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Historic advances have been occurring in hepatitis C therapy during the last decade. This once difficult-to-treat chronic infection is essentially curable with direct-acting antiviral therapies. For hepatitis B, a wave of biologic therapies is changing the landscape and offering hepatologists, gastroenterologists and infectious diseases clinicians a host of options to manage patients.
News of these advances has been making headlines in the mainstream media, but this information has yet to take root among many rheumatologists who manage patients with hepatitis. Understanding the therapeutic armamentarium remains low. Adherence to screening protocols for both hepatitis B and C is subpar. Looking from the other end, arthritis and various vasculitides are common among patients with hepatitis. Underlying these complications is the ever-present concern about using immunosuppressive therapies in patients with, or at risk for, a viral infection or reactivation.
Leonard H. Calabrese, DO, professor of medicine at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University and Chief Medical Editor of Healio Rheumatology, laid out the basics.
"At 30,000 feet, chronic viral hepatitis B and C are comorbidities that greatly affect the treatment of rheumatic disease in several ways," he said. "First, what has been focused on for many years is the fact that HBV and HCV can result in the development of rheumatic diseases."
He cited HCV-associated cryoglobulinemia and arthritis and HBV-associated, life-threatening vasculitis as critical examples. "Yet that's only part of what this should be focused on," he said. "These are rare diseases, with incidence rates that are diminishing in recent years."
Far more important now, according to Calabrese, is the notion that there are large numbers of patients who have a rheumatic disease, like rheumatoid arthritis (RA) or spondyloarthritis, and have chronic viral hepatitis as a comorbidity.
"This comprises a major challenge in the management of autoimmune disease," he said. "We are using immunosuppressive drugs in people with chronic viral infections. This is something that requires a great deal of care and caution."
He said the two main challenges for rheumatologists are: What are the recommendations for screening viral hepatitis in patients with immune-mediated inflammatory disease who are about to receive immune therapy? And once we detect the disease, how do we manage it?
Tram T. Tran, MD, medical director of liver transplant at Cedars Sinai, underscored many of Calabrese's suggestions about screening and immunosuppression.
"Now, we are starting to recognize that many patients have flares with abnormal liver enzymes in the setting of immune treatments for rheumatological disorders," she said. "This raises the opportunity for us to ensure rheumatologists are well-versed on the various risks, including the risk for viral reactivation."
Understanding the complicated process of screening for HBV and the slightly less complicated screening process for HCV, is a good place to start, Tran said. Being familiar with the treatment landscape — from reactivation risks associated with rituximab (Rituxan, Genentech) and anti-CD20 agents to the relatively user-friendly HCV antivirals — will also be useful to rheumatologists.
"The next thing to consider is the association between viral hepatitis and rheumatic diseases," Tran said. "There is an abundance of literature showing associations with vasculitis and arthritis. This should be on the radar among both rheumatologists and hepatologists. If a patient is presenting with a rheumatic disorder, then hepatitis may be involved."
Sebastiani and colleagues aimed to gain further understanding of HBV management in patients with RA in Italy with the goal of producing a set of useful recommendations. They concluded that HBV infection is not uncommon in clinical practice, but that screening for the infection among patients with early arthritis has failed to reach universal acceptance. However, it is considered a necessity before initiation of immunotherapy. They added that biologic therapies carry risk in this patient population and that patients with RA and active HBV should be co-managed with a hepatologist. The hepatitis infection should be controlled or supressed with antiviral therapy before immune therapy can begin, while occult carriers of HBV should be monitored or undergo prophylactic treatment based on reactivation risk.
For Robert J. Fontana, MD, medical director of liver transplantation and professor of medicine at the University of Michigan, a significant barrier to uptake of screening recommendations among rheumatologists is the complexity of the HBV screening process itself.
"There are three markers for hepatitis B," he said. "There is the hepatitis B surface antigen, anti-HBV core antibody and anti-HBV surface antibody tests that you can order."
If the patient is negative for all three, then nothing needs to be done beyond primary vaccination with the standard HBV vaccine, according to Fontana. "If the patient is positive, then it depends on the pattern of positivity whether they have active disease and whether it is likely or not to reactivate," he said. "It gets more complex."
Fontana described the process of HBV screening as "hard to message." This can, in turn, have an impact on uptake rates.
"The interpretation of HBV serologies is where people get tripped up," he said. "If the patient has surface antigen positivity, no matter what the other two tests show, they have HBV. These patients are infectious to other people and should be rapidly referred to a liver specialist or a GI doctor."
For hepatitis C, there is the anti-HCV antibody test and the polymerase chain reaction (PCR) RNA test. "If the patient is PCR positive for HCV, then they have HCV infection and can transmit," Fontana said. "These patients should be referred to a liver specialist for direct-acting antiviral therapies."
Despite the complexity of the process, screening is imperative, according to Eric L. Matteson, MD, professor of medicine in the division of rheumatology at the Mayo Clinic College of Medicine and Science.
"All patients with rheumatic diseases for whom immunosuppressive therapy is being considered should be evaluated for hepatitis B and C," he said.
Calabrese, who is also RJ Fasenmyer Chair of Clinical Immunology, agreed. "How do rheumatologists screen patients for HBV in their practice?" he said. "I wrote a letter on screening guidelines to the editor of Arthritis Care & Research last year. In short, current screening guidelines from the [American College of Rheumatology] ACR are outdated and outmoded. Data out there show that rheumatologists are not doing a great job of screening patients for viral hepatitis before starting immunotherapy."
Elizabeth D. Ferucci, MD, MPH, rheumatologist at Alaska Native Tribal Health Consortium and affiliate associate professor of Medicine at the University of Washington, said testing for HBV and HCV infection is standard practice for new patients at the Alaska Native Medical Center's rheumatology clinic.
"This is beneficial for several reasons," she said. "First, it is not uncommon to make a new diagnosis of HCV infection in a patient presenting with joint pain and a positive rheumatoid factor. Second, knowing a patient's exposure status to HBV and HCV will help in selecting and monitoring [disease-modifying antirheumatic drug] DMARD/biologic medications. For example, reactivation of hepatitis B even if the infection has been cleared has been reported with rituximab."
She said at the Alaska Native Tribal Health Consortium, they screen for HBV with hepatitis B core antibody, not immunoglobin (Ig)M but IgG.
"If this is negative, then we stop because it indicates no previous exposure to HBV. If positive, our laboratory automatically performs hepatitis B surface antigen and hepatitis B surface antibody. If hepatitis B surface antigen is negative, this indicates past exposure and we need to use caution with rituximab," she said.
Kevin L. Winthrop, MD, MPH, professor at Oregon Health & Science University, suggested that data may help answer some of these questions.
"I would love to do a survey now to see what percentage of rheumatologists are screening for HBV and how they are actually doing it," he said, and offered a practical solution to dealing with the complexity of the screening procedures for hepatitis. "You can make a persuasive argument that it makes sense to do all three screening tests at the same time: HBV surface antigen, HBV surface antibody and HBV core antibody."
Calabrese also suggested that guidelines are unclear in terms of identifying risk factors. "Rheumatologists only check them before certain drugs, but not before initiating other drugs," he said. "The guidelines need to be more broad-based, with clearer language."
"The vast majority of people with HBV in this setting have it already and they are at risk for reactivation with certain forms of immunosuppression making screening imperative," Winthrop said. However, Winthrop continued "We should think of preventing new infections and identify patients who might benefit from vaccination, and for this we need to be looking at risk factors for HBV exposure."
Rheumatologists should ask patients about risk factors for hepatitis infections, according to Winthrop. "Anything where blood products can be swapped is a risk factor — risky sex, IV drug use, transfusions. Most people I see in this practice don't have these risk factors. In truth, it's a small number of people, but it is worth thinking about and asking about," he said.
Hepatitis B is most frequently seen in people migrating from areas where that disease is endemic, according to Winthrop. "The more we understand where these diseases are coming from, the better we'll be able to manage them," he said.
Fontana built on this point, suggesting that it is simply a numbers game. "In the United States, anywhere from 1.5% to 2% of all adults have HCV," he said. "The proportion who have HBV is a little less than 1%, but this is almost 2 million people. If you start to look for it, you will find it."
Matteson suggested that a critical challenge faced by rheumatologists is the threat of viral reactivation with immunosuppressive therapies. "A number of the medications used for the management of rheumatic diseases impair the body's ability to deal with chronic hepatitis B and C," he said. "There are effective treatments for both of these forms of hepatitis. For patients who have child Pugh score of A and are on hepatitis treatment, biologics and non-hepatotoxic immunosuppressives, such as azathioprine, can be considered."
The increasing availability of biologics and potent immunosuppressive drugs in the marketplace are complicating treatment strategies, according to Fontana. "A lot of the newer drugs like rituximab have been associated with HBV reactivation," he said. "Often, they have a black box warning, which puts that risk information front and center. Now, does that mean you can't use Rituxan? You can. It is unlikely you'll get reactivated and a bad flare."
Calabrese expressed more caution. "There are a few key elements to consider," he said. "First, we need to steer away from certain therapies like rituximab and look at other drugs and mechanisms," he said. "Then, you have to monitor the patient appropriately and classify them in terms of risk. If they reactivate, treat them with antivirals."
A key message from Fontana is that anyone who is planning to treat with infliximab or rituximab, more than 4 weeks of steroids or cyclophosphamide should be aware of the possibility of reactivation. "If all markers are negative, go ahead and treat the patient," he said. "But when markers become positive, the question is whether the rheumatologist should deal with it or pass it off to a hepatologist or GI specialist. In a big medical center, it's easy because there are specialists on hand. In other areas, this may not be the case."
Karvellas and colleagues performed a retrospective, multicenter review of 156 consecutive patients diagnosed with HBV-associated acute liver failure after. Participants were on the Acute Liver Failure Group Registry between January 1998 and April 2015. Results showed 18% of cases occurred among patients who had been treated with immunosuppressive therapy, while 82% were among those that did not. Immunosuppressed patients with HBV-associated acute liver failure were more likely to be non-white and have either anemia or thrombocytopenia compared with the non-immunosuppressed group. The groups did not differ in terms of serology of the HBV infection, severity of liver failure, status of hepatic encephalopathy or necessity of mechanical ventilation, vasopressors or renal replacement therapy. The 21-day survival rate among immunosuppressed patients with acute liver failure was 42.9% compared with a 62.5% survival rate among the non-immunosuppressed patients. When the investigators assessed the cohort for 21-day transplant-free survival, they found associations with increased MELD score (OR = 0.89 per increment), need for mechanical ventilation (OR = 0.11) and immunosuppressive therapy (OR = 0.27). "Patients undergoing chemotherapy should be screened for HBV infection and given appropriate anti-viral therapies to reduce preventable mortality," the researchers concluded.
"This study documents that nearly 20% of the HBV-related acute liver failure we see in the United States each year is due to HBV reactivation from either rheumatology drugs or chemotherapy drugs," Fontana said. "That incidence is entirely preventable if we could get everyone screened, triaged and high-risk patients treated."
Similarly, Lin and colleagues retrospectively analyzed HBV reactivation risk in a cohort of 3,125 patients with systemic lupus erythematosus undergoing immunosuppressive therapy. The study included patients from a single center in Taiwan between January 2001 and December 2012. Among 906 patients who underwent HBV screening tests, 38 patients demonstrated HBVsAG positivity. Reactivation occurred in 39.5% of this group, while severe hepatitis flare occurred in 53.3%. Among 157 patients with HBVsAG-negativity/anti-hepatitis B core IgG antibody-positivity, 1.9% experienced sero-reversion of HBVsAG during immunosuppression. However, none of the five patients treated with prophylactic or pre-emptive antivirals flared. Prednisone at a dose of higher than 5 mg was associated with HBV reactivation risk, according to the researchers. "The risk of hepatitis B virus reactivation is high in lupus patients receiving immunosuppressive therapy," they wrote. "Antiviral prophylaxis or pre-emption can effectively reduce the incidence of HBV reactivation in lupus patients."
Tran spoke directly to the mechanism of reactivation. "In the setting of immune suppression, HBV disease is not caused by the virus but by the immune system," she said. "Specifically, it is caused by the active inflammation of T cells, which triggers inflammation of the immune system. If you suppress the immune system, the virus becomes active."
The problem, however, is that it is entirely possible for a clinician to treat a number of patients with these immunosuppressive drugs and never see a reactivation event, according to Fontana. "Patients have normal liver enzymes, the drugs work, reactivation doesn't occur," Fontana said. "Clinicians get skeptical, but I need to stress that these events happen."
Shahin and colleagues compared outcomes in a group of patients treated with antiviral therapies containing sofosbuvir (Sovaldi, Gilead) with those from a historical cohort of patients treated with interferon-based therapies. The first group included 15 patients with arthralgia or arthritis and nine patients with vasculitis. Seventeen of these patients received sofosbuvir and ribavirin, while seven were treated with sofosbuvir and simeprevir (Olysio, Janssen). The historical cohort included 15 patients with arthropathy who were treated with interferon and ribavirin. The sustained virologic response rate was 100% in the sofosbuvir group and 80% in the interferon group, according to the findings. Significant improvements were reported for the sofosbuvir group in terms of tender joint count and VAS for pain. Improvements also occurred among patients with vasculitis treated with sofosbuvir. Clinicians noted the disappearance of purpura, arthralgia and leg ulcers, despite persistent neuropathy. Apart from one patient who experienced deterioration of arthralgia, the adverse event profile for sofosbuvir showed mild effects. In the interferon arm, tender joint count increased, as did swollen joint count and VAS. "The use of [interferon]-free regimens is safe and effective in the treatment of most HCV-related rheumatologic [extra-hepatic manifestations]," the researchers concluded.
HCV therapies are easy to use, with often one pill a day for 8 weeks or 12 weeks. "Most patients can be treated successfully, so refer them," Winthrop said. "Also, it is important to consider that treating the HCV might help with more than just the HCV. It might help with joint and rheumatic manifestations of HCV.
"The ACR guidelines for management of rheumatoid arthritis address hepatitis specifically, but certainly efforts at awareness are important for rheumatologists to be able to manage their patients effectively," Matteson said.
Calabrese amplified this point. "This has the potential to change our lives because interferon-based therapies were terrible for patients with autoimmune diseases," he said. "There were side effects, there were issues with underlying diseases. But now we have direct-acting antiviral drugs, and the importance of these therapies can't be understated. We are living through medical history in that we are on the verge of curing HCV. We can cure our patients of HCV with 12 weeks of therapy and then we can treat them with whatever we want, provided they don't have cirrhosis. But this news is still eye-opening to rheumatologists."
A possible reason for this lack of awareness is that direct-acting antiviral therapies are largely prescribed by a hepatologist, infectious diseases clinician or gastroenterologist, according to Fontana. "Whenever a drug is limited to use by a specialist, as these therapies are, a lot of other doctors say they can't keep track of the FDA approvals," he said. "Every doctor should know that HCV can be cured simply with short-term oral therapy."
Fontana encouraged rheumatologists to pay a bit more attention to findings outside of the field. "We all tend to read our own literature and these things are not emphasized in the annual review, so they are under our radar," he said.
"It should be noted that these therapies are expensive," Fontana added.
Ignatova and colleagues investigated a cohort of 72 patients with HCV-associated cryoglobulinemic vasculitis (CV) to determine strategies for optimizing treatment regimens and survival. Antiviral therapy led to sustained virologic response in 48% of the cohort and clinical remission occurred in 68%. Rituximab was associated with a 73% remission rate compared with a 13% remission rate among traditional immunosuppessants. The researchers noted the combination of rituximab and antiviral therapy was most effective in patients with severe vasculitis. "HCV-associated CV can determine the prognosis of chronic HCV infection," the researchers concluded. "[Antiviral therapy] is the treatment of choice in all patients with HCV-associated CV."
Tran offered a simple approach to dealing with this particular crossover patient population, one she hopes may become a refrain for rheumatologists moving forward. "There are highly effective hepatitis C treatments available," she said. "If you screen for HCV and treat it, it often resolves."
Ferucci and colleagues investigated prevalence rates of HCV-associated inflammatory arthritis. They analyzed clinical and immunological characteristics in a cohort of 117 patients from a population-based cohort with chronic HCV in Alaska who had not been treated for HCV. Results showed 6.8% of the cohort had HCV-associated arthritis. The HCV patients with arthritis tended to be younger than those without arthritis and were also more likely to have rheumatoid factor. Anti-nuclear antibodies also were more common in the group with arthritis than in the group without arthritis (63% vs. 23%). Self-reported joint swelling occurred in 75% of patients with HCV-associated arthritis and in 26% of those not in the HCV-associated arthritis group. Features of fibromyalgia also occurred more frequently in the arthritis group, as did a decrease in functional status. The researchers failed to observe any differences in cytokines between the two groups. Links between arthritis or autoantibodies and liver-related outcomes also did not occur. "In this study of a cohort of individuals with chronic HCV infection, HCV-associated arthritis was present in less than 10%," the researchers concluded. "Few serologic features distinguished participants with or without arthritis."
Ferucci put the results into context. "The figure of less than 10% represents the proportion of people with chronic hepatitis C infection who have true HCV-associated inflammatory arthritis," she said. "Overall, this is high when you consider that rheumatoid arthritis — which has some similarities to this type of arthritis — is present in less than 1% of the overall adult population. However, keep in mind that a much larger proportion of people with hepatitis C have joint symptoms, such as joint pain, and that people with hepatitis C often have both joint pain and a positive rheumatoid factor, the combination of which can be mistaken for rheumatoid arthritis."
"We see chronic inflammation in our patients, but we still don't understand it well," Tran said. "Symptomatically, it seems to be associated with HCV, so we should be observing to see if the symptoms resolve. Rheumatologists should be aware that if they catch hepatitis C more often, many of these patients would have relief from their clinical symptoms. Having it on their radar is valuable."
Despite the similarities between HCV-associated arthritis and RA, the important differences are that the arthritis is non-erosive and anti-CCP antibodies are negative in HCV-associated arthritis, according to Ferucci.
"The HCV-associated arthritis is often mild and can be managed with DMARDs, such as hydroxychloroquine and sulfasalazine," she said. "There are also several studies demonstrating that [tumor necrosis factor] TNF inhibitors are safe in patients with hepatitis C, so these can be used in more severe arthritis."
Data from older interferon-based HCV treatments showed the arthritis improved with treatment of the underlying viral infection, according to Ferucci. "It is likely that the direct acting antiviral agents will have similar success, but this has not yet been studied with respect to arthritis," she said.
Wijarnpreecha and colleagues conducted a meta-analysis of Medline and Embase databases to assess osteoporosis incidence rates among individuals with HCV. The analysis included four studies that met eligibility criteria. Osteoporosis risk was elevated in the HCV groups (OR = 1.65). A statistically significant association was observed when the researchers included studies of a higher quality (OR = 2.47).
"The study found that patients with hepatitis C are at higher risk of osteoporosis, which is not surprising as patients with hepatitis C have a chronic illness which affects, or confounds, a person's well-being," Matteson said. "This includes the risk of developing other chronic conditions like osteoporosis and may be physiologically linked due to chronic liver disease. It underscores the importance of screening patients with chronic hepatitis for osteoporosis and managing both conditions appropriately."
Summing up, Ferucci focused on the easiest challenge: treating hepatitis C. "With the new highly effective HCV treatments, these patients should be identified and treated," she said.
Fontana closed by stressing the importance of understanding the screening processes for hepatitis B and C, and that patients should know their status before initiating immunosuppressive therapies. "We need to know better how to prevent reactivation in high-risk scenarios, and we need to know how to manage patients if reactivation isn't prevented," he said. "We're not pointing fingers, we just want to educate people."
For Tran, finding time to screen and manage these patients may become easier for clinicians in coming years.
"The good news is that these comorbidities are recognized by the CDC," she said. "We started with screening all baby boomers, which eliminates the need to assess risk factors. If we can reach a similar place for arthritis, clinicians can just screen for hepatitis and check off that box."
The importance of having more treatment options, particularly for hepatitis B, can't be under-stated, according to Winthrop. "The government and the academics need to get together and find therapies to eliminate hepatitis B the same way they did with hepatitis C," he said. "Curative therapies would solve a lot of problems."
For now, for Calabrese, communication between clinicians in the two specialties is key. "This is an inter-professional challenge," he said. "We need to recognize where there are seams between the specialties. The way to manage that is to screen, screen, screen." — by Rob Volansky
Disclosures: Calabrese reports he is a consultant for Genentech, Pfizer, Bristol-Myers Squibb, GSK, Sanofi, Jansen and AbbVie; and is on the speakers bureau for Genentech, AbbVie, Bristol-Myers Squibb and Crescendo Bioscience. Fontana reports he conductis research funded by Gilead Sciences, AbbVie Labs and BristolMyersSquibb in viral hepatitis. Tran reports she consults for AbbVie, Gilead and Merck. Winthrop reports he consults for and receives a research grant from Bristol-Myers Squibb; is a consultant for AbbVie, Galapagos, Genentech/Roche, Eli Lilly, Pfizer and UCB. Ferucci and Matteson report no relevant financial disclosures.
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Gastric Cancer Resources
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For nearly 100 years, the American Cancer Society (ACS) has worked relentlessly to save lives and create a world with less cancer and more birthdays. Together with millions of our supporters worldwide, we're helping people stay well, helping people get well, finding cures, and fighting back against cancer.
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PJS is a free online support group for patients, family, friends, researchers, and physicians, to discuss clinical and nonclinical issues and advances pertaining to PJS (Peutz-Jeghers Syndrome) and Juvenile Polyposis Syndrome (JPS) This includes patient experiences, psychosocial issues, new research, clinical trials, and discussions of current treatment practices. This list is part of a group of lists co-sponsored by ACOR, (the Association of Cancer Online Resources), a highly respected 501 (c)(3) non-profit organization, incorporated in New York State, may be found at www.acor.org.
We are a support group who aim to provide support and information to anyone whose lives are or have been affected by Familial Adenomatous Polyposis and Gardner's Syndrome (FAP) plus Peutz Jegher's Syndrome, Juvenile Polyposis and MYH (Mut Y Homolog) whether patient, family, friend or those with an interest in the Gene.
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text: Why does my Grey grind his beak? Sept 7, 2005 0:48:32 GMT -7 Select PostDeselect PostLink to PostMemberGive GiftBack to Top Post by Jane on Sept 7, 2005 0:48:32 GMT -7 Parrots make a grinding noise with their beaks. Sometimes it sounds as if they have something in there but it is simply made with the two parts of the beak and is the noise of a happy relaxed bird. They often do it when slightly sleepy.They can also make a variety of louder clicking noises.Jane


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What Delaware is to states and "Dr. No" is to James Bond flicks, Yellowstone is to U.S. National Parks. While our nation's national parks have grown to 59 awe-inspiring landscapes across numerous states and territories, only one national park has the distinction of being the first. And, not only is this massive park in the northwest corner of our nation's most sparsely populated state the oldest, but with its iconic Old Faithful Geyser, Yellowstone is also one of the most widely known and popular of all U.S. national parks.
Established as a national park by Congress over 150 years ago, this breathtakingly beautiful park encompasses over 3,500 square miles—nearly 2.25 million acres—of rugged peaks, wide valleys, surging rivers, thick forests and, of course, steaming geysers. It is the wildland home to grizzly bears, bison (often called "buffalo"), elk, wolves and a large number of other animal species.
The park takes the 3.25 million annual visitors across a land that could seem almost alien in its primitive landscape. Yet, Yellowstone is the quintessential destination for anyone who loves the great outdoors, abundant wildlife, pristine wilderness areas, excellent camping, fishing, hiking and more.
If you're planning a trip to Yellowstone National Park, be sure to reserve your campsite now.
The World's Largest Collection of Geothermal Features1 of 15
Yellowstone National Park is centered atop the Yellowstone Caldera, which is an active supervolcano covering many square miles. While it hasn't erupted in the past several thousand years, this underground volcano is the reason for the more than 10,000 powerful, scenic and inspiring geothermal features that populate the landscape.
Over 2,100 Campsites2 of 15
There are 12 campgrounds in Yellowstone National Park, offering more than 2,100 campsites for RVs and tents.
Over 450 campsites in seven of the campgrounds are operated by the National Park Service on a first-come, first-served basis. So if you'd like to try for a spot, be sure to arrive early in the day.
Wildlife Caution3 of 15
While bears have a well-deserved and dangerous reputation, in reality, more people are hurt by bison each year in Yellowstone. Park regulations require visitors to stay at least 25 yards away from bison or elk and 100 yards away from bears.
Wildlife Galore4 of 15
While the bison is the largest animal to call Yellowstone home, other animals can also be observed in the park, including 67 species of mammals, 330 different kinds of birds, four types of amphibians, and six species of reptiles. It's the largest concentration of large and small mammals in the lower 48 states.
Over 1,000 Miles of Trails5 of 15
Whether you pull on your boots for some serious hill climbing or prefer to stay on sturdy boardwalks, Yellowstone provides a multitude of walking routes through the many attractions in late spring, summer and early fall.
Boating on Pristine Waters6 of 15
Summertime sailing is allowed on remarkably clear Yellowstone Lake and Lewis Lake, and boat rentals are available. It's a great way to see the park from an entirely new vantage point.
Picnicking Under the Trees7 of 15
Eating is, naturally, one of our most social activities. And, even in the secluded, tranquil national parks, there exist areas to munch on a meal. Yellowstone has 52 beautiful picnic areas where you can unpack a lunch basket and enjoy nature along with a sandwich.
Excellent Fishing8 of 15
Bring your favorite lures and cast for 16 species of fish between the Saturday of Memorial Day weekend and the first Sunday in November. Said to be an experience unlike any other on Earth. Fishing licenses are required. (include link to licenses on RA.)
Breezy Bicycling9 of 15
You don't have to trek by foot across the beautiful countryside; an easy, relaxing way to enjoy the scenery is from the seat of a bike. And, you don't have to travel cross-country with a bike in tow, as the park has bikes available to rent.
Snowmobile and Snowcoach Tours10 of 15
While the park's winter landscape offers a magical experience, it also brings about many road closures. Fortunately, despite the snow, you can still enjoy the park year around.
Saddle Up11 of 15
A number of guided Yellowstone horseback riding trips are available for both novice and expert riders. Real Montana cowboys will lead the way as you clop-clop-clop over winding trails and high country plains that surround Yellowstone Park. Early reservations are recommended.
Rope a Steer12 of 15
Okay, not really. But there's plenty of action at Cheyenne Frontier Days, the largest outdoor rodeo in the world, held in Cheyenne, Wyoming every year from late July to the beginning of August.
Also not to be missed is the fabulous Cody Night Rodeo, which runs from June 1 to August 31 in Cody, Wyoming, located directly east of Yellowstone National Park.
View the Grand Canyon of Yellowstone13 of 15
Discovered in 1869, this incredible canyon is up to 4,000-feet wide and 1,200-feet deep in places. Starting at the base of mesmerizing Lower Falls inside the park, at 20 miles long, there's plenty to see.
Go to a Powwow14 of 15
Traditional social events of Native American tribes, these massive gatherings feature both men and women in brilliantly beaded traditional native dress who participate in dance competitions, drum group competitions among singers who chant while drumming, and "intertribal" dances.
Wyoming and Montana powwows are generally held from mid-June to early July, with the biggest being the Eastern Shoshone Indian Days


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BROWNING Quaker stretched their Winter League lead by winning the second match of the series on Woodlands Lake.
And with tomorrow's third round also taking place on the carp venue, the Darlington team will look to forge further ahead.
A big drop in temperature could make the going a bit harder tomorrow.
Last weekend's match, fished by 70 was a close fought affair with two ton weights.
John Maddison of Browning Quaker, won it with 107lb 12oz made up of carp to 12lb on waggler and pellet from Partridge Lake peg 21.
That was just enough to see him home as runner-up Jimmy Messor of Washington, hoisted 107lb 9oz to the scales.
Steve Bell of Darlington Angling Centre came third with 93lb 4oz, with Andy Nelson, Browning Quaker, fourth with 88lb 3oz.
Browning Quaker won with 61 points from Maver Newman Scotts 42; and Daiwa Cleveland Angling Centre 41.
Browning Quaker lead the league with two points from Maver Newman Scotts with 4, and Daiwa Cleveland Angling Centre with 6.
MATCH weights have topped 139lb on the Oaks.
However on Maple Lake Richy Newton needed just 55lb 15oz to win the Tuesday match fished by 16. The Daiwa Cleveland Angling Centre ace caught carp to 5lb on pellet and corn, from peg 23.
A SHARP drop in temperatures may well lead to fish shoaling up more tightly in the Tees.
The dace are dropping downstream to their winter quarters.
Chub and grayling fishing remains lively further upstream, with anglers taking around 15lb of grayling on maggot around Darlington.


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This formula is a premium blend of the most powerful, aromatic and natural repellent and protecting oils available blended into a beautiful, Coconut oil base lotion designed to sooth, repair and nourish the skin and to ensure protection against pests. Uses: In our quest for maximum protection against pests, we realized that sprays and roll-ons could not protect those areas of the body, such as under clothing, which are attractive to crawling pests. We also experienced reactions to bites that resulted in painful, toxic lesions, sores and welts. We needed a product that provided maximum protection in these difficult areas and soothed and repaired the skin, so we designed Natural Repel and Restore Body Lotion made with our tropical strength formula and a superb, pure coconut oil. Directions: Apply before dressing, to warm moist areas particularly favored by pests such as groin and under arms as well as limbs, neck and face. Replenish as necessary.
Ingredients: Citronella Oil Lemon Scented Eucalyptus Oil New England Lavender Oil Clove Bud Oil Patchouli Oil Kunzea Oil Fragonia Oil Coconut Oil Glyceryl Stearate Cetearyl Alcohol Sodium Stearoyl Lactylate Glycerine (vegetable Oil-derived) Sodium PCA Benzyl Alcohol Xanthan Gum Dehydroacetic Acid. Remarks: Citronella Oil
Preservative. One may think that with all of the natural oils present in this formula that we would not need a preservative, and one would be right except for the fact that we also use vegetable products in the lotion which are susceptible to bacterial contamination. To prevent that, and to maintain an appropriate ph balance, our Lotion is treated with the best natural preservative available. The preservative we use (Benzyl Alcohol Dehydroacetic acid) is approved by the Global certification organizations Eco cert and Cosmo for use in natural and organic cosmetics and skin care products. We use only natural, wild crafted and/or organic ingredients. Natural products do not contain; Palm Oil, Artificial colours or fragrances, Dioxins, Petrochemicals, Mineral Oils, Parabens, Propylene Glycol, Hexane, Sodium Laurel Sulphate or Sodium Laureth Sulfate or Aluminium, Any animal derived ingredients or use products that may cause harm to any animals or their habitat, GMO products.
Warnings: Do not take internally. Keep away from children. Avoid eyes. Store away from direct heat.
1. All prices are excluding GST.
2. Use only as directed by the physician. Incorrect use could be harmful. If symptoms persist,please consult your doctor/healthcare professional. Your healthcare professional will advise you whether this product is suitable for your condition. Don't use this product for children without doctor's advice.


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Today we'd like to introduce you to Hannah Payne.
So, before we jump into specific questions about the business, why don't you give us some details about you and your story.
I didn't fall into the fashion industry; I've been dreaming about this my entire life. Since I can remember, I've been putting together outfits. At 5 years old, I was choreographing fashion shows for the neighborhood girls. I insisted on party dresses, shiny shoes, and big bows for every occasion, especially for elementary school. Why wear jeans when you can dress up?
I expanded my creative twist, at an all-girls' high school, on their bland Khaki and polo uniform. It is amazing what a cute pair of shoes, a bow, and a little leopard sweater can do for a uniform. When it came time for college, my parents weren't thrilled with my fashion aspirations, so I went to the University of San Diego and majored in Communications and minored in Business.
My junior year of college, I saw an opportunity to further my fashion aspirations when choosing a school for my semester abroad. Little did my parents know that I was taking drawing, sewing and any fashion class they offered in Florence, Italy.
I will never forget my train-ride to Milan, for Fashion Week. I pleaded with my professor to arrange a ticket for the show. Riding back to Florence alone and very late, I knew I needed to fulfill my childhood dream.
Later that year, I was volunteering at a domestic violence shelter and realized the need for more awareness and more funding. I knew then I wanted to create a business that not only supported women but also gave back to all women. The name was easy.
My precious grandmother was named Luba. Luba radiated Love, as a Russian American, I want to give Love back to the world.
Luba By Hannah Payne was launched in New York in 2015. I am so grateful and blessed to be doing what I love most, creating beautiful clothing, and sharing Luba's Love with the world.
Great, so let's dig a little deeper into the story – has it been an easy path overall and if not, what were the challenges you've had to overcome?
With any business and an especially a business in fashion, there are going to be so many bumps along the way. Both big and small! It is very easy to get distracted by all the little speed bumps, whether it's a style that came in with sewing issues to a fabric manufacturer that's delayed on a shipment, or even zippers being too short for a jacket. At the moment, it takes a toll. Doubt comes in, you begin to second guess yourself, and you lose sight of your mountain. Do not let all the small problems distract you and crush your spirit. One day, you will look back and laugh at these little issues because you will have reached your goal and what seemed so huge at the time will only look like a little speed bump.
The best advice I could give Is work your absolute hardest and Never give up on your dream. This sounds cliché but this phrase drives me. 'Never give up. NEVER give up.' Focus on your dream, figure out what your end goal is, and make a plan to achieve it. I have found as an emerging designer, you are faced with a lot of rejection, criticism, and "free advice." This is where you grow thick skin and keep your mental space focused only on the end goal. It doesn't matter how talented you are or how much money you can put into the brand. What matters most is having the mental staying power to keep climbing.
Alright – so let's talk business. Tell us about Luba By Hannah Payne – what should we know?
Luba By Hannah Payne is an RTW women's label that offers high end, quality made garments. It is instantly recognizable through its intricate detailing and unique fabric on each garment; they are feminine, delicate, ornate, and whimsical. The true Lubagirl will know to mix and match these garments for both day and night. Our clothing is created with the highest quality of goods, gives back to women through LOVE, and is constructed with care right here in New York City's Garment District.
The Luba LOVE Foundation was inspired in 2011 while working in a domestic violence shelter in San Diego, CA. " There are more animal shelters than women's shelters in the United States." That statistic should encourage all of us to join together to make a change. The purpose of The Luba LOVE Foundation is to provide lasting change for women overcoming the cycle of domestic violence through the transformation of lives that local shelters offer. At Luba, we believe that every woman has the right to be safe, empowered and free from violence. A portion of every sale at Luba goes to local women shelters. This is something I am definitely most proud of when thinking about my brand. I still wanted to do more and so I created the Luba Love T-shirt. This beautiful t-shirt is embroidered in India with our very own LOVE Motif! 100% of the proceeds from this T-Shirt go back to the Love Foundation.
We're interested to hear your thoughts on female leadership – in particular, what do you feel are the biggest barriers or obstacles?
For me, one of the biggest barriers has been people taking me seriously and I don't know if this is because I am a woman, I am young or truly a combination of both. I remember being at a cocktail party when I first launched Luba and a woman asked me what I did. When I told her, she laughed at me and asked, "so how do you actually start a brand?" To her, I seemed like another head-in-the-clouds 'fashion girl.' So, I told her: "You first need to have investors, then you create a business plan, find a patternmaker, then you create samples, and the list goes on," plus a thousand more things in between.
This conversation lit a fire in me -- although I will probably never see her again, I wanted to prove her, and every other person who has treated me like this, wrong. But at the end of the day, it doesn't matter if these people take me seriously or not because of my brand, and my hard work speaks for themselves.
Contact Info:
- Website: Shopluba.com
- Phone: 303-549-6625
- Email: email@example.com
- Instagram: @shopluba
- Facebook: facebook.com/shopluba
- Twitter: @shopluba
Image Credit:
Jody Zorn Photography
Getting in touch: VoyageDallas is built on recommendations from the community; it's how we uncover hidden gems, so if you know someone who deserves recognition please let us know here.


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A slight change to the Meridian ult targeter would be helpful.
It is identical to Helio's Black Hole targeter and could easily cause confusion if they are on the same team.
I would recommend a true circular AOE which would be different and give a tiny buff to range in some positions.


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Texas A&M Health Science Center, Phase I
Bryan, TX
Owner: Texas A&M University System
Architect: FKP Architects
Sustainable Features
Architect: FKP Architects
Sustainable Features
Texas A&M's Health Science Center integrates education, research and clinical facilities in an inviting setting that inspires thoughtfulness and collaboration. This $109.4 M, 299,338 SF campus includes the 138,307 SF Health Professions Education Building, 131,009 SF Medical Research and Education Building, a 27,000 SF simulation center, a 4,100 SF BSL-3 laboratory and a 12,672 SF central utility plant.
S&P's advanced proficiency in the use of Building Information Modeling technology and use of an integrated project delivery system saved the owner more than $25 million. The BIM model was then used in conjunction with COBIE to aid with maintenance of the facilities.
- 2010 Texas Construction – Award of Excellence
- 2011 ABC Excellence in Construction – ICE Award


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Social Saturdays: Being a Good Social Communicator
Hils Learning Sdn. Bhd.
Social Skills Primary Language Confidence
Ages 8 - 12
Solaris Mont Kiara, Mont Kiara
We are back with more Social Saturdays! We will focus on the intricacies of social communication and interaction. It will use concepts developed by Michelle Garcia Winner to help your child become a better social communicator and gain confidence and skills to interact with other people. Each session includes: *2.5 hours (9 -11.30 am) dedicated to learning Social Thinking® concepts, games, and group activities *A 30-minute (11.30 – 12 pm) parent consultation session to enable your child to carry forward concepts learnt during the workshop For those participants that are not former or present students of Hils Learning, there is a 20 minute chat, free of charge, with your child to get to know them.
RM 450 ( 3 days)
When: 27th January, 3rd & 10th February (Saturdays) Time: 9am-12pm How Much: RM 450* (including 6% GST and parent consultation)


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- SEAT becomes the world's first brand to integrate Shazam into its cars
- The partnership allows SEAT customers to easily and safely identify their favourite songs at the touch of a button
- The music-discovery app seamlessly integrates into the SEAT DriveApp, streamlining its use and minimising distraction
- Shazam is now available through the SEAT Driveapp for AndroidAuto
With this move, the brand is taking a further step in its goal of providing an experience that is increasingly simple and personalised, and that causes less distraction to drivers. SEAT President Luca de Meo said: "For all music lovers, being able to identify songs is going to be at their fingertips. Integrating Shazam enables us to continue making progress in our goal of delivering maximum safety for our customers and achieving zero road accidents."
With Shazam's partnership, SEAT strengthens its commitment to promoting car connectivity. Further prime examples are the cooperation with Amazon to integrate its smart voice assistant Alexa in SEAT vehicles, and implementing Google's navigation system Waze in the brand's cars.
"Integrating Shazam in our range represents a great boost to SEAT's digital ecosystem and connectivity and certainly contributes to position the brand as a front-runner in connected vehicle", pointed out SEAT President Luca de Meo.
Shazaming music
Bringing music into the vehicle is simple and safe with Shazam. Once users have arrived at the AndroidAuto homepage on their infotainment screen, they only need to select the Car context with a single tap, and the Shazam application will be available. Tap the icon to activate and the app does the rest.
Shazam uses the built-in microphone in the customer's mobile device to create a digital fingerprint of the audio and, within seconds, match it against its database of millions of tracks. Users are then given the name of the track, the artist and additional information such as lyrics or recommended tracks, and are able to buy or listen to the song using one of Shazam's partners' services.
Roll out
Shazam will be available in every SEAT vehicle that benefits from the SEAT DriveApp for AndroidAuto. The technology is currently available in Spain, Germany and Switzerland, but this will shortly be followed by Austria, France, Italy and the UK, before other AndroidAuto compatible markets follow.


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Or.............more specifically............my workshops at The West of England Bead Fair. Which have no bookings. With a fortnight to go. Am I worried? Nope. I have confidence that bookings for my Russian Leaf and Right Angle Weave Earrings will come flooding in with minutes to spare!
I have to admit, it was a problem for me to find a workshop to fit into a 2 hour session, and I also understand that when you go to a bead fair the last thing you want to do is waste 2 hours of it listening to a bloke drone on about how easy it is to make something you'll only wear once before adapting it and making the design better.
How about if I brought Hobnobs? Or even choccy digestives?
Better still, how about if I said that you could always bring along a Swarovski rivoli and we'll bezel that at the same time?
I've done my bit - if you don't book for what could be a one to one tutorial, at least I get to see more of the Bead Fair! Oh, and on the flyer it says 3mm seedbeads and Firepolished beads - I use 3mm sterling silver beads and 3mm Firepolished.............looks much better! :)) Here's a picture of some I made earlier...................


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Even though human blood contains the same basic elements, it is classified into four categories, due to the different antigens, which are the immune defense systems, on the surface of the red blood cells.
Numerous researchers have found various patterns of personal health, as revealed by the blood type.
Scientists believe that a blood type can reveal patterns of personal health, and can help one prevent different diseases.
Therefore, knowing your blood type is really important, as it has much more implications that you have imagined.
Here are some interesting facts linked to the type of blood running through your veins:
1. It affects your personality
The Asian medicine has used this fact for centuries. Namely, people with Type A blood are unselfish, kind, compassionate individuals, and the Type B blood individuals are friendly, flexible, and outgoing.
On the other hand, Type AB individuals are strong and rational, and the ones with Type O blood are organized and very practical.
2. It affects your nutritional needs
The blood types indicate the diet you should follow. While people with Type O blood should focus on fish, vegetables, lean meat, and poultry, the ones with Type A blood should eat lots of citrus fruits and vegetables.
Moreover, individuals with Type B blood should avoid alcohol, vegetable oils, and trans fats, and Type AB individuals should regularly consume manuka honey or apple cider vinegar to help their digestion and elevate the stomach acid levels.
3. A blood type also affects your pool of ideal mates
Being additionally divided into Rh negative or Rh positive, the blood type can also affect the compatibility of couples.
A couple of two Rh positive people faces no problems, while in the case of an Rh woman and an Rh man, the baby is exposed to potential risks.
4. The blood type affects fertility
Scientists have found that women with Type O blood are the least fertile, as they have few eggs and they face difficulties to maintain fertility.
5. It affects belly fat
People with Type A blood type cannot easily lose belly fat as it can lead to bad reactions to specific foods, bloating, indigestion, acid reflux, and a higher risk for diabetes.
6. Knowing your blood type can save your life
Since transfusion with a blood type different than yours can cause serious complications and health risks, so it is important to know your blood type and be prepared for all kinds of situations in life.
7. It affects stress levels
The release of cortisol in people with Type A blood is higher than average, while the ones with Type O blood tend to show the most outbursts of anger.
Here are several more interesting facts about blood and blood types:
-- Individuals with Type AB blood have an increased risk of developing memory issues and dementia
-- People with any blood Type despite type O have a 60-80% increased risk of developing blood clots and coronary heart disease.
-- People with Type O blood have a higher risk of developing pancreatic cancer
-- People with Type O blood have an increased risk of being bitten by mosquitoes, while the ones with type A blood are the least attractive to these insects
-- More than four and a half million lives are saved by blood transfusions annually
-- 50 percent of the population in the United States is eligible to donate blood, but only 5 percent actually do.
-- Any person in a good health, older than 17 and at least 110 pounds, can donate blood every two months.
-- Animals have their blood types as well, and while dogs are similar to humans and have 4 blood types, cats have 11, and cows about 800.


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|OBW#4 - Split Pea Soup
|Waffle Town
Because I had used all my fabric in the blocks, I dithered about borders. Several of my readers suggested going without borders. The top was going to be nearly square so I used the little bit of the floral fabric to add 3" to the top.
Amazingly (considering my normal luck) I found a piece of navy in my stash (actually I raided another project box) that was a very close match to add 3" to the bottom.
Then I staystitched the sides.
|Waffle Town - done!
And I stitched together the finished blocks of Tropical Trellis and assembled one more block.
|Tropical Trellis
For a week broken up with morning walks, a dental visit, weekly grocery run, and feeding lunch to the homeless, I got a lot done! And I managed to catch up on three episodes of Royal Pains, too. (Just don't ask to see my house ... )
Have a great week and stay cool, y'all.
Linking up with Cynthia for Oh Scrap!


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* denotes required field
Breaking the Silence - The Michael Elgin Interview
On September 6th, Michael Elgin shockingly lost the ROH world championship after an incredibly short reign as champion. The following day it was reported that Elgin had fallen out of favor with ROH management. There were rumors it was because he was difficult to deal with backstage, he didn't protect himself as champion while working at PWG, and even a rumor that he was no longer interested in wrestling and wanted to chase his professional baseball dream. To make matters more complicated, Michael was stuck in Canada for a undetermined amount of time due a work visa issue which both ROH and Elgin claimed the other side was at fault.
While these Numerous reports swirled around the internet, Michael remained relatively quite about the issue and three weeks later finally returned back to his St Louis home. Immediately after Elgin returned home, he dropped the bombshell on Twitter that he quit ROH. He remained silent until now, he now had the platform to tell his side story uninterrupted. The situation that Elgin and ROH are in currently goes much deeper than a recent work visa issue, and Elgin is quite candid with where and what went wrong.
Aprox. Running Time 2 hours 8 mins


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screening:Film Screening: 70 Acres in Chicago: Cabrini Green
Past Event
- This event occured on
Thursday, January 31, 2018
Screening and Conversation with Director Ronit Bezalel Ronit Bezalel has been creating social issue documentary films for over 25 years. Bezalel's award-winning film, Voices of Cabrini: Remaking Chicago's Public Housing (1999), received a John D. and Catherine T. MacArthur Award to catalyze dialogue about affordable housing issues in Chicago neighborhoods. Newsweek magazine selected Bezalel as one of the "Top 10 Women of the 21st Century" (Jan. 8, 2001) for this work. Bezalel holds an MFA from Columbia College Chicago and a B.A. from McGill University. Edward Dimendberg is Professor of Humanities and European Languages and Studies at the University of California, Irvine. A noted architectural historian and theorist, he has lectured and published widely on the built environment and taught at University of Michigan, SCI-Arc and Columbia. His books include Film Noir and the Spaces of Modernity (Harvard University Press, 2004) and Diller Scofidio + Renfro: Architecture after Images (University of Chicago Press, 2013). He is currently completing a book on theories of Los Angeles and a critical edition of the first urban geography of the city, completed in 1935 by Anton Wagner.


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If you are seeking out a marijuana evaluation, then you will want to be sure to find out what you need to expect from it ahead of time. There are many things that you can expect from getting your cannabis card and from meeting with the right cannabis doctor. You will want figure out where to go and how to find the right doctor for you. You will also want to figure out what you need to bring and what medical information that you will want to have on hand as well. These are important considerations to make when it comes to finding the right marijuana doctor for your needs.
There are many things to expect ahead of time or prepare for when going in for your marijuana evaluation. Listed here are some things to expect when trying to find the right cannabis doctor and seeking out a medical marijuana evaluation:
- Find the right doctor. If you are in a state where medical marijuana has been legalized for awhile, then it may be very easy to get your medical evaluation done and to find the right cannabis doctor right away. But there are 29 states that have legalized the use of medical marijuana in the United States and it isn't always easy to find the right doctor or any doctor that will give you a medical card.
- Once you find the right doctor, then you will go to your appointment. Your doctor will give you a good-faith examination that will be signed off by them.
- They will also collect any and all documentation from your current doctor.
- Your doctor will then write you a medical marijuana recommendation. This is not a prescription as this is illegal. So, the correct terminology to use and to look out for is a marijuana recommendation.
- Your medical card will be valid for one year. After one year, you will need to have another medical evaluation in order to get a new medical card for the next year.
- Your doctor actually cannot recommend a dispensary by law so you should have a few on hand that you already know that you want to visit.
- The overall visit will generally be very short and will give you the card if you have a valid health concern or diagnosis.
As you can see, there are many different things to expect from a marijuana evaluation. If you want to find a marijuana evaluation that doesn't require you to go into the office, then you can find these online as well! In fact, it has never been easier to get a medical marijuana evaluation online and you will find that you can do it very easily and even in the same day that you schedule your appointment. You can even receive your card by the following day!
If you want to learn more about getting a marijuana evaluation online, then you will want to reach out to the experts over at Heally. They are the leading online marijuana evaluation experts.


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★ ★ ★ ★
By Robert Taylor
A few weeks ago, Houston Texans owner Bob McNair was quoted as saying "we can't have the inmates running the prison" when referring to NFL players kneeling during the national anthem. As offensive as that statement is, is it surprising anymore in an era of Trump and social media politics? Are we really surprised anymore to see more and more people showing their true feelings, blurting out whatever racist, sexist or homophobic thing they can conjure up from their subconscious? Is it surprising anymore that people would be rightfully offended by the intentional word choices used by people like Bob McNair, and would stand up and demand better? It isn't.
In a frenzy of racially motivated rallies, combative opinions and reality-bending morals, at times it can feel like the world is at its end; like the country has lost its sanity. Constantly checking our news channels only to see the next horrible thing happen; our anxiety telling us that other news could be lying to us. Protests finally speaking out on oppression are met with apathy and are labeled heathens, miscreants, or thugs. With a generation of youth exposed to these "in your face pick a side" arguments", while they are themselves the recipients of these oppressive forces, we have to remember that this is not new.
We have to remember that Trump and the alt-right didn't create racism or bring it back from obscurity. We have to remember why we even are offended by statements like Bob McNair's. We have to remember why we can hear a statement like "inmates running the prison" and immediately know that it was directed at certain players over others. Most people would hear that outdated saying and realize the mistake in using it to talk about your predominately black team that you own. This is more than just the political climate that we have been wading in for the last two years. In America there is still, and always will be, a systematic perception of young men of color. A history of criminalizing men and women of darker skin that has been carried over generations.
Super predators. It is a term that was not only brought up by Donald Trump against Hillary Clinton in last year's presidential race but a term that will have a lasting stain on her career. This term, "superpredators", and her involvement in the 1994 crime bill are flaws that make it hard to tell if they had an effect on her election loss, but it brings up a bigger story that has more relevancy. Hillary Clinton might be famous for the term "super predator" but she wasn't the first to use it. The term was originally coined by political scientist and former Bush aide John J. Dilulio Jr. and was meant to categorize and label crimes done by juveniles in gangs and separate them from other crimes, making them top priority; a perceived threat to the country. It wasn't surprising that most of the crimes—especially the highly publicized eleven-year-old Robert Sandifer and Shavon Dean murder cases—were predominately young men of color.
By the early 90's, when the term "superpredator" was spreading like wild fire we have to remember that there were other terms that were already being used to categorize crimes committed by minorities that separated them from white counterparts, including crackheads and welfare queens. "Superpredators", like many of these labels, was meant to be demonizing. It was meant to produce an irrational fear of a threat perceived to be foreign from the ideal look of America; a threat that later on proved to be inaccurate. A "superpredator" had a look and grew up a certain way. Talked a certain way, walked a certain way. Even if they never committed a crime.
Flash forward two decades after Hillary Clinton's 1996 speech where she says "superpredators", to when my entire generation was old enough to vote. Subconsciously stuck in a limbo of political overload. Who should we vote for, who would also fight for our voice, who would help us? Flash forward to these same kids who are now adults living their whole lives as perceived criminals, losing parental figures to mass incarceration. Flash forward to me, a black man, standing at the voting booth on November 8, 2016 ready to vote for Hillary Clinton because I was told this side was better; because I also saw the other side that was inherently worse.
Like cattle slowly checking the boxes they tell us to check because doing so gives us a voice. It is hard to continue thinking this way when young voices, future voices are silenced. When there are peaceful protests that are labeled deviant.
I am a direct product of the term "superpredator". I am part of a whole generation of young people of color lost to systematic criminalization. If anyone was to say differently, look at the funding for schools in areas where the term "superpredator" was used to describe its youth. Look at the poor neighborhoods where "superpredators" were known to hang around.
Luckily for me I was raised in a fairly decent suburban neighborhood, with a father figure who was more than just around. But even then I knew kids whose families were separated by incarcerated parents. I knew kids from a very young age who reveled in the rebellious idea of being a thug, accepting the societal expectation they were presented. Kids as young as elementary school following in the footsteps of older brothers or cousins who themselves were lost in the systematic perception; lost thinking that there was only one way to be, one way to exist. But they told us we were the future. An uneventful future where armed security and metal detectors are stationed right at the school doors before kids can go to class.
Now we are living in that future. Has anything improved? Yes of course, but by how much? I am the future of the young men of color who were told they weren't going to be anything more than "superpredators". With that being said, I am also history to the younger generation. A history that flew by, taking steps backwards, and also didn't do as much as they could to change before people like Trump made open racism marketable. I can see the younger generation even more lost than we were, or is that how every generation views the next?
I'm living in the future, where everyone has a computer for a phone that can connect to the entire world but we are still labeled by the color of our skins. The fights and protests and rallies are too late. Our voices are too late. Especially when people we look up to and inspire to be, like our favorite music artists and sports icons that look like us are called prisoners. We are a future fading to history. Fading to that "once upon a time" when everyone did things that made no sense. We will be remembered for having Neo-Nazis protest in the streets thinking Jews were going to replace them and young people speaking up against racism, the criminalizing of youth, homophobia, sexism and the unjustified deaths are called heathens or "un-American".
In the year 2017 I am part of the future that is stuck with the mistakes and labels of the past. I am part of the future that was set up to fail; keeping us as a certain type of people.
Keeping us behind.
Robert Taylor is a student, who is pursuing his passion for writing. He loves all genres of writings and films, but has a soft spot for weird science fiction, finding inspiration from writers like George Saunders, Laurie Anderson, J.G. Ballard and countless others. He also has a degree in Criminal Justice. He lives in Long Island, New York.
At The Wild Word we are proud to present some of the best online writing around, as well as being a platform for new and emerging writers and artists.
If you have read the work in The Wild Word and like what we do, please put something in our tip jar.


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Olympics: Cook, Loukas finish 2nd in U.S. diving trials
FEDERAL WAY, Wash. - Abby Johnston and Kelci Bryant earned the first two spots on the U.S. Olympic diving team.
They narrowly won the 3-meter springboard synchro final Thursday night, giving Johnston her first trip to the Olympics and Bryant her second.
Johnston and Bryant totaled 956.40 points in the final, with scores having carried over from the semifinal and preliminary rounds this week. Kassidy Cook and 2008 Olympian Christina Loukas, both of whom train at The Woodlands, finished second at 955.98.
Johnston and Bryant survived a tight final in which they never led by more than six points.
Amanda Burke and Summer Allman finished third at 806.10.
U.S. team adds hammer throwers
Kibwe Johnson won the hammer at the U.S. Olympic trials with a throw of 245 feet, 11 inches to earn a trip to the London Games.
A.G. Kruger, who finished third with a throw of 242-6 in the event Thursday, also will represent the United States.
Second-place Chris Cralle, who threw 243-11, doesn't have the Olympic "A" standard of 255-11 needed to qualify for the Games.
On the women's side, Amber Campbell, Amanda Bingson and Jessica Cosby earned spots on the U.S. team.
Mullens to miss London Games
Byron Mullens will miss the London Olympics because of an injury, depriving host Great Britain of one of its three NBA players.
The Charlotte Bobcats center, who was born in Columbus, Ohio, but has an English mother, is sidelined for the tournament because of a persistent toe problem.
Great Britain lost to Nigeria 86-80 in an international friendly Thursday night at Sharp Gym in Houston.
Ike Diogu had 33 points and 15 rebounds to lead Nigeria. Andrew Lawrence scored 19 for Great Britian.
From wire reports


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Review, Ingredients: Wella EIMI Dry, Perfect Me, Root Shoot, Sugar Lift Hair Styling Products
You can purchase all reviewed and mentioned items using our site, BeautyStat.com.
Which of these new Wella Eimi products will you give a try?
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– Deanna Perl, Hair Editor | Follow Deanna on Twitter @DEANNAWAWA
For more giveaways and contests, sign up for our newsletter HERE.
If you like this post, share it with your friends and give it a LIKE on Facebook.


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Sunday, November 30, 2014
Jingle bulbs
today I am sharing these cute bulbs from the new kit at svg cuts. I decided to make eight for my fireplace and I alreadly have them hanging and they look so cute. Easy to make so you could even do a cute gift a day in them they are a box also. have a great day.
3 comments:
They are so awesome my friend!! I love, love them!! I bet they look amazing on your mantle!! Have a wonderful evening :)ReplyDelete
A Mermaid's Crafts
This is so cool. I love Christmas lights.ReplyDelete
Ohhh, I love these too! What a great decoration to have over your fireplace! So festive and fun!ReplyDelete
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Preparation time: 20mins
Cooking time: 1 1/2 hours max
Serves: 4
8 good-quality pork sausages
2 medium red onions, chopped
1 tbsp butter
garlic, chopped
2 tsp brown sugar
2 cupswater
vegetable stock cube
gravy granules
1/2 tsp marmite (optional)
1 tsp djion mustard (or 1/2 tsp mustard seeds, crushed)
1 dried bay leaf
1/2 tsp mixed herbs
1 sizeable chopped carrot
1 tsp cornflower
Serve with: mashed potato, steamed cabbage, green beans
Fry sausages in deep frying pan until cooked through. Remove from pan (leave the fat in). Melt butter in same pan, then soften onion and garlic. Add brown sugar and slightly caramelise the onions.
Return sausages to pan, add water and remaining ingredient (EXCEPT cornflower). Cover pan and simmer on low heat, stirring occasionally for 45 mins to an hour.
While this is cooking, prepare other vegetables.
Uncover pan, turn up heat. Mix cornflower with a little water to form a paste, and mix into liquid in the pan. Stir until gravy is nice and thick.


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EXCLUSIVE: Raymond Cham Jr. Gives Aspiring Dancers All The Advice You'll Ever Need
Raymond Cham, Jr. is an insanely talented dancer.
Never heard of him? Yes, you have!
You'll recognize Raymond almost immediately from his role as Devon in Teen Beach 2, from Step Up All In, or even as Austin Moon's backup dancer on Austin & Ally.
JJJ had the chance to speak with Raymond about all things dance, and his advice is giving us life.
"Shooting TB2 was incredible," he told us of his time filming. "We were in Puerto Rico for a couple months so what is there to complain about? Being Devon was fun and already being a dancer really helped with the role."
He added about Step Up All In, "[It] was just a wild experience, it was my first time working as an adult so there would be days where I got to set at 12pm and was there until 3am."
Raymond also revealed all the tips you'll ever need as an aspiring dancer.
Click inside to get them!
"I started dancing when I was 8 and fell in love with it," Raymond shares about his love for the sport. "My focus was to have fun."
"I remember setting goals like performing at award shows, going on tour, dancing in a movie, etc. but I stopped worrying about that because I was just having so much fun doing what I was doing and sure enough I started booking those jobs."
So, what advice does he have for dancers trying to get into the business?
"The most common thing to say is 'Do it because you love it' but it's true," Raymond says. "This business can knock you down sometimes but if that love is there you'll prosper."
Raymond is also pictured at the 2017 Radio Disney Music Awards with his Mech-X4 cast, the Gamer's Guide To Pretty Much Everything cast and more.
Posted to: Exclusive, Interview, Raymond Cham Jr


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Stand with trans Texans
During the 2017 legislative session, some lawmakers made it their mission to attack the dignity and humanity of transgender Texans every chance they could. With your testimony, energy and advocacy, we were able to prevent anti-trans measures from becoming law – signaling to lawmakers a clear rejection of bigotry from Texans.
The next legislative session is only two months away and lawmakers are already making it clear that they plan to renew their attacks against the transgender and gender non-conforming community.
These proposals do nothing to serve privacy and safety. Proposals like the "bathroom bill" only serve to exclude trans and gender non-conforming people from public lives. These laws are ineffective, unenforceable, and violate basic human dignity. That's why we need to be prepared for the fight ahead.
Sign the pledge to support the dignity and humanity of transgender Texans.


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Cougar Brunch and Bubbles at Bookwalter Wines: Tasty Wine and Food - A Treat to the Body and Soul | Richland, WA
Bookwalter Wines is inviting everyone to support the Cougar Brunch and Bubbles event which is set from 10:00 a.m. until 3:00 p.m. on June 26, 2016. Bookwalter Wines is located at 894 Tulip Lane, Richland, WA. For more details, visit the Bookwalter Winery's events page.
About the Cougar Brunch
The Cougar Brunch will feature not only delectable dishes but also some of the wines from the WSU Blended Learning. Those who wish to take part in the Cougar Brunch are encouraged to make reservations. Joining in will not only fill the stomach of the attendees, but also their generous heart since the proceeds of this event will be used for the benefit of the WSU Tri-Cities Viticulture and Enology Program.
Bookwalter is one of the oldest wineries in Washington which has become a recognized source of boutique wine brands in the Pacific Northwest. Bookwalter's wines are a product of an outstanding vineyard. The processes used to come up with tasty wines are beyond ordinary. Don't miss the chance to try it through the Cougar Brunch event!
by Colleen Lane
The Lane Real Estate Team
(509) 438-9344 - Colleen cell
Feel free to call or text!
Homes Listed Today | Search All Homes | Advanced Search
Search By Map | Newly Built Homes


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Based upon guidance provided by the University System of Georgia, all Georgia Tech sponsored events through June 30, including athletics competitions, are cancelled, postponed or will move to a virtual format.
Saturday, August 10, 2019 to
Friday, August 23, 2019
Friday, August 23, 2019
All day
Atlanta, GA
Registration ends at 4 p.m. on August 23. Schedule changes and drop courses without a "W" grade.
Thursday, August 15, 2019
All day
Georgia Tech Campus
One of 28 NSF Sustainable Urban Systems Conferences that are being held across the country as the NSF explores the potential for Sustainable Urban Systems Research Networks.
Monday, August 12, 2019
All day
Georgia Tech Department of Housing Assignments Office
First-year students move onto campus for 2019-2020
Monday, August 12, 2019
8:00 am - 3:00 pm
Stamps Health Services
Students, have your immunization requirements fulfilled during Welcome Week at Stamps Health Services!
Friday, August 16, 2019
8:15 am - 12:00 pm
Clough Commons Room 144
New graduate and undergraduate teaching assistants should attend TAO.
Friday, August 16, 2019
9:00 am - 10:30 am
Training by Kaltura - Kaltura Essentials
Friday, August 16, 2019
11:00 am - 6:00 pm
Various Campus Locations
IRIM and RoboGrads will host a new robotics students welcome and orientation on August 16, 2019.
Friday, August 16, 2019
11:30 am - 5:00 pm
Student Success Center (Press Rooms A&B and Tech Rec)
The Transitions program enables graduate students and dual-degree/transfer students to network with peers, faculty, and staff as they settle into Georgia Tech.
Friday, August 16, 2019
1:00 pm - 5:00 pm
Clough 102
The Center for Academic Success sponsors a half-day of workshops and faculty/student panels for undergraduates.
Friday, August 16, 2019
2:00 pm - 3:00 pm
Training by Respondus - Respondus 4.0 and Lockdown Browser
Friday, August 16, 2019
5:00 pm - 8:00 pm
Tech Green
Annual First Friday welcome program for first-year students.


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July 2018
Books by Wings Epress
197 Pages
Contemporary Romance
Rating: 5 Cups
Victoria has a secret she is keeping from everyone she loves because her family has already known so much pain. She has no idea one man will enter her life and make her change her point of view on life, love, and family.
Josh ran into the woman of his dreams and had no idea when he saw her again she would be in the struggle of her life. Despite the timing, he is determined Victoria and her family would be his no matter what.
Victoria struggles to open herself up to a man when she is so vulnerable, but Josh is a determined man. When her family steps in she has little chance for resistance. The moment she regrets pushing him away and she has a change of heart, a disaster occurs which could cost her any future with the man she loves.
A Family for Life is an amazing story with love on every page. I was awed by the level of talent which birthed such a poignant and relevant love story. I found the struggle for love to be on a higher level of emotion; so many romances skim the surface of the true strength it takes to take a leap of faith when there is no guarantee of tomorrow. Josh is a hero like no other; not once did he give up when many men had walked away. He loves with his whole heart, soul, and body. My only warning is to make sure you have a box of tissues because even the hardest heart will find it difficult to get through every page with out shedding a tear or two. I highly recommend A Family for Life for anyone looking for a deeper emotion in their romance reading because this story takes love and romance to the next level.
Reviewer for Coffee Time Romance & More


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- Made in UsaIce Cream Rock Salt, 4-Lb. Item 210251$4.29
- Nostalgia Electrics Electric Ice Cream Maker, Vintage Style, 4-Quart Item 190129$50.99
- 4-Qt. Ice Cream Maker Item 166884$35.99
- White Mountain Appalachian Series Electric Ice Cream Maker, 4-Qt. Item 149842$255.00
4 Items
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Friends of the Earth France and ATTAC launched the joint campaign 'Banks are ours!' today, with local groups in Antony (Hauts-de-Seine) and Paris 13e bringing a game of Bancopoly to Antony's market.
The group involved passersby in the game to learn more about their own banks, and to compare their bank's investments with the social and environmental impacts, while promoting alternatives – such as ethical and transparent banks.


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The word "triathlete" is near the top of the list that defines my second decade on this Earth. Good or bad – it became who I was to myself. I was unreachable between the hours of 5 and 7 am on weekdays and 7 to 11 am (or later) on the weekends remaining dedicated to my […]Read More
Going for a run, for me, is breathtaking in countless ways. It's often when I find my mind is the most still. One afternoon about a month ago, I was on a paved path through some woods near my home and came upon a rather large tortoise. A sighting of this sort is not unique in […]Read More


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Please enjoy these women in their sexy Arizona Cardinal jerseys. Part of our Girls in Sexy Sports Jerseys Series.
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These first days of 2017 have already been marked by really good releases that you can discover here (The Black Madonna, The xx, Bonobo…), and they keep on coming. It's time for Roche Musique to kick off the year with its first release, a new song by the one and only FKJ (French Kiwi Juice)!
"Go Back Home" is the first single from his much anticipated album, due out this year. Featuring his own vocals and samples, the French producer delivers once more an incredibly smooth and groovy track. We can't wait to hear more!


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Although it is springtime, it is time to start collecting donations for the Town of Fincastle's annual 4th of July's Fireworks Display.
Last year's display was beautiful and we thank those who helped put it on and those who donated.
The cost of the fireworks display is around $3,000 and it comes from donations of wonderful people. Willie Simmons goes to Tennessee to get the most for the money.
Send donations to Town of Fincastle, P.O. Box 250, Fincastle, 24090, leave it at the Town Office, or give it to Paige Ware.
Let's make this year's 4th of July Fireworks Display the best ever, and please plan to attend.
Paige W. Ware


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Christmas is a great time for baking cookies, they make an excellent gift…for most but not all. Food allergies are more common now than in grandma's day, and despite our best intentions cookies crafted with love and gluten could cause more harm than happiness. You might think the solution is to fashion a cookie from gluten free ingredients, but this is easier said than done—to create a cookie that has great taste and texture is a skill, one which the food crafters master well.
Frustrated with the quality of allergen friendly products on the market, business partners David Amar and France Rechichi decided it was time for gluten intolerant Australians to indulge in the foods they love, without compromising on healthy ingredients. Using their respective backgrounds as a food developer and restaurateur, David and France decided to combine their skill sets and 30 years in the food industry to develop a product that would be nutritionally sound and restaurant ready.
Their first business venture Pizzaiolis was established after they noticed a gap in the hospitality market for gluten free pizza bases. With the business taking off, David and France decided to expand beyond pizza bases and launch The Food Crafters brand. Established in July 2017, the brand has entered the market with a range of gluten free cookies that can satisfy both dietary needs and sweet-tooth cravings.
As a food developer, David had previously developed gluten free cookies for schools and airline contracts, but he was determined to flip the gluten free label and create a completely nutritional product. The cookies needed to be high in fibre and low in sugar. The flour had to be nutritional without preservatives. It must be dairy free and not overly processed.
To meet these standards, the business partners used buckwheat as the base flour. By combining natural fibre with the buckwheat flour, the product could provide a good source of protein, help with digestion and slow down the absorption of sugar in the body. Through the combination of honey, stevia, blackstrap molasses and dry fruits, the company has been able to dramatically reduce sugar content and create a high fibre product. To achieve zero preservatives the founders' combined dried fruits with a slow roasting process, giving the product a 12-month shelf-life. Dairy was replaced with coconut oil, adding essential fatty acids.
The Food Crafters gluten free cookie range relies on a combination of natural ingredients to not only provide the taste but the traditional cookie texture. Through the inclusion of the staple ingredient buckwheat kibble, The Food Crafters combat the texture issue and simultaneously improve the nutritional content of its product. Buckwheat is a fruit seed that contains amino acids, antioxidants, fibre and magnesium. It is known to lower blood sugar levels and boost the immune system. The cookie remains low in starch and therefore does not spike sugar levels.
The aim of the company is to extend great food to the world of dietary requirements, while still creating a tasty treat everyone can enjoy. The product range is completely natural and homemade. Currently, The Food Crafters cookie range is available in three delectable flavours; Raw Cacao, Double Coconut and Ginger and Date.
Nutritionist for The Food Crafters Caroline Trickey shares two easy, gluten-free Christmas recipes for the festive season.
Chocolate Log Cake with Cacao Cookies
1. Ricotta 1kg
2. Orange juice 100g
3. Orange zest 1 Tsp
4. 12 of The Food Crafter Cacao 50g cookies
5. Maple syrup 1/3 cup
1. Mix ricotta, maple syrup and orange juice for two minutes
2. Between each cookie add 2 Tsp of Ricotta and sandwich the pieces together.
3. Repeat for each cookie
4. Place the log in the freezer for 30 minutes
5. Cover the cookie log with the remaining ricotta
6. Garnish with orange zest.
7. Place in fridge for two hours before serving.
Ice cream sandwich with Cacao cookie
1. Coconut express ice cream
2. Cacao cookie min pack 13g each
1. Use butter knife to spread a small scoop of ice cream on the cookie base
2. Sandwich the second cookie to create finished product
3. Repeat for each to create six bite sized gluten-free Summer treats
For further information visit www.foodcrafters.com.au
Latest posts by Inga Yandell (see all)
- Protecting Animal Welfare is Good for Business - July 20, 2019
- Creative Communications in the Age of AI - July 9, 2019
- Earth Challenge 2020 - June 11, 2019
- SEA the Potential in Our Oceans - June 5, 2019
- Gifts Inspired by the Garden - May 10, 2019


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Hermel R. Levesque, 74, formerly of Bristol, husband of Olivette (Theriault) Levesque, passed away on Saturday, April 27, 2019. Hermel was born on April 24, 1945 in Canada and was the youngest of nine children of the late Alcide and Angelé (Roberge) Levesque.
Hermel was a parishioner at St. Ann's Church.
In addition to his beloved wife of 54 years, Hermel is survived by his son: Ricky Levesque of Southington; his two daughters: Micheline Maghini and her husband Joseph of Bristol, Tina Dionne and her husband Al of Bristol; six grandchildren; and many nieces and nephews.
A Mass of Christian Burial will be celebrated at 10 AM on Friday, May 10, 2019 at St. Ann Church, 215 West Street, Bristol. Burial will follow at St. Joseph Cemetery, Bristol. There will be no calling hours. Funk Funeral Home, 35 Bellevue Ave, Bristol, is assisting the family.
Please visit Hermel's memorial web-site at www.FunkFuneralHome.com.


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