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For over 25 years TechInsights has been a trusted patent and technology partner to the world's largest and most successful companies including 37 of the top 50 U.S. patent holders. By revealing the innovation others can't inside the broadest range of advanced technology products, we prove patent value and enable business leaders to make the best, fact-based IP and technology investment decisions.
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What's inside one of the most anticipated phones of the summer? See TechInsights' Samsung Galaxy Note9 teardown blog to learn who won what sockets.
TechInsights has found the Intel 10 nm logic process inside the i3-8121U CPU, used in the Lenovo IdeaPad 330.
SK hynix claims to have created the industry's first-ever 72-layer 256Gb 3D NAND flash. This innovation is based on triple-level cell technology (TLC), it has a block size 50% larger compared to 48-layer 3D TLC chips, and it has a lower programming time (tPROG).
TechInsights has found the Micron 1x process in the Micron DIMM (DDR4) and Huawei Mate 10 (LPDDR4). This process brings about smaller die sizes and increased bit density over its predecessor, but it also presented a bit of a surprise, the Micron 1xs.
TechInsights is happy to report that we have found and analyzed Anti-fuse array blocks on a Samsung 18 nm DDR4 DRAM die.
We confirmed Samsung has again dual-sourced the rear-camera chips and we expect to see the S5K2L3 (Samsung) and IMX345 (Sony) again this fall in the next-generation Samsung Note.
Samsung officially unveiled the latest generation Galaxy S flagship at Mobile World Congress 2018 in Barcelona, the Galaxy S9 and S9+. Our Samsung Galaxy S9 teardown continues. Adding socket wins as we identify them. Costing information is now available!
TechInsights compares Samsung's latest offering with its' most recent releases – the Note 8 and Galaxy S8+ - and with Apple's iPhone 8+ and iPhone X.
Learn more about what reports we have available and planned for this part.
Patent strengthening is the term we use to refer to the process of achieving the greatest potential for value from a patent during the prosecution – before a patent is even granted.
The IAM blog references Uber's portfolio makeup, and provides a chronicle of their IP events over the last 5 years. TechInsights' Martin Bijman adds to the story with some competitive landscape analysis.
It has been a year since Microsoft released the Azure IP Advantage program – a service that "provides the industry's most comprehensive protection against intellectual property (IP) risks" by making 10,000 of their global patents available to Azure clients.
Samsung released their 64L 3D V-NAND solution in January of 2017 for key IT customers, and ramped up production in June for its expanded general market.
Toshiba released their 64L NAND solution (BiCS FLASH) in a SanDisk Ultra 3d SSD in 2017. TechInsights has conducted a significant amount of analysis on this product.
The self-driving car will rede ne personal mobility and change the way people think about cars, believes Jim Hines.
First-half funding analysis shows continued robust investment in tech.
A TechInsights analyst explores the 256-Gbit SK Hynix 72-layer TLC NAND, a fourth generation 3D flash chip sporting the highest gate stack on the market.
A TechInsights analyst gives a glimpse into Micron's 1x nm DRAMs.
A TechInsights analyst provides an update and perspective on the BCD technology from STMicroelectronics.
As it has done in the past, Samsung is dual sourcing the image sensors for the Galaxy S9 and S9+...
Every year we get to see the fruit of hard labour on the semiconductor side from giants like Apple, Huawei, Qualcomm, and Samsung's chip divisions.
Patent holders increasingly are resorting to a blunt option in lawsuits: disassembling products to show they are infringing.
TechInsights' analyst Jeongdong Choe will be presenting at this year's Flash Memory Summit on 3D NAND Flash Cell Architecture: Recent Progress and Comparisons.
Japan remains Asia's IP powerhouse and IAM is pleased to announce that our bi-annual IPBC dedicated to this influential jurisdiction will return to the Hotel Okura Tokyo on September 13 2018.
The Intel 545S SSD, introduced in June 2017, was the first product to include the Intel/Micron 64L 3D NAND, and one of the first SSD to use 64L.
We asked Ray Fontaine, Senior Technical Analyst specializing in semiconductor fabrication process analysis and image sensors, for his thoughts on the most interesting developments in image sensor technology in 2017.
TechInsights published our first in a series of reports on this innovation that provides a memory density increase of 32.8% when comparing 8Gb DRAM 18 nm and 20 nm die.
TSMC 10 nm was found in the Apple A10X processor (APL1071) found in the Apple iPad Pro 10.5 (MQDT2CL/A).
Sony Mobile announced the Xperia XZs at Mobile World Congress in February 2017. The Xperia XZs features a 1/2.3-inch optical format, 19 Mp resolution, Exmor RS "Motion Eye" camera offering with 960 fps video and predictive capture.
The Qualcomm RF360 Chipset includes the WTR5975 Gigabit LTE Transceiver, QET4100 Envelope Tracker and the Snapdragon X16 LTE MDM9250 Modem.
The W1 chip found in the Beats Studio wireless headphone has the package mark 343S00131. Meanwhile, the W1 chip torn down from the Apple AirPods has the package mark 343S00130.
This report is a circuit analysis of the Intel PMB5750 LTE Tranceiver. Apple's use of the Intel modem chipset is a huge event in the industry as Intel modems will represent a minority of iPhone shipments (est. 22 M units in 2016 and 23 M units in 2017).


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I love hummus and I love a good homemade salad dressing! So, when I came across this recipe in All You magazine I just had to try it. I don't "eat clean" all of the time, but this recipe was listed as a "clean" orange hummus salad dressing. It ends up being a little brown in color because of the balsamic vinegar, but don't let the color alarm you because the taste it divine. This dressing is sweetened with maple syrup as it is a clean dressing, but I have used honey before and it was great.
What you need:
3 Tbsp plain hummus
2 Tbsp balsamic vinegar
3 Tbsp orange juice
1 tsp mustard
1 tsp maple syrup
1/2 tsp fresh ginger (grated with a micro-plane)
What you do:
Whisk all of the ingredients together in a bowl and you're ready to serve over the salad of your choice!

subset: commoncrawl


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Friday, March 30, 2007
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Column Editor M. Jerry Weiss
M. Jerry Weiss
Drama and Audiobooks
As a high school teacher of English and teacher at the college/university level, I have often used audiovisual materials to show students the relationships between print and media. (I still believe in Marshall McLuhan. I can thank NCTE for the indoctrination.) Even though times have changed, I know that the use of good media, such as the BFA American Folklore Series , and well performed audiobooks can enhance teaching and motivate students to read and write critically and more creatively.
Random House Audiobooks deserves special recognition. They have produced unabridged versions of some of this year's prize-winning books:
A Single Shard , 2002 Newbery Medal novel by Linda Sue Park, read by Graeme Malcolm;
The Land , 2002 Coretta Scott King Award novel by Mildred Taylor, read by Ruben Santiago-Hudson;
True Believer , 2001 National Book Award novel by Virginia Euwer Wolff, read by Heather Allicia Simms;
The Golden Compass, The Subtle Knife, The Amber Spy Glass , novels by Philip Pullman, performed by the author and a full cast in wonderful dramatic versions.
I feel assured that playing any of these tapes while students listen will motivate students to explore the books. It's also a great way to have students discuss the talents necessary for being effective storytellers. I would have no qualms in having students sign up to become storytellers themselves. They might begin by reading stories for younger readers, no abridging allowed. If some want to attempt a dramatization for See You Later, Glaidator by Jon Scieszka, they can get on the Website for Jon Scieszka and Lane Smith, http://www.chucklebait.com/. and request information about the script that Jon has adapted on this funderful Time Warp Trio adventure. Students should feel free to select any books they want to read or dramatize. The Tower High School adventures created through the poetry of Mel Glenn are also good for readers' theater. Hooray for a little drama in the classroom.
I have found the Drama Book Shop, 250 West 40 th Street, New York, NY 10018, to be my most valuable source for any materials on any phase of the performing arts. Its toll free number is 1-800-322-0595, and its Web address is www.dramabookshop.com . It 0is a valuable resource; I have found copies of plays I have wanted to use as part of various themes, How many recent plays have you used recently?
Some Random Thoughts
Not too long ago I was asked to be a visiting professor to teach a course on young adult literature to students who were getting a Masters Degree in Teaching. These were students who had degrees in English as undergraduates and had since decided they wanted to become teachers. They matriculated in this special program which would lead to certification and also give them a master's degree. This program did require student teaching.
The students, for the most part, were young and bright. They had undergraduate degrees from a number of different colleges and universities. None had had any experience with young adult literature. Some even assured me they would never use young adult literature since they were going to become teachers of honor classes in various senior high schools, and therefore had little use for these materials. A couple thought they might wind up in middle schools. None of these students was thinking seriously about the possibility of getting jobs in urban areas where the reading interests and abilities are quite diverse. I still required them to read twenty-five books and wouldn't relinquish any of the oral and written assignments I had made.
Several students challenged me with this comment: "If these books are so important, why didn't our undergraduate professors mention them or advise us to take a course in young adult literature?" I replied that I didn't have an answer. Maybe the department had no one to teach such a course or anyone who had a particular interest in such books. How are we to answer?
I should add that most of these students admitted that the only course that they had in dramatic literature was Shakespeare. None, and I repeat NONE, had ever heard of Eugene O'Neill. A few had read Thornton Wilder's Our Town, Arthur Miller's Death of a Salesman , Tennessee Williams' The Glass Menagerie . "If we wanted to read plays, we would have majored in drama, not English." I questioned how they could compartmentalize literature. We know we study literature by various periods in history, and the arts often reflect on the ideas and creativity of that period. Wouldn't it be important to know about the contributions of dramatists, as well as the novelists and poets, in the 20th century? Aren't there young adult books that reflect the various times of this past century? See Don Gallo's excellent anthology, Time Capsule: Short Stories about Teenagers Throughout the Twentieth Century . Each author has taken a different decade as the setting for the story. (For young adult literature that focuses on the future, please see Michael Cart's anthology, Tomorrowland: 10 Stories about the Future ).
And I Thought, "Where or When or Once Again"
Now let's look at one more scene. It was a meeting of a state affiliate of the NCTE. About 60 people attended a late afternoon, early evening session, highlighted by a speaker talking on the current state assessment tests and what techniques might be helpful in preparing students for such exams. Four workshops followed, and I was invited to speak on what's happening in young adult literature. While most of the participants in this workshop were interested in hearing my ideas about thematic teaching and using a mixture of classics with young adult literature, there were two young women, both in their 30's, who assured me that I was not responsible in recommending books by such writers as Robert Cormier, Chris Crutcher, Avi, Mildred Taylor, Walter Dean Myers, Suzanne Fisher Staples, Paul Zindel, among others. They asked me if I think such authors as these should replace Thomas Hardy, and that Fade or Stotan! should replace The Return of the Native . They continued by asking, "How can you compare the rich use of language one gets through the study of the classics?" I assured the women that I was not against the classics. I was suggesting literature that could be used with the classics. As it turned out, their argument for "the rich language" made me wonder if their English classes were places for vocabulary development. I tried to get them to see the variety of historical fiction available which could enhance vocabulary as any novel could. No such luck. Other teachers tried to make suggestions to them, but to no avail.
So, the problem continues. I find many high school teachers reluctant to use young adult literature. They talk about "standards." I tell them that the books I'm talking about have been written by very good writers who have standards also. I go on to talk about books that deal with real social issues that seem to reach many teenagers. For example, I mention The Counterfeit Son by Elaine Marie Alphin, winner of an Edgar Allan Poe Award. This book is a shocker with a focus on child abuse, a serial murderer, and a plan by a boy who tries to take the place of a missing son and who has to live constantly with the fear of being found out. The boy has suffered much from physical abuse; now he is finding the genuine pain of psychological fear. The author has done a brilliant job in creating this character of Cameron Miller/Neil Lacey.
Other students could read America by E. R. Frank, the story of an abused child now in a psychiatric setting who fights and needs his therapist. He has set his home on fire, and a man who was abusing him died in the fire. What is a kid to do? How do you get over the shame and the pain of years of abuse?
When Jeff Comes Home , by Catherine Atkins, is the story of a teen who is kidnapped, abused, and returns home after having disappeared for two and a half years. It's not easy picking up the pieces. How does one adjust to returning to school after missing two and a half years and not wanting to talk about the humiliating experiences? In this novel there is a challenging situation involving a so-called best friend's reactions to what Jeff has gone through. Yes, it hurts.
And then there is the novel by Susan Beth Pfeffer, The Year Without Michael . This story is as perplexing as the others by its conclusion. How do you resolve a story about a missing child, not knowing what happened to him? My students asked Susan, "What happened to Michael? Is he OK? Will he return?" Susan threw the questions back to them, asking, "What do you think?" But the readers were deeply touched and concerned. Isn't that the involvement one wants?
A number of years ago, I had the assignment to develop the Teacher's Guide for Harper Lee's To Kill a Mockingbird in conjunction with the release of the movie which starred Gregory Peck. In many schools this book is used to teach about prejudice and the thwarting for justice. Now we have a few more books that provoke thought about law and order in the South. Chris Crowe's Mississippi Trial , 1955, shows the impact of the murder of a young black man on a young white man and his observations of a community and a grandfather he is trying to understand. Karen Hesse's Witness shows the rise of the Ku Klux Klan in a small Vermont town and the threats to a young Jewish girl and a young Black girl. The story is told completely through poetry, and it is interesting to see what is in the minds of those who inhabit the small town.
harvey says:
the ku klux klan are here, vi.
there's not a thing to stop them. we might as well join them.
why not?
they're not low-down, like some folks say.
they're good men,
100 percent good american men.
and they might bring us some business. (p. 24)
Suzanne Fisher Staples, in Dangerous Skies , opens with two thirteen-year-old young people, best friends, a Black girl, Tunes, and white boy, Buck, who discover a dead body in the water while they are out fishing. Staples draws the characters into her web of intrigue as the reader tries to figure out how justice will result in this Virginia community. Tunes knows more than she wants to admit, even to her best friend.
I (Buck) turned to Tunes. She just stood there, her arms out at near shoulder level, like she was balancing on a high wire, her breath all sucked in. "Hold on to this so's I can get a line on him. We got to tow him back to the dock."
Tunes looked at me like I was crazy. Without a word she jumped over the gunwale. The chilly water poured over the tops of her rubber fishing boots, but she seemed not to notice or mind. She stood looking at me for a long moment over the angle of her shoulder. Then without a word she turned and slogged through the marsh, knee-deep in the thick marsh grass and sucking mud. "Tunes, come back here! Where you going? Tunes, I need you!" (pp. 26-27)
While Tunes hides out, Buck continues to come to her, to try to help her. It isn't until late in the novel that the pieces come together. Tunes is a hunted person. But is she the killer or responsible for the killing? Who else knows? How will a Southern jury react to the testimony of a young black girl? Great story.
9/11/01 - One Year Later
The grim tragedy that struck these shores in New York, Pennsylvania, and Washington, D.C., on September 11,2001, has led at least three publishers to publish books for young adult readers. Each is quite different and unusually good.
Cricket Books has published 9/11: The Book of Help, edited by Michael Cart. Here is a collection of essays, short stories, poems, and a short play by well-known authors. One entry is by Katherine Paterson, who describes the pains she went through in writing Bridge to Terabithia . When David, one of her sons, was in second grade, he came home from school with the news that he and Lisa Hill, his good friend, were going to make a diorama of Laura Ingalls Wilder's Little House in the Big Woods . The two children really enjoyed each other, playing games, laughing at each other's jokes, and in the spring they both turned eight. Then one night the phone rang. Lisa was dead; she was killed by lightning on a bright sunny afternoon. David seemed convinced that Lisa died because God had made a list and was going to kill of everyone he loved. Ms. Paterson explained that this was one of the toughest books for her to write. Yet, it was an important book. "I couldn't comfort my grieving child. So I would do what I could. I would write a story that would somehow help me make sense of this senseless tragedy." And she did. The book is 25 years old in 2002 and has sold millions of copies. She concludes her entry by stating:
"I believe this is the task of all the arts—of literature, music, dance, theater, the graphic arts-to sustain us with illumination, to heal us, to repair our devastated spirits. Art takes the pain and chaos of our broken world and transforms it into something that brings forth life." (p. 12)
Russell Friedman describes in detail "A Candlelight Vigil At the Fireman's Monument" at 100 th Street and Riverside Park in New York City. The event took place on September 14 — three days after to terror attack. Several hundred people participated, holding candles, speaking softly with friends and hugging each other. When someone began to sing "We Shall Overcome," the crowd joined in. And then they sang "God Bless America." Then the crowd moved slowly up 100 th Street to the local firehouse, and when they saw the firemen, the called out, "Thank You," "God bless you," "You're all our heroes!" And then they belted out "God Bless America," singing for those who lost their lives, those who were injured, and those who were the many heroes of the day. A very moving piece.
Jim Giblin describes "Three Crises," Sept. 11, the attack on Pearl Harbor on Dec. 7, 1941, and the Cuban Missile Crisis in October 1962. How did he react to the three events and the following days? How did people help each other?
Other writers in Cart's collection include Virginia Euwer Wolff, Sonya Sones, Marion Dane Bauer, Arnold Adoff, Nikki Giovanni, Joan Bauer, Avi, Jim Murphy, Kyoki Mori, Susanne Fisher Staples, Walter Dean Myers, Margaret Mahy, Sharon Creech, Chris Raschka. This an important book for students to read and to discuss.
Scholastic has published The New York Times A Nation Challenged: A Visual History of 9/11 and Its Aftermath—Young Readers Edition. The photographs and text by The New York Times reporters are outstanding. The book is divided into four parts: "September 11, 2001," "The Days After," "Meeting the people, the clean-up process, the response by President Bush in launching a "war" in Afghanistan, and reactions to new threats, indicated what people are doing and can do to sustain America the Beautiful. This is a significant book of memories and reminders of what we all can do in these days of continued crises.
Harper Tempest has published With Their Eyes , edited by Annie Thoms, an English teacher and theater advisor at Stuyvesant High School, New York City. The school is near ground zero and had to be evacuated for several weeks. Ms. Thoms knew she was going to be responsible for the Winter Drama. "What if, I thought, we created a play in which Stuyvesant students were able to tell their own stories, and the stories of others in our community, about our experiences on September 11?"
After choosing a student director and two student producers, the group sent out word to all students that they wanted to assemble a cast that reflected the diversity of the school, 50 percent Asian, 40 percent white, and the rest made up a Black and Latino students. After the cast was chosen, students were given tape recorders, and they were to go out and interview two or three people. (They were following the dramatic techniques and performances of Anna Deavere Smith, who is well known for her performances and plays Fires in the Mirror: Crown Heights, Brooklyn and other Identities; Twilight, Los Angeles, 1992 ; and House Arrest. ) The play focused not only on September 11 th , but also covered reactions and events days, weeks, and months that followed. After recording the interviews, the students had to transcribe the interviews, word for word, with pauses, repeating of words, changing of thoughts a people spoke. The motions and gestures of the people had to be captured, also. Then the monologues had to be put into some order that built as the play went along. There was humor in the remarks, and this was a protective coating for the seriousness of the drama. Some of the real names of the students were used, and other preferred to be anonymous. The actors realized it was important they portray the individuals as realistically as possible and to make sure their performances were not caricatures. (Some special education students were interviewed also and their remarks were included in the play.) Ten actors played all of the parts, changing costumes right on stage and becoming the different characters. The play was performed on February 8 and 9, 2002, before friends from outside Stuyvesant. Several media organizations covered the performances also. The productions received standing ovations.
The text of the play includes many reactions to the tragedy, the fears and tears in the closing of the school and having to go on a split session at Brooklyn Tech, the volunteer work of many students, the remarks heard within and outside the school. What a production!
Yes, the authors of many young adult books and the publishers are producing relevant reading—and audio—materials for today's students. Here is a challenging cry to mix the best of today with the best of yesterday. Students need to know that there are many good writers penning poems, stories, nonfiction, novels, and plays today. Not all good writers are dead or from other time periods. Let's give students a balanced curriculum.
Works Cited
Alphin, Elaine Marie. Counterfeit Son . New York: Puffin Books, 2002
Atkins, Catherine. When Jeff Comes Home . New York: Puffin Books, 2002.
Cart, Michael, et aI., eds. 911 : The Book of Help . New York: Cricket Books, 2002
Cart, Michael, comp. Tomorrowland: 10 Stories about the Future . New York: Scholastic, 1999
Cormier, Robert. Fade . New York: Laurel Leaf, 1991.
Crowe, Chris. Mississippi Trial, 1955 . New York: Phyllis Fogelman Books, 2002.
Crutcher, Chris. Stotan! New York: Laurel Leaf, 1988.
Frank, E. R. America . New York: Atheneum, 2002.
Gallo, Donald R., ed. Time Capsule: Short Stories about Teenagers Throughout the Twentieth Century . New York: Laurel Leaf, 2001.
Hardy, Thomas. The Return of the Native . New York: Signet, 1999.
Hesse, Karen. Witness . New York: Scholastic, 2001.
Lee, Harper. To Kill a Mockingbird . New York: Warner Books, 1988.
Miller, Arthur. Death of a Salesman . New York: Penguin, 1998.
Park, Linda Sue. A Single Shard . New York: Clarion Books, 2001.
Paterson, Katherine. Bridge to Terabithia . New York: Harper Trophy, 1987.
Pfeffer, Susan Beth. The Year Without Michael . New York: Bantam Starfire, 1988.
Pullman, Philip. The Amber Spyglass . New York: Del Ray, 1999.
Pullman, Philip. The Golden Compass . New York: Del Ray, 1999.
Pullman, Philip. The Subtle Knife . New York: Del Ray, 1999.
Scieszka, Jon. See You Later, Gladiator . New York: Puffin Books, 2002.
Smith, Anna Deavere. Fires in the Mirror: Crown Heights, Brooklyn and Other Identities . New York: Anchor, 1993.
Smith, Anna Deavere. Twilight Los Angeles, 1992: On the Road: A Search for American Character . New York: Anchor, 1994.
Taylor, Mildred D. The Land . New York: Phyllis Fogelman Books, 2001.
Thoms, Anne, ed. With Their Eyes: September 11 th — The View from a High School at Ground Zero. New York: Harper Tempest, 2002.
Williams, Tennessee. The Glass Menagerie . New York: Signet, 1972.
Wolff, Virginia Euwer. True Believer . New York: Atheneum, 2001.


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Zodiac-White on White fashion
At first i would like to say, that I'm very glad Ive been able play small part in this project and have opportunity meet many talented people who work very hard on this project.
The concepts and vision were prepared by Wilda Saintiany Mazhar of RedCarpetLook and LipstickGlams.
In terms of background, this project is a series of high fashion photoshoots based on the signs of the Zodiac. Each theme is a highly stylized Look with a designer gown, unique setting and well-chosen accessories and props, complete with a well-cast model, who can project the appropriate mood.
The purpose of these shoots is to showcase some great Ottawa talent and businesses, while also raising funds for a small orphanage (located in Cimahi, West Java-Indonesia).
More complete vision document is here:
with Wilda there is another very talented person behind this project.
Mike Giovinazzo-
Organizer,Photography/locations/Lighting/studio Setups/adviser, management , photographers ,and many other tasks he is in charge of.
- There is also many other people involved in this project:
great team of Make-up Artists, Hair Stylists, Fashion Designers, Set designers, models and photographers
and Here is few photos I was able to take in this project: for Credits click small arrow on bottom right on each photo.
Few videos from Canada day-Firework and Barenaked Ladies see link above.


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The pizza thrower is back at Comic-Con International, Teenage Mutant Ninja Turtle lovers — just in time for the newest film's Aug. 8 release.
Pizza Hut, appropriately, sponsored the vehicle, which can go up to 75 mph and can fire manhole cover-sized cardboard pizzas 30 feet at up to 20 feet per second. Participants in the Interactive Zone climb up to the turret seat, and though aiming is slow, can fire away at targets.
For the uninitiated, the pizza thrower was a toy released in the early '90s that — remarkably — fired pizza at the Turtles' enemies, mainly Shredder and his horde of ninja followers.
COMIC-CON 2014: Full Coverage | Scene photos | Cosplay
The pizza thrower attraction (actually a tricked out Toyota Tacoma) saw some of the film's stars, namely Will Arnett and Megan Fox, make an unannounced stop at the Interactive Zone to have some fun on the machine and knock down cardboard evildoer targets.
The Interactive Zone at Comic-Con International is a central site where anyone, ticketed convention goers or just passersby, can enjoy a few fun activities for the family such as face-painting and an Adult Swim funhouse. It also gives companies a chance to promote their products, such as at the Amazon tent where participants can try and win prizes while also sampling the company's electronic offerings.
– Jevon Phillips | @storiz | @LATHeroComplex


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My second day at Trauma Care this year was mostly spent in the Major Trauma in the ED stream. I took some notes, which I have expanded on and reported here, on the off-chance that someone might find it useful. Caution – If I have misrepresented anything, please do let me know and I will update. My notes on the first day are here.
Epidemiology of trauma
Gareth Davies via @LDNairamb
As an extension of the Ryan Lecture the day before, Dr Gareth Davies extolled the virtues of understanding epidemiology of any disease; how can you begin to become an expert in something without knowing what it is, where it comes from and who is affected?
Sadly, Paediatric trauma is biggest killer of children, yet it is one of the most poorly researched areas of emergency medicine. Events are seen as just accidents, a fact of life, something which cannot be prevented. Surely this isn't right.
The phrase the 'Golden hour' was coined because 80% of trauma-related deaths occur in the first hour post-injury. The importance of getting resuscitation right in the first hour has an effect in the later days, once the cascade of cellular damage and death has started, it will slowly continue until the death of the whole patient.
The Golden Hour, really belongs to pre-hospital practitioners, it used to be thought that clinicians in the ED had an hour to work with, but the clock starts at the time of impact. Average times from call to ED was approx 45mins if not trapped (low transfer times) in one study.
Basic epidemiology
It used to be that 75% of deaths were in 15-45yr olds. There is a definite increase in older trauma. Deprivation and racial/ethnic variations in distribution. Despite all the data from TARN, it is still unclear how and exactly when deaths occur in prehospital field. It is thought that:
- 40% exsanguination, 40% CNS injury blunt
- 50-80% exsanguination in penetrating
Brain impact apnoea is an under-recognised process which I think affects a significant proportion of head injured patients. Many arrive in hospital with a history of having been unconscious and apnoeic, but with no demonstrable lesion on CT and a minor neurological embarrassment. It only takes a rescuer to provide ventilations for a short period for the patient to resume normal breathing on there own. There is a definite potential for intervention but only if immediate; it would require training of the public to make the highest impact. I had a discussion afterwards with a colleague – is compression-only CPR, which is now recommended to the lay-public going to affect outcomes in this scenario, or is the pulsation of the chest enough to restart respiration?
Gareth also pointed out that we will never get a good handle on the real causes of death at scene due to the treatments we deliver to these patients. IV fluids will cause more exaggerated brain swelling, and haemorrhage may appear worse at post-mortem if fluid resuscitation has been delivered.
Food for thought.
Ultrasound in trauma
David Gay, Consultant Radiologist, Derriford Hospital
So, the short version – there is no role for ultrasound (US) in the trauma setting.
Unfortunately, that's not entirely David's opinion, he managed to think of 4 possible scenarios where it could be of use.
Scenario 1: Normal TU/MTC with CT SCANNER
FAST scanning is fading fast. Its usefulness has been drowned out by the usefulness of rapidly accessible dual-phase CT imaging. A FAST scan (or better still a radiologist who performs a whole ultrasonic survey) could be performed if the patient is unstable with a view to going straight to theatre, CT if possible with resuscitation ongoing. Good sensitivity and specificity in Afghanistan when a consultant radiologist doing FAST.
Caveat: FAST needs training, ongoing practice, governance, and images which are stored in the patient record.
However, NICE say:
"Don't do FAST" (paraphrased)
And that you shouldn't use US if going to delay transfer to definitive treatment, something which I heartily agree with. This is also true of prehospital ultrasound.
Scenario 2: no CT scanner
If no access to CT, then perform plain films, and an ultrasound (not a FAST, more in depth). If managing conservatively, perform serial US for trends. US is remarkably versatile, and can assess solid organs, eyes, brain (via eyes), bowel including appendix. It can't assess retro peritoneum, bones (maybe some fractures), adrenals, or bowel trauma.
Lung ultrasound – More accurate than X-ray, less than CT. The problem is it only looks at one part of lung at a time. False positives are common at apex.
Cardiac US – activity, filling, tamponade.
Scenario 3: Mass casualties
A Radiologist embedded in ED (ala Camp Bastion, or Derriford) makes it easier to send a team of SpRs and sonographers to ED in mass casualty events. There are many potential operators in the hospital, he recommends you shut down outpatient activity.
Use US to triage CT/Theatre/ITU
Scenario 4: Special cases
Pregnancy – more difficult to US; use CT if life at threat. Serial ultrasound is useful.
Paeds- Paeds guidance is to target your imaging based on clinical findings, again though, if serious injury suspected, or life-threatening bleeding, use CT. If stable, plain film and US will give almost all the answers.
Eyes – orbital US useful for injury including foreign bodies and optic nerve sheath diameter for the diagnosis of raised ICP, which is better done as serial measurements.
Permissive hypotension in blunt trauma
Tim Rainer
This presentation's take home message was that it is particularly difficult to design a study large enough, simple enough and powerful enough to answer the age-old question of how to fluid resuscitate a patient. It raised more questions than it answered.
Tim wants to perform a multi-centre randomised controlled trial to determine the optimal blood pressure target for patients with major exsanguinating haemorrhage. There is actually very little evidence out there on what pressure to target, what volumes to infuse. There is plenty of evidence telling us that patients who present with or develop hypotension do worse, but is that because the wrong target was prescribed, or because lower blood pressure is a result of worse injury score?
The first review to read could be the Cochrane review, "Varying the timing or the volume of intravenous fluids given to people with uncontrolled bleeding due to injury"
Is the doctrine of chasing a cerebral perfusion pressure really a good idea? It seems a paradox, the pushing up of cerebral blood pressure and intracerebral blood volume in raised ICP. Wouldn't it just ultimately push ICP up?
There is only poor quality data to prove that hypotension causes mortality and worse neurological outcome – mainly level 2 evidence, mostly retrospective.
My take on it is similar to the argument of scoop/run v stay/play, this is far more nuanced than BP targets, the process of achieving target must be important – blood products and sympatholysis to achieve flow and hypotension is currently in vogue and seems to be yielding good outcomes. Any study, particularly multi-centre must take differences in trauma systems into account, the ability to stop bleeding quickly. I asked this of Tim at the end of the talk – he would much rather study a complex care bundle like this, but NICE have asked the question – what is the best BP target?
The US military have started using altered mental status rather than BP targets, titrating to end-organ perfusion. This may be possible in the civilian population, but the young, fit and healthy military population is very different.
Traumatic brain injury challenges and recent progress
Fiona Lecky from TARN
90% of CT Head scans done according to NICE guidance are normal, but may have a TBI, there needs to be more work, and more care/engagement in this population. MRI could be useful in earlier diagnosis, or in the future, brain biomarker screening which could become point-of-care tests. Out of 1.4m possible head injury attenders, 1-5% have CT proven TBI, not sure how many have CT negative TBI.
The average severity of TBI is increasing, why?
A key take home message is that older patients have a higher GCS for the same severity of TBI, they are consistently between 1 and 3 points higher for the same severity. This is making diagnosis and recognition of injury much more difficult, as neurological signs just aren't there. This means that older patients are getting lower access to acute care, less likely to be transferred, less likely to be seen immediately by a consultant – My question is – does this make a difference in outcome? If an older person compensates better (working theory is more space in the head to tolerate a mass lesion) and the management of chronic haematoma is safer than the management of acute in the elderly, is there such a rush to diagnose? I think this question is as yet unanswered. Luckily, the NICE CT head guidance provides for this discrepancy by recommending all older patients with loss of consciousness or amnesia gets scanned.
Recent studies:
- late induced hypothermia in TBI caused increased mortality
- erythropoietin no difference.
- RESCUEICP – early decompressive craniotomy confers a survival benefit, but no additional survivors with a good neurological outcome
Compassionate governance @civilitysaves
Chris Turner @orangedis
This was one of my favourite talks. I am so glad I got the opportunity to hear Chris speak. For further information, go to Chris's Twitter feeds (above) or his Researchgate page.
The whole reason we practice governance is to promote safety and excellence. Unfortunately, governance is broken. Current governance processes eg Root Cause Analysis (RCA), etc will often miss potential learning opportunities when selecting a single root cause, especially human factor and communication errors.
We are far from a no-blame culture. This current environment must result in low incident reporting, for fear of reprisal and blame.
The fascinating part of the presentation was about the evidence that incivility, aggression, and rudeness lead to higher error rates.
In a controlled study, the receiver of rudeness showed a decrease in cognitive ability of 61%, the rude person's reduced by 50%. A third victim was the next patient the receiver attends to, who receives a negatively loaded care professional. The fourth victim is the family member who witnessed the rudeness, who will shut down and not share information through mistrust.
You may not feel you were rude, but the perception of rudeness is what has the negative impact. If you were perceived as rude, you need to change.
Governance processes:
- Safety-1 – only looking at the negative things when things go wrong
- Safety-2 – looking at both negative and positive experiences and working out what went right
Changes to make in governance:
- Respect staff decisions, an assumption that staff did things correctly based on information available. Question should be – what made that the right thing to do at the time?
- Respect the complexity of the situation – atmosphere, environment, aggression.
- Look at what went well – learning from excellence website (Adrian ?) – safety-2
- 'Brilliance box' – for when things go well. Used to reward people who did things excellently.
- Accept that error is inevitable, and build systems around that fact. Eg – Never events = bad
- Facilitate people changing themselves
- Get a description of what 'good' would have looked like
The thing that annoys clinicians is the retrospective analysis of split-second decisions
-Sidney Dekker, pilot and human factors/safety speaker
People don't resist change, they resist being changed. (By people who don't respect or understand them)
-Peter Senge
Top 10 Trauma papers of 2016
Simon Carley @EMManchester
I could never do the man justice in paraphrasing him, and luckily I don't have to, because he has published the whole thing online himself.
What I did learn was that closed CPR was as effective as open heart massage in cardiac arrest, however, there was a spike in ETCO2 when open heart massage was commenced – does this mean that it is more effective, or just that there was CO2 build-up whilst the thoracotomy was performed?
Also, that the anterior-axillary line is the go-to place for needle decompression of the chest, rather than mid-clavicular (knew that bit), or mid-axillary. Least depth with the least chance of hitting something important.
Endovascular techniques in abdominal trauma
Trevor Cleveland, Endovascular Radiologist, Sheffield
I moved from the Major Trauma in ED stream to the 'Abdominal Trauma' stream for this one.
There was a good overview of embolisation; how it works, what substances can be used, etc. Trevor explained that IR techniques are best suited for areas not easy to access surgically, this may not necessarily hold true for all situations, so long as the IR team can be mobilised quickly enough, sometimes the IR is still better than surgery, for example, IR may reduce need to re-operate after damage control surgery.
Embolism in IR requires optimisation in clotting to work, especially coils and other pro-coag particles, etc; it won't work if the patient is still coagulopathic – haemostatic resuscitative principles must be employed.
It is possible to embolise temporarily, with the use of gelfoam, or autologous clot (something not really used), so if the body is likely to repair itself, a temporary solution may preserve the greatest amount of tissue.
Everything else is permanent.
- Gelfoam doesn't fit through a microcatheter
- Coils good for smaller arteries
- Amplatzer plug – expensive but big
The indications for IR in splenic trauma:
- active extravasation
- pseudoaneurysm
- AV fistula
If haemodynamic instability, should go to theatre first, then IR after packing.
I asked a question because I'm interested in the processes and sequence of events, how to get to IR in a timely fashion – do you have or do you wish you had a hybrid operating theatre, and how often do you think it makes or would make a difference? Sheffield haven't got a hybrid suite, they would like one, but Trevor felt that it would only really be of use if it were co-located with the ED.
They have a great call-in system in Sheffield – when an unstable trauma patient is coming, or is diagnosed in the ED, the IR radiologist comes in and helps report the CT scan. This helps the registrar learn, and makes the radiologist available at a moment's notice to go to IR. The IR suite team are also activated at the same time, reducing delays to a minimum.
Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)
Jim O'Connor, Shock Trauma Center, Baltimore
The traditional treatment of intra-abdominal exsanguinating haemorrhage has been ED thoracotomy and aortic cross clamp – outcomes are poor, whether you clamp with your hand or a clamp.
It is possible that REBOA is better. To be thought of as an aortic cross clamp, just less invasive. It's not new! It was first used 1954. It has only been evidenced in small case series. It has been used in the non-trauma setting too (surgical bleeding).
Its benefits include decreased peripheral flow/pressure to reduce exsanguination, and better myocardial and cerebral flow during CPR (animal study).
There is a time limit for inflation though, after which outcomes get worse, fast. 40mins inflation showed better survival in animals, it is thought to be up to 60mins in humans as an absolute maximum.
46% survival (n=13) in military pelvic fracture with refractory hypotension J of Trauma 2010.
Brenner J Trauma 2013 – n=6, increase in BP by 55mmHg, no haemorrhage related mortality. Still had mortality of 33%.
DuBose J Trauma 2016. Open thoracotomy n=68, vs REBOA n=46 (50% had cutdown), no difference in time to occlusion.
In Baltimore and most trauma centers in the USA, REBOA is performed by acute care surgeons; REBOA in Japan done by ED physicians, and studies have shown some procedural complications, raising the question – who is the best person to perform REBOA?
The Shock Trauma Center (STC) experience – most REBOA was performed in cardiac arrest, 84% placed by acute care surgeons (n=90), inflation time <60mins; of those in arrest, 90% died but all 10% survivors were neurologically intact, took longer to place REBOA in arrested patients. Haemorrhaging patients did better, 5 ended up with lower limb amputation, 8 had fasciotomies as the worst complication, and there were several catheter related complications.
STC have reduced the size of their sheath down to 7Fr from 9Fr. It may require a femoral cutdown to femoral artery in arrest, as it is more difficult to identify the anatomy under ultrasound, and more difficult to thread the wires.
- Aim for Zone 1 (chest) for abdo bleeding Zone 3 for pelvis.
- The trick could be to place an early femoral line (right side is easier) then switch over a guide wire when changing to REBOA.
- Use contrast in balloon to check position.
- Check for distal perfusion.
- Important to place in common femoral, not SFA.
STC offer the BEST course (Basic Endovascular skills in Trauma).
Jim's opinion is that REBOA is NOT ready for widespread use, and should still only used by highly trained specialists.
Trauma Induced Coagulopathy: what we know and what we don't know
Karim Brohi @karimbrohi
The last talk of the day, and another big name. Once upon a time (ie the 90s), it was all about the shock, treating the pressure, maximising oxygen delivery. Now, it's no longer about shock, bleeding is where it's at.
The priority in the exsanguinating patient is coagulation over perfusion
- stop bleeding
- permissive hypotension
- avoid crystalloid
- target acute coagulopathy of trauma (ACoTs)
Learning point: there are 2 parts to a coagulopathy:
- traumatic – the bit we are used to thinking about; the consumptive process plus the cellular/endothelial processes that produce a coagulopathic trauma patient
- iatrogenic – the bit that we as clinicians make worse by not giving the right blood products, giving drugs and fluids that compound the traumatic bit, and dilute clotting factors, and may stimulate the endothelia to make it all worse; all compounded by letting the patient get cold
- OK, so there's a third bit; later the patient becomes prothrombotic
Inflammatory response worsens coagulopathy. If bleeding continues, coagulopathy gets worse, 40% of patients are coagulopathic on arrival, 80% coagulopathic after 12U blood products, even at 1:1:1.
Avoiding crystalloid is critical, a hypotensive strategy helps to achieve this.
Key features of traumatic coagulopathy:
- loss of fibrinogen, consumptive and lysed
- by 8U transfused, fibrinogen will be gone
- therefore cryo to be used early
After endothelial activation, factors inhibit clot formation. The complicated web of factors affecting each other generally reduce clotting and in turn produce hyperfibrinolysis.
Brohi says coagulopathy is the primary problem when looking at the 'lethal triad of trauma', the hypothermia and acidaemia are consequences. Acid affects coagulation at ph 7.0 or below, and the effect isn't significant above this. Neither of those two will improve while bleeding continues.
Getting the basics right is much more important than fancy fringe treatments.
Unknowns, just in question form really:
- TXA – dosing strategy, demographic who benefits, anti-inflammatory effects, is it the best anti-fibrinolytic? Risk of thromboembolism?
- Cryo – can we front-load patients with fibrinogen? Cryostat2 trial is running to help answer this.
- Is fibrinogen concentrate better? Cryo has other beneficial factors.
- Clotting cascade much more complex than the above picture, and we understand so little. Lots more research required.
- Inter-patient variability in clotting profiles, could we tailor care in future?
- Very little known about platelets except that they don't work in trauma, platelet transfusion doesn't help clot formation. Why? How can we fix this?
- ITACTIC trial – does thromboelastography based treatment algorithm yield better outcome?
The future
Will there be drug based therapies to enhance/repair endothelial injury and minimise coagulopathy?
Blood products – red cells are poor at giving up oxygen once transfused, their storage is been optimised for shelf-life and 2,3-DPG levels are low. Platelets which are stored at room temp are not as thrombogenic as cold stored platelets. Could blood banks have two tiers of blood storage, one for emergency haemorrhage use which have better functioning products?
There was a floor question at the end which yielded an interesting answer: the Royal London has stopped giving the TXA second dose, and only gives first dose with activation of MHP, perhaps we should all follow suit if we haven't already.
Overall, my experience at Trauma Care was brilliant. Such amazing speakers with such thought provoking talks. I hope you found my notes useful!


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Fully-Integrated Built-In Dishwasher
This fully-integrated built-in dishwasher from GE offers a capacity of 12 place settings and a handful of useful features for an easier and more convenient dishwashing experience. Built from durable stainless steel materials, this appliance is designed for long-time use and is resistant to rusting, chipping and peeling. Two utility shelves in the upper rack are equipped with Stem Safe technology for the loading of tall items and to protect stemware. Monitor the progress of the wash cycle easily with the 2-digit countdown display. You can also utilize the 1-24 Hour Delay Start function to wash dishes at your own convenience.
About GE
GE Consumer and Industrial spans the globe as an industry leader in major appliance, lighting and integrated industrial equipment systems and services. They provide solutions for commercial, industrial and residential use in more than 100 countries which uses innovative technologies and "ecomagination." It's a GE initiative to aggressively bring to market new technologies that help customers and consumers meet pressing environmental challenges to deliver comfort, convenience and electrical protection and control. GE brings imagination to work.


text:
Main Content
From Our Library
Book Review
From the Library of The Center of Excellence on Autism Spectrum Disorders...
Book Title: Uniquely Human
Author: Barry Prizant
Reviewed by: Deborah L. Puglia
In his most recent book, Uniquely Human, Dr. Barry Prizant gives his perspective of individuals with ASD and their families.
Dr. Prizant proposes a paradigm shift regarding how we view individuals with autism
and he suggests that we consider their unique human qualities rather than defining
them by their disability. He believes that a behavioral assessment approach of determining
an autism spectrum disorder defines the individual as a problem to be solved rather
than an individual to be understood.
Throughout the book, Dr. Prizant gives the reader tips on how to accomplish this paradigm shift. Through his experiences he has identified those providers who "get it" as possessing traits and instincts that include empathy, sensitivity, humor, trust and flexibility. For those providers who don't "get it" he suggests strategies that explore the why of behaviors that are deemed "inappropriate" and decries attempts to eliminate behaviors that are most often strategies used by the individual with autism to cope with disregulation.
In the chapter "The Real Experts" Dr. Prizant shares his experiences with Ros Blackburn, Michael John Carly and Stephen Shore - three adults with autism who Dr. Prizant credits as being positive influences on this thinking, understanding and everyday work with individuals with autism.
Uniquely Human represents Dr. Prizant's perspective regarding individuals on the autism spectrum. The reader comes away with a unique perspective of individuals with ASD and with an appreciation of the fact that despite our individual profiles of strengths and challenges we are all uniquely human!
Rating: ***
* Not recommended
** Recommended
*** Highly recommended


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I actually just received my first EMV chip card from my bank and I was very interested to see what type of educational materials came along with the card. I was pleasantly surprised to see a good breakdown of the benefits of EMV technology, including stronger transaction security and protection against thieves making fraudulent duplicate cards with my account information if it's stolen. What I found lacking in the information I received was any description of how my experience will change when I use my new chip card at a retailer.
The change in how a chip card is used at an EMV enabled terminal might initially be confusing for many consumers. No longer will the card be simply swiped before the transaction is processed, but instead it will be left inserted in the reader throughout the complete authorization process, which will be slightly longer due to the complex authentication process involved in an EMV transaction.
The EMV Migration Forum, which is an independent body of industry stakeholders working together to promote the introduction of EMV technology in the US, has recognized that this is one area that requires more education. "2015 is set to be a milestone year as the U.S. accelerates its move to chip payments. As such, now is the time to start ramping up efforts to educate retailers, issuers, consumers and the media on chip technology, its security benefits and the changes to the payment process," said Randy Vanderhoof, director of the EMV Migration Forum. In December, the EMF published the following infographic which clearly describes how EMV will change the way we pay. This infographic is an excellent resource for retailers to use in training their staff on what to expect when EMV technology is installed at their sites.
Additional Information:
For additional resources on the EMV migration to the US and its impact on our industry, please see:
- Gilbarco's EMV informational web-page
- Previous Gilbarco blog posts on EMV:
- Product Opportunities to create an ROI from the EMV Migration
- EMV Migration Forum – Knowledge Center


text: I am blocked on SDBW, otherwise known as lookout. When I created a joke page. Which is normal. Then I used some other person's character, but I told they were from another universe AND that they were actually just clones. Then I also told he is not lookout canon. But then the person called ghoster vandalized my page again and again, it was getting hard to undo it billions upon billions of times so I told two admins to do something about it. Then I went to sleep, woke up and I was blocked. No one talked about it, no admin told me anything, I don't know how long I am blocked. Just blocked randomly. So please wikia helpers help me. At least tell me how long I am blocked and by whom for what reason :(:(:(Read more >


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Watch how to make this recipe.
Make the cupcakes: Preheat the oven to 350 degrees F. Line a 12-cup muffin pan with liners. Combine the butter and unsweetened chocolate in a large microwave-safe bowl; microwave in 30-second intervals, stirring, until melted and smooth. Let cool slightly, then whisk in the granulated sugar and eggs until smooth. Add the flour, baking powder, baking soda and salt; whisk until just combined. Add the milk and whisk until smooth, then stir in the banana and peanuts.
Divide the batter among the prepared muffin cups, filling each about three-quarters of the way. Bake until the tops of the cupcakes spring back when gently pressed, about 20 minutes. Let cool 5 minutes in the pan, then transfer to a rack to cool completely.
Meanwhile, make the frosting: Beat the butter, confectioners¿ sugar and salt in a large bowl with a mixer on medium speed until combined. Add the vanilla and milk; increase the speed to medium high and beat until light and fluffy, about 3 minutes. Add the crushed sugar cones and beat 1 more minute. Transfer to a piping bag fitted with a large star tip. Arrange the cupcakes on a baking sheet; pipe tall swirls of frosting onto the cupcakes. Refrigerate until the frosting is firm, about 20 minutes.
Meanwhile, make the chocolate shell: Combine the semisweet chocolate and coconut oil in a microwave-safe bowl; microwave in 30-second intervals, stirring, until melted and smooth. Let cool slightly, then pour into a short wide drinking glass for dunking the cupcakes. One at a time, turn each cupcake upside down and dunk the frosting in the melted chocolate; rotate to coat and let the excess drip off. Return to the baking sheet and decorate with sprinkles while the chocolate is still wet. Refrigerate until set, at least 30 minutes or overnight.
Photograph by Ryan Dausch
Courtesy of Food Network Magazine
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Rob Kardashian & Blac Chyna: A Timeline Of Their Crazy Romance
Things heated up REAL fast between Blac Chyna and Rob Kardashian, and even though they only started dating a few weeks ago, there's a LOT to relive in this romance. Look back at their relationship from the very beginning and get the latest right here!
Blac Chyna, 27, and Rob Kardashian, 28, are hot and heavy weeks into their steamy romance, and it's hard to believe they just started dating at the beginning of this year! Click through the gallery to check out all the monumental moments in this juicy love story right now!
This relationship came out of absolutely nowhere on Jan. 25, when Blac shared a sweet photo of herself cuddled up into a tattoo-filled arm, which fans immediately recognized as Rob's thanks to the telling ink. But once the picture surfaced, it was revealed that the two had been hooking up 'non-stop' for days, despite Blac's beef with Kylie Jenner, 18, who's dating her ex, Tyga, 26, and the rest of the Kardashian family. To hear more about Blac and Rob, head over to iTunes and download the latest HollywoodLife podcast for free!
The pair's romance is about more than just sex, though — Chyna is helping Rob get back in shape following his Dec. 2015 diabetes diagnosis. The two have been hardcore hitting the gym together, and she's been cooking him healthy meals to keep his diet in check. Unfortunately, though, the relationship didn't initially sit well with Rob's family members, and he was kicked out of Khloe Kardashian's house for it! Homeless, the 28-year-old moved in with Chyna just two weeks after they started dating. OMG!
Regardless of what his family thinks, though, the relationship is clearly doing wonders for Rob's self-esteem. On Jan. 26, he was photographed for the first time in MONTHS driving to his girl's house, and the two were caught in the car together one day later. And when Blac went away for the weekend and got ARRESTED, Rob drove hours from California to Texas to pick her up and bail her out! This pairing may seem a little strange, but seeing the huge smile on the reality star's face when he's out with his girl makes it pretty undeniable that this is the real deal.
The lovebirds had to spend some time apart this week, as Blac was in Trinidad for an appearance with Amber Rose, but she totally shocked everyone by flaunting a MASSIVE diamond ring on her left hand. We have to wonder…are Rob and Chyna already engaged?! Click through the gallery above to relive this romance right now!
HollywoodLifers, what's your favorite moment of Blac and Rob's romance so far? Do you like them as a couple? Let us know and then check out videos about them and more stars RIGHT HERE.


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Little Noir Stories - The Case of the Missing Girl [FINAL]
- Category Games
- Type PC Game
- Language English
- Total size 151.4 MB
- Uploaded By jipill9
- Downloads 671
- Last checked 3 months ago
- Date uploaded 8 years ago
- Seeders 0
- Leechers 0
Your IP Address is Location is - Your ISP and Government can track your torrent activity! Hide your IP with a VPN!
Infohash : DF387F351449CD9BEA611D6D705169A65A47A4FD
One case, two trials
Lured to an abandonned building by a puzzling picture, Private Investigators Anton Muller and Amelia Chandler step in to solve the mystery.
Rich cast of characters
Engage with the shadowy suspects sharing a roof for one purpose: delivering an unpredictable tale fraught with secrets, twists and mystery.
Compelling atmosphere
Be seduced into the dark, stylized pleasures of Little Noir Stories a beautifully rendered world where every hidden clue and dialogue helps piece the case together.
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A father is someone you look up to no matter how tall you grow. ~ Unknown
Jolene Philo is a published author, speaker, wife, and mother of a son with special needs.
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It was standing room only on Saturday morning as over 300 people turned out for the 25th anniversary celebration of Vietnam Veterans Memorial Park, at the corner of Manor Road and Martling Avenue in West Brighton.
In the audience, his blue eyes twinkling, was World War II veteran James Capodanno, 94, of Eltingville, with his wife of 69 years, Lydia. "It makes you feel good inside that people remember," he said, surveying the crowd. His younger brother, Rev. Vincent Capodanno, a Maryknoll priest and combat chaplain, was killed in Vietnam in September 1967 at 38 years old as he ministered to a mortally wounded Marine during heavy fighting.
"I come to all of these--I'm a veteran," said Eltingville resident Frank Appise, 76, who served in the U.S. Navy on the USS Intrepid from 1955 to 1958. "It's emotional," commented Frank Sansone of Tompkinsville, a Vietnam veteran who saw action after he was drafted in 1966, when he was 21 years old. "We're older, but the same spirit is here."
The Memorial Park was dedicated and opened in May 1988, said Gene DiGiacomo, president of Vietnam Veterans of America Thomas J. Tori Chapter 421. "And it was the Memorial that springboarded the creation of VVA Chapter 421, which was organized and chartered four months later," he noted.The keynote speaker was Chris Noel, who gained fame during the Vietnam War era for her U.S. Armed Forces Radio show, "A Date with Chris," and eight visits to the troops in Vietnam during the 1960s. "I'm in love with half-a-million guys -- all the American troops in Vietnam," she famously quipped.
"She was a true gem to the GIs," recalled Danny Ingellis of New Springville, who served in a U.S. Army artillery unit that was sent to Vietnam in 1967. "Every night when I was in base camp I listened to Chris' show--it was a lifeline to back home, as far as I was concerned. She started every show with two words--"Hi, Love"--and I can still hear those words in my head."
Another celebrity on the Saturday program, vocalist Michelle DellaFave, sang a stirring rendition of "The Star Spangled Banner" after the Posting of the Colors and Posting of the Honor Guard. She appeared regularly on the Dean Martin Show as one of the Golddiggers and Dingaling Sisters.
NYC Fire Commissioner Salvatore Cassano, a Vietnam veteran, was a guest speaker.
Monsignor James Dorney, military vicar of Staten Island, delivered the opening and closing prayers, and Ms. DellaFave sang "America the Beautiful" before the final salute from the Chapter 421's Honor Guard.


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Back in April, when Steve Jobs penned his now infamous open letter titled, "Thoughts on Flash" he accused the software of not being entirely secure.
And it looks as if the Apple CEO has been proved correct, as Adobe itself has issued a warning stating that "a critical vulnerability exists in Adobe Flash Player", and other Adobe software.
The affected software versions are: Adobe Flash Player 10.1.85.3, and earlier versions for Windows; Macintosh, Linux and Solaris operating systems; Adobe Flash Player 10.1.95.2, and earlier for Android; Adobe Reader 9.4, and earlier 9.x versions for Windows, Macintosh and UNIX, and Adobe Acrobat 9.4 and earlier 9.x versions for Windows and Macintosh.
The vulnerability may cause your system to crash and could "potentially allow an attacker to take control of the affected system".
Adobe is promising an update to the software by 9 November to sort the issue.
Now, we know that Apple hasn't got a perfect record for all things security, but the fact that the main vulnerability that led to the initial jailbreaking of iOS 4 was through a PDF exploit, combined with Adobe's own admission of flaws within its software platforms will no doubt mean that there are some people with very smug faces sitting in their offices in Cupertino right now.


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Prunings IV
Saturday, August 27, 2005
On Rundown (1969), Swamp (1969), and Spiral Jetty (1970), three itsy bitsy teenie weenie movies documenting Robert Smithson's land art.
On landscape design at Columbia University. Perhaps testing the waters with a goal towards creating an accredited landscape architecture program? Will Princeton, Yale, MIT, and other bastions of architectural education follow suit?
On walking as knowing as making.
On LEAM, i.e. Land Use Evolution and Impact Assessment Model.
On drinking water (a brief history).
On parking (another brief history).
On cemeteries. Because Pruned just cannot get enough of them.
—— Newer Post Older Post —— Home


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Marie Haney
"The diversity among the professors, students, and staff provides a rich overall experience."
Dr. Marie Haney, 57, lives in Monument, CO, which is about 30 minutes north of University of the Rockies. Her educational background consists of a Bachelor of Arts in Elementary Education from University of Southern Colorado, Pueblo, and both a Master of Arts in School Counseling and a Master of Arts in School Administration from University of Colorado, Colorado Springs. In August 2010, she completed her Doctor of Psychology, Clinical specialization, from University of the Rockies.
Prior to pursuing her doctoral degree, Marie had a 30-year career in public education. Over three decades, she served as a teacher, a middle school counselor, and a high school assistant principal. "I made the shift from teacher to counselor because I saw so many kids who were not succeeding in school due to emotional issues, and I thought I would be more help as a school counselor," she says. Her role in administration as a principal also allowed her to work with struggling students. Although she was the disciplinarian, she always used those interactions with the kids as teachable moments. "My hope was to guide the students toward success in school as well as in life. As an administrator, I was also able to supervise and mentor teachers, a role I found very gratifying."
When Marie retired in August 2009, she realized that it was now or never if she wanted to complete a doctoral degree in psychology. "I chose University of the Rockies because the curriculum was both diverse and challenging, and because the small class size meant I would not get lost in the shuffle. I was also able to attend evening classes. Once enrolled, I found the professors approachable and willing to share their expertise and enthusiasm for the field of psychology. The diversity among the professors, students, and staff provides a rich overall experience, and I feel fortunate to have developed ongoing professional relationships with many of the professors and students at University of the Rockies."
Marie's academic interests that grew from decades of interacting with students have now culminated in a passion for understanding the workings of the human mind. "I am particularly interested in the common 'human experience,' which includes joys as well as challenges. During my time with University of the Rockies, I discovered Martin Seligman's Positive Psychology, which is the study of building one's strengths and virtues. The idea is to develop meaning in life and to foster one's strengths in an effort to facilitate resiliency when life gets difficult. I find this especially attractive because I am a firm believer in focusing on and nurturing 'positiveness' in others. My research has focused on the positive aspect of self-efficacy and school engagement of high school students and how that relates to success in school."
Upon graduating, Marie participated in the commencement ceremony, and reported that the Cheyenne Mountain Resort was a great venue for a great day. She then began a post-doctoral residency at the Rockies Counseling Center. "I train student-therapists who are new to the Counseling Center, which includes familiarizing them with the policies and procedures, and supervising/advising their work with clients. Once I complete that, I can take the state required exam to become licensed in the state of Colorado."
Marie's goals include teaching in higher education and also beginning a private practice so she can work with school districts and provide group and individual therapy for adolescents. "To anyone considering attending University of the Rockies I would give this advice: Expect a challenging yet rewarding experience."


text:
Brenda Starr (1992)
Critic Consensus: No consensus yet.
Movie Info
as Brenda Starr
as Newspaper Editor
as Basil St. John
as Vladimir
as Mike Randall
as Maloney
as Libby 'Lips' Lipscomb
as Jose
as Luba
as Reporter Hank O'Hare
as Cub Reporter Pesky Miller
as Donovan O'Shea
as Prof. Gerhardt Von Kreutzer
as Pres. Harry S. Truman
as The Fake Captain Borg
as The Real Captain Borg
as Carlos
as Esperanza, Wife
as Boris, Bullyboy
as Mischa, Bullyboy
as Young Guide From India
as Young Portugese Taxi Driver
as Karl
as Carl
as 'Globe' Editor
as Gus
as Gypsy Fortune Teller
as Reporter #1
as Reporter #2
as Nurse
as Chief of Agape Natives
as San Juan Saleslady
as Spanish Policeman
as Petshop Owner
as Street Vendor
as Cargo Plane Pilot
as Maitre d'
as Diego
as Jiva
as Ras Poppa
as Tinka
as Leonardo
as Zukini
as Skypup
Critic Reviews for Brenda Starr
There are no critic reviews yet for Brenda Starr. Keep checking Rotten Tomatoes for updates!
Audience Reviews for Brenda Starr
Dead on arrival insult to the comic with terrible performances. The only thing this has going for it are the traffic stopping outfits worn by Brooke Shields. Skip it.
Super Reviewer
Brenda Starr Quotes
There are no approved quotes yet for this movie.


text:
Solgar® Ester-C Plus 1000MG Vitamin C
Write a Review
Item # 562359
Size: 60 Tablets
The product quantity for an item in your shopping cart has exceeded our Maximum Purchasing Policy. Please adjust your quantity to (12) and try again.
Your product couldn't be added to the basket because it is out of stock.
Product Information
DescriptionEster-C Plus is exclusively formulated by Solgar and provides a patented, pH neutral (non acidic) Vitamin C that is gentle on the stomach. The Vitamin C metabolites in Ester-C positively impact the retention of Vitamin C in cells, providing additional benefits. A special manufacturing process is employed to form a unique calcium ascorbate metabolite complex. This well-retained complex yields beneficial antioxidant and immune system support and incorporates natural bioflavonoids and acerola berry along with rose hips fruit powder.
PRODUCT DIRECTIONS / ADDITIONAl INFOAs a dietary supplement for adults, take one (1) tablet daily, preferably with a meal or as directed by a healthcare practitioner.
WarningsIf you are pregnant, nursing, taking any medications or have any medical condition, please consult your healthcare practitioner before taking any dietary supplement. Discontinue use and consult your healthcare practitioner if any adverse reactions occur. Keep out of reach of children. Store at room temperature. Do not use if outer bottle seal is missing or damaged.
Other IngredientsVegetable Cellulose, Microcrystalline Cellulose, Silica, Vegetable Stearic Acid, Dicalcium Phosphate, Vegetable Magnesium Stearate, Vegetable Glycerin
Manufactured by:
Solgar, Inc., 500 Willow Tree Road
Leonia, NJ 07605
Solgar, Inc., 500 Willow Tree Road
Leonia, NJ 07605
Nutrition Facts


text:
One winner, Renetta McCann, CEO of Starcom Mediavest Group, said she has had to get comfortable about being "uncomfortable." Overcoming what others would shy away from-discomfort-and forging ahead into rooms where she was the only woman or the only person of color. Then she thanked all the woman who did it before her, making her way easier.
Also touching were the tender words between "Thelma and Louise" actresses Susan Sarandon and Geena Davis. Ms. Davis, who plays the president in ABC's "Commander in Chief," won in the arts and entertainment category. "Geena is the first president that really has liked me," joked Ms. Sarandon, a left-leaning political activist, who then broke out the L word and aimed it at Davis.
But despite the high-wattage winners, all eyes were on "Today" host Katie Couric, who was there to present an award to Glamour Editor in Chief Cindy Leive. Ms. Couric introduced Ms. Leive with a long amusing poem, and in return, Ms. Leive shot back: "It is sublime. Will you some day anchor the news in rhyme?"


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Personalised Wine
Wine with your name on!
Whether it's a special occasion, or just simply treating yourself to a bottle. Prezzybox has a variety of personalised wines suitable for every occasion, ranging from Personalised Bottles Of Rose Wine and Personalised Bottles Of Red, Prezzybox even offers Personalised Wine Glasses which includes a mini bottle of white too!
Looking for different Personalised Drinks? Don't worry, we've got that covered too!
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text:
Custom Design & EngineeringSustainability Solutions Retail Design Pallet Guy Products Services Custom Solutions TempEndure® Components Testing Process SteelBoard & Pinnacle Products KTechnology
Operations & LogisticsProcess Optimization Logistics & Reporting Inventory Solutions Testing & Validation
When it comes to packaging solutions, we've found the CURE. What seems like just another catchy acronym is our proven approach to customer success. A customer-first mentality isn't necessarily groundbreaking. What makes the CURE different is our relentless consistency in implementation and our unwavering commitment to doing whatever it takes to deliver real results. Experience the difference.
Our customers want solutions! We work as an integrated part of their team, drawing on all the expertise and resources throughout our entire network to find the best path.
Every customer is unique, and so are their challenges. Rather than using a pre-designed solution, we develop solutions to fit our customers' needs.
Ernest is always mindful of quality and cost effectiveness. We try to anticipate and overcome obstacles that might arise due to changing market conditions.
We work together openly and effectively from day one to create long-term relationships where we can optimize success for years to come. Ernest has enjoyed customer relationships that have lasted over 50 years. Long term is our life.
We do more than talk the talk, we walk the walk. While we help our clients implement sustainable business practices and products, we're doing the same throughout our facilities —from high-efficiency lighting and clean-burning diesel delivery trucks to a comprehensive recycling program and maintenance with green cleaning products. In fact, our San Diego location was awarded a Bronze Star from the Department of Housing and Urban Development for being a green facility. It's our sustainable path forward.


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Costa Rica is an amazing spot for fishermen. Why? Well, first of all for its idyllic weather that allows fishing all year long; and also, because all of its water attractions: two oceans, beautiful lakes and hundreds of rivers.
Besides, another great thing about having Costa Rica fishing vacations is that, as it is an small country, you can do fresh and salt water fishing in the same visit because of the short distances between one fishing destination and the other.
In fact, fishermen can be in only 40 minutes flying from Juan Santamaría International Airport in some of the best fishing spots of the Pacific and Caribbean coasts.
With fishing tours available in almost all of the regions of the country and with even some boutique hotels specially designed for fishers and their families, Costa Rica is without a doubt one of the best places for beginners and professional fishermen.
With two full-service marinas in Papagayo Gulf and Flamingo, this part of the country is one of the most popular tourist destinations of the country for all its beautiful beaches and all-inclusive resorts.
For fishing, the best months are May and September.
Marlin: Caught every month of the year, especially from mid-November to early March, then slowing a bit from April into early June when it picks up again, peaking in August and September.
Sailfish: Caught throughout the year, with May through August normally the top season. They may begin to thin out in September, with the slowest months running through November.
Tuna: Peak months are usually from August through October, but there is almost always tuna anytime of the year. Yellow fin and big eye tuna over 350 pounds are sometimes found in Catalina Islands, 30 minutes or less from the beach.
Dorado: More properly known as dolphin, these colorful gamesters are most abundant from late May through October when the seasonal rains flood the rivers that carry out debris, forming trash lines close inshore they like to lie under.
Wahoo: Caught in limited numbers throughout the year, the best showing begins about the time the rains start in May, peaking in July and August. Most are caught around rocky points and islands, but you may pick one up occasionally fishing offshore as well.
Roosterfish: Caught all year but more easily from October through March, in the Papagayo Bay area and around the islands.
Quepos is the fishing center on the Central Pacific coast, with a full-service marina and more than 50 professionally equipped boats in the 27-feet range and up, and smaller boats well suited for the excellent inshore angling in the area.
There are also available multi-day trips to the Drake Bay and Caño Island area (also top diving areas) from Quepos, with overnights at one of the several lodges located on Drake Bay.
This region is best known for its wahoo, big cubera and roosterfish and the best months are from November to March.
Marlin: October is normally the top month for marlin in this area, but September and November are also good months.
Sailfish: From mid-December to the end of April is rated as the best season, but the big schools often move in October.
Tuna: Found throughout the year as they are all along the Pacific coast, but most abundant from June through September. Most are from 8 to 12 pounders, but a dozen or more over 200 pounds and maybe another two dozen in the 100- to 200-pound range are taken every year.
Wahoo: Pretty rare in the area around Quepos, but more abundant in the late summer farther south, especially the Drake Bay and Caño Island area from late June to early August.
Dorado: Best action begins with the rains that start in late May and wash debris from the river mouths, creating the inshore trash lines that the dolphin likes to lie under.
Roosterfish: Exceptional at the mouth of the Parrita River; Palo Seco between Parrita and Damas; just outside Damas; off the mouth of the Naranjo River; around the points at Dominical Beach and throughout the Drake Bay area. Best fishing is during the summer months, from June through early September.
Snook: Best spots are just off the many river mouths along the coast, up in the Sierpe River and in the big Sierpe lagoon. The Pacific world-record black snook was taken in July, in the mouth of the Río Naranjo on a charter with Captain Jim Geary. Although it is a new fishery, the best months are from July through November, during the heavy rainy season.
Golfito is the fishing center of Southern Pacific coast. In fact, it's here where most "fishing lodges" are located. Across the bay there are some lodges located on Playa Zancudo, a narrow peninsula with miles of beach on the ocean side and the confluence of three rivers on the other side. You can book day charters or even, packages with all meals, lodging and an open bar.
Marlin: August through December is peak season, but an occasional blue or black may be taken any month if the water temperature is up.
Sailfish: Exceptional fishing from December through March. Often slows from April into early June, then picks up again and begins to peak in August or September.
Tuna: Best fishing for the bigger ones corresponds with marlin and sailfish season, but the schools can nearly always be found outside.
Dorado: Best runs are traditionally from late May through October.
Wahoo: Not abundant, but an occasional wahoo may be taken most any time of the year.
Roosterfish: This region is famous for its big roosters and they can be caught almost any month of the year, some are nearly 100 pounds.
Snook: Caught all year, but best from middle or late May through July and January and February.
Fishing along Costa Rica's Caribbean coast can vary more from one day to another than from month to month and the best places are restricted to Tortuguero and Barra del Colorado. Historically, tarpon fishing is promoted by lodges on Costa Rica's east coast from December through mid-May while snook peak from September through November. But the fish are there year-round, and it's mostly a matter of weather, which can change overnight. Rainy season starts about mid-May, and action slows for a while as the dirty water sweeps out of the rivers.
Lodges offer all-inclusive services, including transportation from San José, comfortable accommodations, meals, boats and guides. As there are no roads to this area, the access is via the in-country airlines or charter flights, or by boat through the Tortuguero Canal system.
Note that both local and foreign, require a license to fish either inshore or offshore. In fact, many tourists ask for the license when book the vacation package.
Every year, our knowledgeable team assists clients of more than 400 wholesaler agencies from over 50 countries around the world.Contact us..!


text: Hello - I am searching for RN and BSN candidates who are interested in a corporate role within Alcon/Novartis. We are creating a new team to manage the medical device complaint process and are hiring 16 RN's/BSN's for the roles. The position is in Dallas/Fort Worth at our campus here, but relocation assistance is provided. Please email me if you would like some information. We are moving fast on this position! Comp is in the six figure range, no nights nor weekends nor on calls. Must have experience in Optometry and/or Ophthalmology. Click here to see more:


text:
MTH222 Calculus III
Lead Faculty: Dr. Igor Ya Subbotin
Course DescriptionA study of sequences, Taylor Polynomials, infinite series, and tests for convergence, and the power series. An overview of ordinary differential equations; the initial-value Problem; exactness and integrating factors; and Bernoulli and higher-order equations with forcing functions. Graphing calculator is required.
Learning Outcomes
- Clearly demonstrate an ability to employ vector operations and properties to include additive, scalar, and vector cross product operations. Using such fundamental properties, the student will provide evidence of employing vectors to define lines and planes in 3-space, and will demonstrate competence in extending such capability to conic surfaces.
- Show ability to define vector-valued functions in terms of the scalar functions as components to the basis vectors.
- Interpret resulting-properties correctly.
- Successfully differentiate and integrate the scalar components.
- Provide evidence of understanding and competence in differentiation and integration of functions of more than one variable.
- Demonstrate sufficient capability with partial derivatives so as to permit derivations of directional derivatives and gradient functions.
- Develop the elements of Jacobean Matrix.
- Display capability to incorporate change of variable and other associated applications as specified in the corresponding goal of this syllabus.
- Understand the comprehension of the classic theorems of mechanics will be evaluated by application to elementary surface.


text:
Republic of Ireland - € - English
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Our range of women's earrings and statement ear cuffs provide the perfect finishing touch to your ensemble. With diamante studs, classic gold hoops and tassel earrings, you can fill your jewellery box with all manner of styles. Try your favourite little black dress with a crystal cage earcuff for an ideal night look.
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text: Tax refund noticeThank you for choosing Lotte City Hotel Myeongdong. Please refer to the following information on tax refunds.(*Please direct all inquiries to the front desk at the time of check-in/out.)Who is applicable for tax refund ? - Foreign Tourists - Accommodation Period: within 30 nights - Foreign tourists who make the payment at the front-desk and already paid at the official website of the hotel.Who is NOT applicable for tax refund ? - Foreign Tourists as a Group(Package) - Foreign tourists who already paid at any Online Travel Agencies.


text:
Downloadable pattern
Downloadable pattern
Forte' is knit from the top down and has a crescent shape once blocked. Instructions for the Lace Forte' or Stockinette Forte' with lace edging includes three sizes. This unique pattern is fully charted and includes written directions for each style. Overall sizing may also be adjusted with needle and yarn size.
The project begins with a provisional cast on and has a garter stitch border. Increases and decreases create interesting swirls in the fabric as the pattern progresses and are enhanced by the use of silk or tencel blends. Projects may be finished with either a loose or crocheted bind off method.
Beginning lace knitters will enjoy the simplicity while more experienced knitters will enjoy the unusual concept. The featured Forte' is the Lace shawl knit with 550 yards of Handmaiden Seasilk Periwinkle and size 4(US) needles.


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Oasis star Noel Gallagher got a free pass from his missus on Wednesday - and used it to relive his glory days of long ago.
Sneaking out of London's Groucho Club for a fag with Gavin and Stacey actor James Corden, the pair started rubbing bellies in the street.
Then furry-hatted Mighty Booshman Noel Fielding joined the fun - stalking the dancing drunks with a loaded hairdryer.
Let's hope poor Noel G felt OK in the morning.


text: As the number-one certified pre-owned Ford dealership in Ohio, we offer the highest volume of used cars that earn the manufacturer approved stamp of certification, so come on over today and take a look through all your options. With so many certified pre-owned options here at our Vandalia, OH Ford dealership serving Dayton, Fairborn, Troy and Huber Heights, you'll be able to find the exact kind of car, SUV or truck that suits your needs and fits within your budget. Make your way over to 1020 West National Rd., Vandalia, OH 45377 today for a closer look at Ohio's largest lineup of certified pre-owned Ford vehicles.


text:
|11 Jul 2009
dual display problem
I have an Nvidia 9600M GT on my laptop and driver 186.03
The problem is, there is no option in my Nvidia control panel to select whether I want the mouse to go to the external display via the left side of my screen or the right side. It always was on the right side, but suddenly its on the left.
Any ideas?
|My System Specs
|11 Jul 2009
Windows 7 RTM x64
You need to re-order the monitor setup - drag-n-drop the monitors in the Screen resolution properties (right-click on the Desktop) so the proper monitor is on the left & right side.
|My System Specs
|11 Jul 2009
Another issue:
When I close my laptop lid and re-open it, my open programs (firefox, outlook) windows are adjusted to non-maximized size. This happens 100% of the time I close the lid, reopen. I also have sleep mode turned off as well.
I have the settings set to "configure independently"
laptop = main
samsung tv (via hdmi) = secondary
|My System Specs
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sapphire RADEON 6870 dual monitor display. problem.
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