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Learning curve of electromagnetic navigation bronchoscopy for diagnosing peripheral pulmonary nodules in a single institution
Lung cancer has become the leading cause of cancer death in the world (1). As the popularity of computed tomography (CT) scan for screening lung cancer, the number of pulmonary nodules has been found increasing substantially. The National Lung Screening Trial Research Team reported 27.3% of high-risk patients who experienced low-dose CT screening had pulmonary nodules suspicious for malignancy (2). Individuals with pulmonary nodules can be evaluated by non-surgical biopsy methods to estimate the probability of malignancy according to the American College of Chest Physicians (ACCP) Lung Cancer Guidelines, which plays a significant role in the detection of the early lung cancer (3).
The most common non-surgical biopsy methods of diagnosing lung lesions are transbronchial biopsy (TBB) and transthoracic needle aspiration (TTNA) biopsy. However, these two methods are limited either by low accuracy or by potential complications (4-7). Electromagnetic navigation bronchoscopy (ENB) is a promising technology that is designed to guide the biopsy of peripheral pulmonary lesions (PPLs) and increase the diagnostic yield of conventional bronchoscopy. ENB utilizes an electromagnetic technique for real-time navigation based on three-dimensional CT scans and virtual bronchoscopy, which offers an accurate pathway reaching PPLs. ACCP Lung Cancer Guidelines also indicate that in patients with PPLs difficult to reach with conventional bronchoscopy, electromagnetic navigation guidance is recommended if the equipment and the expertise are available (7).
Many previous studies have demonstrated ENB has a high diagnostic yield in diagnosing PPLs (8-10), but few studies explore the learning curve. The study presented our initial experience since its first introduction into the special hospital for thoracic neoplasms, covering a period of about 8 months. The objective of the study was to explore the learning curve and evaluate the diagnostic efficiency and safety of ENB in diagnosing peripheral pulmonary nodules, with the final goal to guide the clinical application of ENB in diagnosing peripheral pulmonary nodules, especially in the newly introduced hospitals.
From July 28, 2014 to April 16, 2015 in our Hospital, patients were prospectively enrolled into the clinical study. The inclusion criteria were as follows: (I) all patients were discovered with peripheral pulmonary nodules suspicious of malignancy according to clinical and radiologic features and needed pathologically confirmation; (II) all participants were older than 18 years; (III) chest CT image showed there was bronchus leading to or adjacent to the nodule; (IV) the size of the nodules was no more than 3 cm and beyond the vision of the conventional bronchoscopy. The exclusion criteria were as follows: (I) chest CT image showed pure ground glass opacity (GGO) lesion; (II) severe cardiopulmonary dysfunction and other indications that cannot tolerate bronchoscopy; (III) refusal of participation. The protocol was approved by the local ethics committee and the ethics approval number was KS1530. All patients participating in the study provided written informed consent and were followed up for at least one year after the procedure.
All patients underwent chest CT scans (Philips Brilliance 64 multi-slice spiral CT, Philips Healthcare, The Netherlands) prior to ENB procedures. The data of CT scans met the following criteria for navigation software: (I) slice thickness 1.0 mm; (II) slice interval 0.8 mm; (III) kernel C; (IV) DICOM format; (V) image resolution 512×512. All procedures were performed under local anesthesia and moderate sedation with midazolam and fentanyl and finished by the same operator who was experienced in transbronchial lung biopsy (TBLB) and performed more than 100 cases each year in recent 3 years. ENB (superDimension/inReach system, Covidien, America) procedures were performed as previously described (11,12). A bronchoscope (BF-1T260, Olympus, Tokyo, Japan) with a 2.8 mm diameter biopsy channel was used through the intraoral approach.
When the nodule was reached, the locatable guide (LG) was withdrawn from the extended working channel (EWC) and a radial ultrasound probe (UM-S20-20R, Olympus) was inserted via the EWC to confirm the position of the nodule. Then fluoroscopy was used to confirm the location of the radial ultrasound probe. Specimens were obtained through EWC in the sequence of biopsy and brushing, aided by fluoroscopy to guarantee that the EWC did not dislodge and endobronchial accessories reached the nodule well. After biopsy and brushing, the EWC was flushed with saline to collect liquid specimens. Five biopsy, one brushing and one flushing samples were finally obtained of each nodule. All patients performed chest radiographs after the procedure to exclude pneumothorax. A representative case of ENB guided TBLB was shown in Figure 1 and an operation video could be available in Figure 2 (13).
Brushing and flushing specimens were sent for cytological examination and biopsy specimens were processed for histopathological examination. Further immunohistochemistry (IHC), including cytokeratin (CK), thyroid transcription factor-1 (TTF-1), P40 and CD56, was performed if the tumor cannot be classified by morphologic features. Flushing specimens were also processed for microbiologic assessment if it was necessary according to the judgment of the doctors. All final diagnoses were made by experienced pathologists. Driver gene testing including epidermal growth factor receptor (EGFR) gene mutations, anaplastic lymphoma receptor tyrosine kinase (ALK) gene fusions and ROS proto-oncogene 1, receptor tyrosine kinase (ROS1) gene fusions performed in nonsquamous non-small cell lung carcinomas (NSCLCs) which cannot undergo surgery.
Final diagnosis
The final diagnosis of the nodule was based on the histological, cytological pathology or microbiological evidences of specimens obtained by ENB procedure and/or other means. If specimens obtained by ENB procedure had definite malignant histological or cytological pathologic evidence, or had characteristic pathology or microbiological evidence of benign disease that was confirmed by the follow-up treatment, they were considered to be diagnosed by ENB. Otherwise, if the specimens gained from ENB did not have specific benign or malignant pathological evidence or specimens were unqualified, they would not be viewed as diagnosed by ENB. For these specimens, the final diagnosis were made by repeated biopsy of ENB or additional procedures, including CT-guided TTNA, surgical biopsy, or clinical and imaging follow-up. All patients received treatment according to the diagnosis made by the methods above and received follow-up for 12 months to review whether the diagnosis was right or not simultaneously.
Cumulative Sum (CUSUM) analysis
The CUSUM method has been widely provided for quantitative evaluation of the learning curve (14-16), which was used in assessing learning curve based on navigation time, total operation time and diagnostic yield in our study. Navigation time was defined as the time from registration completed to the LG reaching the nodule. Total operation time was defined as the time from the bronchoscope passing through the glottis to getting out of the glottis. Diagnostic yield was the accuracy of the final diagnosis that was proved histopathologically or clinically. The CUSUM is the accumulation of differences between each data and the average of all data. All cases were ordered chronologically to calculate the CUSUM and a power function was approximated. CUSUM was defined as ∑(Xi − X0), where Xi is individual attempt and X0 is the reference or target value for the procedure. For the procedure time, Xi and X0 were the procedure time of each case and the mean procedure time of all cases, respectively. Positive slope means a long procedure time, and negative slope means procedure time decreasing. For the diagnostic yield, X0 was defined as the overall diagnostic yield, with Xi =1 for diagnostic procedure and Xi =0 for nondiagnostic procedure. Positive slope means diagnostic procedure, and negative slope means nondiagnostic procedure.
Statistical analysis
All statistical analysis was performed using the SPSS version 20.0 (IBM, New York, United States). The results of categorical variables were presented as percentage and continuous variables were presented as mean ± SD (range). Comparison of the continuous variables and categorical variables was performed using t-test or correlation test and Chi-square test or Fisher's exact test, respectively. P value less than 0.05 was considered statistically significant.
Baseline characteristics of the patients and the nodules
Forty patients including 40 nodules were enrolled in the study, of whom 23 (57.5%) were females. The mean age was 59.0±8.7 years, ranging from 39 to 77 years. The mean diameter of the 40 nodules was 21.1±5.3 mm, ranging from 11.0 to 29.7 mm. Characteristics of pulmonary nodules are summarized in Table 1.
Full table
Diagnostic yield
ENB was successfully performed on the 40 nodules and the final diagnosis was described on Table 2. The nearest distance from the sensor probe of the LG to the targeted nodule ranged from 0.1 to 1.6 cm with the average distance of 0.8±0.4 cm. Thirty-three of the 40 nodules (82.5%) were diagnosed by ENB, of which 27 were malignant, 6 were benign. The remaining 7 nodules (17.5%) including 4 malignant nodules and 3 benign nodules were nondiagnostic by ENB and finally proved by other diagnostic procedures. The diagnostic yields of ENB in diagnosing malignant and benign nodules were 87.1% (27/31) and 66.7% (6/9), respectively.
Full table
The factors, including gender, age, lesion size, lesion location, lesion location from the hilum, relationship between the airway and the nodule and distance from the nodule to the visceral pleura, that may affect the diagnostic yield were analyzed. And it turned out to be no statistical significance between these factors and diagnostic yield finally (Table 3).
Full table
Learning curve analysis
The navigation time of ENB ranged from 3.1 to 15.2 min with the mean time of 8.1±3.2 min and the total operation time ranged from 18.6 to 32.6 min with the mean time of 24.6±4.1 min. The navigation time and total operation time had no correlation with the lesion size analyzed using correlation test (P=0.71 and 0.76, respectively). The raw navigation times of all cases were plotted in chronological order (Figure 3A). The CUSUM learning curve based on navigation time was plotted, which was best modeled as a third-order polynomial with a high R2 value of 0.8856 (Figure 3B). The raw total operation times of all cases were plotted in chronological order (Figure 4A). The CUSUM learning curve based on total operation time was plotted, which was best modeled as a third-order polynomial with a high R2 value of 0.9304 (Figure 4B). According to the change in the slope of Figure 3B and Figure 4B, the CUSUM learning curve based on navigation time and total operation time can be divided into two unique phases with the initial 14 cases as phase 1 and the final 26 cases as phase 2. Comparisons of characteristics have no statistical significance between the two consecutive phases (Table 4).
Full table
The CUSUM learning curve based on diagnostic yield was plotted, which could be modeled as a five-order polynomial with a R2 value of 0.503 and the shape of the curve did not demonstrate an obvious learning curve (Figure 5).
IHC and driver gene analysis
In our study, IHC were performed in 14 samples including 12 adenocarcinomas and 2 squamous cell carcinomas. All of the adenocarcinomas were TTF-1 and CK positive and P40 negative. All of the squamous cell carcinomas were P40 and CK positive and TTF-1 negative.
Driver gene testing using samples gained from ENB was performed in 10 patients diagnosed with lung adenocarcinomas that cannot undergo surgery. EGFR mutations were found in 6 cases including 4 exons 19 and 2 exons 21. No ALK and ROS1 gene fusions were found in these 10 samples. All samples were adequate for IHC and driver gene testing.
No obvious complications, such as pneumothorax and bleeding, occurred in 40 patients after the procedure in the study.
ENB has been proved to be a useful method in diagnosing PPLs (8-10), the pooled sensitivity and specificity was 82% and 100% (17). But operational expertise and learning curve have limited its widespread utilization. Several studies have referred that it took time to train for the use of ENB (12,18-20), but were not designed as learning curve. Lamprecht et al. (8) reported a steep learning curve with a diagnostic yield of 80% and 87.5% for the first 30 and last 30 procedures, respectively. But these procedures were performed by three bronchoscopists and could not separately reflect learning curve of one bronchoscopist. There were no detailed data available of statistical difference on individual learning curve. Makris et al. (21) reported no significant learning curve was observed for each operator separately. The lesion size in the study varied much and the relationship between the lesion and the bronchus was not clear, which lead to some lesions to be diagnosed easily and some difficultly. The study was our preliminary experience in ENB diagnosing peripheral pulmonary nodules and was designed as a learning curve of ENB. The lesion size was limited in a certain range and all the lesions had bronchus leading to or adjacent to on the thin slice chest CT imaging in order to make the difficulty of these procedures equally and increase comparability of the results. GGO was excluded from the study for its difficulty in biopsy and diagnosis.
The training of ENB covers planning, registration, navigation and sampling. As previously described (18), accurate pre-procedure planning of pathways leading to the target lesion was very important to the success of the procedure, and this is highly dependent on the quality of the pre-procedure CT scans. New operators can benefit from hands-on training, standardized lecture, videos of ENB procedure, observing on-the-spot ENB operation, procedural simulation models and in vivo animal training before attempting clinical application of ENB. The pulmonologist in our study had took standardized lecture, watched some videos of ENB and observed some on-the-spot ENB operations before the study.
The learning curve was assessed by navigation time, total operation time and diagnostic yield in our study. The navigation time and total operation time in our study was in accordance with previous studies (22,23). We first plotted the raw data by chronological cases and then drew the CUSUM graph, generating a polynomial curve based on the CUSUM graph. Both the CUSUM graphs of navigation time and total operation time were best fitted third-order polynomial curves with the slope changed at 14 cases (R2>0.8), and the basic characteristics have no statistical significance between the initial 14 cases and the final 26 cases, which suggested ENB had an obvious learning curve based on navigation time and total operation time. The CUSUM graphs of diagnostic yield was fitted with a five-order polynomial curves (R2=0.503). The curve did not demonstrate an obvious learning curve, which can be explained by the following reasons. First, all procedures in our study were performed by the same physician who had abundant experience in TBLB with the guidance of X-ray and radial endobronchial ultrasound (R-EBUS). What we were unfamiliar with was the system of ENB. The diagnostic yield of ENB in diagnosing pulmonary nodules was related to one's skill of TBLB, which did not change much as long as the EWC reached the nodule. Second, the sample size was small in our study, which led to the diagnostic yield prone to no difference in statistics. Finally, the nodules enrolled were suspected of malignancy, which was easy to diagnose. In short, an experienced pulmonologist can finish the training of ENB after 14 procedures and gained a satisfied diagnosis results.
A meta-analysis of ENB reported the diagnostic yield of ENB in diagnosing PPLs ranged from 55.7% to 87.5%, and the pooled diagnostic yield was 64.9% (24). The meta-analysis also reported that the following several factors could increase the diagnostic yield of ENB in diagnosing PPLs, including nodule location in the upper or middle lobes, greater nodule size, lower registration error, presence of a bronchus sign on CT imaging, combined use of an ultrasonic radial probe, and catheter suctioning as a sampling technique. In our study, all nodules had bronchus leading to or adjacent to, and multiple locating method, including R-EBUS and fluoroscopy, and multiple sampling means, including brushing, biopsy and flushing, were applied in our study. The overall diagnostic yield of our study was 82.5%, higher than the pooled diagnostic yield, which means we had overcome the learning curve. While the diagnostic yield was a little lower than the studies of Lamprecht et al. (8) and Pearlstein et al. (20), which may be attributed to the reason that ROSE was not applied in our study as it was not done routinely in our hospital. ROSE can increase the diagnostic yield, which was reported by previous studies (25-27).
Personalized therapy plays an important role for tumor patients. Scagliotti et al. (28) have reported that patients have different response to the chemotherapy based on their different histologic types. In addition, international association for the study of lung cancer, American thoracic society and European respiratory society (29) have pointed out that molecular markers in predicting response to therapy has become more prominent. It recommends that IHC should be applied to classify NSCLCs in patients with advanced-stage if the tumor cannot be classified based on light microscopy alone. And tissue specimens should be managed for molecular studies to guide therapy for patients with advanced nonsquamous NSCLCs. If tumor tissue is inadequate for molecular testing, there may be a need to rebiopsy the patient in order to perform testing that will guide therapy (30). IHC and driver gene testing were performed in 14 (35.0%) and 10 (25.0%) patients, respectively, in our study. All samples in our study were adequate for both histologic subtyping and driver gene testing, which was consistent with the studies of Ha et al. (31).
The meta-analysis of ENB reported that pneumothorax occurred in 3.1% of the patients with 1.6% required chest tube drainage and minor or moderate bleeding was reported in 0.9% of the patients, none of them requiring specific treatment (24). Similarly, there were no severe complications observed in our study. In a word, ENB has turned out to be a safe technology for diagnosing PPLs.
There are some limitations in the study. First, it was a single center's study and the data in our study were from a pulmonologist with rich experience in TBLB, making it unclear to generalize other less experienced pulmonologist. Although there exist some biases in the study, it still establishes a foundation for studies about the learning curve of ENB for pulmonologists experienced in TBLB. Second, some diseases in the study lacked definitive pathological diagnosis, and the final diagnosis was made by clinical and imaging follow-up. Third, the sample size was small and larger scaled and more generalized studies are needed to evaluate the learning curve further. Last but not the least, the study was not ENB alone. R-EBUS and fluoroscopy were used in the study, because ENB was a navigational tool and was often performed with tools confirming the lesion especially initially used.
ENB has been proven to be a safe technology with a high diagnostic yield and can be preliminary grasped after a short period of training. The learning curve based on procedure time could be stable after 14 procedures and there was no obvious learning curve based on diagnostic yield for a pulmonologist experienced in TBLB. The specimens obtained from ENB are adequate for histologic subtyping and driver gene testing.
Funding: This work was supported by Shanghai Chest Hospital key project (2014YZDC20200), Shanghai Municipal Hospitals' Rising and Leading Technology Program (SHDC12015115), Scientific Research Program by Science and Technology Commission of Shanghai Municipality (15441900502, 15411964300).
Conflicts of Interest: The authors have no conflicts of interest to declare.
Ethical Statement: The study was approved by the local ethics committee and the ethics approval number was KS1530. All the patients participating in the study were provided with written informed consent.
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|The torched construction machine (Photo: Badische Zeitung)
When the police arrived they were charged. One officer who had hurt his hand was verbally attacked: Shitty cop pig! I hope your hand is broken. Next time we'll break you. Bille Haag representing the round table of the city officials and the Wagenburglers said: This is not acceptable and not useful, however the Rhinos are not responsible for the aggression. A city official replied: These actions unmask all announcements of nonviolent protests for a new Wagenburg as a noncredible and worthless lip service.
As I already wrote: it's not over yet

subset: commoncrawl


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Baron Browning on Tim Beck's departure, Shaun Wade drops big hint, Chase Young talks about Ohio State and more from San Antonio, Day 2
Recruiting never stops, and if you take a day off, you fall behind. Join us every night for a daily recap of Ohio State recruiting news, insight on what's happening behind the scenes, and for a glimpse at what's coming next.
The impact of Tim Beck's departure on recruiting
Day 2 of U.S. Army All-American Bowl practice in San Antonio has come and gone and we're talking about the news of the day, especially as it pertains to Ohio State: the coaching change made in Columbus on Tuesday. Quarterbacks coach Tim Beck, a major part of the Buckeyes' recruiting success in Texas, is leaving Ohio State to take the role of offensive coordinator for Tom Herman and the Longhorns. Beck has helped Ohio State land two of the best players in the Lone Star State this recruiting cycle in J.K. Dobbins and Baron Browning — each of whom are enrolling early with Ohio State — but you shouldn't expect his departure to affect them at all.
"(Tim) Beck was actually the guy who offered me first from Ohio State," Browning, the 5-star linebacker commitment, told Land of 10."But after a while it was Luke Fickell who was my primary contact, since he was going to be my position coach. If I didn't decommit when Fickell left (to become Cincinnati head), I'm not changing my mind now. I understand it was a business decision and I was made aware of it on Monday."
Browning is of course, a linebacker, so his relationship with Beck may not matter as much as the quarterback recruits: Tate Martell (2017) and Emory Jones (2018). Each of those players spoke with Land of 10 about the news today.
"Nothing has changed with Ohio State with today's news," Martell said early Tuesday morning. "I was aware of it. I can't wait to enroll on Monday."
As for Jones? He spoke similarly.
"I already knew," Jones shared. "I'm all cool with it. I just have to talk with the new coaches and see how I feel, and just see how the offense does next season."
While the tone of Jones' statement seems to leave the door open a little bit for a change, he said that he's 100-percent committed to Ohio State.
Shaun Wade hints at a secret roommate
If you watched our video with Shaun Wade earlier on Tuesday, you likely picked up on a key statement. When asked who he will be sharing a room with at Ohio State — Wade arrives in Columbus on Sunday — he mentioned his room is all set.
"I can't tell you one," Wade said, smiling. "But it's me, Baron (Browning) and Tate (Martell)."
The fourth roommate, a secret roommate, will likely be the topic of conversation in a few places this week. The Buckeyes are looking at a number of potential early enrollees, but only two players who are currently uncommitted would be on that list: Jeffrey Okudah and Darnay Holmes.
You'd imagine that Martell would want to room with Holmes, a fellow West Coast product, if the country's second-ranked cornerback picks the Buckeyes on Saturday. However, you'd also imagine that Browning and Okudah are going to room together if Okudah selects Ohio State on Saturday.
My money says the roommate is Okudah, and if something gets more concrete with Holmes, maybe those four can pool their money together and buy a futon.
Chase Young working hard, packing on the pounds
Staying with Buckeyes commitments, I spent a little time talking with Chase Young, the 5-star defensive end from Maryland on Tuesday afternoon. Young is playing for the East squad, donning No. 24, and he had a pretty darn good day on Tuesday. He was his usual dominant self in 1-on-1 situations and was excellent as usual off the edge.
"I had a good day, today and (Monday)," Young told Land of 10. "I think I'm doing pretty well. Someone told (Ohio State defensive line coach Larry) Coach Johnson on Monday that I was the best player on the field. That's pretty cool."
Ohio State is hoping that Young continues to dominate this week and beyond. He'll sign with the Buckeyes on Feb. 1 and then he said it's time to get to work on being physically ready for college, though he's glad to stay at home and finish high school through the spring.
"I am glad I'm not enrolling early," he said. "It's not like I'm not working out, doing stuff. I'm up to 251 pounds now. After signing day, I'll get my workout and diet plan and I'll be ready to go. I'm coming to Ohio State to play and I'm going to fight for a starting job."
Tate Martell has new recruiting targets in mind
In talking to Martell on Tuesday afternoon, I asked him if he's added any new names to his personal recruiting list. I asked him this because of a tweet he sent out on Sunday night following the Under Armour All-America Game.
#BuckeyeNation what do you think about adding Jeff Thomas(@Theregoes4) to #Zone6?
2017 ZONE 6?@TrevonGrimes7 @tyjonlindsey @Theregoes4
— Tate Martell (@TheTateMartell) January 2, 2017
Jeff Thomas is a 4-star wide receiver from East St. Louis (Ill.) who was offered by Ohio State in his sophomore season. He holds 17 offers but is the country's 49th-ranked overall prospect and torched the All-American secondary he faced on Sunday.
"Jeff was a freak," Martell told me. "His first step and acceleration was crazy. I would love to have that guy in our class and I've been talking to him."
Ohio State and Thomas have not had much — if any — contact recently. There were reportedly some academic concerns early in his recruitment that caused some schools to back off, but according to one of his coaches at ESL, that's taken care of.
"We didn't have a football season last year due to a teachers' strike," the coach told Land of 10. "He kind of got lost in the sauce. His academics are OK."
I reached out to Thomas to check on his interest in the Buckeyes.
"I'm interested in them," he said. "But I've not heard from them."
With less than a month to go before signing day, it is unclear whether or not these two sides will reconnect. Thomas has official visits planned to Louisville and Miami scheduled for the next two weekends, but no timeline for a decision. Will the Buckeyes — who would like another wide receiver — get involved? We'll see.


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The previous Bronx Lebanon Medical center worker who authorities say shot at employees, killing one of these and injuring various a lot more, could have already been angry after getting rid of his task more than past arrests. Jonathan Dienst reports.
In 1722 Henry Elking published a proposal, directed in the governors of your South Sea Enterprise, that they should resume the "Greenland Trade" and ship ships to catch whales in the Arctic. He built very in depth ideas regarding how the ships ought to be crewed and equipped.[45]
A person ship of no more than five hundred tons may be despatched to at least one of such sites on a yearly basis (the Navío de Permiso) with typical trade items. One quarter on the earnings were being for being reserved for the King of Spain. There was provision for two more sailings Initially on the contract. The Asiento was granted during the identify of Queen Anne after which contracted to the organization.[fourteen]
We took the traditional arcade game and added some new , great game characteristics to this bubble game you appreciate.
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One massive bond holder experienced attempted to promote his bonds again on the bank for 50%. No dice. Future day he wakes up and reads he's been built complete!
Five staff members users who were identified to the sixteenth ground were in really important condition Friday night, according to the clinic.
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Shares in the corporate had been "bought" to politicians at The present marketplace rate; however, rather then purchasing the shares, these recipients just held on to what shares they were offered, with the option of providing them back to the company when and as they selected, acquiring as "earnings" the increase in sector value.
And lastly, i adopted the Irish economic disaster very closely for various years. I had some family and friends in Dublin impacted by it. Even the worst hit by it are made entire at this time. As for the longer term. Who knows ?
The nationwide financial debt investigation had concluded that a total of £nine,000,000 was owed, with none allocated money to pay for it off. Edward Harley and John Blunt with each other had devised a scheme to consolidate this debt in much exactly the same way which the Lender of England had consolidated preceding debts, although the Financial institution continue to held the monopoly on working to be a bank. All get more info holders with the personal debt could be needed to surrender it to a brand new corporation, the South Sea Enterprise, which in return would problem shares to the exact same amount.
It had been like there can be no draw back in possibilities. I felt it was my duty to inform him that this was a developing bubble (Vancouver Island) and to be modest adequate with expectations to be able to afford the mortgage payment if there was just one available income to depend on. I'm able to only hope several of the undesirable suggestions stuck…if only for a little bit. :-)
The payment to The federal government was for use to acquire in almost any debt not subscribed towards the scheme, which although it assisted the government also aided the business by taking away maybe competing securities from the industry, such as huge holdings with the Financial institution of England.[24]
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The previous Bronx Lebanon Medical center worker who authorities say shot at employees, killing one of these and injuring various a lot more, could have already been angry after getting rid of his task more than past arrests. Jonathan Dienst reports.


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Wednesday, May 18, 2011
A Vancouver Story
Howes sees downtown restaurant prospects changing
Business dropped just under 20 per cent in 2008. Our sales came back by about 8.5 per cent in 2009 and we got a sense that kind of level was not likely to change significantly.
When we made the decision to close we gave everybody one year's notice.
It's a fascinating story from start to finish. Howes knew a year ago that he was going to close this Vancouver restaurant.
Meanwhile in that very same city...
May 18, 2011
Luxury housing market spikes as Canuck wealth grows
Vancouver benefited most from a flood of foreign investment, in particular from China, RE/MAX said. Though some other centres also got a boost from foreign cash, most of the demand came from increasingly wealthy Canadians, it said.
Sales in Ottawa were up almost 60%, Calgary 51%, Winnipeg 24% and Greater Toronto 9%, it said.
"Is there a bubble? No there's not, it's just underlying confidence," said Elton Ash, regional executive vice president, RE/MAX of Western Canada.
Something sure seems to be underlying, perhaps right to our faces.
May 18, 2011
Vancouver Housing Prices Pass New York and London as Chinese 'Move' In
At this point, using the measure above (median household income to median price), Vancouver is now more expensive than New York or London. And I am sure a lot less investment bankers work there, than in either of those 2 locales.
10 comments:
- A_Nonny_Mouse said...
IF there's a rational component to this, perhaps it's that people are expecting (hyper?)inflation and trying to lock in a real, tangible asset that will hold value more than "printing-press dollars" will?
FWIW, I'm holding on to my house with a death-grip; I couldn't qualify for the same house at the same price any more (since my job has been "down-sized"). Any chance that others are also saying "This might be my last chance to get into a house that I'm willing to live in"?
- May 19, 2011 at 10:01 AM
I strongly believe the top 1% of the market -- the Fortress -- is completely impervious to downturns.
This is simple math. The top 5-10% wants to live in the Fortress, but it can only hold 1%, and the top 5% of the buyers can bid this price pretty damn high.
One's location on this planet is a primary fact of the reality of one's overall quality of life. Location value is immense.
Now, all I really need is to be within pick-up distance of a Costco, Trader Joes, Whole Foods, etc.
- May 19, 2011 at 12:24 PM
- getyourselfconnected said...
Interesting points Troy.
- May 19, 2011 at 4:31 PM
- Stagflationary Mark said...
A_Nonny_Mouse, Troy, and GYSC,
Do these two houses really belong in the (hyper?)inflationary Fortress?
September 15, 2010
Is There A Housing Bubble In Vancouver?
Courtesy of Vancouver Real Estate, let's have a look at some of the information on these fine houses so you can decide for yourself if Vancouver is in a Bublé .
Here's what I see when I look at that second house. I owe nothing on my Seattle area home (20 miles from downtown Seattle). If I sold it on its nearly 300% larger lot (15,000 square feet vs. 4,000 square feet) and used the entire proceeds to make a down payment then I would only be putting down 25%.
I could live in that house debt free if I so desired though. It would tap out most of my nest egg and I would have to spend the rest of my life working. I guess I just don't have what it takes to be a Fortress rider.
Put another way, if I lived in a similar house since 1974 (the year it was built) I would definitely be cashing out and using that money to retire. $1.8 million can go a very long way if you value your free time.
As Troy says, location value is immense. But Vancouver? Really?
April 26, 2011
In Vancouver, renting is a better option than buying
Here are the facts: On average, it currently costs Vancouver homeowners 70 per cent of their income to service household debt. Canadians owe roughly $1.50 for every $1 of disposable income they possess. In Vancouver, a home will cost you approximately 10 times your annual income, a figure that far exceeds that of the U.S. when it crashed and burned, and the obvious reason Vancouver housing is now rated as the third most unaffordable in the world.
- May 19, 2011 at 5:46 PM
- getyourselfconnected said...
I hate mASSachusetts but I have to live here (dont ask, long story) but if I could I would be someplace warm.
- May 19, 2011 at 6:04 PM
Mark I've been waiting for a suitable post to mention this, hopefully it won't be too far off topic...ok, so it's thousands of miles off topic but it still has to do with housing a bit.
I was checking out a 'Fallout' fan game site (Duck and Cover) and came across this:
If you scroll down to about the bottom of the page there is a post titled China's Ghost Cities.
I thought it was kind of odd that China's building binge has even been noticed by gamers.
I see where they are coming from, it does look like something bad has happened to humanity and all that remains are what we have built, but still, I was taken aback that people who generally don't follow what is going on would take any kind of interest in this at all.
Could I have stumbled over what could possibly be a sign of the top? : )
- May 20, 2011 at 9:32 AM
- getyourselfconnected said...
I did not think gamers notice anything else but the game! Great catch Watchtower.
- May 20, 2011 at 2:51 PM
- Stagflationary Mark said...
watchtower & GYSC,
To be fair, the site is called "duck and cover", lol. ;)
- May 20, 2011 at 6:49 PM
You've got a point there Mark, LOL!
- May 20, 2011 at 7:05 PM
- Stagflationary Mark said...
Speaking of games, I'm playing Resonance of Fate right now. It is no Borderlands but it is kind of fun. And the story can be rather amusing.
Here's a teaser.
I love the slap at 1:45, lol.
- May 20, 2011 at 8:06 PM


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Not that I haven't thought about it, but that I haven't taken the time. More like when I have the time, I've been doing other things.
I'm in Japan on business, and have been going like 100 miles an hour since a few days before I left. I've got a lot to post about, but can't seem to make the time. Expect a slew of new posts here in the next couple of days. I'll be working a lot, which means that I won't have time to go out & play much.
Oh, and I've set Skype to forward calls to my new cell. Incoming calls are free, so it doesn't cost me anything on the cell end. It only costs a few cents a minute on the Skype side, so I'm not complaining. The thing is, if you call, you gotta let it ring a bunch. As in don't hang up unless you get my voice mail. As a matter of fact, if you get my voice mail, and don't leave a message, I'll fling boogers at you.


text: I have been wanting to do a Trash the Dress session for a while now and the perfect opportunity arose when my brother and his wife came out to visit from the US. Wanting some Aussie shots to add to their American wedding photos this was a great chance to capture the bush and the river and get down and dirty at the same time! Amy was up for anything and so much fun to shoot, thus making for some awesome images and a great time! Contrary to the name Trash the Dress doesn't necessarily mean that your dress will get trashed. It just means you don't have to be as precious as your were with it on the day. It's a chance to get expressive and arty and create some beautiful images in a dress that means a lot to you. I find that a good Dry Clean and your dress will be back to its beautiful self in no time and you will have some amazing images to cherish. Again thanks Dave and Amy for being brave. Love you guys. xxx


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Shining a light on India's pre-Bollywood queen of entertainment, Gauhar Jaan is an original, funny and exciting debut play, albeit with a rushed ending and some scene change issues. It has rightly sold out its entire run already.Read More »
Tag Archives: Omnibus Theatre
The Soul of Wittgenstein, Omnibus Theatre – Review
Pros: Subtlety, hilarity and tragedy in equal measure Cons: Restatement of character qualities becomes repetitive in just a few places, but that's it Based on a tidbit of information that philosopher Ludwig Wittgenstein spent a period pushing trolleys at Guy's Hospital during the Second World War, writer Ron Elisha weaves a rich narrative that, in just over an hour, explores philosophy, language, literature, religion, and an intriguing relationship between an Austrian ex-professor and an illiterate Cockney amputee. The performance took at Omnibus Theatre, and the ...Read More »
Drag me to love, Omnibus Theatre, Clapham – Review
Pros: A glittery, toe-tapping fun fest which gives you an insight behind the scenes of the world of drag. Cons: We were promised a few tears, but I didn't shed any. Would have liked to see a little bit more of the struggle in Bonnie's story. A riot of iconic gay anthems, neon wigs and fistfuls of glitter confetti, this 45-minute performance is the story of Cameron Sharp's early life and that of his drag alter ego, Bonnie Love. We ...Read More »
The Trap, Omnibus Theatre – Review
A light-hearted and exhilarating comedy about the current financial struggles and the money lending business loop.Read More »
Zeraffa Giraffa, Little Angel Theatre – Review
A memorable production for its warmth, fantastic storytelling and inspiration for further learning.Read More »
A Midsummer Night's Dream, Omnibus Theatre – Review
Pros: Imaginative, energetic and really entertaining. Cons: The performance is quite long and requires some serious stamina. The other night I had a funny dream. Accompanied by three other people, I was exploring the streets of Clapham Old Town, visiting estate agents, entering empty Italian cafes and interacting with some odd individuals. I had headed to Clapham Common to attend a performance of William Shakespeare's A Midsummer Night's Dream but, instead of the theatre's address, I was told to wait ...Read More »
Spring Offensive, Omnibus Theatre – Review
Spring Offensive is a black comedy that takes a sinister look at the trivialisation of global conflict.Read More »


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Article: We have a Business Continuity Plan – we're all done, right?
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Just when you thought you were finished with your Business Continuity Plan "BCP" (also called Disaster Recovery Plan), the real work begins. The primary advantage of completing a BCP is that it helps you identify weaknesses in your organization that can be corrected before a disaster or disruption occurs.
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MPs' expenses: David Laws faces police inquiry over allowances
David Laws, the Treasury minister who resigned over disclosures about his parliamentary expenses, is facing a police inquiry into his finances.
Mr Laws quit as Chief Secretary to the Treasury in May after The Daily Telegraph disclosed he claimed £40,000 of second home allowances to pay rent to his partner, James Lundie. Since 2006 MPs have been banned from using public money to rent property from partners or relatives.
Mr Laws, the Liberal Democrat MP for Yeovil, referred himself to John Lyon, the parliamentary commissioner for standards, who is poised to investigate.
But it has emerged that a joint panel of Metropolitan Police detectives and senior Crown Prosecution Service officials are to decide whether an external inquiry should be launched.
While coverage of Mr Laws's claims has so far focused on rent paid to Mr Lundie, it is thought a police inquiry would centre on Mr Laws's claims for household bills.


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Wednesday, August 09, 2006
Tall Blondes
Day 7 August 8, Tuesday
If You Like Tall Blondes, Guys
Then Minnesota/Wisconsin is the place for you. The Scandinavian genes run strong in the women, here, so if your thing is for this body type, you'd be in heaven. As for me, of course, there is no particular body/hair type that does it…all I need is someone (female, that is) who is in shape, looks good in a short, black dress, isn't crazy, and is very smart. That's not too much to ask, huh? Oh, BTW, I don't think that blondes are any less smart than redheads or brunettes. Here, they certainly seem able to drive cars and go shopping well enough. And even talk on cell phones to boot.
Minneapolis/St. Paul is a great family town, I understand. Minn is the party side and St. Paul the more reserved side. The roads are great and traffic flows smoothly. Because of the cold weather, there are elevated walkways connecting the buildings so that once you're downtown you really don't need to go outside.
I spent a lot of time on the west side of Minneapolis, near Minnetonka, Tonka, and Wayzata. Also wanted to go to Whatsuppa, Wankerwonka, Upyerpooper, but didn't have time. Will also have to make another trip to Whereamiatta and Wydoiluvya.
Oh, a factoid on the Mississippi River. You know that water flows downhill right? And, you know that, at the Gulf of Mexico, the water is sea level. So, from how high up here in Minn. does the water flow to sea level below New Orleans. Before you look, guess. The answer is that Minneapolis is about 800 ft above sea level. So, in the thousand plus river bed miles from here to N.O. the river drops less than a foot a mile. Gosh, I'd of thought a lot more.
And, the Mississippi here is not the big, grand, river it is there. Here, it's more like the Red River (that's in Texas and LA for my Colorado and elsewhere friends).
The pic is of the Cathedral of St. Paul which, though finished in 1958, dates back to 1804.
Posted by Mike Sledge at 5:57 AM
3 comments:
- In Fun said...
Hey, Easy Rider!
When you started out you said, "What happens on the road, stays on the road."
Were you talking about roadkill or all blondes?
- In Fun said...
Hey, Easy Rider!
When you started out you said, "What happens on the road, stays on the road."
Were you talking about roadkill or all blondes?
Pictures of the women please!! Are you seeing a lot of a commercial construction and development in dem parts? Be careful..BK
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I am a grandmother - well sort of...
His name is Samwise (Lord of the Rings)
Calvin (as in John...), or Sammie for short.
He lives with his proud parents
and he is having fun exploring shoes
and sofas and the shore!
Isn't he the cutest thing you have ever seen?
I'm not bias or anything...


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Tuesday, May 20, 2008
Poissoin Italienne en Papillote
Yeah, I made that name up as I went along. Seriously, though, this was good fish. I bought a case of tomatoes with Friday's grocery order, and this was an excellent use of one. Again, no-mess cleanup
1 pound white fish
1 tomato, pureed
1 clove garlic, minced
1 tsp marjoram
1/2 tsp salt
1/2 tsp pepper
2 T butter
2 scallions, chopped
shredded mozzarella
4 mushrooms per serving (optional)
Melt the butter with the garlic & spices. Arrange the mushrooms, if desired, in the center of each of 2 squares of parchment which have been positioned on a baking sheet. Place the fish atop the mushrooms, followed by half a scallion per piece, then half the tomato puree, the remaining half a scallion, and the mozzarella. Drizzle the butter/seasoning mix over the fish, fold the parchment closed, and bake in a preheated 500 degree oven for 12 to 15 minutes. This can also be done on a grill by substituting foil for parchment. I served it with mini penne mixed with scallions, pureed tomato and butter.
Labels: fish
1 comment:
- Paula said...
Ok, I admit it, I'm totally gullible! I would never have guessed that was a made up name ... Italian Fish in Parchment! It sounds good no matter which way you say it. This looks really tasty, and the colors are pretty, too.
- May 20, 2008 at 7:02 PM
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- Lock for lockers
- 2 swimming membership cards
- 1 extra disposable swimming diaper for 14 month old
- 1 extra disposable swimming diaper for 3 year old
- 1 shirt, 1 pair of pants, and 1 normal diaper for 14 month old
- 1 shirt, 1 skirt, and underpants for 3 year old
- Change of clothes for me
- Swimming trunks for Clin
- 4 towels
- 1 bag of raisins
- 1 bag of teddy grahams
- 1 bag of animal crackers
- 1 bottle of water
- 1 sippy cup of water
- 1 sippy cup of milk
Put stroller in the trunk of the car.
Put swimming bag in the trunk of the car.
Put shoes on 14 month old.
Wait while 3 year old puts on flip-flops.
Put 14 month old in car seat and buckle her in.
Put 3 year old in car seat, buckle her in, and make sure both lap and shoulder strap are not twisted.
Drive to swimming pool.
Get out stroller, and fill with 14 month old.
Get out 3 year old and help her put on flip-flops.
Walk into swimming center - sign reads, "Pool Closed. Currently cleaning the pool - please come back tomorrow."
Re-load all of the above into the car.
Go to McDonalds.
Healthy and active family outing quickly turns into unhealthy and inactive family outing. Anything to stop the screaming.photo via grobledo


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My yarn pumpkins, that I posted pictures of on TLYF, are being pinned left and right, and I thought I would share that post here on mouseVOLATILE. Fall is easily my favorite decor theme. I love the calm after Summer is over and all the woodland/cinnamon smells hitting the shelves. It's almost like a mental spa for me.
This post is from my former blog, The Late, Young Family, Fall 2012.
If you're wondering how I made those pumpkins, it was very easy. The smaller ones are just small, Styrofoam balls with hot-glued yarn wrapped around them. The stems are made from rope. The larger pumpkins were found at either the Dollar Tree or Wal-Mart, and I simply kept wrapping the yarn until I couldn't see the real color of the pumpkins.


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Craft supplies are gradually taking over our house. Jordann doesn't care. She says she's more creative in the middle of a mess -- she's a real artist! :-) We're creating more books/albums/scrapbooks/journals, tags, and collages -- doing a Bingo card collage trade with Betty over at She's Sew Pretty. If anyone else would like to do a trade, let me know.
Here are two collages included inside a journal I listed on Ebay.
I'm listing these tags on Etsy today.
Also, I'm participating in the Etsy Texas Crafters First Monday sale! 20% off everything in my Etsy shop. And this month I'm also including my Ebay store!!! 15% off all fixed price items. Come by & take a look!


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News and events from Peninsula Home Improvements...
Peninsula Home Improvements has partnered with award winning restaurant, The Marram Grass to design and build a unique Studio Pod on-site.
The Pod, which will be known as the Peninsula Studio is the first of its type not only on Anglesey but in North Wales and will be used by Liam and Ellis Barrie as a demonstration kitchen, a private dining room and a classroom for tutorial sessions.
Self-taught and highly acclaimed chef Ellis Barrie said; "In nine years we've turned what was a greasy spoon on a caravan park in to a thriving restaurant, and during this time we also branched out into videoing cookery demonstrations which we filmed in our restaurant's kitchen. Appearing on BBC TV's Great British Menu last year took our business, the interest in it and what we're doing to a completely new level. We now have over 17,000 regular followers on social media watching our demos, so we knew it was time to put this on a more professional footing with a dedicated space and environment in which we can grow this element of our business."
Ken Grayson, CEO of Peninsula Home Improvements takes up the story; "Liam and Ellis first approached us just for the design and build of the Studio Pod but from working closely with them we've built up this relationship and have now taken it further by officially sponsoring it too. The Peninsula Studio is a completely bespoke design which will provide a well-insulated roof, with plenty of light via the cutting edge flat roof lights, that the boys can use as a demo kitchen studio and teaching space all the year round.
"In return for our collaboration and sponsorship we will benefit from branding in Ellis' twice monthly videos promoting seasonal produce and cooking and his indepth cookery lessons. We'll also have a link to our website from their Youtube videos and references on other social media platforms."
The Barrie brothers have been working on their development plans for over a year and were awarded planning permission at the end of March. Liam Barrie, a qualified surveyor concludes; "We knew what we wanted in the new building and that we wanted to team up with the best and we've been fortunate to find that in Peninsula. They're quality orientated with the added bonus of being local so it's a relationship that both companies can build on in the future.
"As well as the new Studio Pod we're also creating a car park and landscaping the area. Now that we have planning permission it's full steam ahead with the construction in order for it to be ready for the Summer."
Peninsula Windows Limited is an Introducer Appointed Representative and provides a pure client Introduction through Improveasy Ltd., a company registered in England and Wales (Co. Reg. number 7807352). Registered Office: Manchester Business Park, 3000 Aviator Way, Manchester M22 5TG. The firm is authorised and regulated by the Financial Conduct Authority (FRN 708623). The firm is authorised as a Lender (limited only to green deal finance plans). It also acts as a Broker, not a Lender, and offers credit facilities from a panel/one lender. The credit is subject to application and status.


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ETSY York Region is very excited to be hosting our second Annual Made In Canada for the York Region area!
Featuring over 50 local vendors, you can expect a wonderful day of shopping local, fun and great community building!
Etsy York Region
PLEASE NOTE: This is NOT an event put on by the Aurora Cultural Centre - All inquiries MUST be submitted to Etsy York Region - email@example.com
DATE: Saturday, September 23, 2016
SHOW TIME: 10am - 4pm
Aurora Cultural Centre
22 Church Street
Aurora, Ontario
Please feel free to share this event, the more the merrier!


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2 definitions found From Webster's Revised Unabridged Dictionary (1913) [web1913]: Gatepost \Gate"post`\, n. 1. A post to which a gate is hung; -- called also {swinging or hinging post}. 2. A post against which a gate closes; -- called also {shutting post}. From WordNet r 1.6 [wn]: gatepost n : either of two posts that bound a gate
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With Ethan's plethora of allergens, I am always on the lookout for recipes I can modify with Ethan-friendly ingredients and experiment. One day, my sister who was trying a gluten and dairy free diet, came by with some basic rice krispies Ethan could partake in. Working off that recipe, I beefed it up a little and came up with the following… which has been a big hit with Ethan, and (much to his chagrin) everyone else! :) This is one occasion where Ethan does NOT mind being the only one able to partake! Here's hoping your family can enjoy it as much as ours. I wish I knew how to make this a printable copy but for now, we'll have to do this the "old fashioned" way.
Ethan Friendly (Gluten-free & Dairy-free) Rice Krispies
3 TBSP Becel Vegan margarine
1 pkg Jet Puff large marshmallows (~40)
1 tsp vanilla
5 cups gluten-free Nature's Path Crispy Rice
1/2 cup coarsely crushed Nature's Path Corn Flakes (optional)
1/2 cup shredded coconut (unsweetened & sulphite-free)
1/2 cup raw sunflower seeds
Chocolate Sauce:
2 TBSP Becel Vegan margarine
6 large Jet Puff marshmallows
1/4 cup coconut milk
1 1/2 cups Enjoy Life allergen-free chocolate chips
1. Grease a 9 X 13 pan with Vegan margarine.
2. In large pot over medium heat, melt 3 TBSP margarine and pkg of marshmallows until completely dissolved and blended. Remove from heat.
3. Add vanilla and blend well.
4. In a large bowl, combine the Crispy Rice, Corn Flakes, coconut and sunflower seeds.
5. Add to large pot and blend quickly.
6. Press into 9 X 13 greased pan (you may need to put some margarine on your fingers to keep it from sticking to you).
7. Sauce: in small pot over medium heat, melt margarine and marshmallows until well blended. Remove from heat.
8. Add coconut milk and chocolate chips and stir until smooth.
9. Spread over rice krispie base and refrigerate 1 hr before cutting and serving.


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Big Tent: Rachel Broenkow, Matt Hyde and Katherine Nuernberger
Rachel Broenkow is a Washington State transplant working toward her MFA in Poetry at the University of Kansas. She plans to travel the world in her 1999 Camry with her Chihuahua, Molly, after she graduates.
Matt Hyde is a five-time college drop out and has worked as a gravedigger, roadie, cashier, truck unloader, stockboy and Sunday newspaper insert inserter. Currently he is a partner and manager of both 715 Restaurant and Ladybird Diner in Lawrence. He attended the same high school as David Hasselhoff.
Kathryn Nuernberger is the author of the poetry collections Rag & Bone (Elixir, 2011) and The End of Pink (BOA Editions, 2016). She is an assistant professor of Creative Writing at University of Central Missouri, where she also serves as the director of Pleiades Press.
Event date:
Thursday, June 25, 2015 - 7:00pm
Event address:
6 East 7th Street
Lawrence, KS 66044
Event Category:


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And now, I am happy to introduce to you Nolan, in his mom's own words!
Nolan (Congo African Grey) came to live with Jeremy and I in April of 2008. He was almost 5 years old at that time, and we were his third (and final!) home. The woman who had him first was a police officer, didn't spend much time with him, and was actually afraid of him. So afraid, that the only way she would pick him up was if he stepped up on her hand backwards. So he can step up forwards and backwards now.
Sadly, she also left him alone for two or three days at a time with a water bottle and some pellets. I think this may be where his struggles with separation anxiety began.
Nolan's first name was Jack - obviously that changed!
We came across Nolan's when he was living with his second owner. She decided he needed a more refined name, since he is such a gentlemen, and thus he became (and remains) Nolan. His nicknames are Mr. Nolan and Nolers.
She also thought he was really mellow and well adjusted, and that he just plucked feathers out of his chest when he got stressed out. Feather plucking (also called FDB - feather destructive behavior) is another one of Nolan's hurdles. He has made great progress as you can see by the pictures below.
The first time I met him, it took a little time for him to step up, but I got a kiss pretty quickly after that. Needless to say my heart was taken!
When Nolan came home with us in April, 2008, he immediately started pulling feathers out of his chest and legs. At first, it was just downy feathers. Eventually, he was pulling all of his feathers.
We have discovered that the key to Nolan's happiness is a routine. We do the same things everyday at around the same times. He gets up with me in the morning, we have breakfast, and then its shower time. He loves to sing in the shower while on his shower perch! Then he hangs out on the bathroom counter playing while I get ready for work. I have to make sure to "blow dry him" just a little when I am fixing my hair, because he loves the "whooo" as he calls it.
We then go into his room, get some more misting, a treat, and I turn on either the tv or radio. I head out to work at the Preserve, and he stays in his room all day with the cage door open. On the weekends, we keep the same daily routine, as if we are working. This seems better for him.
Often, his dad gets home from work first, brings Nolan out of his room, and sets him up in the living room on a play gym. The two of them hang out together until I arrive.
Overall, he is quiet for a bird. He does say a number of words, phrases and mumbles:
Hi Nolan
Give me kisses
Whatcha doin
Come 'ere
Step up
We still struggle with his separation issues and keeping his feathers on his body. Some days are better than others. He's my little boy - and I will always love him - feathers or no feathers!
He is going through a new stage of getting into anything and everything. It is wonderful to see; his curiosity and his exploration indicate a great deal of growth.


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Goals: September Edition.
Earlier this summer I created some goals (I went through them, and I ended up completing all but five of my goals) which is great! Considering I continually keep learning, and honing in on my skills. So as fall, continues to fall– I wanted to update my goals, and take a chance to reflect on this life that I have. I'm super lucky, and super blessed to the have the opportunities that I have in life.
So without further ado…
- Continue always learning (and possibly take a course over something)
- Learn a new skill regarding knitting, and or weaving.
- Take a fundraising course (which I have a free e-course, that Kyle sent me).
- Go apple picking, and make apple chips (that is my fall goal)
- Start knitting, and spinning again (possibly pull out the project I've been working on, and start something new).
- Get my passport.
- Do more DIY projects. (SERIOUSLY, I have a ton on my Pinterest board that I want to do).
- Buy a sewing machine; I have projects to do, and I would like to fix a few shirts (and no, my hand-sewing skills stink).
I also thought I would make this a "top ten" favorites once more. [Early Fall Edition]
1. Grafton Notch State Park
2. Fall in Maine (and this lovely cold weather)
3. Open Winery day (even though we only went to Maine Mead Works, it was still awesome– and we are now in possession of two more stemless wine glasses).
4. Coffee Season, and Ghanian Hot Chocolate from the Speckled Ax
5. It will finally be cool enough in the apartment to start baking again.
6. Changing leaves and festivities
7. The ability to go apple picking soon; and relatively close.
8. The farmer's market early fall supply. (i.e.; squash, pumpkins, peppers)
9. Colder days mean cuddles, and hoodie weather
10. We get to see Denise in two weeks, and we're going to Key West in three; because we deserve a vacation.


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Chapter 1
The roar of the engine fills my ears with that familiar mechanical hum. I pull up closer and closer to the car in front of me as I draft behind them. I keep behind them as we come around Turn Three. The car in front of me, number twenty-four I believe, starts to go up towards the wall as I speed through, taking advantage of the lack of wind resistance I had for a short period. I push to the second place, right behind number eighty-eight. "Keep it where you are. We'll at least earn second place if you stay put. There's no one around you at the moment," says my spotter. "But I want to win" I say as I shift the gears and push my gas pedal to the floor. Now I'm in eighy-eight's blind spot. Out of the corner of my eye I see something white being waved. Final lap.
"Aslynn, you need to think about this. You mess up now, wreck or lose your spot, we'll not make it to the next race. We'll not have the points!"
"I can make it. I can win."
"Fine, do whatever you want," my spotter says in a familiar tone Aslynn knew all too well.
"Stop acting like my mother and watch my back," I say as I continue to inch my way along eighty-eight. Turn two is done. Two more to go. I start to encroach on eighty-eight's space, squeezing him towards the wall. While being closer to the wall is a great advantage in a time like this, it has it's disadvantages as well that I am more than happy to exploit. Winning would not only get me into the next race, it'd get me a proper sponsorship and it'd be a great victory for women alike. I'm the youngest woman to race at sixteen. Sure, getting the NASCAR officials to allow me to race had been a pain in the butt, but it's worth it now. This is my moment and I won't let anyone take it from me. Turn three completed as I quickly take the turn.
"My God you're in the lead! Go, go GO!"
I choose not to respond. I focus my gaze on the checkered flag. I see it in the flagman's hands. The cheering of the crowd becomes louder as I race for the finish line. Closer…. closer…. and then all of a sudden a red and tan Subaru Outback appears at the finished line. I quickly slam on the brakes, but the momentum from the speed I was going makes my car collide with the back bumper of foreign car. My car slams into the other one and my head and body slide forward, only to be yanked back by the seatbelt.
I blink and breathe in and out slowly.
Reality comes into focus. I look around and see I'm back in the subdivision I just moved into. I'm in front of the red-bricked house that looked more felt more like a prison than a home. Unfortunately, so is the car I hit in my imagination. More specifically, it's Mrs. McGettigan's car, my new neighborhood spinster. "Shit," I whisper under my breath as the short, white haired elderly woman exits her vehicle and my mother out of her house.
"Aslynn Rae! What the hell have you done?!" My mother screams, her long, brown hair flowing freely behind her as she stamped out of the house. She must of just got home from work, because her red waitress outfit complete with an apron and her black tread-safe shoes were coming for me fast.
"My car! You've ruined my car!" Mrs. McGettigan screams as she pulls out her old Nokia phone and starts to dial something on the ancient device, presumably 911.
Breathe, just breathe.
"You've destroyed the back end of Mrs. McGettigan's car! How do you think we're going to pay for this?!"
"I'm calling the cops right now Miss Peterson!"
"Great! Just GREAT! You hear that Aslynn? You're going to juvi… AGAIN! Do you like embarrassing our family? Do you like wearing orange and sitting in a cell? Because that's where you're going to be! I'm certainly not bailing you out again!"
1….2….3….4 breathe in. 1….2….3….4 breathe out.
"Yes? Hello? 911? Some stupid brat just rear-ended me! Yes, my neck is hurting really bad!"
"If that judge asks me if I'll take you home like the other one did back home than I'll tell him no! Right now I'd rather you be in state custody! You've done nothing but brought pain and sorrow to my life since your dad left us!"
1….2….3….4…. Don't picture dad. Don't picture dad. 3….4…. Don't let the tears show. Don't let them flow. Not now at least.
But try as I might I picture him and how he would have handled this accident.
"Aslynn, are you OK?"
"Yes dad, sorry Mrs. McGettigan."
"My car! You've ruined –"
"Now Mrs. McGettigan, it was an accident. I'm sure Aslynn didn't mean to hit your car. I don't see any real damage to it, just some paint damage that I'll gladly have Aslynn retouch for you with my supervision, I'll have her give your car a good wash and vacuum, and we can just forgive and forget. Isn't that right Aslynn?"
"Yes daddy, I'm sorry Mrs. McGettigan. I'll fix your car and clean it for you."
"Well, my word. I've never seen a more polite child in my life. I'll take you up on your offer Miss Reynolds."
"Thank you Mrs. McGettigan. Thank you daddy."
"Oh, you're welcome sweetheart."
"Aslynn…. ASLYNN!" I hear the angry voice of my mother call. I blink and as the world comes back into focus I see my mother and Mrs. McGettigan staring at me with anger in their faces.
"Why don't you take anything seriously?! I can't handle you when you zone out like that! You need to keep it together!"
"Miss Peterson, you are one of the most disrespectful brats I have ever met in my life! I have been a teacher, I have been a school librarian, and I have volunteered at multiple organizations, but never in my lifetime have I had the disservice to meet someone so awful and rude as you!" Mrs. McGettigan and my mother yell at the same time. I try to go back to my mantra, my breathing exercises, but nothing works. Their voices penetrate my thoughts and I feel my chest constricting. It's getting harder to breathe.
Impulsively, I grab my backpack out of the open passenger window of the now ruined car and, while slinging the backpack across my back, I run through the small gap between the two women. As my feet carry me away from the shouting women behind me I visualize the plan I had devised for weeks now. Before the move to this small town, I had a routine down pat. Open my second-story window, jump to the huge oak tree that grew three feet from my window, shimmy down the tree, run to the broken fence that was diagonal from the trusty tree, squeeze through the broken fence and run through the Lawrence's backyard. Hop their fence and run through the multiple alleyways and side streets until I can reach the abandoned Methodist church that sat five miles away from home.
I had a nice loft space set up there. My fleece-lined, purple sleeping bag I had stolen from a local camping store, an old camping lantern I had stolen from the same store a few weeks later, a few knick-knacks and things I collected from here and there, and my emergency stash of books. I had a few Harry Potter books, the first, second, and fifth ones, the second Hunger Games book, and the first Divergent book. While my collection was incomplete they were my treasures that I wanted kept hidden since the day my mom started taking my things away from me for disobeying her. I would sit in my loft when things got too hard, especially after my dad left. My mom and I have never seen eye to eye and a psychic once told me that our signs were enemies, therefore we'd never have the mother-daughter relationship I had secretly wanted for so long.
When the cops found me and my treasures, they dismantled my hideaway and I spent a few days in detention. The Judge made it very clear: either I obey my mom and step-father, or I spend the rest of my youth in state custody. It seemed unfair to me that I was only given two options and that he didn't seem to want to know why I did the things I did. Rehabilitation my ass. I was judged before he met me because of the ugly orange jumpsuit I wore that day and because of my mother's and step-father's biased statements. He didn't care that I had suffered too, that I had logical explanations for doing the things I did. No one ever cared.
Since the move that my mother had said was "needed" and would "give me a fresh start", I had carefully plotted a new escape route. It wasn't perfect at this point, but it was the best I had for now. Ideally, I would sneak out of the glass back door, hop our cheap chain-link fence, run through different neighbors yards heading north until I reached downtown. From there I would run for the dilapidated playground and take shelter in the tunnel on the playset. Never had I pictured myself running out in broad daylight or in the open. My escapes were usually reserved for the night, especially since my insomnia kept me up most nights.
After an hour and a half of running from the street to random neighbors yards, and through a wooded area that separated the suburbs and the pathetic downtown area, I arrived at the old playground. I climbed into the rusted tunnel and slipped my backpack off of my back. I didn't have much in it as I didn't plan on running away today. I had some homework, my phone, and my only treasure left from the sudden move and the police invasion on my loft: my iPod. It's the only relic left from my dad as my mother sold all the other items I would have loved to keep. It wasn't the iPod itself that I treasured, but the object held some songs I valued more than my life. My dad was a singer in this small band that never made it big. He wrote some songs about me. He recorded them and put them on this iPod. While the iPod is now ten years old and on its last leg, I still played the songs when I needed him the most. The most played song on the device was my dad's rendition of Beautiful Dreamer, a song he said always made him think of me.
I placed the headphones in my ears as the device slowly turned on. I hit play on my favorite song and laid my head down on my backpack. I closed my eyes as my dad's melodic voice filled my ears. While I listened, I could see my dad singing to me in his old recording studio at home.
"Beautiful dreamer, wake unto me," starts the old Bing Cosby song. I sit on the old leather desk chair my dad had in the studio while he sings as if in a trance. His voice was the most angelic thing I'd ever heard and still was to this day.
As he comes into the chorus, my dad smiles at me and squats down to my eye level. He wanted me to know this was my song, that I was the reason for his rendition of this beautiful noise. When he finishes singing and while the recording was still going, my dad hugs me close to his chest and whispers: "I love you, Aslynn. You're the light of my life and the song of my soul."
"I love you too daddy…." I reply in my head, not sure if I ever did in real life or not.
And with that memory in my mind's eye, I fall fast asleep.


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Behaviour Interactive has announced the basic class list for Warhammer 40,000 Eternal Crusade. The confirmed classes for now do not cover the Hero or Elite classes, so be sure to check back over the next few months as news is released. For now though, the 18 named classes over the four races have been given out to players.
They are:
Space Marines
· Tactical Marine
· Devastator
· Assault Marine
· Apothecary
· Shoota
· 'Eavy/Loota
· Stormboy
· Painboy
Chaos Space Marines
· Chaos Space Marine
· Havoc
· Raptor
· Aspiring Sorcerer
· Dire Avenger
· Fire Dragon
· Dark Reaper
· Swooping Hawk
· Howling Banshee
· Striking Scorpion
· Warlock


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- Cet évènement est passé
FACC New York: Summer Social Networking Event
23 août 2017
Navigation Évènement
Summer Social Networking Event at the Boat Basin Café
*Limited space. Register early to guarantee your spot!
Join us for the ever-popular and festive Summer Social at the Boat Basin Café, offering spectacular views of the Hudson River!
Wine, beer and a selection of hors d'oeuvres will be served. Guests will also have the opportunity to win a pair of round-trip tickets between New York and Nice, courtesy of Air France and Delta Air Lines, the exclusive official airline partners of the FACC-NY.


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