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This and That 02-07-14
Published 8:08 am, Thursday, February 6, 2014
Accolade Home Care and Hospice want to help you love your heart. Accolade representatives will be at Hale County Senior Citizens Center, 1107 Smyth St., from 8-11 a.m. Wednesday, Feb. 12, to conduct blood pressure, blood sugar and cholesterol screenings.
Divorce Care is a weekly seminar and support group that will help you heal from the hurt and pain of divorce. It's a warm, caring environment led by people who understand what you are going through. You'll learn practical information that will help you deal with the challenges of divorce. Best of all, you will gain hope for the future.
It meets from 6:30-8 p.m. Wednesdays, March 5 through May 28, at United Assembly, 301 S.E. Ninth, in Plainview.
Email firstname.lastname@example.com or call 685-2038 for information. Come early at 6 p.m. for supper
Plainview Junior Service League is accepting applications for project funding from non-profit organizations located in Hale County. Applications must be returned by Feb. 14 for consideration. Contact Jamie Crump at 518-9695 or firstname.lastname@example.com.
The Kiwanis Club is accepting subscriptions to its flag program, which provides a U.S. flag placed in front of your home or business on eight patriotic holidays throughout the year. Cost is $30. To subscribe, call Kent Bearden at 293-3912 or J. Pat Manning at 293-1385.
The Plainview Stars Special Olympics team has begun practicing for basketball competition on Feb. 15.
Practices for team basketball are at 6:30 p.m. Thursdays. Practices for the skills for basketball competition are 2 p.m. Saturdays. They are being held at First Church of the Nazarene, next to Edgemere Elementary at 20th and Yonkers. Anyone interested in participating or volunteering is encouraged to come to practices or contact Johnny Arjona at 292-1037, Jackie Ball at 293-0670, Dena Nelson at 296-6330, Stephanie Holbert at 983-9002, Beverly McDonough at 895-4439 or Brian Chadwick at 478-955-9245.
The Hale County Relay for Life will be from 6 p.m. to midnight Friday, April 4, at the Ollie Liner Center. The theme is "Making Cancer History Through the Decades."
To have a team, contact Amanda Garcia at email@example.com or phone 806-685-4676.
For donations, contact Kelli Watson at firstname.lastname@example.com or 806-291-1060.
Adult volunteers are needed for Girl Scouts. The group needs leaders and other adults who have special talents and skills they are willing to share or teach. Make a difference in a girl's life. Call Laura Mason at 806-296-7993 or Eloisa Soliz at 806-296-2309.
Plainview High Class of 1964 is in the process of planning its 50th-year reunion. Classmates can keep up to date with those plans by checking the class website, Plainview64.com. The reunion will be held during either the summer or fall of 2014.
Hosting a foreign exchange student with American Cultural Exchange Service could be a fun way to learn about other countries and cultures.
Students speak English and have health insurance and personal spending money, and host families must provide a separate bed and in-house meals.
Contact ACES local coordinator Kevin Foster in Amarillo at 806-352-4214, email firstname.lastname@example.com or visit www.exploretheworld.org.
MARCH READERS' Page will be published March 5. Readers are invited to submit original poetry, essays, features and photos to: Readers' Page, 820 Broadway, Plainview, TX 79072; bring them to the Herald at 820 Broadway; or email to firstname.lastname@example.com. All submissions should include a name, town and daytime phone number.
South Plains College will hold a one-day Digital Start Class from 9 a.m. to 4 p.m. Saturday. Come by the school or call 296-9611 ext. 4304 or 4302 to register and for more information.
The Hale/Swisher Ag Conference will be held from 8 a.m. to 4 p.m. Monday, Feb. 10, at the Ollie Liner Center.
Cost is $15 with a meal provided. Five CEUs will be awarded for attending. Topics will include insects, weed control, disease management, fertility and more.
It is sponsored by Panhandle-Plains Federal Land Bank, Great Plains Ag Credit and Hale County Farm Bureau. Call 806-291-5267 to make a reservation.
Unger Librarian John Sigwald is compiling a bibliography of books which make reference to the people and places of Hale County.
Make suggestions to him by calling the library at 296-1148 to see if he already has a particular title or if he needs to add it to the bibliography and to the library's local history collection.
The 2014 class schedule on For Kids Sake and Sandcastles has been set.
For Kids Sake classes are for adults and Sandcastles is for children, ages 5-7. Both will be held from 8:15 a.m. to noon at St. Marks Episcopal Church, 710 Joliet. Cost is $40 (cash) only For Kids Sake and $10 cash per child ($20 for three or more children) for Sandcastles.
The classes will be held on Feb. 8, March 15, April 12, May 10, June 14, July 12 and Aug. 9.
There is no need to register. Those with questions should call 995-2756 and ask for Vickie. Childcare is not available.
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Edinson Volquez pitched 7 1-3 strong innings and the Cincinnati Reds scored a pair of unearned runs to beat Houston 2-1 and push the Astros to the brink of elimination Tuesday night.
With the Mets' win over Chicago, Houston fell 4 1/2 games behind New York with five games to go. A loss and a Mets win Wednesday could eliminate the Astros from the playoffs.
Volquez (17-6) won in his fifth attempt to get his 17th victory. He had three no-decisions and a loss since winning Aug. 29 against San Francisco. He allowed one run, struck out nine and scattered six hits in the longest outing of his career. He walked one.
Francisco Cordero pitched the ninth for his 34th save in 40 tries. He got Ty Wiggington to hit into a line drive double play with the tying run on second.
Wandy Rodriguez (8-7) gave up two unearned runs in five inning and six hits. He struck out seven and walked two.
The Reds scored in the first when Joey Votto's looping fly to left was misplayed by Ty Wigginton for a three-base error. That drove in Jeff Keppinger, who had singled.
Jolbert Cabrera then drove in Votto with a single to make it 2-0.
Kazuo Matsui led off the first with a home run to left. It was his sixth of the season.
In the seventh inning, umpires used the instant replay to verify a hit by Votto was not a home run.
Replays appeared to show the ball hit the top of the right-field fence, bounced into an empty seat and rebounded back on the field. But officials ruled it stayed in play for a single.
Notes:@ It was the ninth time in his career Matsui has led off the game with a home run. It was the third time this season, the last coming Aug. 8 at Cincinnati. ... Volquez recorded his 200th strikeout of the season in the second inning. He now has 206. Volquez had pitched seven innings 10 times this season. The win marked the first time a Reds starter has reached 17 victories since Pete Schourek went 18-7 in 1995. ... Reliever Chris Sampson left the game in the seventh inning with right lateral epicondylitis, or tennis elbow. He is day-to-day. The replay timeout was the second instant replay call at Minute Maid Park. The first was when Hunter Pence's double was confirmed against Pittsburgh Sept. 9.


text: Parametrial Involvement in Radical Hysterectomy Specimens for Women With Early-Stage Cervical CancerFrumovitz, Michael MD, MPH1; Sun, Charlotte C. DrPH1; Schmeler, Kathleen M. MD1; Deavers, Michael T. MD2; dos Reis, Ricardo MD3; Levenback, Charles F. MD1; Ramirez, Pedro T. MD1Obstetrics & Gynecology: July 2009 - Volume 114 - Issue 1 - p 93-99 doi: 10.1097/AOG.0b013e3181ab474d Original Research Abstract In Brief Author Information Article Outline OBJECTIVE: To estimate the incidence of parametrial involvement and to evaluate factors associated with parametrial spread in women with early-stage cervical cancer and to identify a cohort of patients at low risk for parametrial spread who may benefit from less radical surgery. METHODS: We reviewed all patients who underwent radical hysterectomy and pelvic lymphadenectomy for invasive cervical cancer between 1990 and 2006. All women with squamous, adenocarcinoma, or adenosquamous disease, stage IA2–IB1, who underwent completed radical hysterectomy were included in the analysis. Normally distributed continuous variables were compared using Student's t-test for independent samples to analyze the outcome of positive or negative parametrial involvement. RESULTS: Three hundred fifty patients met the inclusion criteria. Overall, 27 women (7.7%) had parametrial involvement. The majority of specimens with parametrial involvement (52%) had tumor spread through direct microscopic extension. Patients with parametrial involvement were more likely to have a primary tumor size larger than 2 cm (larger than 2 cm: 14%, smaller than 2 cm: 4%, P=.001), higher histologic grade (grade 3: 12%, grades 1 and 2: 3%, P=.01), lymphovascular space invasion (positive: 12%, negative: 3%, P=.002), and metastasis to the pelvic lymph nodes (positive: 31%, negative: 4%, P<.001). One hundred twenty-five women (36%) had squamous, adenocarcinoma, or adenosquamous lesions, all grades, with primary tumor size 2 cm or smaller and no lymphovascular space invasion. In this group of patients, there was no pathologic evidence of parametrial involvement. CONCLUSION: We were able to retrospectively identify a cohort of women with early-stage cervical cancer who were at very low risk for parametrial involvement. If prospective application of these findings confirms our results, less radical surgery—such as simple hysterectomy, simple trachelectomy, or conization—with pelvic lymphadenectomy may be a reasonable therapeutic option for women with primary tumors 2 cm or smaller and no lymphovascular space invasion. LEVEL OF EVIDENCE: III In 125 consecutive women with squamous, adenocarcinoma, or adenosquamous cervical tumors 2 cm or smaller and without lymphovascular invasion, no parametrial involvement was detected. From the Departments of 1Gynecologic Oncology and 2Pathology, the University of Texas M. D. Anderson Cancer Center, Houston, Texas; and the 3Gynecologic Oncology Service, Hospital de Clinicas de Porto Alegre, Universidade Federal Do Rio Grande Do Sul, Ramiro Barcelos 2350, Porto Alegre, Brazil. Corresponding author: Michael Frumovitz, MD, MPH, Department of Gynecologic Oncology, CPB6.3244, Unit 1362, The University of Texas M. D. Anderson Cancer Center, 1155 Herman Pressler, Houston, TX 77030; e-mail: firstname.lastname@example.com. Financial Disclosure The authors did not report any potential conflicts of interest. Abstract MATERIALS AND METHODS RESULTS DISCUSSION REFERENCES Cited By Women with stage IA2 and IB1 cervical cancer typically are treated with radical hysterectomy and bilateral lymph node dissection, with or without accompanying oophorectomy or ovarian transposition. Radical hysterectomy includes removal of the upper third or half of the vagina as well as the parametrial tissue abutting the cervix. The removal of the parametrial tissue has been considered of paramount importance in the treatment of cervical cancer because tumor may spread to this area through direct microscopic extension or by tumor embolization from the primary lesion to lymph nodes embedded in the parametrial tissue. Although the 5-year survival rate after radical hysterectomy is high, this surgical approach to early-stage cervical cancer is not without considerable morbidity. With radical hysterectomy, blood loss remains a major intraoperative complication: transfusion rates reach as high as 80%.1,2 In addition, a small but real risk of operative mortality exists with the surgery. Immediate postoperative complications include febrile morbidity, deep vein thrombosis, pulmonary embolism, and wound separations/dehiscence.3 Early-onset postoperative complications include fistula formation in as many as 4% of patients and prolonged bladder atony (lasting less than 6 months) in another 3–5% of women.4,5 Long-term complications can include bladder hypotonia requiring chronic self-catheterization, ureteral strictures, and chronic leg lymphedema.6,7 The majority of these intraoperative and postoperative complications are attributable to the parametrial resection as part of the radical hysterectomy. The parametrium is rich in vasculature and autonomic nerve fibers, and transection of these vessels and nerves can result in hemorrhage, devascularization of tissue leading to fistulae formation, or denervation of the bladder resulting in atony.8 Some surgeons advocate a "nerve-sparing" technique that may minimize some of these complications,9 but no prospective comparison study exists that shows that the "nerve-sparing" approach reduces morbidity without compromising mortality. In contrast to radical hysterectomy, simple hysterectomy spares the parametrial tissue and is associated with significantly less operative morbidity. The objective of this study was to estimate the incidence of parametrial involvement in radical hysterectomy specimens from women with early-stage cervical cancer and to evaluate possible factors associated with parametrial spread. In addition, in an effort to estimate whether certain patients with early-stage cervical cancer are candidates for less radical surgery (eg, simple hysterectomy, simple trachelectomy, or cone biopsy), we analyzed the identified risk factors to develop an algorithm to predict which women would be at low risk for parametrial spread. Back to Top | Article Outline MATERIALS AND METHODS This was a retrospective study approved by the institutional review board at The University of Texas M. D. Anderson Cancer Center, which waived the requirement for informed consent. We reviewed the medical records of all patients who underwent radical hysterectomy and pelvic lymphadenectomy for cervical cancer at M. D. Anderson Cancer Center from January 1, 1990, through December 31, 2006. We included patients with stages IA2–IB1 primary cervical cancer with squamous, adenocarcinoma, or adenosquamous lesions who underwent radical hysterectomy using laparotomy or laparoscopy. Variables examined included demographic factors, including age, race, body mass index (kg/m2), and smoking status, as well as pathologic factors, including stage, tumor size (2 cm or less or more than 2 cm), histology, grade, depth of invasion, lymphovascular space invasion, and status of pelvic lymph nodes. Patients for whom we were missing any data were excluded from analysis. Pathologic specimens were processed as follows. At the time of gross examination, the parametrial margins were identified and submitted for microscopic evaluation. Next, if the tumor appeared to extend into the parametrium, contiguous full-thickness sections of the tumor in the cervix and parametrium were submitted. The parametrium then was searched for any palpable lymph nodes, which were placed in separate cassettes. Finally, the entire remaining parametrial tissue was submitted for microscopic examination. The assessment of lymphovascular involvement was made by microscopic evaluation of hematoxylin and eosin–stained slides. The main outcome of interest was parametrial involvement in radical hysterectomy specimens. We first analyzed this endpoint as the dichotomous outcome of positive or negative parametrial involvement. We further explored this endpoint by examining the route of tumor spread into the parametrium, classified as 1) direct microscopic extension, 2) spread of tumor emboli to parametrial lymph nodes, 3) both direct microscopic extension and spread of tumor emboli to parametrial lymph nodes, and 4) tumor emboli in transit found within lymphovascular channels in the parametrial tissue. Finally, we examined the entire data set in an effort to identify a group of women with cervical cancer at low or no risk of parametrial involvement who would thereby be potential candidates for less radical surgery. For the analysis of the dichotomous outcome of positive or negative parametrial involvement, normally distributed continuous variables were compared using Student's t-test for independent samples. Nonnormally distributed continuous and dichotomous variable comparisons were performed using the Mann-Whitney U test and the χ2 test, respectively. Two-sided P-values were reported. Logistic regression analysis was performed to determine independent effects of pathologic variables on parametrial involvement. A P-value of less than .05 was considered to indicate statistical significance. SPSS 16 for Windows (SPSS Inc., Chicago, IL) was used for all statistical analyses. Owing to small numbers, statistical analysis was not performed on the data grouped by route of tumor spread. Back to Top | Article Outline RESULTS Four hundred eight women with early-stage cervical cancer underwent radical hysterectomy at M. D. Anderson from 1990 to 2006. Thirty-four women were excluded from the analysis owing to one or more missing data points. Another 24 women who underwent radical hysterectomy for stage IA1 lesions also were excluded. The remaining 350 cervical cancer patients who underwent radical hysterectomy make up the study population. Demographic and pathologic factors for the entire cohort are shown in Table 1. Table 1 Overall, 27 (7.7 %) of the 350 women included had disease spread to the parametrium at the time of radical hysterectomy. Tumor size larger than 2 cm, higher grade, presence of lymphovascular space invasion, and positive pelvic nodes were associated statistically with parametrial involvement (Table 2). Women with grade 3 tumors had higher rates of parametrial involvement (12 %) compared with women with grade 2 tumors (6 %) or grade 1 tumors (0%) (P=.01). Viewed alternatively, 63% of women with parametrial involvement had grade 3 tumors and the remaining 37% of women with parametrial involvement had grade 2 tumors. Histologic subtype, however, had no significant effect on parametrial involvement. Table 2 Women with stage IB1 disease had an 8% risk of parametrial involvement, compared with 2% for women with stage IA2 disease (Table 2). Only 4% of women with tumors 2 cm or smaller had parametrial involvement, compared with 14% of women with tumors larger than 2 cm (P=.001). Lymphovascular space invasion also was associated significantly with parametrial spread; 12% of women with lymphovascular space invasion had parametrial involvement, compared with only 3% of those without lymphovascular space invasion (P=.002). Viewed alternatively, 81% of women with parametrial involvement also had lymphovascular space invasion in the primary tumor. The status of the pelvic lymph nodes also was correlated highly with parametrial involvement. Thirty-one percent of women with metastasis in the pelvic lymph nodes had parametrial involvement, compared with only 4% of those with negative pelvic lymph nodes (P<.001). Of the 27 patients with disease found in the parametrium, 14 (52%) had only direct microscopic extension of disease, three (11%) had only disease spread to parametrial lymph nodes, six (22%) had both direct microscopic extension and disease spread to parametrial lymph nodes, and four (15%) had only tumor emboli within the lymphovascular channels in the parametrial tissue. Twelve (86%) of the women with direct microscopic extension of tumor into the parametrium had tumors larger than 2 cm in size. Lymphovascular space invasion was noted in 22 of the 27 patients with parametrial involvement: 11 (79%) of the 14 patients with direct microscopic extension, two (66%) of the three patients with tumor in parametrial nodes, five (83%) of the six patients with both direct microscopic extension and tumor in parametrial nodes, and all four (100%) of the patients with tumor emboli within the lymphovascular channels in the parametrium. Only five (36%) of the 14 women with direct extension had positive pelvic lymph nodes, whereas all three (100%) of the women with positive parametrial nodes and all six (100%) of the women with both direct extension and positive parametrial nodes had positive pelvic nodes. Only one (25%) of the four patients with tumor emboli in transit within lymphovascular channels in the parametrium had positive pelvic lymph nodes. Only one patient with stage IA2 cervical cancer had parametrial involvement, with disease found in a parametrial lymph node. This woman had a grade 2 adenocarcinoma with a depth of invasion of 4 mm and lymphovascular space invasion. Multivariate analysis was performed for those risk factors that were most associated with parametrial involvement (Table 3). After controlling for confounding factors, positive pelvic nodes (odds ratio 6.47, P<.001) and tumor size more than 2 cm (odds ratio 2.44, P=.045) were the only factors that significantly predicted parametrial spread. Table 3 We were able to identify a group of women with cervical cancer at low risk for parametrial involvement (Tables 4 and 5). One hundred twenty-five women had tumors 2 cm or smaller without lymphovascular space invasion. None of the patients in this group had parametrial involvement. One patient (0.7%) in these 125 women had positive pelvic lymph nodes with negative parametrium. Therefore, for all women with squamous carcinomas, adenocarcinoma, or adenosquamous lesions, any grade, and a tumor 2 cm or smaller with no lymphovascular space invasion, the risk of parametrial involvement was 0% (0 in 125 patients). Table 4 Table 5 Back to Top | Article Outline DISCUSSION Overall, we found parametrial involvement in 7.7% of women with early-stage cervical cancer undergoing radical hysterectomy. These findings are similar to those of previous studies, which have reported parametrial involvement in 3–11% of similar patients.10–14 In our study, tumor larger than 2 cm, higher histologic grade, presence of lymphovascular space invasion, and positive pelvic lymph nodes all predicted parametrial involvement. Furthermore, women with squamous, adenocarcinoma, or adenosquamous carcinomas, any grade, with small tumors (2 cm or less) and no lymphovascular space invasion had a 0% risk for parametrial involvement. Most of the previous studies also found that larger tumor size, higher histologic grade, presence of lymphovascular space invasion, and positive pelvic nodes were associated significantly with parametrial involvement.10–14 In contrast to the other previously published studies and this current study, Covens and colleagues10 found a significant association between older age and parametrial involvement in their cohort of 842 women. However, the average age of women with parametrial involvement was 42 years and the average age of those without parametrial involvement was 40 years—only 2 years younger. The clinical significance of this statistically significant finding is likely negligible. Wright et al14 was the only group to find an association between histology and parametrial involvement. In their study, 3% of women with adenocarcinoma had parametrial involvement compared with 14% of women with squamous lesions and 26% with lesions categorized as "other" (P<.001). It is unclear, however, which tumor subtypes were categorized as "other," and this group likely included high-risk histologies such as clear cell carcinoma, melanoma, and neuroendocrine tumors. Our study excluded clear cell carcinoma, melanoma, and neuroendocrine lesions but did include adenosquamous tumors, which we previously have reported are no more aggressive than squamous or adenocarcinoma lesions.15 Pelvic lymph node involvement previously has been reported to be a predictor of parametrial involvement.10,14 In our study, women with metastatic disease in the pelvic nodes were almost eight times as likely as women with negative pelvic nodes to have parametrial involvement (31% compared with 4%). Viewed alternatively, we found that 15 (56%) of the 27 women with parametrial involvement also had positive pelvic lymph nodes. However, 12 (44%) of the 27 women with parametrial involvement had negative pelvic lymph nodes. Strnad and colleagues16 found no discontinuous parametrial involvement in 133 women with low-risk cervical cancer and negative pelvic lymph nodes. Our findings confirm theirs: of the 12 women in our study with parametrial involvement and negative pelvic lymph nodes, nine had parametrial involvement through direct microscopic extension and the other three had in-transit tumor emboli. None of the 12 women with parametrial involvement and negative pelvic lymph nodes had positive parametrial nodes. No studies have addressed the finding of positive pelvic lymph nodes with negative parametrial lymph nodes. Overall, 49 (14%) of the 350 patients in the current study had metastasis to the pelvic nodes. Of these 49 women, 34 (69%) had no metastatic disease in the parametrium. Anatomically, this is difficult to understand because many investigators, ourselves included, hypothesize that the lymph nodes in the parametrium are most likely the primary draining nodes for the cervix. Considered in light of the theory underlying sentinel node biopsy—namely, that tumor emboli deposit first in the primary draining nodal basin before metastasizing to second-echelon or nonsentinel nodes—our findings may be evidence for drainage of the primary cervical tumors directly to the pelvic lymph nodes. Another hypothesis to explain this phenomenon could be that some women might not have parametrial nodes or that very small parametrial nodes were not identified by the pathologist because only recently have the pathologists at our institution begun to submit the entire parametrium for pathologic sectioning. Four women had parametrial involvement consisting of in-transit tumor emboli in the lymphovascular channels within the parametrium. It remains unclear what happens to these microscopic tumor emboli once they reach a draining lymph node—whether they implant and become a site of tumor metastasis or the body's immune system clears this decidedly small-volume disease. The clinical significance of this finding, therefore, is largely unknown, and the clinically relevant percentage of women with parametrial involvement may be smaller than the 7.7% reported in this study. Other authors have attempted to identify a subgroup of women with early-stage cervical cancer who are at low risk for parametrial involvement and therefore are potential candidates for less radical surgery (Table 6). The majority of these subgroups, however, have negative pelvic lymph node status as an inclusion criterion.10,13,14 Pelvic lymph node status would be unknown at the time of less radical surgery and pelvic lymphadenectomy, but women with metastatic disease in the pelvic nodes likely would undergo postoperative pelvic chemoradiation, thereby sterilizing the parametrial tissue left in situ. Table 6 Based on previous studies and our data, we have identified a low-risk subgroup of patients with cervical cancer who can be identified on the basis of data obtainable at the time of the loop electrosurgical excision procedure or cold knife conization. Such patients would be candidates for conservative surgery without removal of the parametrium. For that reason, our algorithm does not include pelvic node status. The criteria for our low-risk subgroup are squamous, adenocarcinoma, or adenosquamous lesions, any grade, with tumor size 2 cm or smaller and no lymphovascular space invasion. Of the 350 patients in our cohort, 125 women (36%) would have met these criteria, and none of these 125 women had parametrial involvement. On the foundation of these findings, we have developed a prospective trial of conservative surgery for women with low-risk, early-stage cervical cancer. Eligible women will include those patients with squamous or adenocarcinoma lesions measuring 2 cm or less who have undergone either the loop electrosurgical excision procedure or cold knife conization with final pathology revealing no lymphovascular space invasion and negative margins. Women who meet these strict inclusion criteria and who desire future fertility will undergo bilateral pelvic lymphadenectomies followed by observation. Women who meet the inclusion criteria and have completed childbearing will undergo simple hysterectomy and bilateral pelvic lymphadenectomies. This international, multiinstitutional study currently is enrolling eligible patients.Back to Top | Article Outline REFERENCES1. Lentz SS, Shelton BJ, Toy NJ. Effects of perioperative blood transfusion on prognosis in early-stage cervical cancer. Ann Surg Oncol 1998;5:216–9. Cited Here... | View Full Text | PubMed | CrossRef 2. Spirtos NM, Westby CM, Averette HE, Soper JT. Blood transfusion and the risk of recurrence in squamous cell carcinoma of the cervix: a gynecologic oncology group study. Am J Clin Oncol 2002;25:398–403. Cited Here... | View Full Text | PubMed | CrossRef 3. Frumovitz M, dos Reis R, Sun CC, Milam MR, Bevers MW, Brown J, et al. Comparison of total laparoscopic and abdominal radical hysterectomy for patients with early-stage cervical cancer. Obstet Gynecol 2007;110:96–102. Cited Here... | View Full Text | PubMed | CrossRef 4. Powell JL, Burrell MO, Franklin EW 3rd. Radical hysterectomy and pelvic lymphadenectomy. Gynecol Oncol 1981;12:23–32. Cited Here... | PubMed | CrossRef 5. Samlal R, Velden J, Ketting B, González González D, Ten Kate F, Hart A, et al. Disease-free interval and recurrence pattern after the Okabayashi variant of Wertheim's radical hysterectomy for stage IB and IIA cervical carcinoma. Int J Gyn Cancers 1996;6:120–7. Cited Here... 6. Magrina JF, Goodrich MA, Weaver AL, Podratz KC. Modified radical hysterectomy: morbidity and mortality. Gynecol Oncol 1995;59:277–82. Cited Here... | PubMed | CrossRef 7. Michalas S, Rodolakis A, Voulgaris Z, Vlachos G, Giannakoulis N, Diakomanolis E. Management of early-stage cervical carcinoma by modified (Type II) radical hysterectomy. Gynecol Oncol 2002;85:415–22. Cited Here... | PubMed | CrossRef 8. Ralph G, Winter R, Michelitsch L, Tamussino K. Radicality of parametrial resection and dysfunction of the lower urinary tract after radical hysterectomy. Eur J Gynaecol Oncol 1991;12:27–30. Cited Here... | PubMed 9. Raspagliesi F, Ditto A, Fontanelli R, Zanaboni F, Solima E, Spatti G, et al. Type II versus Type III nerve-sparing radical hysterectomy: comparison of lower urinary tract dysfunctions. Gynecol Oncol 2006;102:256–62. Cited Here... | PubMed | CrossRef 10. Covens A, Rosen B, Murphy J, Laframboise S, DePetrillo AD, Lickrish G, et al. How important is removal of the parametrium at surgery for carcinoma of the cervix? Gynecol Oncol 2002;84:145–9. Cited Here... | PubMed | CrossRef 11. Kinney WK, Hodge DO, Egorshin EV, Ballard DJ, Podratz KC. Identification of a low-risk subset of patients with stage IB invasive squamous cancer of the cervix possibly suited to less radical surgical treatment. Gynecol Oncol 1995;57:3–6. Cited Here... | PubMed | CrossRef 12. Steed H, Capstick V, Schepansky A, Honore L, Hiltz M, Faught W. Early cervical cancer and parametrial involvement: is it significant? Gynecol Oncol 2006;103:53–7. Cited Here... | PubMed | CrossRef 13. Stegeman M, Louwen M, van der Velden J, ten Kate FJ, den Bakker MA, Burger CW, et al. The incidence of parametrial tumor involvement in select patients with early cervix cancer is too low to justify parametrectomy. Gynecol Oncol 2007;105:475–80. Cited Here... | PubMed | CrossRef 14. Wright JD, Grigsby PW, Brooks R, Powell MA, Gibb RK, Gao F, et al. Utility of parametrectomy for early stage cervical cancer treated with radical hysterectomy. Cancer 2007;110:1281–6. Cited Here... | View Full Text | PubMed | CrossRef 15. dos Reis R, Frumovitz M, Milam MR, Capp E, Sun CC, Coleman RL, et al. Adenosquamous carcinoma versus adenocarcinoma in early-stage cervical cancer patients undergoing radical hysterectomy: an outcomes analysis. Gynecol Oncol 2007;107:458–63. Cited Here... | PubMed | CrossRef 16. Strnad P, Robova H, Skapa P, Pluta M, Hrehorcak M, Halaska M, et al. A prospective study of sentinel lymph node status and parametrial involvement in patients with small tumour volume cervical cancer. Gynecol Oncol 2008;109:280–4. Cited Here... | PubMed | CrossRef Figure © 2009 by The American College of Obstetricians and Gynecologists. Article Outline Abstract MATERIALS AND METHODS RESULTS DISCUSSION REFERENCES Cited By Source Parametrial Involvement in Radical Hysterectomy Specimens for Women With Early-Stage Cervical Cancer Obstetrics & Gynecology114(1):93-99, July 2009. Full-Size Email + Favorites Export View in Gallery Email to a Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at Obstetrics & Gynecology. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your request. Please try after some time. Email to a Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at Obstetrics & Gynecology. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your request. Please try after some time. Add Item(s) to: An Existing Folder A New Folder Folder Name: Description: The item(s) has been successfully added to "".


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LA/ UK based Kav has unveiled the gritty music video for his brand new single 'King of the World (The Undefeated Champion)' which is set for release on September 17th 2012 ahead of the October release of his forthcoming album.
The video shows an 'Undefeated' bare-knuckle fighter who's heavily relied upon by gamblers to make them money when they bet on him. However, when he fails one thug who gave him money to KO in the fourth round, he is pursued on his way from the illegal venue by a him and another man accompanied by a vicious looking canine and wielding a baseball bat respectively. He is barely scratched in the attack and launches a vicious tirade on the men and their dog leaving him walking away from their motionless bodies with blood on his face. Kav's raw vocals and heavy basslines easily suit the story in the video for the track which is a brilliant feel-good anthem set to liven up the arriving autumn.
Since returning to the UK in 2011 after being in LA for two years, he has been working on his upcoming album and released single 'Blaggers N' Liars' back in March which he launched at Gibson Guitar Studios in London.
19 September - Death Disco @ Notting Hill Arts Club
22 September - Stealth vs. Rescued @ Rescue Rooms
6 October - Barfly - London
Official Site - http://www.kavblaggers.com
Fast Girls
Hey Sexy Lady
Sexy Boy
Tired As F***
Blurred Lines (Unrated Version)
Six (Live)
Boof Baf
Sax [Live]
Corgan took to Instagram to confirm rumours of new Pumpkins material, saying the first songs could arrive as early as May.


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Like James Dyson's remarkable reworking of the vacuum cleaner, mechanical engineer David Kahng reinvented the umbrella by turning the rainy-day object into a weatherproof work of art. The entrepreneur's Davek line of umbrellas are made from super-resilient Carbon WindFlex, a carbon polymer material that resists breakage or rib distortion, even in gale-force winds. The umbrellas also come equipped with solid-steel shafts and zinc-alloy handles for added durability. Now with the New York–based company's first brand extension, Kahng and his team have introduced a collection of messenger bags built with the same devotion to high quality and durable craftsmanship.
The bags are made from top-grain leather ($495) or, for a sportier interpretation, high-impact ballistic nylon ($350) and come equipped with numerous functional details, including a built-in insert for pens and business cards, an extra padded laptop compartment, and an easy-to-release aerial hang-glider buckle made of forged aluminum. Naturally, the bags also feature an easy-access exterior pocket to store your coordinating Davek travel umbrella, which is included. (212.749.8746, www.davekny.com)


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Heyward-Bey's catch excites Cable
Published 4:00 am, Thursday, August 27, 2009
Rookie Darrius Heyward-Bey ran right as he reached back to his left, all the while starting to fall down on a pass route over the middle.
This is the exact sort of play that spelled incomplete pass all of training camp, particularly for a wide receiver who struggled enough to make the easy catches, never mind the spectacular.
Not this time. Heyward-Bey came down with a tumbling catch in traffic, much to the delight of his teammates and coaches during practice Wednesday in Napa.
"He had a great day of catching the ball," coach Tom Cable said. "Right after he caught it, I said to him, 'Your mistake is you showed me you can do that and, so now, the expectation goes up. That's who you are. That's what you're capable of.' "
That's why the Raiders drafted him with the No. 7 overall pick of April's draft, when most everyone thought they were nuts. Only now is Heyward-Bey starting to make common and difficult catches alike while limiting his daily drops to one, maybe two a day.
"It's a catch that needed to be made," Heyward-Bey said. "Ran a play, caught it, whatever."
If only it'd been that easy all the time.
For weeks, Heyward-Bey's track speed was hindered because he focused so hard on securing the ball or running the perfect route. He often waited a half-second after the catch before putting his speed to use.
The sooner Heyward-Bey can catch-and-run in one fluid motion, the sooner he can be a legit downfield threat and not a $23 million decoy.
"Catches like that, they build a lot of confidence," Cable said.
Player swaps: The Raiders signed cornerback Mike Hawkins, who is in his third NFL camp this month, and claimed Dolphins defensive tackle Joe Cohen off waivers.
They released cornerback Jason Horton and receiver Samie Parker.
Briefly: Starting free safety Hiram Eugene is out with a pectoral strain. ... Strong safety Tyvon Branch had two interceptions, with one in the end zone. ... Practice went 2 1/2 hours, the longest of training camp. ... The Raiders' 31-day stay at the Napa Valley Marriott ends with a morning practice today.


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Nut-job Conspiracy Theory Ping!
To get onto The Nut-job Conspiracy Theory Ping List you must threaten to report me to the Mods if I dont add you to the list...
Publicly or privately?
the most transparent administration ever
I only wish it were a nut-job conspiracy. Please add me for my personal amusement, or I shall report you to the Mods, DHS, NSA, FBI, IRS, etc.


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1.349,00 € ohne MwSt.
Lieferzeit ca. 3-5 Tage
- Artikel-Nr.: SW11678
Switronix XC-4LSRED 4 Position RED Brick Charger
The QUIENTESSENTIAL, MUST HAVE Charger for RED USERS. Simultaneously charges 4 RED Bricks in just over 4 hours. Newly designed aluminum chassis provides a lower profile, sleeker look, with a recessed under-chassis carry handle allows for easy transport.
The unit cuts down charge time by addressing all RED Bricks at once with an intelligent Lithium Ion charge algorithm including:
Pre Charge (if battery is below safe fast charge levels)*
Fast Charge(95% in 4 Hours)
Top-off and Maintanence Charge*
Quick Charge Current: 2.8A
Size: 12.5" x 2" x 10.2"
Weight: 5.5 lbs
Input Voltage: 90-240VAC 50/60Hz
DC Camera PS Output: DC16v, 70w
*ATTENTION! Pre Charge and Top-off can increase charging time by up to 1 hour. Charge time depends on the batteries depletion level, whether the battery can go right into Fast Charge mode


text:
USC Ostrow School of Dentistry
Tel: (213) 740-2841
Fax: (213) 740-8109
E-mail: firstname.lastname@example.com
Major Programs
Dental Hygiene (Junior Transfers Only)
Application Guidelines
A Dental Hygiene Supplemental Application is required and may be obtained by contacting the USC School of Dentistry or by visiting their website. The dental hygiene curriculum starts in the fall semester of the junior year, after program prerequisites have been completed. Students may transfer prior to the junior year to complete pre-dental hygiene requirements at USC. The application deadline is February 1.


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I think we need countries filtered on Top lists, would be awesome add on. Maybe even sort by it.
And maybe even in profiles.
No answers?
pls, this could get tons of new users to site
Country on Steam is user specified, and we try to avoid using any user specified information for anything (like top countries in this case).
:( it has worked on other sites as well
Yes, +1 for that feature.
You are currently replying to another tree, would you like to make a top level comment?
In order to reply to this thread,
you must login via Steam.


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Secret Service and CHP Investigate Threats by Sarah Palin Fans
Palin's latest scandal, Shreddergate, turned serious and ugly when Palin fans started threatening State Senator Yee and President Obama. These threats are now being investigated by the Secret Service (due to threatening references to the President) as well as the California Highway Patrol.
SF Weekly reports:
"Chief Senate Sergeant-at-Arms Tony Beard, Jr. said the messages are to be investigated by CHP threat detectives — as is normal for threats on state elected officials — and also the Secret Service, which was alerted because of remarks in the message about President Barack Obama. "That's what the law requires," he said. "They'll get back to us accordingly."
Yee's Chief of Staff, Adam Keigwin, said Yee and his family, while "cognizant" of the threats directed against the state senator, aren't doing anything to alter their daily routines. Beard said no additional security measures have been taken in Sacramento following the messages.
Meanwhile, Keigwin called on Sarah Palin to tell her followers to cut it out. "She needs to call on her supporters to end these threats, end their harassment. She clearly has influence over these people.""
Someone might want to let the esteemed Senator's Chief of Staff know that Palin will never call on her supporters to end these threats. Instead, her supporters are busy trolling websites which report on these threats so that they can spread more spurious lies about the Senator, which somehow they feel exonerates the threat senders from responsibility.
What kind of people think that threatening politicians like this is acceptable? Let us not forget the Palin hate rallies of 2008.


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Cars > greyline's Garage > "Sally"
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1989 Ford Mustang Convertible - GT (Sally)
Last updated Mar 12, 2007
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This is a totally stock 1989 Mustang GT convertible. I keep it that way. It is used for daily driving and touring. The Black, with red stripe and white top are the colors of the famous Cornhusker Black Shirts. This makes it a great car to drive on a football game day.
Totally stock, with everything working
Factory Options
The whole bag of tricks available in 1989.
None....totally stock, and going to stay that way.
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CLINTON, Tenn. (WVLT) - The Little Ponderosa Zoo made a desperate plea for help Sunday.
The non-profit's walk in cooler's compressor broke last month, leaving the staff without a place to chill meat and produce to feed their nearly 700 animals.
"If anybody's dealt with grain prices they know the cost of feed is soaring so high that we've got to do a supplement to be able to try to provide for these animals," said founder James Cox.
And so Walmart donates the meat, and Food City donated the cooler. But just a month after the warranty expired, the cooler stopped chilling, a $2,000 repair.
"We're having to haul so much to the landfill that we could've kept in our cooler until the next day," said Cox.
With a need to feed the animals, Cox decided to go ahead and order the part.
"If we've gotta take out a loan, we will. We gotta do what we gotta do to provide for these animals here at the zoo," said Cox.
But he and his staff continue to hope that the last $1,200 needed will come in so they can continue to provide a forever home to animals in need.
Little Ponderosa Zoo
629 Granite Rd, Clinton, TN 37716
Phone:(865) 457-5536


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Slumbers never cease with these nap apps
In fast-paced Hong Kong, there's one thing that most of us want more of: sleep.
'Many people doze off on their way to work; I know they don't have enough sleep,' says Dr Chung Kai-fai, of the Hong Kong Society of Sleep Medicine, adding that 'enough' ranges from six to 10 hours a night, depending on the person.
Sufferers of apnoea, insomnia, night terrors, and those who struggle to fall - and stay - asleep may find therapy a costly option. But today there's a range of apps and gadgets - some more efficient than others - designed to enhance the quality of our rest.
The Jawbone UP wristband has a number of features, based on the user's daily activity. Besides tracking your daily movements and alerting you when you've been inactive for too long, it also tracks movement during sleep and interprets it. Little to no movement indicates a deeper sleep. The wristband alarm can vibrate gently during a light sleep pattern, making it easier for you to wake up feeling more refreshed (and it won't wake the rest of the family). The wristband feeds information back to an app for easy analysis.
The Zeo sleep manager is a headband that monitors movement and measures REM (rapid eye movement) and deep sleep. Information is fed back to an app, or a bedside alarm clock via bluetooth, allowing the user to relate sleep patterns back to activities such as drinking coffee during the day. Zeo also offers the gentle vibrating alarm, which can be implemented during a light sleep for a more refreshed wake-up.
But Chung questions its effectiveness. 'Depth of sleep is defined by your brain activity, so a simple headband cannot analyse it well. It's likely to be uncomfortable and make your sleep worse.'
A more practical option may be the Sleeptracker Pro, which offers the same service and doubles as a watch.
If the issue is getting to sleep in the first place, try an app such as White Noise, which has ambient sound effects, such as waves on a shore. Or try the Sleep Machine app, suited to those who like to hear soothing music as they drift off. Instead of listening to someone else's music, users can blend their own songs (from iTunes, for instance) with any of 91 ambient sounds or nine ambient tracks included in the app. And when it comes to waking up, the built-in alarm clock offers several options.
Hypnosis Sleep Well contains recordings of a hypnotist and aims to reprogramme your unconscious mind to create healthier sleep habits such as falling asleep quickly or waking more easily. Hypnotist Halla Himintungl (www.magicmoonhealer.com) says many hypnotists use recorded tracks almost like a mantra, but she prefers to tailor her treatments to the individual.
If massage appeals more, the Dreamate Biofeedback Device is a wristband that gently applies acupressure to retrain your body clock, regaining about 55 minutes of good quality sleep per night. It might be worth a try, but Chung notes 'the most commonly used body acupoints for insomnia include Shenmen [HT7], which is located at the wrist. But I doubt the device can accurately apply pressure, and it's only to one point.'
Then there's the question of what we really do during our sleep. Chung says it's common for people to talk during their dreaming sleep, though many aren't even aware of it. Provided your house isn't haunted, the Sleep Talk app might prove fun. Triggered by sound, it records loud sounds during sleep, so users don't have to trawl through eight hours of quiet to see what trade secrets they have let slip.
And for those who struggle to get out of bed, the Princess PI-722 flying alarm clock will give a buzzing start to the day. Once the alarm goes off, a propeller is launched into the air, and the alarm won't turn off until the propeller is replaced.
Of course, if gadgets, smartphones and apps weren't such an integral part of modern life - including procrastination before bedtime - then sleep-chasing gadgets and apps might not be so necessary.
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The Welsh lambing sector has received a boost from an improved number of new-season lambs, coupled with an increase in prices.
For the months between March and the end of June, there was an rise of 22% for new-season Welsh lamb entering into the market compared to the same period in 2016. In England, this figure stood at 26%.
While the value of new-season lamb standard quality quotation (NSL SQQ) for the week ending 1 July was 15p down on the previous week, this is still a 19p rise year on year.
John Richards, industry information executive for Hybu Cig Cymru – Meat Promotion Wales (HCC), is remaining positive about the outlook. "Lamb prices over the last month have been significantly stronger than those during the same period last year," he commented.
"This is linked to the weaker sterling, which has led to UK exports bringing better returns to our exporters, with the benefits subsequently felt by producers here in Wales. We also saw less of last year's lamb on the market during June, which also helped the trade."
He claimed that, in Wales, the number of lambs sold weighing between 32-39kg increased by almost a third. "The pattern is even more evident at English auction markets, as reports show that throughputs were more than 50% higher in this weight category than in the same four-month period last year," he explained.
"The liveweight lamb trade in Wales held up at historically high levels for much of June, but prices have eased slightly in the last few weeks to match the expected seasonal trend."
HCC expects that all of the UK's supermarkets will start sourcing local lamb in the coming weeks, a move that has the potential to improve demand, while the export market is expected to remain strong due to the exchange rate.
"These factors should have a positive impact on the market. However, as always, the supply of lambs will dictate price fluctuations," concluded Richards. "The coming month will give us a better understanding on the true market situation. Last year the market was significantly affected due to the EU referendum in late June, which caused sterling to fall dramatically."
Meanwhile, in Northern Ireland, the Ulster Farmers' Union (UFU) has called on processors to help in restoring stability in the sheep market following on from recent price reductions for local lamb.
"The recent strength in the market brought some welcome confidence back into the sheep sector," said UFU beef and lamb chairman, Crosby Cleland. "Prices have been stable, giving farmers more flexibility with marketing lambs at the specified weight range." This, however, has been counterbalanced by processors that are looking to pull back prices, as lamb numbers coming into the market are on the rise.
"This isn't unexpected, given that prices traditionally drop back from June into July. But farmers will now be concerned about what lies ahead for the rest of the year, given their sense of disappointment about this reversal in fortunes."
The UFU said that, in recent times, prices have not moved by much more than 20p a kilo from July to autumn. "Assuming sterling does not strengthen against the euro, there is no reason why processors cannot deliver at least what is currently being paid over the course of the next few months," said Cleland.
"If processors act responsibly and deliver strong, stable prices, they will get the consistent supply of in-spec lambs they need. But if they opt to cut prices further, this will destabilise the market and that's not in anyone's interest."


text: I love it when I come across a body of work that gets me all excited. One of my favorite Tumblr sites modernlove20.tumblr had a few images that stopped me in my tracks. Laplace & Co. is an architecture and design studio based in Paris who has some stunning rooms. Using iconic pieces in perfect amounts lets the participant admire the colors, textures and materials in the room. Make sure to check out the rest of their work. WOW!


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Production of in vitro tissue culture plantlets in hydroponics culture is highly effective and controllable, ensuring 'clean' conditions and mass production.
Comparative production of in vitro mini-tuber potatoes grown in sawdust and specially blended media. The experiment aimed to analyse the cost effectiveness and viability of using a specifically designed blended growing media in comparison to commonly available sawdust.
Report by Ben Safronovitz
Potatoes are the world's fourth largest food crop. Production of in vitro mini-tubers of potatoes is a rapidly growing industry due to the need for a constant supply of potato plant material, which is free of pathogens and of a high quality.


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Once an account is turned over to a collection agency, the representative trying to recover the account will begin telephone calls and sending written notices regarding the account. Once those nescience telephone calls begin,they usually do not stop until the account is paid and settled. The debt collectors trying to collect the delinquent accounts have state and federal collection laws they must follow including The Fair Debt Collection Practices Act (FDCPA).
The FDCPA was passed to protect consumers from abusive debt recovery tactics and to promote fair debt collection practices. Both the collectors trying to collect on the past-due accounts and the debtors placed into collections can get frustrated when dealing with these accounts. The representatives will make several telephone calls on a weekly basis reminding debtors of the outstanding accounts. Because the representatives are subject to the FDCPA and other state and federal laws there are certain things the collector can and cannot do and say when making these telephone calls. Below is a list of dos and donts for collectors when calling to request payment on the accounts.
1. Know the details on the account including the amount due, date of the purchase/service, the name of the original creditor and what the debt is for.
2. Have a positive expectation for every call.
3. Identify yourself, where youre calling from and the person you are speaking with.
4. Maintain control of the call.
5. Stay calm and professional during the call.
6. Listen to what the debtor has to say.
7. Request payment from the debtor in a nonthreatening way. Encourage them to make a payment in full or set up a payment plan to settle the account immediately.
8. Note details of the call including what they said, when they plan to pay, their attitude over the phone and when you are scheduled to talk to them next.
9. Set up a specific date and time to follow up with the debtor.
10. Convince the debtor to speed up the payment.
1. Dont eat, drink or chew gum when calling the debtor.
2. Dont use the speakerphone unless there are multiple people on the call.
3. Dont use abusive language or threaten the debtor to get payment.
4. Dont use a negative attitude.
5. Dont agree to small payments without knowing all of the facts on the account.
6. Dont place the debtor on hold.
7. Dont accuse the debtor of lying.
8. Dont make an excuse for the debtor not to make a payment.
9. Dont shout or raise your voice at the debtor.
Article Directory: http://www.articletrunk.com
Debt collectors that follow these dos and don'ts will have a higher likelihood of successfully collecting on the accounts and working with more pleasant debtors.
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Hewlett-Packard's (HPQ) analytical platform, Vertica, has been chosen by Cerner Corporation (CERN), a provider of health care delivery systems.
H-P's Vertica Analytics Platform, part of the HP HAVEn initiative has provided Cerner with the required analytics and data management services and solutions to improve the performance of Cerner's Millennium and Health Facts solutions.
Leveraging H-P's Vertica Analytics Platform, Cerner is now able to manage and analyze large amounts of information for efficient and advanced clinical analysis and improved patient care.
H-P has realized that better management and analysis of data can help companies efficiently manage their customers. With this in mind, H-P has recently shifted its focus toward the analytics market. However, other consulting and IT companies such as Accenture Plc. (ACN), International Business Machines (IBM) and Cognizant Technologies have been in the analytics market for quite some time which might make it difficult for H-P to pick up market share.
As per a recent research report published by Gartner, the global analytics and business intelligence market is expected to grow 7.0% in 2013. Though this growth rate seems decent, it is low compared with the 16.0% growth estimated for 2011.
Gartner also expects the growth rate to remain in the single-digit range for the next few years. At the end of 2013, the analytics and business intelligence market will remain at $13.8 billion and grow to $17.1 billion by 2016.
Nonetheless, H-P is still reeling under pressure from the declining PC business and broad-based revenue declines from its other revenue generating segments. The company has also hinted at muted revenue growth in 2014.
However, H-P's growing focus on new business segments, such as electronic medical records, cloud computing and the recently added analytics will help the company to grow in the coming quarters.
Currently, H-P has a Zacks Rank #3 (Hold).
Read the Full Research Report on ACN
Read the Full Research Report on CERN
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| My Profile |
My Bookmarks
September 23, 2016
In the southeastern U.S. much of the Big Green opposition to pipelines has centered on preventing pipeline companies from entering properties to complete required surveys. If you can stop the process before it begins (so they reason), it saves them from having to hop in the VW Microbus and go to (pot smoking) anti-pipeline rallies all over the place. Peace man! Landowners in West Virginia and Virginia have challenged the rights of various pipeline companies to enter their property. It happened with EQT's Mountain Valley Pipeline (see Mountain Valley Pipeline Sues 103 WV Landowners for Survey Access), and it happened with Dominion's Atlantic Coast Pipeline (see Atlantic Coast Pipeline Wins Another Virginia Court Case). Each time these cases have been litigated in Virginia courts, the pipeline companies have won (if not in the first case, then on appeal). However, a high-stakes case has just been accepted by the Virginia Supreme Court in which an 83-year old granny says she doesn't want surveyors for the Atlantic Coast Pipeline to enter her property. Dominion and other pipeline companies have a lot riding on the case…
Filed Under Dominion Transmission, Energy Services, Industrywide Issues, Litigation, Pipelines, Statewide VA, Virginia
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The Little Mermaid
The Little Mermaid is a timeless classic that has fascinated readers young and old for many generations. The adventures of the young mermaid princess splash life across the pages of a story full of belonging, hope, love and sacrifice. This new edition embodies beautiful original artwork by Charles Santore, masterfully reproduced with the latest technology available, containing vivid colors and captivating illustrations that make every page an unrivaled masterpiece. The sharp contrast of life under the sea and on the land is captured with these magnificent depictions of the story. In reviewing the original Santore artwork, the School Library Journal wrote, "Through his clever use of contrasting palettes, the illustrations create two distinct worlds: the ethereal blues and greens of the Sea King's undersea realm, and the sun-drenched reds and golds of the prince's domain." Children and adults are sure to treasure this book and all it encompasses for many years to come.
- Applesauce Press |
- 48 pages |
- October 2013


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To make reservations by phone, dial freephone 0800 221 222 in the UK, 1 800 409 929 in Ireland, or view our regional telephone reservation numbers.
Experience all of the comforts of home at the Residence Inn Jacksonville Airport. Conveniently located just one mile from the Jacksonville International Airport and within close proximity to the JAXPORT Cruise Terminal, the Residence Inn is an ideal choice for both the business and leisure traveler. Enjoy complimentary shuttle service to and from JAX. Our pet friendly, all suite property features full kitchens, separate work and living areas and complimentary WIFI perfect for the extended stay traveler. To ensure that you never go hungry, take advantage of our grocery service, complimentary hot breakfast buffet and evening socials at The Mix™. Visit our fitness center, outdoor pool and multi-purpose SportCourt® maximize your fitness goals. Choose the Residence Inn Jacksonville Airport during your next trip to Jacksonville, FL!
Relax in an apartment style suite in Jacksonville!
Only pay when you stay
Avoid upfront payments.
Change your mind
Modify or cancel your reservation.
Your room, your way
Request room extras when you book.
It Pays to Book Direct


text:
November 25, 2013
Miniature, Flying Robo-Jellyfish Created At NYU
[ Watch The Video: Flying Machine ]
Brett Smith for redOrbit.com - Your Universe OnlineIn developing a 'flying jellyfish,' New York University (NYU) engineers say they have created a functional, novel means of robotic flight that could be applied to future machines for surveillance, search-and-rescue efforts or atmospheric monitoring.
The NYU robot flies by vertically flapping four wings that are arranged like petals on a downward-facing flower. The flapping motion of the wings somewhat resemble the swimming undulations of a jellyfish, but the aerodynamics of the NYU robot are probably more like a moth, the researchers said.
The NYU team presented their work on the new flying device on Sunday at the American Physical Society's Division of Fluid Dynamics meeting in Pittsburgh.
Previous efforts to make flying robots have looked at fruit flies as a model. However, a major problem with this mode of flight is stability. In addition to stability issues, a fly also has to continuously monitor its environment for every gust of wind or approaching threat and adjust its flying motion to compensate in fractions of a second. To recreate all these intricacies on such a small scale is extremely difficult, said Leif Ristroph, one of the flying jellyfish's designers.
The NYU team devised the jellyfish model because it doesn't need a control or feedback system to stay aloft. The final prototype weighs two grams and is 3.1 inches across. The NYU team said the size of their robot depends primarily on the weight and power of the flight motor.
The prototype model is somewhat limited by the fact it must be tethered to a power source and can't be steered. Ristoph said they are still far away from building a practical robot, but the current results show a proof of principle, essentially a functional blueprint for designing more advanced and complex vehicles.
Ristoph noted the robot's relatively simple design bodes well for making much smaller models. The team said their ultimate goal is to create a flying robot about a centimeter wide, which would allow it to maneuver in small spaces and fly around undetected. Ristoph said a simple design lends itself to meeting this goal.
"And ours is one of the simplest, in that it just uses flapping wings," he said.
In March, Harvard engineers revealed an insect-inspired flying robot of their own. The result of more than a decade of work was a fly-like drone that is smaller than a quarter.
"This is the culmination of over a decade of work I've been trying to do to get this result," Harvard engineer Robert Wood told Discovery News over the summer. "This is the first demonstration that you can make insect-like robots and control them in flight."
The Harvard team said their prototype is part of a larger "robo-bee" project to construct swarms of tiny flying robots that can be used to pollinate crops, among other things.
"We've had robots in the past that have flown but they haven't stabilized themselves in flight and couldn't generate enough body torques," said Harvard team member Kevin Ma. "The new design controls each wing separately. That was another huge innovation."


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starts a cluster
start-cluster [--help] [--autohadboverride={true|false}]
[--verbose={false|true}] cluster-name
start-cluster subcommand starts a cluster by starting all GlassFish Server instances in the cluster that are not already running. This subcommand requires the Distributed Component Object Model (DCOM) remote protocol or secure shell (SSH) to be configured on the host where the domain administration server (DAS) is running and on all hosts where instances in the cluster reside.
If all instances reside on the same host as the DAS, DCOM or SSH is not required. You might require to start a cluster in which instances reside on hosts where DCOM or SSH is not configured that are remote from the DAS. In this situation, run the start-local-instance(1) subcommand for each instance from the host where the instance resides.
You may run this subcommand from any host that can contact the DAS.
This subcommand is supported in remote mode only.
Displays the help text for the subcommand.
Do not specify this option. This option is retained for compatibility with earlier releases. If you specify this option, a syntax error does not occur. Instead, the subcommand runs successfully and displays a warning message that the option is ignored.
Specifies whether additional status information is displayed when the cluster is started.
Valid values are as follows:
Displays the command to start each instance in the cluster and whether the attempt to start each instance succeeded.
Displays no additional status information (default).
The name of the cluster to start.
This example starts the cluster
ymlcluster. Additional status information is displayed when the cluster is started.
asadmin> start-cluster --verbose ymlcluster
start-instance yml-i-sr1-usca-02
start-instance yml-i-sr1-usca-01
The command start-instance executed successfully for:
yml-i-sr1-usca-02 yml-i-sr1-usca-01
Command start-cluster executed successfully.
command executed successfully
error in executing the command
create-cluster(1), delete-cluster(1), list-clusters(1), setup-ssh(1), start-local-instance(1), stop-cluster(1), validate-dcom(1)


text:
First, the health care sector will cut jobs and reduce salaries, the study said. Health care companies will limit purchases from suppliers and halt new construction. And when people don't work, they don't spend as much and contribute to the economy.Read More »
Arizona continues slide, now at 41st in per capita personal income
Arizona is now in the Bottom 10 of all states for per capita personal income, the result of the jobs here paying less than those being created in the rest of the country.Read More »
Arizona sees big drop in jobless rate to 6.9 percent
Arizona's unemployment rate declined to 6.9 percent in April from 7.3 percent in March, marking its biggest month-to-month drop in three decades, state economists said Thursday.Read More »
Arizona would benefit by staying off Comedy Central, experts say
What's the best way to boost the Arizona economy? Stop getting mentioned on "The Daily Show." At least that's the consensus of three economists from Arizona State University.Read More »
Arizona economy improves, but faces another year of subpar growth
Arizona's economy continues to perform well relative to other states, but financial experts predicted another year of slow growth and recovery from the recession.Read More »
Business, civic leaders to hear economic forecast
An economic researcher says Arizona's economy is expanding at a slow but steady pace with population and employment growth rates that are above most states' rates but below the state's own long-term averages.Read More »
Experts forecast full economic recovery for Arizona
Economists predicted today that Arizona will fully recover from the recent recession in about three years.Read More »
Economist: Arizona will add 300,000 jobs by 2015
Good news: economists are predicting an economic boost in Arizona. Bad news: real recovery isn't on the horizon until 2015.Read More »
Arizona needs a more diversified economy to avoid future plunges
The worst economic recession since the Great Depression has hit a three-state area known for its population growth - Arizona, Nevada and southern California - harder than the rest of the country. This region - the "Economic Bermuda Triangle" of Maricopa County; Las Vegas, Nevada; and Riverside, California - led the nation in the pace of job losses and housing foreclosures, the two measures by which consumers view the health of the economy.Read More »


text:
There are 1 recommended Artists in Hurricane, UT. Read reviews from people you know to find the best Artist.
When i worked with Ron he was a very meticulous operator. He was not one to accept just a good product but went further to get it exactly right. Ron was dedicated to making a great product and cared about the companies image on the outside. Ron was also a good teacher, if there was something i had a question on he was more than willing to lend a helping hand or pass along some information to help me get it done right as well.See MoreRead Less


text:
A simple case of mistaken identity becomes much more complicated when the person you most resemble is an accused terrorism supporter.
By BOB ANDELMAN
Published May 2, 2006
I could tell by his expression that something was bothering the man I had hired to clear some backyard brush. I couldn't follow a lot of what he said in his thick Jamaican accent, but one message kept coming through: "Sami? Sami?"
No, I said. Bob.
Finally, I produced my driver's license as proof of my true identity. He didn't seem convinced, but at least he stopped asking.
Months later, he was back to do more work: "Sami?"
Not again.
The first time it happened was in 2002. A friend saw a picture of former University of South Florida professor and alleged terrorism supporter Sami Al-Arian and did a double take because he thought it was me. He thought the resemblance was funny. I didn't.
Not that time, or the second, third or 100th time.
The more attention Al-Arian's case got in the media, the more often it happened. Even I could see why: The wire-rim glasses, classic bald head, the shape of the ears and, more particularly, the way we shaved our salt-and-pepper beards were all eerily similar. We're even close in age; Al-Arian is 47, I'm 46.
Al-Arian's case has affected my ability to travel freely, too. No one ever looked twice at me in an airport until Al-Arian's face started making the front page. Suddenly I was getting extra security checks, being pulled aside for extra wanding, questioning and delays. I was never strip-searched, but I always wondered if that might be coming. The hassles finally relented when I bought a pair of funky blue plastic-frame glasses that looked nothing like the wire frames and oval lenses Al-Arian and I apparently both preferred.
Curiously, it didn't matter to anyone that Al-Arian had been in jail for three years on charges that he raised money that went to terrorist organizations.
It also didn't matter that one of us was Jewish (me) and one of us was allegedly interested in killing Jews (him).
And it probably wouldn't have mattered to anyone who mistook me for him that I was somewhat sympathetic to his plight, first being suspected for years but never charged, then held in jail even though a jury acquitted him on eight of 17 charges and deadlocked on the rest. While I couldn't be more disgusted by Al-Arian's angry, misguided politics, we are supposed to be a nation of laws and due process. Get accused, get your right to trial. Get acquitted, go home. That's our system, whether he believes in its righteousness or not.
In the years before his trial, Al-Arian disappeared from public view for months at a time and my life in particular. But then, word of a plea deal leaked out in mid April and Al-Arian returned to the front page of the St. Petersburg Times, his photo above the fold. The face was so familiar, so mirror-image, that unwrapping the plastic from the paper that morning, even I thought it was me.
My wife was reading the paper over breakfast. She showed the front page to our 9-year-old daughter. "Rachel," my wife asked, "who is that a picture of?"
"No, really, who is it?"
"It's Dad."
I have written a number of books and magazine articles, and as a result Rachel has seen my face in print and on TV. She didn't think it was a big deal that my picture was in the paper, nor was she curious to know what I might have done to make the front page.
And she wasn't easily convinced that it wasn't me.
My wife asked her, "Rach, this man in the newspaper is supposed to be a terrorist. Do you really think he looks like Daddy?"
"Don't you?"
A few days later, Rachel and I were in the drive-through line at the bank and she wanted to talk about Al-Arian again.
"Dad, do you think he knows you?" she asked.
"Maybe," she said in all earnestness, "he wanted to drive you out of the country, so he made himself look like you."
Recently Al-Arian struck a deal to plead guilty to a single count and leave the country. And on Monday, a federal judge sentenced him to spend another year and a half in prison before he's deported.
But even when he leaves the United States, I don't see the problem going away. Every time I go through airport security in the future, I expect I'll still be stopped by people who think he's back. Or who never heard he left. I'm in the news business; I know people don't pay attention to details sometimes.
Hope the prescription on those blue glasses still works.
Bob Andelman lives in St. Petersburg. He is the author, most recently, of "Will Eisner: A Spirited Life."
[Last modified May 2, 2006, 08:13:35]
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text:
Using social media to save lives during disaster
The survey also found that:
I admit that I didn't realize this reality was upon us already. But thankfully, the Red Cross saw it coming because of their experience in Haiti. Wendy Harman (@wharman), Social Media Manager for the Red Cross, said recently at SmartBlog on Social Media that Haiti was a "wake up call" because it showed them that people were turning to Twitter, Facebook and other tools like crowd-sourcing platform Ushahidi to tell people they were safe, share the location and condition of loved ones or to ask for help. The challenge was that nobody had yet developed a reliable mechanism for responding.
Here's what Wendy and her colleagues did about it; they convened the first-ever Crisis Data Summit at the American Red Cross headquarters in Washington DC late last week. Atlanta-based Salvation Army Disaster Services Director Jeff Jellets and I were invited to attend so we could listen, learn and discuss possible approaches for moving government, nonprofit and community first-responders onto the same system for collecting and managing real-time cries for help posted on social networks. We were joined by dozens of tech innovators, FEMA officials, emergency managers, social media pioneers, and disaster response pros from humanitarian aid groups and other nonprofits.
One of the best ideas of the day came from Heather Blanchard (@poplifegirl), co-founder of CrisisCommons, who proposed a Data Operation Center – separate, but working in conjunction with county Emergency Operations Centers – to collect and manage information from the social web so emergency responders can follow up. Her efforts with CrisisCommons / Crisis Camp helped bridge the data gap for Haiti relief by bringing tech volunteers together to create tools for disaster responders like a Creole to English translation app, a Haiti mapping overlay app and more.
Social media is not a replacement for the 9-1-1 system; that's still the best way to request emergency assistance during times of disaster. But, when the system is overwhelmed or there's no phone signal, the social web just might be the means of saving lives. We have to get together on a solution that works now and can grow with technology. The good news is that the American Red Cross has us moving in that direction.
:: Here's a link to a Washington Post story on the Red Cross Crisis Data Summit.
:: If you want to read (a lot) more about this issue, click here for a white paper called Integrating Crisis Response with Social Media.
:: And finally, here's a Twitter slide show of 'tweets' about discussion items at the summit.


text:
I have just returned home from the annual Titanium Mastermind event, hosted by Matt Lloyd and MOBE. This first edition took place in Cabo San Lucas, Mexico, at a beautiful resort by the beach. But the fact that the place was beautiful, the sun, the beach, the food, is not what made it for me. The community I belong to and the people I met and made connections with is what made this experience life-changing for me.
For 4 days I got to share with these amazing people. We learnt from top speakers in this industry, such as Joe Sugarman, Dave Vanhoose, Mike Hill, Matt Lloyd, Lisa Grossman, Curtis Broome, James Schramko, Mike Koenigs, and the list goes on. I never imagined I would receive that amount of value from just one event. Matt Lloyd is an amazing individual and I am delighted to introduce more people to his community.
I even got to speak on Stage myself! Matt Lloyd asked me to speak along with the other top earners of MOBE. And I was thrilled to share my story and my strategies with the people who were there:
The opportunities that come to you when you decide to take MASSIVE ACTION in a business like this are endless. I am earning 5 figures a month and I plan on growing even more.
I made this video with my good friend JT DeBolt, who works very closely with Matt Lloyd, just to give you guys an impression of the level of the people you will get to work with when you're in our community:
And here's another video I shoot while at the beach in Cabo 🙂
I am going to HELP YOU get results with this. I want to meet you and mastermind with you at the next MOBE events.
I want you to stop being busy and broke with all the shiny objects you see on the internet and FOCUS on what really brings the money and the freedom you're looking for.
Click here to sign up today to become a MOBE Licensee and I will get back to you with step by step instructions to help you make $1000 commissions in the next couple of days.
I am the person who can drive you to success.
Talk soon,
Contact me:
Skype: Linalucky
email: [email protected]


text:
Not Accepting Guests
- Last login over 1 year ago
Join Couchsurfing to see Stina's full profile. It's free!
About Me
You know my mission!
I'm a silly little girl originally from northern part of Finland. Usually I'm the one talking so there is no chance to have boring with me. I get easily fooled, I even believed there is a 100m long snake (and I still think there might be). So what ever you tell me, I'll trust your word.
I might be a little bit stubborn sometimes, which means, if I want to travel I'll do it. And when I travel I love to meet people and hang around with all the new acquitances.
I'm a overall happy person, I love to smile, laugh and talk about sweet stuff, but I have my rough side too. I want someday to be one of the greatest leaders and CEO's in the world. I'm really ambitious and pretty much nothing is getting in my way. Like I said before I love to talk not just about me but about others and travelling and places and photographing. This means I usually talk myself away from situations. I'm so good convincing people (ooops, maybe shouldnt have said that)... :D
I'm a weirdo and little insane, there is no chance to get me embarrased about myself. So lets meet!
"there aint a place i wouldnt cry, laugh, giggle, talk or be sad in. There are just life in these places."
Why I'm on Couchsurfing
I have attended meetings and surely will from now on more and more. I would like host more, and surf more, but havent had the chance before.
My interests are usually artistic, writing, painting, singing, acting, photographing.. But I also love snowboarding and talking to people. I love good conversations and I love to be awake for the whole night just talking.
Other interests are for example horse riding, hiking and playing with my dog (even though my baby lives at my parents place).
I love to travel, so there is no option to not mention it.
- dogs
- writing
- singing
- acting
- traveling
- socializing
- painting
- outdoor activities
- hiking
- snowboarding
- languages
One Amazing Thing I've Done
I have so much but number one moment is when we were in Florence, Italy I met some really cool guys and we still are in contact. We met when I asked on our first night there that where are good bars and they took us there and we had a lot of fun. Spent time with them every day while we were in Florence.
Number dos experience is when I travelled all by myself to germany to see a friend. It was exciting cause I was only seventeen and it was my first trip abroad without parents or a group of people.
Teach, Learn, Share
I love to teach people new things. I'm good with everything that happens outdoors and I have been a swimmingteacher for five years.
I would like to learn about cultures, new dancestyles, photographing and languages.
Countries I've Visited
Austria, Belgium, Canada, Czech Republic, Denmark, Estonia, France, Germany, Greece, Italy, Latvia, Lithuania, Luxembourg, Netherlands, Poland, Russian Federation, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey, United Arab Emirates, United Kingdom, United States, Vatican City State
Countries I've Lived In


text:
Having problems with your Toshiba Satellite A40-S161 Notebook ?
Laptop looking for password when i boot up.....never did before. i never set a password
Answers :
It is NOT possible to reset a Bios password just by removing the cmos battery you will need professional assistance.\015\012
\015\012I unlocked My Toshiba Satellite at http://www.laptoprebirth.com They gave me very good service and it worked like a charm!!!!\015\012
\015\012Thank you and hope this helps.
\015\012I unlocked My Toshiba Satellite at http://www.laptoprebirth.com They gave me very good service and it worked like a charm!!!!\015\012
\015\012Thank you and hope this helps.
This won't be good news, but looks like the best answer. I located this solution on Toshiba support forum.
Repair Help & Product Troubleshooting for Toshiba Satellite A40-S161 Notebook
Tips for a great answer:- Provide details, support with references or personal experience .
- If you need clarification, ask it in the comment box .
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text:
PFC US Army
106 Inf
World War II
February 24, 1916 - March 8, 2001
Prisoner Of War
Contributed on 8/29/08 by wfields55
Email This Contributor
Record #: 49470
On this site you can upload gravestone photos, locate ancestors and perform genealogy research. If you have a relative buried in Arkansas, we encourage you to upload a digital image using our Submit a Photo page. Contributing to this genealogy archive helps family historians and genealogy researchers locate their relatives and complete their family tree.
Submitted: 8/29/08 • Approved: 10/29/09 • Last Updated: 9/14/12 • R49470-G0-S3