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The Pedifix Achilles Heel Protection Sleeve Large/X-Large comforts, cushions and protects achilles. Recommended for achilles tendonitis, bursitis, heel prominences, haglund deformity, pump bumps and any tenderness or irritation at the back of the heel.
For over 120 years, Pedifix has been listening to their customers' needs, enlisting the help of doctors and utilizing the latest technologies to develop unique and innovative footcare items. Our high-performance solutions have helped millions of people ease pain, prevent future problems, wear shoes more comfortably and make their feet more attractive.
Pedifix Achilles Heel Protection Sleeve Large/X-Large
Features include:
DIRECTIONS: Wash and dry foot. Slip product on so that gel pad is placed where needed. Pull on hosiery. Remove product for at least 3 to 4 hours daily to allow skin to breathe.
CARE: Hand wash. Air dry completely. Sprinkle with talcum powder if gel becomes tacky.
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Trichloroacetic acid (TCA) and
bichloroacetic acid (BCA) kill
genital warts by destroying the proteins in the cells.
TCA and BCA also can destroy normal cells, which is why careful application is
A doctor applies TCA or BCA once a week. It is important
that only the wart be treated to avoid irritation to surrounding normal
TCA and BCA may be used to treat
genital warts. They are considered safe during pregnancy, because they cause
only local reactions.
Studies show that TCA and BCA
treatment can remove warts in up to 80 out of 100 cases after 6 to 10 weeks of
treatment.1 TCA and BCA are most effective on small,
moist areas of warts.
TCA or BCA usually
causes several minutes of mild to moderate discomfort at the site where it is applied. The
medicines are not absorbed easily by the body. So both may cause local skin
irritation but not whole-body (systemic) side effects.
It is
hard to control how deeply the acid penetrates the skin. If the acid burns
too deeply, you may have pain, skin irritation, and
Common side effects of this medicine include:
See Drug Reference for a full
list of side effects. (Drug Reference is not available in all systems.)
If large areas of warts are being
removed and multiple treatments are needed, doctors may not recommend TCA and
BCA treatment because of the pain and burning.
Genital warts may
go away on their own. Treating warts may not cure infection with human
papillomavirus (HPV), the virus that causes genital warts. The virus may remain
in the body in an inactive state after warts are removed. A person treated for
genital warts may still be able to spread the infection. Condoms may help
reduce the risk of HPV infection.
The benefits and effectiveness
of each type of treatment need to be compared with the side effects and cost.
Discuss this with your doctor.
Complete the new medication information form (PDF)(What is a PDF document?) to help you understand this medication.
CitationsBonnez W, Reichman RC (2010).
Papillomaviruses. In GL Mandell et al., eds., Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases, 7th ed., vol. 2, pp. 2035–2049.
Philadelphia: Churchill Livingstone Elsevier.
Last Revised:
June 21, 2012
Healthwise Staff
Medical Review:
Sarah Marshall, MD - Family Medicine & Kirtly Jones, MD - Obstetrics and Gynecology
This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.
To learn more visit Healthwise.org
© 1995-2012 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.

subset: commoncrawl


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Exploring Wellness. Together.
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Music: Rock
THE POWER of You4ia! Music!
From the video:
We've shared with you that mastering your emotions and developing habits that have you spending more time in joy is key to powerful attraction. Yes? And at some level, be it intellectual or intuitive you know this, yes?
Well, how many of you know that music is one of the most powerful tools for shifting your emotional states? It can take you up or down. Yes?
So we've created You4ia! Music for you as a playground for your emotional states that allow you to spend a little more time in joy and a little less time in stress. Share your favorite music generously with others and watch what comes back to you...inside.
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Norman Yung Yuen Hsu (Chinese: 徐詠芫), born October 1951, is a convicted pyramid investment promoter who associated himself with the apparel industry. His business activities were intertwined with his role as a major fundraiser for the Democratic Party, and he gained notoriety after suspicious patterns of bundled campaign contributions were reported in 2007. Subsequently he was discovered to have been a long-time fugitive in connection with a 1992 fraud conviction. After turning himself in to California authorities in 2007 he fled the state again and was quickly recaptured.
The U.S. Justice Department investigated whether Hsu illegally reimbursed political donations by associates and formally charged him with fraud. On November 27, 2007, a federal grand jury indicted Hsu on charges of violating federal campaign finance laws and defrauding investors "out of at least $20 million."
Hsu was born and raised in Hong Kong; his ancestors are from Shanghai.


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EXCLUSIVE! The Real Reason Miley & Liam Split — He Couldn't Handle Her Racy Behavior & Crush On 'LOL' Co-Star Douglas Booth!
Sources tell HollywoodLife.com the REAL reason Miley Cyrus and Liam Hemsworth broke up…he was jealous of her flirtatious attitude and immodest outfits!
Miley Cyrus might be exploring her wild side with her new 'Can't Be Tamed' image, but boyfriend Liam Hemsworth didn't plan on sticking around for the ride. In fact, her skanky outfits, bad attitude and dirty dancing led to the demise of their year-long relationship!
"Liam didn't like the way she was dressing on stage and couldn't handle her dressing in lingerie in front of thousands of people, especially guys," one insider tells HollywoodLife.com exclusively. "They talked about it many times, but Miley wasn't going to change her act or what she wore on stage. They just came to blows over the whole thing and finally called it quits. Miley hasn't been phased by it yet. She just thinks Liam doesn't understand her."
Another friend of Miley's tells us there's been trouble brewing in paradise ever since the 17-year-old actress began shooting her new movie, LOL, in Detroit, Mich. earlier this summer…particularly
when she met her hunky new on-screen love interest, Douglas Booth.
"Liam got nervous about Douglas, especially since Miley always gets a crush on the guys she works with," our source said. "Miley knows she has a pattern of dating her co-stars. She says she can't help it. Miley and Liam went downhill fast, so I wouldn't be surprised if something ends up happening with Douglas."
Douglas, a gorgeous 17-year-old British newcomer, has been dating the same girl in England for the past three years, but what Miley wants, Miley gets -– and she seems to have her eye on Douglas!


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8557.0 - Security Services, Australia, 1998-99
Latest ISSUE Released at 11:30 AM (CANBERRA TIME) 28/06/2000
|Page tools: Print Page Print All RSS Search this Product
Almost 32,000 people employed in the security industry
Australia's security services businesses employed 31,752 people at the end of June 1999, according to figures released today by the Australian Bureau of Statistics (ABS).
Of these, a little over half (51 per cent or 16,147 people) were involved in static guard/crowd control, 21 per cent were mobile guards, 13 per cent were managerial and administrative staff and 12 per cent were other security staff (including car crew and armoured vehicle operators).
The security services industry was dominated by males, who accounted for 81per cent of total employment at the end of June 1999. In total, 47 per cent worked on a casual basis.
At the end of June 1999, there were 1,714 businesses in the security services industry. The provision of static guard/crowd control services was the main activity of almost half (811 or 47 per cent) of businesses, the provision of mobile patrol services was the main activity of 420 businesses and 368 were mainly involved in private investigative and enquiry services.
Total income of the industry in 1998-99 was $1,395 million, of which 38 per cent ($532 million) was sourced from static guard and crowd control services, 23 per cent ($321 million) from mobile patrol services and 22 per cent ($312 million) from other security services including cash-in-transit and armoured car services.
In 1998-99, the operating profit before tax for the industry was $90 million, which represented an operating profit margin of 6.5 per cent.
Total expenses of the security services industry during 1998-99 were $1,304 million. Labour costs of $756 million represented 58 per cent of total expenses. The other significant expense was payments to sub-contractors for security services ($206 million). The average labour cost per employee was $24,200, which reflected the high incidence of casual and part-time employees in the industry.
At the end of June 1999, there were 1,006 businesses in the industry which employed less than 5 people. These micro businesses accounted for over half (59 per cent) of all businesses in the industry, but only 7 per cent of industry employment and 10% of industry income. At the other end of the scale there were 19 businesses (1 per cent of all businesses) employing 100 people or more, accounting for 54 per cent of industry employment, 63 per cent of industry income and 76 per cent of the operating profit before tax of the industry.
Further details can be found in Security Services, Australia 1998-99 (cat. no. 8557.0) available from ABS bookshops. The summary of the publication is also available on this site. If you wish to purchase a copy of this publication, contact the ABS Bookshop in your capital city.
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Tooling Update
Schuler Improves Automatic-Transmission Die Technology
Schuler Inc., Canton, MI, announced several new approaches it has developed for stamping transmission components using advanced in-die processes such as spline forming with in-die rollers; rollforming with smaller in-die rollers; and segment forming for stamping tall, thin components.
"The market demand for clutch packs made from high-strength disc carriers (photo A) with consistent tolerances and economic production methods continues to grow," says Dr. Lars Gerlach, sales director, Schuler Cartec.
The firm's spline-forming process using in-die rollers can achieve consistent dimensional accuracy for wall thickness, piston pockets and major and minor diameters, say company officials. The one-step process reportedly reduces part stress and minimizes material thin-out from end-to-end of the spline, while improving surface hardness by 25 to 30 percent with run-out tolerances of ±0.15 mm.
The patented smaller in-die roller process is designed for components that require high centrifugal forces. The proprietary process minimizes process time because it can draw and roll in one die using smaller rollers and a special bearing design. By combining the draw and roll stations, the process allows parts to be formed in fewer stations, reducing die size and cost.
Lastly, Schuler's patented segment-forming process allows spline-rolling of tall components from relatively thin sheet, without material thinning. In this process, parts can be rolled over the full length, allowing for reinforcement rings in the middle and tapered lead-ins to ease clutch-plate assembly (photo B).Schuler Inc.: 734/207-7200; www.schulerinc.com
See also: Schuler Incorporated
Related Enterprise Zones: Tool & Die
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Natural ED Treatment In Denver, Colorado
I am Brian. Currently I am 45 and my long-term girl friend is 23. Being able to sexually perform has always been a source of pride for me, so suffering Erectile Dysfunction was both scary and embarrassing.
In the summer of 2014, my son (14 at the time) and I were hanging out by the pool, just being guys. It was a beautiful day with a radiant sun, crystal blue skies and just a wisp of clouds. My pool is not really deep enough to dive in, however I had taught him to shallow dive and were doing belly-flops, cannon balls and shallow water dives.
This is where I screwed up.
I dove too deep.
Split skull, broken nose, scraped/damaged orbital eye socket, loose teeth and a spinal injury (T4 & T-5) that paralyzed me. When I hit the bottom, I was unconscious for a moment. I came too from lack of air and I tried to swim – that's when terror hit me. I couldn't move my legs. I could barely move my arms. I think my head broke the surface enough to spit the blood out of my mouth and I went back down. I remember thinking, "You are dead now."
That's when I felt my son grab me around the chest, lifted my head and say, "Don't worry, I got you dad." I will never forget that – "I got you."
I was a mess. I was barely keeping consciousness. I told him to pull me to the side by the steps. He sat me on the stairs and I couldn't sit up by myself. We rested there for a moment where I kept willing myself to move my legs. I flat couldn't do it. And I couldn't use my hands. They felt like they were on fire. Like my hands, fingers, and forearms were being shredded by razor blades whiles being dunked in freezing then boiling water. That and my face, mouth and nose were gushing blood.
After a minute or two, I knew this wasn't just going to go away after I caught my breath. I had my son lean me over the side of the pool and go call 911.
I was trying to maintain consciousness, so the stories after this are from what I have been told. I remember pieces but just a tiny amount.
My son called 911, explained what happened and to have a trauma unit on the way. He then put our pit bull up, packed a bag – even grabbing my wallet, clothes, and a can of snuff just in case. He called my father who lives 3 states away (we don't have family in the area). He then called my girlfriend to let her know. He also called his mom, and let her know what was going on (she lives 5.5 hours away in a different state).
As the trauma team was strapping my back to a board (I remember one big guy telling me "Relax, the Calvary is here" as he jumped completely dressed into the pool to straighten my body), I at least had the awareness to ask the crew to bring my son. They did let him ride in the front of the ambulance.
As luck would have it, one of the major drugs that can deaden the pain of nerve damage is morphine – which I am allergic to. I don't know what they gave me, but it doesn't take away the pain, it just made me pass out. For the next few days I only remember very confusing and swirling glimpses of reality. My dad flew in town that night. My girlfriend left work and never left my side. I remember waking up and seeing her curled up on the windowsill couch with a blanket on the 3rd or 4th day.
I was told a lot of friends and my girlfriends family came by to see me, but I don't remember.
The original prognosis was not good. I was told that the Doctors told my family I might be paralyzed for the rest of my life. They ended up putting these pressurized blankets around my legs that would alternate pumping blood through my legs to help them. They were also worried I would stroke out. Later, I was told that my blood pressure spiked at 164 over 123. Yes, that is life threatening.
I also couldn't feel/use my lower extremities – including my penis. This meant regular catheters to piss.
I had MRI's, CAT scans, x-rays, and a host of other test.
On the third day, I scared the entire medical staff. I woke up and had to go to the restroom. I disconnected all the monitors on me, stepped out of bed and fell. Which also set off all of the medical alarms.
However I stepped.
I spent 5 days in the ICU, with 2 days paralyzed.
When I came too I was messed up. My toes, legs, penis, anal region, ribs, hands, fingers and wrist alternated between tingling numbness and sheer razor like pain. I couldn't walk by myself and I had extremely high blood pressure.
I was told that my physical conditioning is probably why I didn't break my neck and I was healing better than the doctors believed possible. The Doctor told my Dad and family he couldn't believe how fast I was healing.
I am incredibly thankful for the doctors and nurses that took such good care of me.
My first two nights at home were a nightmare. I could barely sleep – I took sleeping pills, Benadryl, NyQuil – just about anything to fall asleep. A dulled ache of sleep that lasted 1-3 hours. I was in constant pain. I could barely even grip anything to eat. A cold glass of water sent shock waves through my arms. I dropped 10 pounds in 2 weeks. Mostly muscle from lack of use.
But I was determined. I know if the body isn't growing, it is dying. I know what to eat to release to body's natural healing hormones, mainly HGH and IGF-1 (also included in my program), and I went back to my body building diet. I had been lax on my diet the last 2 years, but now I need to heal.
I also knew how to come back. After about a week and a half, I went outside with my walker and went as far as I could go. Maybe 50 yards and then I walked back with my walker. I broke a sweat and stumbled the whole way.
The next night I went further.
In a few days I went around the block.
The next night I went twice.
Then I went 3 laps. And more every night.
After 5 laps, I went one lap without my walker – that was hard. However, the next day I woke up with a hard-on and had sex with my girl for the first time in 3 weeks. I couldn't cum, my dick was too numb, but you have NO IDEA how happy I was to have an erection.
After a few weeks I could do several laps without the walker.
In the second month I started push-ups. I could only do 6. Before the accident I could do 72.
At my 60 day checkup, the Doctors were amazed. They could not believe the recovery. They questioned me about my diet and physical training routine. They asked about my supplements. I told them about my diet and how it is designed to release HGH & IGF-1 and why I have focused this way. I went through my supplements, and the only advice I was given was to up my Vitamin C and Zinc as they can really impact the nervous system.
When I told the doctors I had started push-ups, they were not happy, but one of them said something like, "well, you are recovering faster than anyone we have seen, but if it hurts or you feel any increased nerve pain or numbness then stop – who are we to tell you not to do something you are already doing when you are healing so well.
I asked when I could go back to the gym – that's when they showed me the pictures of my spine. I swear, it was crushed to 25% of its normal size at the 4th vertebra. That picture scared me all over again. The doctors told me in no uncertain terms to stick with walking and push-ups for 3 months. No back, neck or pulling exercises. After seeing that picture, I didn't.
From this injury, I have experienced a lot of changes to my body. My hands still have nerve damage and I suffer from a loss of fine motor skills. My feet, back of my legs and penis still have tingles and pain. My back will send shooting pains through my side, sometimes for what seems like no reason. I also would go weeks without getting an erection.
At first I thought my ED was just the nerve damage. I regained getting erections a few weeks after the accident, but I was not functioning like I was before the accident. Before the accident I had the normal 2-5 random erections per day, with no problem getting excited for sex. After the accident, that changed. I would go through a couple of days of normal erections and sex, and then go a week with no erections. It was really making me question my health.
I was worried if I didn't fix this I would loose my girl and be doomed to be alone for the rest of my life.
My first thought was to just buy Viagra
And I did try that for a short period of time. I don't like taking drugs and having to stop and go get a pill was still a hit to my ego. During my research I also found out those pills can do damage to the circulatory system. If you didn't know, those ED pills stimulate the nervous system in the erectile tissue of your penis to release nitric oxide (NO). However, if you have blood pressure problems or poor nutrition they can also cause: Sudden Vision Loss, Ringing in your ears or sudden hearing loss, Pain, Irregular Heartbeat, Swelling in your body, Shortness of breath, Light Headedness.
I experienced many of these, and the pain and tightness in my chest actually scared me all over again.
With The Correct Nutrients The Body Will Function Normally!
Like I said earlier, I know the body can heal with proper nutrition. Sure, this was my biggest challenge, but I know the body will heal with the proper tools.
I spent hundreds of hours researching the circulatory and nervous system to learn what foods improve these functions to support normal erections. My research uncovered the 7 primary nutritional components that improve the bodies natural ability to become erect.
This explained why on the days I was eating very specific foods I was also getting normal erections. It was these foods that were impacting my body's natural ability to become erect. I also learned that some of what I believed impacted the erect penis was wrong.
From this I started experimenting with with combinations of foods to maximize the impact of these nutrients. Most of my recipes only partially worked. I had the right foods, but not the optimal ratios.
After many weeks of trial and error I came up with 3 very easy to make recipes that cure ED.
One of them is so easy and convenient I simply keep a Tupperware bowl of it in my pantry and eat a handful every day.
And I haven't experienced ED since. I am back to the normal 3-5 erections per day, with no problem becoming erect with my girl.
My book, "Erectile Dysfunction Rememdium" is the result of my research, and comes with a 100% money back guarantee. Try the recipes for a few days, and if you don't see your body responding like it should, simply return it for a full refund.
Erectile Dysfunction Rememdium
The Simple & Natural Way To Cure Erectile Dysfunction
These recipes work. As of right now, I am back to full and normal erections, simply by modifying my diet. It is very easy to do, and a lot cheaper than taking pills.
Even if you don't have ED, this approach will still give you firmer and harder erections.
This also includes a list of over 100 foods that boos your natural sexual ability. This will allow you to still eat foods that cure ED when you are out or traveling.
To make sure you have all of the information I have included these books just for you:
I know that finding someone who you can trust online today can be a challenge.
That's Why You Are Fully Protected by My 100% Money Back Guarantee
Download Erectile Dysfunction Rememdium in Denver, Colorado today. Try the recipes and foods for the next 60 days. If you do not experience a return to normal and full erections… If you do not feel more confident, healthy, and sexually charged… If you do not see the changes in your life… just send me an email and I'll refund every cent.
Fair enough?
I'm willing to take this risk because I know that these recipes can help you cure ED. I am living proof.
Best wishes,


text:
This information is produced and provided by the National Cancer Institute (NCI). The information in this topic may have changed since it was written. For the most current information, contact the National Cancer Institute via the Internet web site at http://cancer.gov or call 1-800-4-CANCER.
Testicular cancer is a disease in which malignant (cancer) cells form in the tissues of one or both testicles.
The testicles are 2 egg-shaped glands located inside the scrotum (a sac of loose skin that lies directly below the penis). The testicles are held within the scrotum by the spermatic cord, which also contains the vas deferens and vessels and nerves of the testicles. Anatomy of the male reproductive and urinary systems, showing the testicles, prostate, bladder, and other organs.
The testicles are the male sex glands and produce testosterone and sperm. Germ cells within the testicles produce immature sperm that travel through a network of tubules (tiny tubes) and larger tubes into the epididymis (a long coiled tube next to the testicles) where the sperm mature and are stored.
Almost all testicular cancers start in the germ cells. The two main types of testicular germ cell tumors are seminomas and nonseminomas. These 2 types grow and spread differently and are treated differently. Nonseminomas tend to grow and spread more quickly than seminomas. Seminomas are more sensitive to radiation. A testicular tumor that contains both seminoma and nonseminoma cells is treated as a nonseminoma.
Testicular cancer is the most common cancer in men 20 to 35 years old.
Health history can affect the risk of developing testicular cancer.
Anything that increases the chance of getting a disease is called a risk factor. Having a risk factor does not mean that you will get cancer; not having risk factors doesn't mean that you will not get cancer. People who think they may be at risk should discuss this with their doctor. Risk factors for testicular cancer include:
Possible signs of testicular cancer include swelling or discomfort in the scrotum.
These and other symptoms may be caused by testicular cancer. Other conditions may cause the same symptoms. A doctor should be consulted if any of the following problems occur:
Tests that examine the testicles and blood are used to detect (find) and diagnose testicular cancer.
The following tests and procedures may be used:
Certain factors affect prognosis (chance of recovery) and treatment options.
The prognosis (chance of recovery) and treatment options depend on the following:
Testicular cancer can usually be cured.
Treatment for testicular cancer can cause infertility.
Certain treatments for testicular cancer can cause infertility that may be permanent. Patients who may wish to have children should consider sperm banking before having treatment. Sperm banking is the process of freezing sperm and storing it for later use.
After testicular cancer has been diagnosed, tests are done to find out if cancer cells have spread within the testicles or to other parts of the body.
The process used to find out if cancer has spread within the testicles or to other parts of the body is called staging. The information gathered from the staging process determines the stage of the disease. It is important to know the stage in order to plan treatment. The following tests and procedures may be used in the staging process:
There are three ways that cancer spreads in the body.
The three ways that cancer spreads in the body are:
When cancer cells break away from the primary (original) tumor and travel through the lymph or blood to other places in the body, another (secondary) tumor may form. This process is called metastasis. The secondary (metastatic) tumor is the same type of cancer as the primary tumor. For example, if breast cancer spreads to the bones, the cancer cells in the bones are actually breast cancer cells. The disease is metastatic breast cancer, not bone cancer.
The following stages are used for testicular cancer:
Stage 0 (Carcinoma in Situ)
In stage 0, abnormal cells are found in the tiny tubules where the sperm cells begin to develop. These abnormal cells may become cancer and spread into nearby normal tissue. All tumor marker levels are normal. Stage 0 is also called carcinoma in situ.
Stage I
In stage I, cancer has formed. Stage I is divided into stage IA, stage IB, and stage IS and is determined after a radical inguinal orchiectomy is done.
Pea, peanut, walnut, and lime show tumor sizes.
Stage II
Stage II is divided into stage IIA, stage IIB, and stage IIC and is determined after a radical inguinal orchiectomy is done.
Stage III
Stage III is divided into stage IIIA, stage IIIB, and stage IIIC and is determined after a radical inguinal orchiectomy is done.
Recurrent testicular cancer is cancer that has recurred (come back) after it has been treated. The cancer may come back many years after the initial cancer, in the other testicle or in other parts of the body.
There are different types of treatment for patients with testicular cancer.
Different types of treatments are available for patients with testicular cancer. Some treatments are standard (the currently used treatment), and some are being tested in clinical trials. A treatment clinical trial is a research study meant to help improve current treatments or obtain information on new treatments for patients with cancer. When clinical trials show that a new treatment is better than the standard treatment, the new treatment may become the standard treatment. Patients may want to think about taking part in a clinical trial. Some clinical trials are open only to patients who have not started treatment.
Testicular tumors are divided into 3 groups, based on how well the tumors are expected to respond to treatment.
Good Prognosis
For nonseminoma, all of the following must be true:
For seminoma, all of the following must be true:
Intermediate Prognosis
Poor Prognosis
For nonseminoma, at least one of the following must be true:
There is no poor prognosis grouping for seminoma testicular tumors.
Five types of standard treatment are used:
Surgery to remove the testicle (radical inguinal orchiectomy) and some of the lymph nodes may be done at diagnosis and staging. (See the General Information and Stages sections of this summary.) Tumors that have spread to other places in the body may be partly or entirely removed by surgery.
Even if the doctor removes all the cancer that can be seen at the time of the surgery, some patients may be given chemotherapy or radiation therapy after surgery to kill any cancer cells that are left. Treatment given after the surgery, to lower the risk that the cancer will come back, is called adjuvant therapy.
Radiation therapy
Radiation therapy is a cancer treatment that uses high-energy x-rays or other types of radiation to kill cancer cells. There are two types of radiation therapy. External radiation therapy uses a machine outside the body to send radiation toward the cancer. Internal radiation therapy uses a radioactive substance sealed in needles, seeds, wires, or catheters that are placed directly into or near the cancer. The way the radiation therapy is given depends on the type and stage of the cancer being treated.
Chemotherapy is a cancer treatment that uses drugs to stop the growth of cancer cells, either by killing the cells or by stopping the cells from dividing. When chemotherapy is taken by mouth or injected into a vein or muscle, the drugs enter the bloodstream and can reach cancer cells throughout the body (systemic chemotherapy). When chemotherapy is placed directly into the cerebrospinal fluid, an organ, or a body cavity such as the abdomen, the drugs mainly affect cancer cells in those areas (regional chemotherapy). The way the chemotherapy is given depends on the type and stage of the cancer being treated.
See Drugs Approved for Testicular Cancer for more information.
Watchful waiting
Watchful waiting is closely monitoring a patient's condition without giving any treatment until symptoms appear or change. This is also called observation.
High-dose chemotherapy with stem cell transplant
High-dose chemotherapy with stem cell transplant is a method of giving high doses of chemotherapy and replacing blood -forming cells destroyed by the cancer treatment. Stem cells (immature blood cells) are removed from the blood or bone marrow of the patient or a donor and are frozen and stored. After the chemotherapy is completed, the stored stem cells are thawed and given back to the patient through an infusion. These reinfused stem cells grow into (and restore) the body's blood cells.
Stem cell transplant (Step 1). Blood is taken from a vein in the arm of the donor. The patient or another person may be the donor. The blood flows through a machine that removes the stem cells. Then the blood is returned to the donor through a vein in the other arm.
Stem cell transplant (Step 2). The patient receives chemotherapy to kill blood-forming cells. The patient may receive radiation therapy (not shown).
Stem cell transplant (Step 3). The patient receives stem cells through a catheter placed into a blood vessel in the chest.
New types of treatment are being tested in clinical trials.
Information about clinical trials is available from the NCI Web site.
Patients may want to think about taking part in a clinical trial.
For some patients, taking part in a clinical trial may be the best treatment choice. Clinical trials are part of the cancer research process. Clinical trials are done to find out if new cancer treatments are safe and effective or better than the standard treatment.
Many of today's standard treatments for cancer are based on earlier clinical trials. Patients who take part in a clinical trial may receive the standard treatment or be among the first to receive a new treatment.
Patients who take part in clinical trials also help improve the way cancer will be treated in the future. Even when clinical trials do not lead to effective new treatments, they often answer important questions and help move research forward.
Patients can enter clinical trials before, during, or after starting their cancer treatment.
Some clinical trials only include patients who have not yet received treatment. Other trials test treatments for patients whose cancer has not gotten better. There are also clinical trials that test new ways to stop cancer from recurring (coming back) or reduce the side effects of cancer treatment.
Clinical trials are taking place in many parts of the country. See the Treatment Options section that follows for links to current treatment clinical trials. These have been retrieved from NCI's listing of clinical trials.
Follow-up tests may be needed.
Some of the tests that were done to diagnose the cancer or to find out the stage of the cancer may be repeated. Some tests will be repeated in order to see how well the treatment is working. Decisions about whether to continue, change, or stop treatment may be based on the results of these tests. This is sometimes called re-staging.
Some of the tests will continue to be done from time to time after treatment has ended. The results of these tests can show if your condition has changed or if the cancer has recurred (come back). These tests are sometimes called follow-up tests or check-ups.
Men who have had testicular cancer have an increased risk of developing cancer in the other testicle. A patient is advised to regularly check the other testicle and report any unusual symptoms to a doctor right away.
Long-term clinical exams are very important. The patient will probably have check-ups frequently during the first year after surgery and less often after that.
A link to a list of current clinical trials is included for each treatment section. For some types or stages of cancer, there may not be any trials listed. Check with your doctor for clinical trials that are not listed here but may be right for you.
Stage I Testicular Cancer
Treatment of stage I testicular cancer depends on whether the cancer is a seminoma or a nonseminoma.
Treatment of seminoma may include the following:
Treatment of nonseminoma may include the following:
Check for U.S. clinical trials from NCI's list of cancer clinical trials that are now accepting patients with stage I malignant testicular germ cell tumor. For more specific results, refine the search by using other search features, such as the location of the trial, the type of treatment, or the name of the drug. General information about clinical trials is available from the NCI Web site.
Stage II Testicular Cancer
Treatment of stage II testicular cancer depends on whether the cancer is a seminoma or a nonseminoma.
Check for U.S. clinical trials from NCI's list of cancer clinical trials that are now accepting patients with stage II malignant testicular germ cell tumor. For more specific results, refine the search by using other search features, such as the location of the trial, the type of treatment, or the name of the drug. General information about clinical trials is available from the NCI Web site.
Stage III Testicular Cancer
Treatment of stage III testicular cancer depends on whether the cancer is a seminoma or a nonseminoma.
Check for U.S. clinical trials from NCI's list of cancer clinical trials that are now accepting patients with stage III malignant testicular germ cell tumor. For more specific results, refine the search by using other search features, such as the location of the trial, the type of treatment, or the name of the drug. General information about clinical trials is available from the NCI Web site.
Treatment of recurrent testicular cancer may include the following:
Check for U.S. clinical trials from NCI's list of cancer clinical trials that are now accepting patients with recurrent malignant testicular germ cell tumor. For more specific results, refine the search by using other search features, such as the location of the trial, the type of treatment, or the name of the drug. General information about clinical trials is available from the NCI Web site.
For more information from the National Cancer Institute about testicular cancer, see the following:
For general cancer information and other resources from the National Cancer Institute, see the following:
The PDQ cancer information summaries are reviewed regularly and updated as new information becomes available. This section describes the latest changes made to this summary as of the date above.
Editorial changes were made to this summary.
Call 1-800-4-CANCER
For more information, U.S. residents may call the National Cancer Institute's (NCI's) Cancer Information Service toll-free at 1-800-4-CANCER (1-800-422-6237) Monday through Friday from 8:00 a.m. to 8:00 p.m., Eastern Time. A trained Cancer Information Specialist is available to answer your questions.
Chat online
The NCI's LiveHelp® online chat service provides Internet users with the ability to chat online with an Information Specialist. The service is available from 8:00 a.m. to 11:00 p.m. Eastern time, Monday through Friday. Information Specialists can help Internet users find information on NCI Web sites and answer questions about cancer.
Write to us
For more information from the NCI, please write to this address:
Search the NCI Web site
The NCI Web site provides online access to information on cancer, clinical trials, and other Web sites and organizations that offer support and resources for cancer patients and their families. For a quick search, use the search box in the upper right corner of each Web page. The results for a wide range of search terms will include a list of "Best Bets," editorially chosen Web pages that are most closely related to the search term entered.
There are also many other places to get materials and information about cancer treatment and services. Hospitals in your area may have information about local and regional agencies that have information on finances, getting to and from treatment, receiving care at home, and dealing with problems related to cancer treatment.
Find Publications
The NCI has booklets and other materials for patients, health professionals, and the public. These publications discuss types of cancer, methods of cancer treatment, coping with cancer, and clinical trials. Some publications provide information on tests for cancer, cancer causes and prevention, cancer statistics, and NCI research activities. NCI materials on these and other topics may be ordered online or printed directly from the NCI Publications Locator. These materials can also be ordered by telephone from the Cancer Information Service toll-free at 1-800-4-CANCER (1-800-422-6237).
PDQ is a comprehensive cancer database available on NCI's Web site.
PDQ is the National Cancer Institute's (NCI's) comprehensive cancer information database. Most of the information contained in PDQ is available online at NCI's Web site. PDQ is provided as a service of the NCI. The NCI is part of the National Institutes of Health, the federal government's focal point for biomedical research.
PDQ contains cancer information summaries.
The PDQ database contains summaries of the latest published information on cancer prevention, detection, genetics, treatment, supportive care, and complementary and alternative medicine. Most summaries are available in two versions. The health professional versions provide detailed information written in technical language. The patient versions are written in easy-to-understand, nontechnical language. Both versions provide current and accurate cancer information.
The PDQ cancer information summaries are developed by cancer experts and reviewed regularly.
Editorial Boards made up of experts in oncology and related specialties are responsible for writing and maintaining the cancer information summaries. The summaries are reviewed regularly and changes are made as new information becomes available. The date on each summary ("Date Last Modified") indicates the time of the most recent change.
PDQ also contains information on clinical trials.
A clinical trial is a study to answer a scientific question, such as whether one treatment is better than another. Trials are based on past studies and what has been learned in the laboratory. Each trial answers certain scientific questions in order to find new and better ways to help cancer patients. During treatment clinical trials, information is collected about the effects of a new treatment and how well it works. If a clinical trial shows that a new treatment is better than one currently being used, the new treatment may become "standard." Patients may want to think about taking part in a clinical trial. Some clinical trials are open only to patients who have not started treatment.
Listings of clinical trials are included in PDQ and are available online at NCI's Web site. Descriptions of the trials are available in health professional and patient versions. Many cancer doctors who take part in clinical trials are also listed in PDQ. For more information, call the Cancer Information Service 1-800-4-CANCER (1-800-422-6237).
Last Revised: 2012-05-16
If you want to know more about cancer and how it is treated, or if you wish to know about clinical trials for your type of cancer, you can call the NCI's Cancer Information Service at 1-800-422-6237, toll free. A trained information specialist can talk with you and answer your questions.
This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.
To learn more visit Healthwise.org
© 1995-2012 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.


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SKF Tyre Pressure Monitoring System
Be aware of tyre pressure problems before they cost you
A proven system
Reflecting decades of close cooperation with leading vehicle manufacturers, the SKF Tyre Pressure Monitoring System combines road-tested hardware and software. External wheel modules transmit tyre pressure and temperature data to electronic control units that apply an algorithm to compute tyre pressure condition. Robust electrical wiring and component materials support high signal strength as well as continuous and accurate data transfer.
Product benefits:
- External mounting for easy installation and retrofit
- Robust electrical wiring between the valve sensor and antenna eliminates the air leakage that can occur when the sensor is pressurized through an external air-tube
- Accurate data transfer due to high signal strength of 2.4 GHz
- Generates highly reliable data with an SKF algorithm that uses pressure and temperature data for calculations
Customer benefits:
- Reduces risk of blowouts and unplanned downtime
- Improves tyre life and lowers total cost of ownership
- Improves fuel economy and safety
- Reduces CO2 emissions


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NEW YORK (AP) — The New York Mets' owners want the Supreme Court to decide whether only those investors who lost money should get a share of proceeds recovered from Bernard Madoff's Ponzi scheme.
Sterling Equities Associates, which owns the Mets, on Feb. 3 asked the high court to hear the case. It will likely take months before justices decide if they will.
Thousands of investors lost billions of dollars before Madoff revealed his scheme in 2008. Judges repeatedly agreed with a trustee trying to recover money for investors that only those who lost their original investment can get a portion of what he recovers.
Trustee spokeswoman Amanda Remus says the Supreme Court should decline to hear the case because Sterling Equities is offering the same arguments that were already rejected by lower courts.


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Looking for news, check out the new FREE CenterWatch Weekly!
The new FREE CenterWatch Weekly is your source of critical news, emerging trends, and business issues around everything in the rapidly changing clinical research marketplace. Check out our new CWWeekly page!. Sign up today for your free email newsletter, update your bookmarks and check us out regularly! We look forward to bringing you the best news and information about clinical research in 2018!


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Paul Risso's 40-year quest to play professional baseball finally became a reality last Wednesday in a small minor league park in New Mexico.
Paul Risso's 40-year quest to play professional baseball finally became a reality last Wednesday in a small minor league park in New Mexico.
The 60-year-old pitched one shutout inning for the Raton Osos of the independent Pecos League against the Sante Fe Fuego at Fort Marcy Park with his wife, Aileen, four of his sons, his sister Loretta and his sister-in-law Alison Lockheed of Lodi in the stands hanging on every pitch.
The father of five sons had his professional baseball dream ripped away from him when he blew out his right shoulder while pitching for the College of San Mateo in 1973, just one month after being drafted in the sixth round that year by the Pittsburgh Pirates. When Risso's "dead arm" didn't improve over the next six months, his dreams of playing pro ball were dead as well.
"It was devastating for our family," said Loretta Risso, who drove to New Mexico from Citrus Heights with Lockheed for the game. "We were just shattered."
Four decades later, Paul Risso needed just nine pitches to get three outs in the sixth inning of a 5-4 loss Wednesday. He admitted being extremely nervous in the days leading up to the game, but his nerves settled after a 70-pitch bullpen session prior to entering the contest. The first batter singled off Risso, but he induced two ground outs and a pop up to end the frame.
"It was all I could have hoped for and it was over before I knew it," Risso said. "Certainly, if you do get just one inning, you want it to be brief, not long."
Risso was a pitcher's son, as his father, Albert, had pitched for Reno in the Sunset League in 1949, but retired due to an arm injury as well. Albert Risso remained involved in baseball coaching and even did some scouting for the San Francisco Giants, but he never got to see his son follow in his footsteps and become a professional ballplayer.
"We used to play catch every day," said Paul Risso, who was born in San Francisco and raised in Redwood City. "He was always my coach when I was growing up and we used to played year round in the Bay Area."
Albert Risso passed away in 1984 and Paul Risso said his father was in the forefront of his mind when he took the mound Wednesday night.
"Oh heck yeah, I was thinking about him," Paul Risso said. "I just reverted back to what my dad would tell me: 'Keep it down and throw strikes.' It was really emotional."
Risso's shoulder gave him enough pain where he didn't throw a baseball for 33 years after his injury for San Mateo. He lived a full life for those three-plus decades, getting married twice, having five sons and a successful career in the water utility industry. Risso, who lived in Stockton from 1978-95 and 2001-04 and met his wife Aileen here, eventually picked up a baseball at a company function in Visalia and noticed the lack of pain when he threw some batting practice.
After just tossing a baseball against a wall for months, Risso began pitching again in a men's senior league in New Mexico in 2006 and noticed his velocity was nearing the 80s despite his advanced age. Risso said he then had vivid dreams where his father was coaching him in a bullpen session and telling him he had something left.
"He really came alive when he started doing it," said Aileen Risso, who is a Stockton native and St. Mary's High graduate. "Those dreams motivated him to take it to the next level. It's been a long journey to get to this point and it was just the best to see him where he wanted to be."
Risso, who has lived in Los Lunas, New Mexico, since 2004, announced his decision to pursue professional baseball again to his family on Father's Day of 2006. He tried out a few teams for other teams in the Pecos League and other independent league teams in the Southwest the past seven years, but couldn't land a roster spot even though he impressed onlookers with his pitching ability.
"I could see he wanted to play so bad, because he was at so many tryout camps," Pecos League commissioner Andrew Dunn said. "I just knew it meant a lot to him, and it's a tribute to him that he pitched a scoreless inning."
Risso's story gained national attention this summer when The Associated Press covered his attempts to make the St. Paul Saints in Minnesota in May and NBC's "Today" show did a feature on him earlier this month. That publicity helped him land a spot on the Osos and an inning that will last forever.
"It was just so amazing," Loretta Risso said. "He's such a good man. He's my brother and my hero. It meant so much because he worked so hard to get there. There was a lot of blood, sweat and tears and pain put into it and he never complained."
Risso was also very thankful of his teammates on the Osos and how members of the Fuego handled his appearance. Risso said it was neat to be around a bunch of players in their early-20s still chasing their dream.
"All the players were really happy for me and were terrific guys," Risso said. "It was just a great experience. It was a really nice way to have this chapter of my life end."
Contact reporter Jagdip Dhillon at (209) 546-8292 or email@example.com. Visit his blog at recordnet.com/sportsblog.


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TAMPA BAY – The Tampa Bay Lightning have reduced their training camp roster by four tonight, vice president and general manager Steve Yzerman announced. The Lightning's camp roster now sits at 36, with 19 forwards, 14 defensemen and three goaltenders.
Forwards Vladislav Namestnikov [5], Cedric Paquette [6], Philippe Paradis [7] and Geoff Walker [8] were assigned to the Syracuse Crunch (AHL) following tonight's game against the Florida Panthers at the Tampa Bay Times Forum. Walker must clear waivers.
The Crunch will open training camp on Tuesday, September 24 in St. John's, Newfoundland.


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Adequet 50mg Tablet 10'S
By Abbott Health Care Pvt Ltd Prescription Needed
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Please note, before you can choose the low cost generic option, please ask your doctor to add the generic drug to your prescription.
What is ADEQUET 50MG?
- ADEQUET 50MG contains Quetiapine which belongs to a class of medications known as anti-psychotics
What ADEQUET 50MG is used for?
ADEQUET 50MG is used to treat several illnesses, such as:
- bipolar depression and major depressive episodes in major depressive disorder: You may find that you feel depressed, feel guilty, lack energy, lose your appetite or can't sleep
- mania: where you may feel very excited, elated, agitated, enthusiastic or hyperactive or have poor judgment including being aggressive or disruptive
- schizophrenia: where you may hear or feel things that are not there, believe things that are not true or feel unusually suspicious, anxious, confused, guilty, tense or depressed
Talk to your doctor before taking ADEQUET 50MG, if you:
- are allergic to Quetiapine or to any of the other ingredients of this medicine
- have heart problems
- have low blood pressure
- had a stroke or fits (seizure)
- have liver problems
- have a history of blood clots
- have diabetes
- are an elderly person with dementia (loss of brain function)
- have or have had a condition called 'sleep apnoea'where you stop breathing for short periods during your normal nightly sleep
- have a condition where you cannot completely empty your bladder (urinary retention)
- have eye problem
- have a history of problems with alcohol or drug use
- have a long-lasting and painful erection (priapism)
- have thoughts of suicide and worsening of your depression
- You should not take ADEQUET 50MG during pregnancy unless this has been discussed with your doctor
- It should not be taken if you are breast-feeding
Tell your doctor if you are taking, have recently taken or might take any other medicines, including medicines obtained without a prescription and herbal medicines.
Tell your doctor if you are taking:
- medicines used for viral and fungal infections
- erythromycin or clarithromycin used for bacterial infections
- nefazodone used for depression
- phenytoin or carbamazepine used to treat fits
- medicines used to treat high blood pressure
- barbiturates used for anxiety
- thioridazine or lithium used to treat mental problems
- diuretics
- medicines that can cause constipation
- Always take this medicine exactly as your doctor has told you
- The maintenance dose (daily dose) will depend on your illness but will usually be between 150 mg and 800 mg
- You will take your tablets once a day
- Do not split, chew or crush the tablets
- Swallow your tablets whole with a drink of water
- Take your tablets before food
- Do not drink grapefruit juice while you are taking ADEQUET 50MG
If you take more ADEQUET 50MG
- If you take more ADEQUET 50MG than prescribed by your doctor, you may feel sleepy, feel dizzy and experience abnormal heart beats
- Contact your doctor or nearest hospital straight away
If you forget to take a dose of ADEQUET 50MG
- If you forget to take a dose, take it as soon as you remember
- If it is almost time to take the next dose, wait until then
- Do not take a double dose to make up for a forgotten tablet
If you stop taking ADEQUET 50MG
- If you suddenly stop taking ADEQUET 50MG, you may be unable to sleep (insomnia), you may nausea, or you may experience headache, diarrhoea, vomiting, dizziness or irritability
- Do not stop taking this medicine unless your doctor tells you
Like all medicines, this medicine can cause side effects, although not everybody gets them.
- rapid heartbeat
- constipation, stomach upset (indigestion)
- swelling of arms or legs
- low blood pressure when standing up. this may make you feel dizzy or faint (may lead to falls)
- increased levels of sugar in the blood
- blurred vision
- abnormal dreams and nightmares
- feeling more hungry
- feeling irritated
- disturbance in speech and language
- thoughts of suicide and worsening of your depression.
- shortness of breath
- vomiting (mainly in the elderly)
- changes in the amount of thyroid hormones in your blood
- decreases in the number of certain types of blood cells
- increases in the amount of liver enzymes measured in the blood
- increases in the amount of the hormone prolactin in the blood.
- irregular periods
- feeling weak, fainting (may lead to falls)
- stuffy nose
- dizziness (may lead to falls), headache, dry mouth
- feeling sleepy
- withdrawal symptoms include not being able to sleep, feeling sick, headache, diarrhoea, being sick, dizziness, and irritability. gradual withdrawal over a period of at least 1 to 2 weeks is advisable
- abnormal muscle movements
- changes in the amount of certain fats (triglycerides and total cholesterol)
- weight gain
- fits or seizures
- unpleasant sensations in the legs (also called restless legs syndrome)
- difficulty in swallowing
- uncontrollable movements, mainly of your face or tongue
- sexual dysfunction
- difficulty in passing urine
- stuffy nose
- decrease in the amount of red blood cells
- decrease in the amount of sodium in the blood
- worsening of pre-existing diabetes
- yellowing of the skin and eyes (jaundice), inflammation of the liver (hepatitis)
- a long-lasting and painful erection (priapism)
- swelling of breasts and unexpected production of breast milk (galactorrhoea)
- menstrual disorder
- blood clots in the veins especially in the legs (symptoms include swelling, pain and redness in the leg), which may travel through blood vessels to the lungs causing chest pain and difficulty in breathing
- walking, talking, eating or other activities while you are asleep
- decreased body temperature
- inflammation of the pancreas
- a condition (called "metabolic syndrome") where you may have a combination of 3 or more of the following: an increase in fat around your abdomen, a decrease in "good cholesterol" (hdl-c), an increase in a type of fat in your blood called triglycerides, high blood pressure and an increase in your blood sugar
- bowel obstruction
- increased blood creatine phosphokinase (a substance from the muscles)
- severe rash, blisters, or red patches on the skin
- difficulty in breathing
- rapid swelling of the skin, usually around the eyes, lips and throat (angioedema)
- a serious blistering condition of the skin, mouth, eyes and genitals
- inappropriate secretion of a hormone that controls urine volume
- breakdown of muscle fibers and pain in muscles (rhabdomyolysis)
The contents of this website are for informational purposes only and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Do not disregard professional medical advice or delay in seeking it because of something you have read on this website.


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By Valecia L. Dunbar, D.M., Army Medicine Public AffairsOctober 1, 2013
On October 2, 1994, The United States Army Medical Command (MEDCOM) was established as part of efforts to reorganize and restructure Army Medicine. This came with the decommissioning of Health Services Command (HSC) after 21 years at a ceremony at Fort Sam Houston, Texas. Health Services Command (HSC) came into being in April 1973 under the command and control of Maj. Gen.Spurgeon H. Neel Jr.
MEDCOM is one of 11 Direct Reporting Units (DRUs) in the Army. It manages a $13.8 billion budget and provides medical care for more than 3.94 million beneficiaries worldwide including active-duty service members, Retirees, and their Family members. The command also oversees graduate medical education, health professional education, and medical research and innovation.
MEDCOM has achieved significant milestones over the past 19 years of its establishment. Its most recent milestones include the appointment of Lt. Gen. Patricia D. Horoho as the Army's 43rd surgeon general. Horoho became the first woman and first nurse to command the Army's largest medical organization. As MEDCOM commander, Horoho joins a long lineage of past Army surgeons general, going back to 1775. She also commands the third-largest healthcare system in the United States, behind the Department of Veterans Affairs, and Hospital Corporation of America. The
surgeon general (TSG) manages fixed hospitals and subordinate commands and agencies representing more than 480 facilities and 29 executive agencies, many of which lead groundbreaking research efforts. She also oversees 140,000 military and civilian employees.
Adaptation, transformation, and resilience have been the overarching messages of Horoho and MEDCOM's emerging footprint characterized by a history shaped by more than a decade of war.
"Over the past decade, Army Medicine has led the joint health effort in the most austere environments," Horoho said on the day of her appointment. "As part of the most decisive and capable land force in the world, we stand ready to adapt."
Under the current MEDCOM structure, TSG is also "dual-hatted" as the commanding general of MEDCOM. The surgeon general serves as the medical expert on the Army staff, advising the secretary of the Army, Army chief of staff and other Army leaders, and providing guidance to field units. This dual-hatted role unites in one leader's hands the duty to develop policy and budgets as TSG and the power to execute them as the MEDCOM commander.
MEDCOM's capabilities are distinguished under Horoho's tenure by four key initiatives that address the transformation of Army Medicine from a healthcare system to a System For Health.
In a call to action, that clarified and set in place a common operating picture for the Army-wide movement toward a System For Health, Horoho provided an overview of MEDCOM's current financial challenges and declining health status of our Soldiers, our Families, and the nation at large. "I really believe that this is a threat to our national security," said Horoho.
Horoho addressed the need for everyone to recognize their critical part in shaping Army Medicine's future. "That future begins today," said Horoho via teleconference to leaders and practitioners during the Stand-Up for Health Training Day held in August.
Horoho's vision for a future MEDCOM is detailed in the Army Medicine 2020 Campaign Plan which operationalizes the vision and strategic imperatives to ensure that the Army leads the nation in health. The Campaign Plan establishes the framework through which the Army Medical Department (AMEDD) will achieve its 2020 end state and is synchronized with the Army's Ready and Resilient Campaign (R2C) Plan. The AMEDD 2020 Campaign Plan focuses on outcomes - to improve readiness, save lives, and advance health in support of the Total Force.
"Everyone in Army Medicine has an active role in changing, not only the way Army Medicine is organized and operates, but also in how we interact with our patients and our beneficiaries and how we influence health," said Horoho.
The Ready and Resilient Campaign integrates and synchronizes multiple efforts and programs to improve the readiness and resilience of the Army Family. Ready and Resilient creates a holistic, collaborative, and coherent enterprise to increase individual and unit readiness and resilience. Ready and Resilient builds upon physical, emotional, and psychological resilience in our Soldiers, Families, and Civilians so they improve performance to deal with the rigors and challenges of a demanding profession.
Army Medicine's Performance Triad is nested under the Army's Ready and Resilient Campaign. The Performance Triad is Army Medicine's key initiative to improve Soldier, Civilian, and Family health and stamina focusing upon Activity, Nutrition, and Sleep Management (ANS) during the time when patients are outside of a doctor's care. This is referred to as the 525,500 minutes of the year where we live our lives, or the Lifespace.
"Each healthcare encounter is an average of 20 minutes, approximately 5 times per year. Therefore, the average annual amount of time with each patient is 100 minutes; this represents a very small
fraction of one's life. We want to partner with our patients regarding the other 525,500 minutes of the year where they live their lives," said Horoho.
The last component of Army Medicine's transformation is the Operating Company (OCM) model which is a business framework that seeks consistency of experience across the enterprise by both patients and medical staff. It is the abstract representation of how an organization operates across process, organization, and technology domains in order to accomplish its function. The OCM reduces operational complexity and describes the way a 21st century organization does business today.
Army Medicine's transformation is part of a larger initiative with a mission to change how military medicine does business. Led by Air Force Maj. Gen. Douglas J. Robb, the Defense Health Agency (DHA) will stand up on October 1, as part of Military Health System's (MHS) move towards streamlining processes, reducing complex operations, and achieving actual cost reductions with an end state of improving care to beneficiaries of military medicine. This includes Army Medicine beneficiaries.
This global restructuring of the MHS does not alter MEDCOM's mission to provide responsive and reliable health services. Nor does it alter the mission to improve readiness and advance the wellness of Soldiers and their Families. However, the implementation of DHA is an attempt to reduce operating costs by consolidating services. It is to bring under one command those "high-profile and high-cost" systems such as Information Technology, Medical Logistics, Resource Management, Contracting, and TRICARE Health Plan that quite logically should be the same no matter if you are in the Army, Navy, Air Force, or Marines. The establishment of the DHA is slated as "…the biggest structural organizational change" in Military Health System history, said acting Tricare Deputy Director Allen Middleton.
It is fitting that MEDCOM's anniversary coincides with the establishment of DHA and the beginning of an alignment of services to maximize customer care across the enterprise. As MEDCOM celebrates the occasion of its 19th anniversary, we reflect on 238 years of service to our nation and recall the tremendous challenges Army Medicine has successfully faced by remaining adaptable, ready, and resilient.
"What we have done well [over the past 238 years] is that we have seized the opportunities that those challenges present and today is no different," said Horoho. "This is a call to action."
Ready & Resilient:
Performance Triad & Lifespace:
Military Health System Stakeholders'


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Visit 3 homes that are works of art
Retaining the "art" in architecture is the ultimate challenge in the design and construction of a home.
To many, a home is more than a series of rooms separated by walls. It is a deeply personal extension of the homeowner's tastes, lifestyle and dreams. The late architect Charles A. Haertling called it a problem to be solved involving "a process of painful exhilaration." We visit three homeowners whose residences exemplify the beauty and harmony of dwellings that express their personalities and stand out from the crowd.
PHOTO GALLERY: See interior and exterior photos of these artistic homes
"If I can't see water for a few days I get anxious," says attorney Randy Fennell. His floating home, located on the banks of the Willamette River in downtown Portland, is imbued with a sense of art and luxury that is reflective of the natural beauty of the water.
Fennell decided a decade ago that he wanted to spend more time in his native Oregon after 30 years living on the Micronesian island of SaIipan, a territory of the United States.
Growing up in Oregon, Fennell spent much of his time fishing, canoeing and swimming; so when he and his wife, Kazuyo, decided to put down new roots in Portland, it was a given that their home would be near the water.
Architect Robert Oshatz designed the floating residence, which experiences no sway on the water and sits atop a platform made of 80-foot-long Douglas fir logs spaced 12-inches apart with steel I-beams running perpendicularly across. Oshatz met with Fennell multiple times at the site to get to know him better and understand his likes and dislikes, personality and lifestyle, before drafting any plans.
"Every site has its own sense of poetry to it, so what I try to do is capture that sense of poetry and translate it into architecture," Oshatz says.
With the neighboring slips (like lots on the water) being so close together, it was important to the Fennells to retain an element of privacy but at the same time take advantage of the ample natural sunlight from the south and the proximity of the river's banks to the west.
To solve the problem, Oshatz designed clerestory windows, constructed above eye level so the view is toward the sky while allowing for natural ventilation and light. He also included exterior curved overhang beams to block the direct sunlight.
The home's exterior foundation—a sweeping mix of curved, laminated beams, crafted out of Douglas fir with exposed wood and copper trim—reflect the movement of the river.
The main level of the 2,300-square-foot, two-story residence faces west with views of the river. It is warm and welcoming with hardwood floors made of a rich Brazilian cherry wood that contrasts with the vibrant, orange-tinged curved ceilings—also crafted out of Douglas fir—hoisted by exposed beams.
The open space encompasses a kitchen, dining and living area with a wood-burning fireplace ensconced in a north-facing wall, making it ideal for entertaining with its inviting west views and sliding-glass door opening to an outdoor deck, made of mahogany wood for its durability against the water.
Little touches, like slotted shelves beneath the stairwell for displaying books and artifacts; storage spaces and cabinetry embedded in the interior walls, waste no space.
Down a passageway, past the kitchen, a guest bedroom and bath are nestled beneath a loft, where the master suite is situated.
The raised loft, above the main floor, hosts the master bedroom suite with a walk-through closet. The adjoining bathroom features a double sink, shower and sitting area next to a bathtub providing views of the river.
"I always wanted to be able to sit in my bathtub and watch the river traffic go by," Fennell says, "and now I can."
Like Fennell, Earl Stein is drawn to the water. He purchased a half-acre of land along the upper Provo River in Utah 20 years ago; "the best fishing in the state," he says. In 2005, while visiting friends in Park City, Stein was intrigued by a stand-alone office on their property, made out of a grain silo.
The property originally belonged to architect Hank Louis, whom Earl immediately sought out. "I want to build something like you have, but a whole house," he told Louis.
Stein's home, which he fondly refers to as Montesilo—a riff on Thomas Jefferson's Monticello in Virginia—is beautifully, and artfully, deceiving upon first glance. What looks like an old-fashioned tin grain silo, typically found on rural farms, is actually a "pre-fabricated," off-the-shelf replica.
Louis, a sound engineer, saw the silo form and its corrugated metal materials as a way to create affordable housing.
Stein chose to connect two silos, linked by a small passageway, creating three distinct levels that house three bedrooms, two baths, a kitchen and great room in 1,800 total square feet of space.
On the second level of the larger silo, which is 27 feet in diameter, are what Stein has coined "beds in a box." They were built for his grandchildren to sleep in when they come to visit. The two nooks, for sleeping, are cozy, have a window, flat-screen television and privacy curtain.
"In Monticello (Jefferson) built his beds into niches in the wall that open into two different rooms," says Stein, noting his inspiration behind the sleeping quarters, and other small details such as creating a rotund living space supported by steel columns, a modern reflection of the antebellum South.
"I only steal from the best," he quips. "That's how I was trained."
The master bedroom is situated in the smaller silo, with its south-facing balcony and views overlooking the river. The generous south-facing windows were engineered to take advantage of the passive solar heat, warming the home during the winter; the second-floor balcony juts out just enough to keep the structure cooler in the summer.
"The work is art-infused. The art is very important … to retain the art in architecture. We try to use materials and applications where people wouldn't normally think of them being used. You wouldn't normally think of a house being embedded in a silo, so there's kind of the cleverness of that," says Louis.
Stein, who fancies himself a renaissance man, says, "It's been very satisfying to dream it up, build it, and to live in it, and I really wouldn't do things very much differently."
From a child's point of view, it would appear that Stanley and Barbara Brenton live in a toadstool or mushroom. Architecturally speaking, it's more "elliptical," says Barbara of the one-of-a-kind steel structure covered in Hypolone polyurethane foam, which has been the center of attention in her north Boulder neighborhood for four decades.
When Brenton and her husband commissioned Charles A. Haertling, the late modernist architect, it was important that the home be a livable yet beautiful space for the couple and their four daughters. They wanted it constructed with "curves, rather than straight lines," says the retired piano teacher.
Brenton worked closely with Haertling on the plans, and the two often sat on a hill across from the family's quarter-acre lot, discussing "how we lived and liked to use the space, and how it should work for us."
It was equally important that the home be a work of art.
On the main level, an interior stone-bedded garden in the round is adorned by poinsettias—which still feel seasonably appropriate on a January day with temperatures hovering around 30 degrees—bathed in natural light from a skylight overhead.
The music room is charmingly decorated and airy, providing "wonderful acoustics," says Brenton. Guests may be tempted to perform an impromptu concert on the grand piano, which is the focal point of the room. And there's plenty of room for an audience to sit and enjoy music or simply gaze at the southern views of the flatirons from the salmon-colored sofa and white wingback chairs that fill out the ample-sized room.
A wood-burning fireplace—strategically wedged between the walls of the music and living room—provides the feel of a cozy winter lodge; the adjacent living room with its colossal elliptical window boasts sweeping southern views of the flatirons and surrounding open space.
The layout is ideal for entertaining, with the living room opening to a moderately sized kitchen that includes an ample pantry and pass-through—a window designed to serve food from the kitchen—to the dining room. The oval of the dining area, with its built-in custom cabinetry along the back of the wall to the kitchen, seems to provide added space, even if it's only perceived because of the curves.
Haertling designed the home from the inside out; the four bedrooms on the lower level, made of pods, each with its own balcony and exposure to the most desirable views overlooking the property, were the Brenton girls' bedrooms. In addition to the large recreational space that the bedrooms were built around, there is one bathroom with two face bowls, a laundry room and an adequate storage space.
The master suite and bath, on the main level, face east and feature a balcony as well. Perched atop the main pod, an office loft features built-in cabinetry and is an ideal workspace with natural light streaming in from an oval window facing south.
Although Haertling designed more than 40 residential and commercial structures throughout Boulder, the Brenton home—immortalized in celluloid in the 1973 Woody Allen film Sleeper—remains his most well-known work.
It perhaps best exemplifies his ethos of using modernist technique to harmoniously integrate buildings with their physical environments.
This article is excerpted from USA TODAY Home magazine. The special publication contains articles on home decor, home improvement, style and entertaining. Find it at magazine newsstands across the USA and Canada or athome.usatoday.com.


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Olympic gold medalist and soon-to-be 30 Rock "sex idiot" Ryan Lochte has captured America's imagination with his chiseled pecks and flaccid, chlorine addled mind. And while his time in the public eye has been characterized by such knowledge nuggets as "Getting back in shape is rough but luv it" and "The world is my club ! I'm lovin life every step of the way #Jeah! #gobigorgohome," neither gem could prepare you for the knowledge bomb he's about to drop. Are you ready?
Lochte is currently promoting his various products and enterprises, including his work with a charity that aims to provide access to clean drinking water for people in developing countries, a cause that the swimmer deeply, deeply values. "Water is practically a part of my life," Lochte explained.
When asked about his stint as an actor, Lochte had the following wisdom to impart,
A lot of stuff comes into play when you're acting. There's like different places where you have to be, different facial expressions, hand gestures, just everything comes into play, just for like one little scene. It's crazy.
Ryan Lochte, ladies and gentlemen.


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The 2017 IRONMAN 70.3 Athletes' Choice Awards
As you plan your 2018 season, who better to consult than your fellow athletes? Our annual athlete surveys tell the story best: using the information we gather from YOU, our community, we are proud to present our top 10 IRONMAN 70.3 events across a variety of categories. Read on for the places and communities that will get you excited to race this year—whether you're looking for a pristine swim, a memorable post-race party, or a bike course that will leave you drooling.
Check out the 2017 IRONMAN Athletes' Choice Awards.
Overall Satisfaction
T1. IRONMAN 70.3 Western Sydney: "The volunteers were the highlight of the day. The friendly, smiling faces and words of encouragement were simply sensational. Thank you thank you thank you!"
T1. SiS IRONMAN 70.3 Otepāā presented by Ferroline: "Hands-down one of the best events in Europe, and maybe even the world."
3. IRONMAN 70.3 Taupo: "A simply unbelievable event in a historical triathlon town."
4. Strandräuber IRONMAN 70.3 Ruegen: "The support of the crowds and the organization were unmatched."
5. IRONMAN 70.3 Pays d'Aix: "It was a great experience. Even at the very end of the celebration village hours I was able to get an excellent massage and lots of really good advice on recovery."
T6. IRONMAN 70.3 Italy: "The only thing better than the race itself was carb-loading in a country of pasta!"
T6. IRONMAN 70.3 Coeur d'Alene: "The course and organization was amazing and so enjoyable, the venue was beautiful and fun and the town was fantastic. Pretty sure this is my favorite IRONMAN 70.3 experience of the 11 I've done."
T6. IRONMAN 70.3 Vichy: "I truly enjoyed the race from start to finish. Everything was perfect for the athletes: The courses were very well picked out with beautiful sights along the way. The volunteers were legends. I would recommend this race to my entourage for sure."
9. Sparkasse IRONMAN 70.3 Kraichgau: "The Athletes' Garden was well-equipped and was the perfect place to celebrate our accomplishments."
10. Maytag IRONMAN 70.3 Steelhead: "I loved being in Benton Harbor. It's really beautiful there. Very clean and well-organized event. Great job!"
Overall Swim
1. IRONMAN 70.3 Augusta: "You can't argue with a downstream swim. I've been bragging about my swim split for months!"
2. Subaru IRONMAN 70.3 Victoria presented by Jim Pattison Subaru Victoria: "The swim course was nice and simple, out and back with not a lot of turns. And the temperature was perfect."
3. IRONMAN 70.3 Cozumel: "I will swim with fish any day!"
4. Strandräuber IRONMAN 70.3 Ruegen: "I enjoy this swim every year."
T5. IRONMAN 70.3 Coeur d'Alene: "Swimming in a calm, freshwater lake like this was fun and low-stress."
T5. IRONMAN 70.3 North Carolina presented by New Hanover Regional Medical Center: "The swim was AWESOME. So fast!"
7. IRONMAN 70.3 Kraichgau: "This was the best triathlon swim I've ever had."
8. IRONMAN 70.3 Costa Rica: "People come to this country to snorkel and swim, and we got to race in it!"
T9. IRONMAN 70.3 Buffalo Springs Lake: "Calm, chill, well organized, and safe."
T9: IRONMAN 70.3 Punta del Este: "The swim was the highlight of my race."
Overall Bike
1. IRONMAN 70.3 Muncie: "Loved the bike course and the fact that there were no cars. Very safe."
2. IRONMAN 70.3 Lake Placid: "Rolling hills and an honest course, they did well to add a half to this popular full-distance host town."
3. IRONMAN 70.3 Eagleman: "This bike course reminds me of when I first became a cyclist, and thus is special to me in so many ways."
4. Sunbelt Bakery IRONMAN 70.3 Chattanooga presented by McKee a Family Bakery: "A true world championship course, I can see why this town hosted worlds this year."
5. IRONMAN 70.3 Liuzhou: "I LOVED this bike course! Completely closed, people making that happen, the course, the roads all in excellent shape. I would race again in China in a second."
6. IRONMAN 70.3 Coeur d'Alene: "Rolling hills and top-notch support."
T7. IRONMAN 70.3 Maceió, Alagoas: "Gorgeous."
T7. IRONMAN 70.3 Xiamen: "A once-in-a-lifetime experience cycling in China."
9. IRONMAN 70.3 Western Australia: "Safe, well supported, and pretty. Put this race on your bucket list."
10. IRONMAN 70.3 Raleigh: "Terrific to see the neighborhoods along the course getting into the spirit of the race and cheering."
Overall Run
1. IRONMAN 70.3 Lake Placid: "Lake Placid boasts perfect summer running temperatures and a community that comes out in full force to support the athletes."
2. IRONMAN 70.3 North Carolina presented by New Hanover Regional Medical Center: "Nobody manages a race like IRONMAN! Especially the run. And thanks for coordinating the shade."
3. Subaru IRONMAN 70.3 Mont Tremblant presented by Sportium: "I loved every minute. Running through the village was my favorite."
4. IRONMAN 70.3 Vichy: "The aid stations and the people running them were exceptional."
T5: IRONMAN 70.3 Wisconsin: "A virtual half marathon party!"
T5: IRONMAN 70.3 Oceanside: "Running along the Strand with all the pros passing you is a great way to kick off the season for me."
T6. Subaru IRONMAN 70.3 Victoria presented by Jim Pattison Subaru Victoria: "The trail run was the highlight for me. Shade and a medium-soft surface meant no injuries or sunburn!"
T6. IRONMAN 70.3 Coeur d'Alene: "Running down Sherman Avenue was a highlight."
T6. Maytag IRONMAN 70.3 Steelhead: "There were lots of people, including locals, on the run course. This made it that much more fun."
7. SiS IRONMAN 70.3 Otepāā presented by Ferroline: "Wonderful support and activity all along."
Best Race Venue
1. IRONMAN 70.3 Maceió, Alagoas: "This race venue hit the target on every level."
2. Sunbelt Bakery IRONMAN 70.3 Chattanooga presented by McKee a Family Bakery: "Chattanooga is a warm and welcoming town with something for everyone. It's the perfect place to stage a triathlon of this level."
3. Subaru IRONMAN Mont Tremblant presented by Sportium: "Mont Tremblant simply makes the experience. Everything is close by, and I've never seen such a supportive community."
4. IRONMAN 70.3 Coeur d'Alene: "There is a lot of heart in Coeur d'Alene and and I've seen it grow into a triathlon community that supports biking and sports as part of everyday life."
5. IRONMAN 70.3 St. George: "With everything centrally located, the whole event remains low-stress and fun."
T6. IRONMAN 70.3 Port Macquarie: "This is just a beautiful part of Australia. The people are super generous, too!"
T6. IRONMAN 70.3 Vichy: "It was my first visit and Vichy left an impression on me. What an amazing town for a race of this caliber."
8. Strandräuber IRONMAN 70.3 Ruegen: "A great authentic venue and superb organization."
9. IRONMAN 70.3 Kraichgau: "Perfect organization and conviviality all around."
10. IRONMAN 70.3 Fortaleza: "Everything was exactly where athletes needd it I wouldn't change a thing."
Best Host City Experience
1. Subaru IRONMAN 70.3 Mont-Tremblant presented by Sportium: "Beautiful host town! And it was clear the entire place was committed to the event."
T2. IRONMAN 70.3 St. George: "I didn't want to leave St. George. There is so much to do in the area before and after the race as well."
T2. IRONMAN 70.3 Coeur d'Alene: "With so much experience hosting the IRONMAN here, it's clear this town knows what it's doing. My wife and I loved the small town vibe and chill vacation."
T3. Sunbelt Bakery IRONMAN 70.3 Chattanooga presented by McKee a Family Bakery: "Coffee shops and restaurants galore, as well as plenty of places for the kids (of all ages!) to play made this race perfect for the whole crew."
T3. Subaru IRONMAN 70.3 Canada: "As triathletes, we are lucky to have Whistler as a place to race! And the Canadians really are friendly."
6. IRONMAN 70.3 Sunshine Coast: "I can see why this town was picked to host the 70.3 worlds in 2016. It was the perfect place to have a race-cation."
7. IRONMAN 70.3 Hawaii: "Racing in and around a Hawaiian beach resort checked all the boxes for me."
8. IRONMAN 70.3 Wisconsin: "Madison is unparalleled in my opinion when it comes to being a welcoming, open, and warm race community."
9. IRONMAN 70.3 Port Macquarie: "Awesome energy, great supporters, best weather, all in all you couldn't ask for a better spot."
10. Strandräuber IRONMAN 70.3 Ruegen: "Great course and support. First time in Binz and enjoyed the choice of restaurants. The weather was a bonus as well."
Best Post-Race Celebration
1. SiS IRONMAN 70.3 Otepää presented by Ferroline Group: "I was so happy at the finish line, what an experience!"
T2. IRONMAN 70.3 Geelong: "This one is a classic! The Aussies know how to party."
T2. IRONMAN 70.3 Hawaii: "Food and drinks on the hotel lawn overlooking the ocean, with all the spirit of Kona and the IRONMAN World Championship, was really special."
T2. IRONMAN 70.3 Atlantic City: "Unsurpassed support and so many friends and family members at the finish line made this race truly memorable for me."
5. IRONMAN 70.3 Dubai: "Being in the finish area with all the other triathletes was my favorite moment."
6. Strandräuber IRONMAN 70.3 Ruegen: "A really fun course and experience in a fantastic area."
T7. Regent Aguila IRONMAN 70.3 Philippines: "A tropical paradise and vibrant, festive vibe all around."
T7. IRONMAN 70.3 Augusta: "Southern hospitality at its finest happens right here."
9. IRONMAN 70.3 Port Macquarie: "I was so impressed with the treatment I received after I crossed the finish line. Such caring, polite people."
10. IRONMAN 70.3 Muncie: "A small-town race with a big-deal feel."
Will Attend Next Year
1. IRONMAN 70.3 Maceió, Alagoas: "The quality of these events is unquestionable, and I'm sure my next event experience will be even better."
2. IRONMAN 70.3 Ecuador: "Amazing hospitality and organization."
3. Sinox IRONMAN 70.3 Taiwan: "I felt like I had met a great achievement."
4. IRONMAN 70.3 Fortaleza: "The overall atmosphere here is really something special indeed."
5. IRONMAN 70.3 Turkey: "The whole race weekend was amazing and with all the genius of the race team it became especially nice. Perfect setting in the Gloria resort, smooth bike and well-designed swim."
6. IRONMAN 70.3 Liuzhou: "Being in a new place in the world was an incredible experience. I was doing something I love and having a terrific experience in a stunning location. Well done."
7. Regent Aguila IRONMAN 70.3 Philippines: "If I could do this race every year, I would. Too bad I live too far away!"
8. SunSmart IRONMAN 70.3 Busselton: "This is just one of my favorites, I go back every year."
9. IRONMAN 70.3 Rio de Janeiro: "The Brazilians really know how to put on a race! I will be racing as often as I can in this exciting triathlon destination."
10. IRONMAN 70.3 Buenos Aires: "A fantastic city, country, and overall experience."
Will Recommend to a Friend
1. IRONMAN 70.3 Jönköping: "Pristine courses and a supportive community combine to make magic here."
2. Sunbelt Bakery IRONMAN 70.3 Chattanooga presented by McKee a Family Bakery: "You just can't race the IRONMAN 70.3 circuit without stopping in this unpretentious yet world-class destination."
3. IRONMAN 70.3 Maceió, Alagoas: "High on my list for sure."
4. IRONMAN 70.3 Rio de Janeiro: "I hope to bring a big crew next year."
5. IRONMAN 70.3 Coeur d'Alene: "Fresh water, pristine air, and plenty to do for the family, I loved this race."
6. Standard Bank IRONMAN 70.3 South Africa: "This is a classic for us South Africans, anyone who hasn't done it will quickly be righted!"
7. Subaru IRONMAN 70.3 Mont-Tremblant presented by Sportium: "As an athlete, I felt special. I felted wanted there, and valued. I will never forget this experience."
8. IRONMAN 70.3 Fortaleza: "Take my advice and just do it!"
T9. Kellogg's Nutri Grain IRONMAN 70.3 New Zealand: "Everyone should visit New Zealand once, and if you can race here, even better."
T9. IRONMAN 70.3 Cascais, Portugal: "One of the most beautiful places and best-organized events I've ever been to. It will spoil you for all others."
Bonus Categories
Best Music: IRONMAN 70.3 Cairns
Best Race Food Selection: IRONMAN 70.3 Dubai
Best Restaurants: Kellogg's Nutri Grain IRONMAN 70.3 New Zealand


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End time is approximate
End time is approximate
Chris Boardman has been in the news recently arguing against white lines on roads for cycle lanes. The links are on the News page.
The AGM will be on the 6th November and we will elect a Committee for the next year. I would like to stand down as 'webmaster' and would be happy to discuss what is involved with anyone thinking of taking it over (it could do with a refresh and perhaps move from the current website content design). I will reluctantly continue - but only for one more year. I will not continue after November 2020! - Tim
If you write a Ride Report please mention "Lancaster and South Lakes Cycle Touring Club" at the beginning and end with "Anyone who is interested in joining us can find information about our regular club rides on Tuesdays, Thursdays and Sundays on our website: www.ctclancaster.org.uk." Send a copy to Tim Dant who will put it on the webpage, and to Frank Feinberg who will send it to the Lancaster Guardian. Anyone can post their ride reports and photos on the Group Facebook page - once they've joined it.
Anyone fancying a slower, shorter ride on alternate Sunday's might like to join Simeon Orme's group at Where's the Brew Stop.


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Vera Wang's Zale's Diamond Jewelry Collection: Now for Men, Too
Here's a new way to put a ring on it! After successfully launching a collection of diamond bridal jewelry for Zale's one year ago, designer of all-things-weddings Vera Wang just expanded her lineup to include options for men, too. So far, there are two band styles available from the now-bigger Vera Wang LOVE line, shown here, which feature diamond settings—with 5/8 and 1/2 carats, respectively—set in 14-karat white gold. As an extra "awww" detail, each also includes a blue sapphire as a Something Blue. (Vera Wang knows how to tug at those hormones-in-overdrive bridal heartstrings!) The first options of the men's collection are available on zales.com starting at $2,199, and more designs will be added this fall—just in time for holiday weddings. Tell us: Do you know any man who would wear one of these?
Plus, see Vera Wang's latest bridal collection.
MORE:• First Look: Vera Wang LOVE Jewelry• Revenge Wears Vera Wang Bridal• Pink Wedding Dress for Vera David's Bridal


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Dressed To Impress: Vintage Air Front Runner Serpentine System
Vintage Air LS Engine Front Runner install
Bench racing the other day with a hot rod friend of mine, he said, "The problem with all these LS engine swaps everywhere is, the engine is just so ugly." I couldn't believe my ears. How could an engine that makes more than 400 hp, returns 24 mpg, and is so easy to drive fast be ugly? Sure, plastic is prominent with the intake, coil covers, and idler pulleys, but when they're dressed up, we think they look pretty darn good. Case in point, this junkyard engine that originally came in a limited edition '99 Pontiac Firehawk, and was rated at 327 hp and 345 lb-ft of torque. We picked up the low-mileage LS engine for less than $700 with the wiring harness and computer. Swapping the engine into a hot rod–inspired classic C10, Tre5 Customs in Peoria, Arizona, couldn't stand to look at the dull, cast-aluminum front accessory drive. A custom-built truck needed a high-end-looking engine compartment, and one of the quickest and easiest ways to transform any engine bay is by swapping the pulley system.
Searching the web for a compact, all-inclusive pulley setup, we contacted Vintage Air for one of its Front Runner serpentine systems. Once the box arrived, we were impressed with the brand-name parts included and the detail-oriented accessories that would ensure we did the job right. Included in the LS Front Runner kit was a new, compact Sanden A/C compressor, new Delphi-Saginaw power steering pump with reservoir, water pump, 140-amp alternator, Dayco tensioner and belt, billet aluminum mounting bracket, ATI balancer, and ARP polished stainless hardware. The before and after photos are incredible. If your truck's engine, whether an LS, small- or big-block needs a new look, check out the install of Vintage Air's Front Runner system.
Vintage AirSan Antonio, TX 78266
TRE 5 Customswww.myspace.com/hydroholicsinstalls