition randomly sampled from the elderly population residing in Olmsted County (Minnesota) on the prevalence date (October 1, 2004). Approximately 50% of subjects with MCI and approximately 25% of those with normal cognition had at least 1 neuropsychiatric symptom. After adjusting for age, sex, and educational status and considering both the frequency of a symptom and its corresponding OR, the most distinguishing features between subjects with MCI and those with normal cognition were apathy, depression, agitation, anxiety, and irritability. The OR was highest for delusion, but with a wide 95% CI because it was rare in both the subjects with MCI (3.4%) and those with normal cognition (0.4%). The population-attributable risk, which considers both the OR and the frequency of a symptom, was only 2.62% for delusion compared with 14.60% for apathy.23
We also observed that the prevalence of apathy, agitation, and irritability were slightly higher in subjects with amnestic MCI than in those with nonamnestic MCI. In comparison, depression and anxiety were slightly higher in subjects with nonamnestic compared with amnestic MCI. Although delusion was relatively rare, the OR in subjects with nonamnestic MCI was almost twice that in those with amnestic MCI. Similarly, the OR for disinhibition was higher in subjects with nonamnestic MCI compared with amnestic MCI. We hypothesize that apathy, agitation, and irritability may be neuropsychiatric markers of amnestic MCI that is likely to progress to AD, whereas symptoms such as delusion and disinhibition may be neuropsychiatric markers for progression of nonamnestic MCI to non-AD dementia. This hypothesis must be tested in studies involving longitudinal follow-up of subjects over many years.
There have been a few studies of the frequency of neuropsychiatric symptoms in MCI conducted in clinical settings.13,14 Our study can be directly compared with the population-based study of Lyketsos et al15 of the CHS group. Between 1989 and 1994, the CHS group collected data on cognition and neuropsychiatric symptoms from 3 counties on the East Coast (Washington County [Maryland]; Allegheny County [Pennsylvania]; and Forsyth County [North Carolina]) and 1 county on the West Coast (Sacramento County [California]). The CHS group reported the first population-based estimate of the prevalence of neuropsychiatric symptoms in MCI.15 There are 3 grounds that permit comparison of our findings with those of the CHS group. First, both studies were population-based. Second, both studies used essentially identical instruments to measure the 12 behavioral domains. The CHS used the NPI21 to measure 12 emotional behaviors and we used the NPI-Q to measure exactly the same 12 behavioral domains.20 The NPI-Q is a shorter version of the NPI and has been selected by the Uniform Data Set initiative of the National Institute on Aging.22 Third, both studies used similar criteria to measure MCI and also had comparable numbers of subjects with MCI: 320 in the CHS study and 319 in our study. One major difference pertains to the group with normal cognition. In our study, we were able to compare the MCI group with 1590 subjects with normal cognition from the same Olmsted County population, whereas the CHS study did not have subjects with normal cognition from the same population. Thus, the CHS investigators compared the prevalence of neuropsychiatric symptoms in patients with MCI from the CHS study with the published data on the prevalence of neuropsychiatric symptoms in control subjects with normal cognition from Cache County (Utah).16
The CHS reported that the 3 most common neuropsychiatric symptoms in MCI were depression (20%), apathy (15%), and irritability (15%). Similarly, we found that the 3 most frequent neuropsychiatric symptoms in MCI were depression (27.0%), apathy (18.5%), and irritability (19.4%). Furthermore, the CHS group suggested that selection bias might have led to underestimation of their prevalence estimates. This bias may account for the differences in crude frequency rates across the 2 studies. We could not make similar comparisons for neuropsychiatric prevalence estimates in persons with normal cognition because the CHS study did not include any participants with normal cognition. The Cache County study reported prevalence figures for depression (7.2%), apathy (3.2%), and irritability (4.6%) in persons with normal cognition.16 We observed slightly higher figures for depression (11.5%), apathy (4.8%), and irritability (7.6%). Some of these differences may be the result of differences in age and sex distributions in the 2 samples.
There are several strengths to our study. First, we used a population-based sample involving a large number of study participants. Second, we measured MCI using a face-to-face evaluation adjudicated by an expert consensus panel at a clinical center that has a well-established reputation for measuring MCI. Third, the neuropsychiatric symptoms were measured using an instrument similar to that used in the CHS study, thus enabling us to make comparisons. Fourth, we measured the prevalence of neuropsychiatric symptoms in both amnestic and nonamnestic MCI.
The study has limitations. The NPI-Q gathered information from an informant who was knowledgeable about the participant. In our sample, 90% of the informants were spouses; nevertheless, it is possible that an informant may overreport or underreport neuropsychiatric symptoms. However, it is reassuring that despite its smaller sample size (47 subjects with MCI), a Swedish population-based study that used a structured face-to-face interview to measure neuropsychiatric symptoms reported comparable frequency of symptoms.27 In addition, our sensitivity analyses did not reveal bias emanating from either missing data (nonresponse) or nonparticipation in the study.
Our findings may have implications for future studies. A prospective follow-up of our patients will clarify whether subjects with MCI with neuropsychiatric symptoms are at greater risk of developing AD or other dementias compared with subjects with MCI without neuropsychiatric symptoms.27 Recent publications indicate that MCI is a heterogeneous entity that can evolve into different types of dementia.12 The most empirically validated type, amnestic MCI, evolves to AD at a higher rate than in the general population. However, nonamnestic MCI could also evolve into AD or other types of dementia. We hypothesize that subjects with MCI with disinhibition or delusion may be at increased risk of developing dementia including frontotemporal dementia or dementia with Lewy bodies. In addition, a prospective follow-up of the 1590 subjects with normal cognition will enable us to investigate whether baseline neuropsychiatric symptoms are predictive of increased risk of incident MCI.28
Correspondence: Yonas E. Geda, MD, MSc, Department of Psychiatry and Psychology, College of Medicine, Mayo Clinic, 200 First St SW, Rochester, MN 55905 (firstname.lastname@example.com).
Submitted for Publication: November 12, 2007; final revision received April 6, 2008; accepted April 23, 2008.
Financial Disclosure: None reported.
Funding/Support: This study was supported by grants K01 MH68351, U01 AG06786, K01 AG028573, R02 AR30582, and R01NS33978 from the National Institutes of Health and by the Robert H. and Clarice Smith and Abigail Van Buren Alzheimer's Disease Research Program of the Mayo Foundation.
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La Terrasse
Rizal Ave., Puerto Princesa, Palawan
- 11 Reviews
- 0 Recommend
- 11 Reviewers
Primary Details
- Category:
- Asian
- Phone
- +63484341787
More Info
Most Recent Reviews
Sobrang sarap ng food!!! nakaka relax yung place
- No. of Comments: 0
- No. of Likes: 5 Likes
How often is it that you choose a hotel based on it's proximity to a restaurant?
We were staying in Puerto Prinsesa for a night en route to the actual destination tomorrow am, and we stayed nearby in Ipil Suites on the corner of La Terrasse.
You'd think highly of the place the moment you step in. The place is full of foreigners which actually scared me a little since that usually means it's expensive - but the prices aren't bad. Pretty expensive likely for Puerto Prinsesa but cheaper than Manila pricing.
Pictured will be the Adobo overload which the staff said was their specialty. It's adobo in different ways put together, there's pork, chicken, flakes, chicharon on the side, toasted garlic and the rice itself it seems was boiled on the adobo sauce. Wanted to finish it but it was just too much!
Next for the wife was the "Catch of the Day." It's lapu-lapu with lemon bouillabaisse with spinach tomatoes all together. It was cooked really well, the fish was fresh, meaty and moist.
For a total of Php700 - it was really really good! Kind of reminds me of Grace Park cooking in Rockwell at perhaps a quarter of the pricing.
Very near the airport, make it a stop before or after the flight!
- No. of Comments: 3
- No. of Likes: 4 Likes
At La Terrasse Cafe, you are assured of eating healthy and clean food!
• Slow cooked.
• No msg. No meat tenderizers.
• Seafood is bought fresh daily from the local market.
• Sauces are made from scratch.
• Soup stocks doesn't contain additives or powders or cubes.
• Vegetables are sourced from organic growers or from their our own organic gardens.
• They use organic or free range chickens or organic native chickens.
• Meats are sourced locally and whenever possible, organic as well.
This Duck Confit is a must try! Crispy and flavorful duck flakes rolled in mandarin crepes with hoisin sauce, cucumber sticks and spring onions. I tell you… this was absolutely dee-lee-cious! The Duck Confit alone is worth the trip back to this place!
- No. of Comments: 0
- No. of Likes: 2 Likes
A dozen fresh oysters for less than Php 200? Omgz0r YES. Other dishes also delightful and affordable. Great outdoor ambience with shade and bamboo to block view of street traffic
- No. of Comments: 0
- No. of Likes: 1 Like
I'm not sure, but maybe we just didn't order the right dishes. They all tasted so-so to me, and the dilis fried rice, which was a best seller, was overwhelmingly oily. I don't remember anything leaving any special impression to me, but our visit here did fill our starving tummies because of their big serving. And I do like the ambiance of the place :)
- No. of Comments: 0
- No. of Likes: 1 Like
Adobo overload-- organic native chicken and pork slowly braised in vinegar and soy sauce with garlic galore and a blend of spices, served on a bed of adobo fried rice, topped with crispy adobo flakes, crunchy pork rind and herbs, mango relish on the side. This is most likely the best adobo I've tasted. The medley of textures and flavors made this age old dish come to life with a new twist. A sure winner at only P200!
- No. of Comments: 1
- No. of Likes: 4 Likes
Regular taste food. It was not as I expected. This is the flour less chocolate cake. It was good but not excellent.
- No. of Comments: 2
- No. of Likes: 1 Like
Saw a poster for this restaurant at the front desk of our hotel, so we decided to check it out. The tricycle driver didn't know where it was, so we had to ask the lady at the front desk to explain where it was located. The driver dropped us off at the wrong restaurant But I saw that the La Terrasse sign was just nearby, so we walked. We fell in love with the place upon entering. The layout is very simple but the light fixtures and chairs made the ambiance very classy
Menu looked very promising so we got an appetizer that was a trio of Palawan flavors: cashews (they were toasted and warm!), peanuts and spicy dilis that came with a spicy coconut vinegar. Dad ordered a bowl of clam soup for himself and loved it. I ordered lemon garlic pepper shrimp (pictured above) that came with roasted potatoes and sat on a bed of greens. Then we got a bunch of orders for sharing. Dad ordered talakitok that was pan-fried in anise-infused butter. Yum! You can really taste the anise. I ordered a squid dish that sounded really nice on the menu: oven-baked squid with spinach, feta, and bechamel. I thought the squid would be smothered in white sauce, but when it came, it looked like it was just a squid filled with spinach. When I tasted it though, I could taste the feta and a little bechamel in the spinach. Very creamy and cheesy. The squid was a tad bit overcooked, but I still enjoyed it.
After the meal, I had a craving for dessert. And since I saw that they have homemade sherbet and ice cream, I decided to ask them for the available flavors. They only had mango and guyabano sherbet, so I ordered the honey-nougat ice cream instead. When it came, I was excited. It was topped with a sprig of mint, a sprinkle of cinnamon, some pieces of lengua de gato and a few things I couldn't make out right away. When I tried the things that I didn't know, I was surprised to find that they were candied lemon and orange peel. Sarap! The ice cream was delicious. I could really taste the honey and the nougat.
This place is definitely a must-try in Palawan. And it's still one of the best dinners I've had since we arrived.
- No. of Comments: 0
- No. of Likes: 2 Likes
I loved it.
- No. of Comments: 0
- No. of Likes: 0 Likes
Great food,good ambiance,quick service and cheap prices... be sure to stop over for a meal whether u just got to puerto princessa or when ur on ur way back to wherever...
note airport is 5/10mins away on foot... =p
- No. of Comments: 1
- No. of Likes: 1 Like
Yummiest adobo I've ever tasted! Organic native chicken and pork served over a bed of adobo rice with chicharon and fried garlic toppings and ripe mango atsara as a side dish. At Php200, it is super sulit! Great ambiance too! Their flourless orange cashew cake served with vanilla ice cream is also a new favorite. Gosh! I wish they open a branch in Manila. I'll upload the pictures soon but if you're in Palawan now (or if you plan to go here very soon), you MUST visit this place!
- No. of Comments: 0
- No. of Likes: 4 Likes

subset: commoncrawl


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Just completed model in luxury Portland Tower – quick closing possible! Numerous upgrades including lighting, electrical, cabinetry, plumbing (upgraded faucets and shower heads!), tile, granite, enamel millwork and walnut wood flooring. Portland Tower offers a community room, fitness center and patio for grilling! Still time to custom finish another unit! Walk to the new US Bank Stadiu, parks, downtown venues and so much more. Close to the light rail and public transportation. Luxury unit waiting for you! Internet and basic cable included in association fee. Sales center open daily from 11:00-5:00. Sales center located on the west side of Portland and 8th. Parking on the east side.
DetailsBedrooms: 3 Bed Bathrooms: 2 Bath Style: Downtown Loft Sq Ft: 1679 Heat: Central heat Cooling: Central air conditioning Garage: 1 parking stall included Year Built: 2016
PropertyLot Size: Common County: Hennepin School District: Minneapolis School District 001 RE Taxes: To be determined Tax Year: 2017
RoomsLiving Room: 21x19 Dining Room: 19x15 Kitchen: 19x15 Bedroom 1: 13x10 Bedroom 2: 12x10 Garage: One parking stall included in price
Additional Property Features
- 3 bedrooms on one level
- Association Maintained
- Ceramic tile
- Granite
- Hardwood floors
- Main floor laundry room
- Main level bedroom
- One level living
- Owners' Private Bath
- Portland Tower
- Quick Possession Available
- Stainless Steel Appliances
- Walk-in closet


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Ron Paul Takes Second in Minnesota
Last night was a good one for Rick Santorum, but Ron Paul also got a bump, beating out Mitt Romney to come in second place in Minnesota. Paul got 27 percent of the vote in Minnesota, 10 points more than Romney and better than Paul's previous best of 22.9 percent in New Hampshire. It's a much-needed boost after Paul's disappointing third-place finish in the Nevada caucuses this weekend. "We had a very, very strong second place—and it's going to continue," he told supporters.


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Cougar Basketball Added to 2010 Diamond Head Classic Field
June 1, 2010
HONOLULU, Hawai`i- Washington State University men's basketball has been added to the field of the Hawaiian Airlines Diamond Head Classic, set for Dec. 22-25, 2010, at the Stan Sherriff Center on the campus of the University of Hawai`i at Manoa, ESPN Regional Television, Inc. (ERT) announced Tuesday.
Washington State joins the field announced last December that includes Baylor, Butler, Florida State, Hawai`i, Mississippi State, San Diego and Utah. The tournament features four teams that reached the postseason in 2009-10, including national runner-up Butler. Baylor advanced to the Elite Eight of the NCAA Tournament before falling to eventual national champion Duke, Florida State made the NCAA field of 65 and Mississippi State advanced to the second round of the NIT.
'Being a part of ESPN's Diamond Head Classic is a great opportunity for our program,' WSU Head Coach Ken Bone said. 'This tournament showcases an outstanding field of competition.'
Over the past two seasons, the Cougars have faced three of the seven other teams in the tournament in Baylor, Mississippi State and San Diego. Last season, WSU defeated San Diego in the championship game of the Great Alaska Shootout to take home the tournament title.
'We are thrilled with the addition of Washington State to the second Annual Hawaiian Airlines Diamond Head Classic,' said David Matlin, executive director of the Hawaiian Airlines Diamond Head Classic and Sheraton Hawai`i Bowl. 'The Cougars, from the Pac-10, complete one of the most exciting tournament fields for the upcoming season.'
The last tournament Washington State played in Hawai`i came during the 1991-92 season in which the Cougs went 2-1 in the Rainbow Classic in Honolulu.
The Hawaiian Airlines Diamond Head Classic, an eight-team men's college basketball tournament, will feature 12 games through three days - Dec. 22, 23 and 25. The Sheraton Hawai`i Bowl, also owned by ESPN Regional Television, will be played Dec. 24.Each team will compete in one game per day, advancing through a bracket-tournament format. The two teams that remain undefeated throughout will face off in a championship game Christmas Day.Additional information can be found on the Hawaiian Airlines Diamond Head Classic's official Web site: www.DiamondHeadClassic.com.
The TeamsThe 2010 field is a group that has made its mark in the postseason in recent years. Seven of the eight squads have participated in the NCAA Tournament within the last three seasons.
Baylor enjoyed a historic and record-setting season in 2009-10, winning a school-record 28 games and advancing to the Elite Eight for the first time in the modern tournament era. The 2009-10 season marked the third consecutive 20-win season and third straight with a postseason appearance - both school firsts. The Bears finished the season ranked in the Top 25 for the first time in program history.
Butler ranks among the most successful men's basketball programs in Division I through the past four seasons with a 118-22 record. In each of the past four seasons, the Bulldogs have captured the Horizon League regular-season championship, advanced to the NCAA Tournament and have been ranked in the Top 25. Last year's squad advanced all the way to the NCAA national championship game.
Florida State, which has played in back-to-back NCAA Tournaments, is the fourth winningest program in the ACC in the last three seasons. The Seminoles have won 20 or more games in five of the last six seasons and have played in the postseason for a school-record five consecutive years. Florida State is one of only two teams in the ACC that has finished in the top four of the league standings in the last two seasons.
Hawai`i will again serve as the tournament host after finishing fourth in last year's inaugural Hawaiian Airlines Diamond Head Classic. The Rainbow Warriors will be under the direction of new head coach Gib Arnold, who was an assistant for the USC squad that won the 2009 Hawaiian Airlines Diamond Head Classic. Arnold is widely regarded as one of the elite recruiters in college basketball and has already made his mark. One publication ranked this year's UH recruiting class as the seventh-best in the nation.
Mississippi State won 24 games last season--its fourth straight season with 20 or more wins--and earned a spot in the postseason for the ninth time in the last 10 seasons. The Bulldogs advanced to the SEC Tournament championship game for the second straight year and have claimed three of the last four SEC West Division regular-season titles.
Fourth-year San Diego head coach Bill Grier this season will field his first team comprised entirely of his recruits. In his first season at USD, Grier and the Toreros enjoyed a memorable 2007-08 campaign as the team went 22-14, captured the West Coast Conference Tournament and advanced to the second round of the NCAA Tournament after knocking off No. 2 seed Connecticut.
Utah is looking to recapture the form of its 2008-09 Mountain West Conference championship season, when the Runnin' Utes went 24-10 and received a No. 5 seed in the NCAA Tournament, then the highest seed in history for a MWC team. Reigning MWC Defensive Player of the Year David Foster, standing at 7-foot-3, leads a skilled group of returning players and several new faces as Utah make its first trip to Hawai`i since 2002.
Washington State put together the program's fourth-straight winning record (16-15) and captured the 2009 Great Alaska Shootout title under first-year head coach Ken Bone. The Cougars have been to the postseason in three of the last four seasons--including two NCAA Tournament appearances--and return all five starters from last season's squad.
TODAY | 12:00pm PTLive
Airing on:
- Pac-12 Network
- Pac-12 Arizona
TODAY | 4:00pm PTLive
Airing on:
- Pac-12 Network
- Pac-12 Los Angeles
- Pac-12 Oregon
Pac-12 PlaylistTODAY | 7:00pm PTLive


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Rishi Jaitly, Twitter's India head, has announced his resignation. In a series of tweets on Tuesday, he said that he wants to "move to new opportunities." Jaitly had joined the microblogging site's India operations in November 2012.
The news comes within two months of Twitter deciding to shut down its engineering operations in India, laying off about 20 employees in the process.
He follows Shailesh Rao, who quit the San Fransisco-based social media network in July this year as vice-president, international operations, four years after joining the organisation in February 2012.
Jaitly said that he is moving to Chicago, hinting that he may be joining an organisation with a civic orientation. He said he would continue to pursue his "mission" of harnessing technology for connecting people with leaders.
At Twitter, Jaitly was responsible for its operations across Asia Pacific and the Middle East.
Today, after 4 years of user/business momentum in India & the region, I'm sharing my intention to move on to new opportunities, same mission
— Rishi Jaitly (@rsjaitly) November 1, 2016
My mission remains the same: harness tech/media's scale to connect users/citizens to their voice/agency/leadership in places they care about
— Rishi Jaitly (@rsjaitly) November 1, 2016
While a personal/civic calling takes me to Chicago, I'll spend significant time in India/Asia, drawing on my past to further tech's promise.
— Rishi Jaitly (@rsjaitly) November 1, 2016


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Following an investigation by the Professional Standards Bureau (PSB) of the Ontario Provincial Police (OPP) and the Sudbury OPP Crime Unit, an off duty Provincial Constable has been charged in relation to a domestic violence complaint which occurred on December 21, 2017, in the City of Elliot lake, Ontario.
As a result of the investigation, a 46 year old male was arrested and charged with:
Assault – Spousal, contrary to section 266 of the Criminal Code (CC), and Mischief – destroys or damages property, contrary to section 430(1)(a) of the CC
The officer is a 19-year member with the OPP and is scheduled to appear before the Ontario Court of Justice in Elliot Lake on January 2, 2018.
The officer has been suspended from duty with pay in accordance with the Police Services Act of Ontario.
https://saultonline.com/2017/12/off-dut ... g-charges/


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We all know that the 'Hum' is not the best nose flute – could I dare to say it is the worst mass produced one – but it has been much better by the past. The plastics used have evolved in a bad way: whether the 1943+ models were roughly injected in a low grade plastic (celluloid?), the Fred Gretsch Mfg Co. quickly turned to a nice polystyren, stiff and crispy, yet light, nicely sounding. But on the turn of the 1980-90s, Trophy Music Co. bought the brand and began a production in a cheap, soft and dull sounding PVC (not from the beginning however, there were polystyren Trophy Music versions, then translucent red ones, then only the PVC).
The original shape evolved a bit at the early stages: the nose scoop got sharper, the 'true tremolo' hole stopped to been chamfered, the wingspan was reduced a bit while the mouth hole made bigger, and a heal was added to the bottom of the mouth shield. All by Grestch, on their late models.
However, in the 1940s, the Humanatone was also specially packaged to be sent to the 'buoys' fighting in the Pacific. No more dedicated to concertists, as the original metal one was, but to kids and soldiers.
The early models were incredibly psychedelic, with swirled and marbled colours! But Gretsch rationalized its catalogue and began to produce only plain color Humanatones. Red, yellow, blue, brown, black. Then Trophy Music froze the range to the current 6 tones: yellow, orange, red, purple, navy blue and green.
In the 1950-60, the Humanatone was also produced in a tin version, made in Japan.
The Hum was copied. By the Hum-a-Tune, produced in Hong-Kong in 1969, rebranded into 'Bullwinkle's Hum-a-Tune', but also by an anonymous chinese production, in the 90s. But the Humanatone continued its road, sold under different disguises, like the Topps Nose Flute version in the 1960s, the Dr. B. B. Bumpstead's Musical Respirator, the Amazing Nose Flute in 2005, or even by Trophy Music itself with the 1st Note Nose flute. It was even used as a promotional toy for a nasal spray!
The Humanatone was also the object of all my affection in my very first video, very first post of this blog on 9th of August, 2011:
So, despite your numerous flaws, your cheap make, your deep crappiness, you're the one with the biggest success and longevity, and this must necessarily mean something…
Happy birthday, Grandma!


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University of California, San Francisco | About UCSF | Search UCSF | UCSF Medical Center
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|Abutilon is a Scrabble word. Scrabble point value for abutilon: 10 points.
|Abutilon is a Words with Friends word. Words with Friends point value for abutilon: 10 points.
Above are the results of unscrambling abutilon. Using the word generator and word unscrambler for the letters A B U T I L O N, we unscrambled the letters to create a list of all the words found in Scrabble, Words with Friends, and Text Twist. We found a total of 165 words by unscrambling the letters in abutilon. Click these words to find out how many points they are worth, their definitions, and all the other words that can be made by unscrambling the letters from these words. If one or more words can be unscrambled with all the letters entered plus one new letter, then they will also be displayed.
1. herbs or shrubs or small trees: flowering maple; Indian mallow
|Words that start with abutilon
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Wealden Rly Group's Small Layout Show 2017
Model Trains Interactive Forum Index
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Joined: 03 Jan 2007
Posts: 79
Posted: Mon Apr 17, 2017 8:34 am
Post subject: Wealden Rly Group's Small Layout Show 2017
Hello folks,
Will this show be happening in 2017?
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giles b
Joined: 25 Oct 2006
Posts: 2362
Location: London
Posted: Tue Apr 18, 2017 10:09 pm
Post subject:
Yes, it's this Saturday from 1030 - 16.30.
Venue: The Steyning Centre, Fletchers Croft, Steyning, BN44 3XZ
Admission £3.50
Please be aware that the adjacent car park is now Pay & Display (payment by card only), with a 3 hours max time limit. Ask at the show pay-desk to be directed to a nearby road with no parking restrictions - a 4 minute walk from the show.
See you there.
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Joined: 03 Jan 2007
Posts: 79
Posted: Wed Apr 19, 2017 9:02 am
Post subject:
Thank you Giles. This is the first I've heard of the show this year - has it been advertised anywhere else? Is there any chance that the roads
parking restrictions could be named on here? That would be so much more convenient.
Kind regards,
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giles b
Joined: 25 Oct 2006
Posts: 2362
Location: London
Posted: Wed Apr 19, 2017 1:11 pm
Post subject:
The info I posted I'd gained as an exhibitor at the show. As I'm not an organiser I can't give you chapter and verse on parking, but have a look on Google Earth to find Fletchers Croft and you'll see there's a dead end road leading up to the church on the other side of the road that passes the Centre. I think that's it.
Edit: THIS IS WRONG - see posting below.
Don't know about advertising. I think it's probably been on the CMRA's online Exhibition Diary.
Last edited by giles b on Wed Apr 19, 2017 10:14 pm; edited 1 time in total
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giles b
Joined: 25 Oct 2006
Posts: 2362
Location: London
Posted: Wed Apr 19, 2017 10:11 pm
Post subject:
New information from the show's organiser. Recommended parking road is Goring Road, which is unrestricted - but beware of obstructing driveway entrances, please. It is about a 5 mins walk back to the venue, along a footpath.
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Simon Hargraves
Joined: 26 Apr 2010
Posts: 120
Location: Hastings
Posted: Sat Apr 22, 2017 12:51 pm
Post subject:
Shame I won't be able to make it....not feeling up to riding the bike today due to a bug of some sort, so have gone to the Surrey 7mmNGA open day at Merstham by train instead...
Hope all goes well and that I can make it next year!
Simon Hargraves
Easily distracted? Me? Oh Yes!
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giles b
Joined: 25 Oct 2006
Posts: 2362
Location: London
Posted: Sat Apr 22, 2017 9:47 pm
Post subject:
I was on my own, operating Great Sutton, so did not have much time to see the show, and indeed missed two or three layouts altogether. I did like these two exhibits, starting with some Belgian Vicinal rolling stock in 1:32 scale on 32mm track (O gauge)
No room for O gauge? Think again, and look at what Les Colman brought along; a 7mm scale layout with a main baseboard measuring 4ft 6ins by 1ft 3ins. The end of the run-round loop was a sector plate disguised by a corrugated iron loco shed. The sector plate was 18 inches long and was cantilevered out from the end of the board by about 9 inches, making the overall length 5ft 3inches. The flavour was a mixture of Wantage, Laxfield and the Wisbech & Upwell. The points are three foot radius, hand-built.
As usual with Les, the main modelling material was cardboard (including the diesel's body). The locomotive's mechanism was an old Atlas six-wheeled Plymouth chassis.
Some new pictures of Great Sutton will be found in its own thread, tomorrow.
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giles b
Joined: 25 Oct 2006
Posts: 2362
Location: London
Posted: Wed Apr 26, 2017 10:53 am
Post subject:
The show organiser has now posted his pictures; they are available at
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Villarreal have confirmed they have come to an agreement in principle to sign Borja Valero from West Brom.
Valero spent last season on loan at Real Mallorca and now looks likely to return to Spain on a permanent basis, after agreeing a five-year contract with the Primera Division outfit.
A statement on the Villarreal website read: "Barring a few minor details, Villarreal CF and West Bromwich Albion have come to an agreement for the transfer of footballer Borja Valero, who will belong to the Yellow Submarine club for the next five seasons.
The statement continued: "After the signing of the contract and the medical tests, the club will make official the date of the presentation of the footballer."
Valero progressed through the ranks at Real Madrid before moving to Mallorca in 2007.
The midfielder spent just a season with the islanders before West Brom snapped him up for a club record £4.7 million.
Valero signed a four-year contract with the option of a further year but was loaned out to Mallorca after just one season at The Hawthorns.
The 25-year-old impressed on his return to Spain, winning the prestigious Don Balon award for the best Spanish player.
Copyright (c) PA Sport 2009, All Rights Reserved.


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In his book The Best Defense Alan Dershowitz reminisces about dining in the old New York Kosher restaurant Shmulka Bernstein's back in the early 1970s.
He recalls how Rabbi Meir Kahane used to enter the restaurant and "harangue" him and the other diners with lectures about the plight of Jews in the former Soviet Union.
"They're being annihilated, spiritually and physically. And what are you fancy liberal Jews doing about it? Nothing, that's what! You're no different from the American Jews who stood by silently while six million of your brothers and sisters were being gassed by the Nazis."
Deshowitz reflects on how these lectures affected him and inspired him to act.
I thought of this as I was reading a Rashi from this week's parshah.
The Torah says (Bereishit 41:50) that Yosef had two children BEFORE the famine hit Egypt. Rashi comments that from here we see that it is forbidden for a person to have marital relations during the years of famine.
But Yosef was in Egypt. In Egypt, even though the weather conditions may have been that of a famine, there was food and Yosef was not going hungry.
Yosef was sensitive to suffering in the world. Even if the famine did not affect him in Egypt, since he understood that his brothers in Israel were suffering he conducted himself as if he were suffering through the famine as well.
It has gotten to the point that attacks in Israel have become so frequent that sometimes they barely make the news. It is so easy to forget the suffering that our brothers and sisters in Israel are going through right now. It is more important than ever to constantly keep them in our minds and think of ways that we can constantly remind ourselves of their plight.
Rabbi Kahane successfully got Allan Dershowitz to internalize the struggle of Soviet Jews. he could not enjoy his lunch while Jews were suffering, and it inspired Dershowitz to take action. He could no longer sit back and say, "what can I do?" The problem ceased to be someone else's problem, and it became his problem so he was almost forced to look for ways that he could help.
We must internalize Israel's suffering, make it our own, and figure out ways that we can do something to help them.


text: Currently these are generally etch and spring wire only as per the wagon chassis and the bogie wagons do not include bogies. This situation will hopefully be changing in the not too distant future with the introduction of a range of axlebox/spring and vacuum cylinder castings along with a range of freight bogies. Resin parts are included with some kits and this is noted where appropriate.


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Can you identify the yellow and brown material I'm using in this respirator?
The Answer:
Thanks to everyone who participated. It was kind of a trick question. The name of my blog is Leather and Resin Projects, so of course, this material is one of those. It is in fact leather.
This is one of the masks that I'm making for the film After The Fall, and this section is supposed to be a herringbone twill fabric. I decided the simplest way to accomplish that was to paint the leather parts yellow, and laser engrave the twill pattern (which turns the leather brown). I was pleased with how much it does look like fabric—thus my post and question—to see how easy it was to identify.
Tuesday, November 3, 2009
What Is This? The Answer.
at 3:22 PM
Labels: after the fall, herringbone, twill
7 comments:
Part of a basketball?ReplyDelete
Good guess, but not part of a basketball. Anyone else want to give it a shot?ReplyDelete
I'm thinking the grill off of a Fender amp, maybe?ReplyDelete
I think it may be the brim of an Irish Herringbone Hat, or the inside of a tennis ball?ReplyDelete
Wow, some very creative guesses, but no one's got it yet.ReplyDelete
I think the material is semi-rigid and rubberized, because it seems to have not freyed edges as fabric would. I keep thinking some part of a boot or tennis shoe, but I can't place the part. And I can't find it on Google. I think it is rubber with a sandwhiching a a fabric lining. Is this a common house hold item or is it a more rare item?ReplyDelete
Dang - you had everybody fooled, Tom ;DReplyDelete
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Cisco Sizzle – Summary of May's Hottest StoriesDigital Transformation
Welcome to the Cisco Sizzle! Each month, we're rounding up the best of the best from across our social media channels for your reading pleasure. From the most read blogRead More
Cisco Grows Leadership Position in Service Provider NetworkingExecutive Platform
Cisco gained market share in service provider routing and switching in the first quarter of 2011, according to two key analyst reports issued this week. In an ACG Research blogRead More
News@Cisco Week in Review and Look Ahead: May 2-6Executive Platform
Happy (late) Cinco de Mayo — or should I say Happy Cisco de Mayo! It was another busy week here at Cisco. Some of our top stories included features onRead More
Cisco Reports Q1 FY2011 EarningsExecutive Platform
Today, we reported our first quarter results for the period ended October 30, 2010. We reported first quarter net sales of $10.75 billion, net income on a generally accepted accountingRead More


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Latest posts
Quick Color Correction
Here is a 2 minute color correction technique I picked up from one of Scott Kelby's books. Its fairly simple, and it ranks as beginner-advanced. Here is the basic image before color correction. You can save this image and follow … Read More
Land a Job at a Top Web Design Agency
Many job seekers do not always know where to start when looking for an entry level job at a top design firm. Before you start pounding the pavement with your portfolio, review these important steps: Take Inventory Writing down some … Read More
How to Make Money Selling Website Templates
If you are a website designer, you probably realize the importance of keeping yourself busy not only with work from brand new customers, but from your existing ones as well. And unfortunately, this is where many website designers fail and … Read More


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HiPhi gives Shane-O a tour of some of the hottest hangouts in Nashville. The true jewel in the South, Nashville prides itself with the strong musical culture and great Southern color.
This video of a couple's trip to Nashville will make you feel like you're seeing the city for the first time. Taking a journey through their eyes would make you want to move to Nashville immediately.
However, having a journey and immigration is not easy which need lots of money. Do you have enough money to enjoy the trip to Nashville? An early planning can help you go to everywhere you want including Nashville, a beautiful city which can be seen in this video.
Click Subscribe to our channel to see more about money saving idea and financial video.


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Plastic Surgery 101
New treatments for neck and chest wrinkles
Q.I'm one of those people who loved to sunbathe growing up. My neck doesn't look good but my chest is awful. Is there anything out there that can help me make that area look more rejuvenated?
A: My first response to you is: Are you still going in the sun? If you are, staying out of the sun would be your first step to getting rejuvenated. Wearing a good sunblock along with the use of good moisturizers would also be helpful. Some people get a nice result by using Retinoid compounds on the chest. Care must be taken in this area so as not to cause any scarring.
IPL, or intense pulsed therapy, is another procedure that can help with the wrinkling and the discoloration that is seen in the chest. It usually takes several treatments and is generally very well accepted by patients. Another treatment that the Food and Drug Administration recently approved for the chest area is Ultherapy. This non-invasive procedure is FDA-cleared to lift skin on the neck, on the eyebrow and under the chin as well as to improve lines and wrinkles on the décolletage (chest area). Ultherapy has been used in our office for many years to tighten the neck and improve the skin quality along the face, neck and forehead with excellent results.
The key to achieving excellent results is having good patient selection. Not every patient is a candidate for this treatment and I don't believe this can qualify as a "noninvasive facelift." The procedure is done either by physician, an aesthetician or nurse practitioner. Oral medication to sedate the patient may be used or it may be done without any sedation depending on the patient's ability to tolerate discomfort. The results of the procedure are noted soon after the procedure and maximize at about three months. Since this is a relatively new procedure in the United States, long-term results are difficult to determine at this time.
Dr. Carlos Wolf is a partner in Miami Plastic Surgery and is board certified. Email your questions to him at: email@example.com


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where are we
Visualize a world where you are surrounded by sun kissed white sandy beaches, azure crystalline lagoons, mysterious tropical rainforests, dazzling corals, a swimming elephant and spectacular starlit skies. In the captivating Andaman Islands, this visual transforms into a reality.
The Andaman Islands are a group of archipelagic islands located in the Bay of Bengal between India to the west and Burma to the north and east. Of the 572 islands, islets and rocks that constitute the Andaman and Nicobar chain, as little as 36 are inhabited. Ritchie's Archipelago is the name given to the 9 emerald islands east of South Andaman. Of these, Havelock Island is the largest and the most popular holiday destination.


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Free BPMN 2.0 Tool
Currently v3.1.0. Available for Windows, Linux and Mac. Sources on GitHub.
Edit BPMN 2.0 on your computer
Built on top of bpmn.io it adds native operation system integration, multi diagram support and more.
Offline Ready
Install on your computer. Open, browse and save your diagrams on to the local file system.
Multi Diagram Support
View and edit many BPMN 2.0 diagrams in parallel, opened in different tabs.
Property Editing
Edit execution related BPMN 2.0 properties via the built-in properties panel.


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Artist Reception & Book Signing
February 24 2016, 6 - 8 PM
Southern Comfort Gallery (SOCO Gallery) is pleased to host photographer Andrew Moore for a book signing of Dirt Meridian, published by Damiani and distributed by D.A.P. Moore is a major force in contemporary photography, known for his large format photographs of landscapes and architecture in transition. This will be Moore's first project with SOCO Gallery, located at 421 Providence Road in Charlotte, North Carolina. Limited copies of Dirt Meridian will be available for pre-order and purchase by contacting email@example.com.
From 2005 - 2014, Moore shot his series Dirt Meridian, which covers the areas west of the 100th meridian to the Rocky Mountains, from North Texas to Canada. This expansive area is also the most sparsely populated territory in the United States. Many of these photographs are aerial views taken from a single engine plane showing the vastness of the region, which are juxtaposed with intimate portraits of the residents, up close and unflinching. In addition to the multi-layered American narrative provided by Moore's photographs, Dirt Meridian includes a preface by acclaimed novelist Kent Haruf and texts by writer Inara Verzemnieks and curator Toby Jurovics. Two of Moore's large format photographs will also be on view in the gallery and available for purchase during the book signing.
Andrew Moore was born in Connecticut in 1957. His works are widely collected by private and public collections including the North Carolina Museum of Art, Raleigh; Whitney Museum of American Art, New York; Yale University Art Gallery, New Haven; Library of Congress, Washington DC; Metropolitan Museum of Art, New York; Brooklyn Museum of Art, New York; Cranbrook Art Museum, Detroit; High Museum, Atlanta among others. The artist currently lives and works in New York, New York.
SOCO Gallery is a contemporary art space and bookshop based in Charlotte, North Carolina. The gallery was founded on the simple premise that this region deserves a thoughtful platform for contemporary art to be experienced, discussed, and acquired. SOCO Gallery produces six exhibitions annually, and exclusively represents artists working locally, nationally, and internationally at the highest levels. The gallery specializes in assisting private collectors, institutions, and corporations to build their collections with museum-quality artworks, from emerging to established artists. Community engagement and education are central to the mission of the gallery. Each exhibition includes artist talks, book signings, and related programming. SOCO Gallery and bookshop is centrally located in a renovated 1920's bungalow in historic Myers Park.


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We all know how important it is to choose the correct outfit and correct kind of jewellery for your D-day. Weddings are special for every bride and so the makeup should be special too. This can make or break your look. So, you need to choose your makeup look very carefully. Bridal makeup is an important part of bridal dressing. Along with the shinning jewellery and a gorgeous wedding dress if the makeup and the hair do is inappropriate then their beauty are also marred. Indian bridal makeup is a bit gorgeous as we all know with red and gold hues but the makeup should not be over the top and should naturally enhance the dewy radiance of the bride. Bridal makeup can effective correct any imperfection or marks that the bride may have in her face.
The gorgeous red bindi, the chandan designs around it, the mukut, all of those that go usually with the traditional red silk saree, are what makes the Bengali beauty stand out from the rest.
Use of a little golden hue in the base primer for the face can work together with the contour makeup to give an elegant look for the bride, as can be seen in this gorgeous Bengali bride. Over-use of colours in the base is not advisable, but the right amount of golden or reddish hues according to dark or light complexions, can take the bridal look to a whole new level.
The use of eyeliner really defines a bride's look on her big day. Apart from drawing a traceable outline, the eyeliner elevates the elements of the eye makeup like the eye-shadows, waterline and eyebrow makeup, among others.
A well contoured facial makeup, adds to the elements of the bridal makeup, and really showcases the features of the face in a beautiful manner. That is truly the success of this Bengali bridal makeup look.


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Todmorden Town Hall will host a Megaslam Wrestling live show on Sunday, February 22.
Organiser Brad Taylor has promised "two hours of non-stop family entertainment" and says the event will feature a splash of American TV wrestling alongside traditional British wrestling.
The show will feature at least 12 professionals, including former WWE star Frankie Sloan, a name many grapple fans will have heard of.
Sloan partnered Robbie Brookside to form the tag team Liverpool Lads, often facing Big Daddy, Giant Haystacks and Kendo Nagasaki.
In 2010 he faced former WWE champion Vladimir Koslov.
He will be joined by fellow Merseysider Ringo Ryan, Megaslam world champion Bully Boy Carter, 'The Warrior' Paul Malen and female fighter Lana Austin.
"The show appeals to all ages - we present a truly family-friendly experience," said Taylor.
Megaslam will feature five action-packed bouts and culminate in a tables match in which, to win, a fighter send his opponent through a table.
Doors open at 7pm with the show at 7.30pm. Tickets are available from www.ticketsource.co.uk/megaslamwrestling.


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John Pagano
2013 will mark Pagano's 12th season with the Chargers and his second as defensive coordinator. He is the longest-tenured assistant on the Chargers' coaching staff.
During his first season as defensive coordinator, the Bolts improved from 16th in the NFL in total defense in 2011 to ninth in '12. The team made its biggest leap in its run defense, improving 14 spots from 20th in 2011 to sixth in '12.
John was born and raised in Boulder, Co. He and his wife, Kimberly, have two sons, Jagger and Brody.
Event Contact
Get Involved!
Contact us for more information on sponsorships, donations, volunteering and general event information.


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Weekend Watch: March 22-24
Good morning! It's a very busy weekend in Tar Heel athletics. We've got NCAA championships, EAGL championships and men's and women's NCAA basketball tournaments. Let's get to it.
Men's basketball takes on Villanova tonight at 7:20 p.m. EDT in the second round of the NCAA Tournament on TNT. Gaze at the bracket here. Adam took a look at the tournament history between the Tar Heels and Wildcats.
GoHeels TV has your send-off and practice video.
Lennie Rosenbluth is one of the nicest men you'll ever meet. Yesterday, he and Adam went back to Kansas City's Municipal Auditorium, where he and the Tar Heels won the 1957 NCAA championship.
Women's basketball begins tournament play Sunday at 2:30 p.m. against Albany in Newark, Del. Watch on ESPN2. Here's the women's field.
Baseball was supposed to be in Boston this weekend, but he field in Chestnut Hill is unplayable due to recent weather. So the Tar Heels and Eagles will do battle in Chapel Hill with a double header Saturday at noon and a third game Sunday at 1. An audio broadcast of all three games will be available on GoHeels.com.
Wrestling is in Des Moines, Iowa for the NCAA championships Friday and Saturday. Watch the action on ESPNU and ESPN3. The five Tar Heels competing all advanced to Friday's competition.
Track is hosting the Kent Taylor Invitational Friday and Saturday.
Carolina has 11 swimmers competing at the women's NCAA championships in Indianapolis this weekend.
Men's Tennis is on the road at Virginia Tech Friday, then at Virginia Saturday.
Rowing takes on Old Dominion Saturday at 7 in Norfolk.
Both men's and women's fencing are competing at the NCAA championships this weekend on ESPN3.
Softball is in Tallahassee for a three-game set with Florida State. They'll play two Saturday and one Sunday.
Men's lacrosse is at Maryland Saturday at noon. Watch on ESPN3.
The EAGL gymnastics championships are Saturday at 2 at Carmichael Arena.
Women's lacrosse takes on Boston College Saturday at 7 on ESPN3.
Men's Golf is in Awendaw, SC for the Hootie at Bulls Bay Intercollegiate Sunday through Tuesday.
Women's tennis is at Northwestern Saturday at 11.
Just one today: this story about insect head transplants is fascinating.
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Microsoft Knowledge Base Article 908370 contains the following summary:
A domain controller that is running Microsoft Windows Server 2003 may stop responding for 2 to 15 minutes several times a day.
A Server Message Block (SMB) session may be unresponsive when the user of a client computer tries to browse files or to open files on a network. The problem affects all the client computers at the same time. The problem may also occur when you try to browse files on the server by using a Universal Naming Convention (UNC) path.
When this problem occurs, you can view a shared location on the network by using a Command Prompt window. The server uses no more resources than usual.
Hide comments


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Monday, June 13, 2011
Indian officials plan to distribute questionnaires about caste and religious affiliation during June and July, alongside efforts to count those Indians who are living below a government-set poverty line. This is the first concrete plan by the Indian government to collect caste affiliation data since 1931, prior to the country's independence from the British.
N. Bhaskara Rao is one of India's most experienced and respected demographic researchers. He says the caste survey has two well-intentioned aims. "One is to establish a more reliable estimate," he said. "The second is, those who are not represented, those who have not yet gotten on to the power structure - to bring them into the fold of power."
Ancient Hindu scripture outlines four basic social classifications, along with a fifth class of so-called "untouchables," now known as Dalits, who were at the bottom of the hierarchy and traditionally performed society's most menial jobs. The reality is far more complex, with thousands of sub-groupings weaving an intricate hierarchy of socially perceived roles.
India's post-independence constitution set a goal of eliminating caste-based discrimination. Modern Indian governments have taken a more practical approach - seeking to target job quotas, food subsidies, and other social programs at lower-caste Indians. Supporters of a caste census says the data it generates will be crucial in tailoring such programs.