text:
Profusely illustrated with 132 full colour images from 6th century Byzantium, 11th century Iraq and 14th century Italy
The Tacuinum Sanitatis is a medieval handbook on Health and Well Being. First printed in Europe in 1531, it was aimed at an educated secular readership and offered concise and sensible advice on how to live a long, healthy and enjoyable life. Four handsomely illustrated manuscripts of the Tacuinum survive, all produced in Lombardy and now housed, respectively, at libraries in Rome, Vienna, Paris and Liège.
The Latin text describes in detail the beneficial and harmful properties of plants and foodstuffs, as well as considering social, physiological and psychological aspects of wellness. Following established medieval principles, it sets forth six essential elements for mental and physical well-being.
Price : US$8.99
A new illustrated edition of Ernest Ingersoll's classic 1928 study of dragons in all their multifarious forms, from Imperial China to St. George. 54,000 words, 92 historical images, 30 contemporary images
Belief in dragons has united humanity more than the belief in any other mythological creature. From China and Japan, through Southeast Asia, India and the Middle East, to Europe and even Central America, the image of the dragon has burned brightly in the imaginations of our forefathers. Even today dragons continue to fascinate. In the 21st century, far from disappearing, dragons and dragon lore have spawned a wide range of fantasy books, games, TV series and movies that are enduringly popular worldwide – as indeed are dragon tattoos.
Ernest Ingersoll's classic 1928 study of Dragons and Dragon Lore is here reproduced, together with a new introductory essay by Daniel Henley and a unique collection of full colour high definition dragon images from across the world.
Price : US$8.99
During February we have published the following ebooks which are now available on our own site at COGNOSCENTI BOOKS, as well as on Amazon, iStore, Kobo, Barnes & Noble and the Best Indie Book Store.
An illustrated version of the classic Chinese Study. 12,000 words, 104 historical images
Sun Tzu's Art of War has been read and appreciated by a host of military men and philosophers down through the ages. More recently, it has become popular as a manual for business success and guide to boardroom battles, seen by many as a lodestar in achieving success in the ruthless world of competitive capitalism – a text so currently fashionable that even Paris Hilton has been photographed reading it.
Yet what makes the present study so valuable is not just the text, but the genuinely unique collection of 104 accompanying images linking China's first unifying Emperor Qin Shi Huang with Mao Zedong, Genghis Khan with Tamerlane, Hulagu Khan with the Manchu conqueror Nurhaci – and, indeed, Sun Tzu with US General Douglas MacArthur.
Price : US$7.99
How the hardy Yunnanese Chinese known as "Haw" have dominated the region for more than six centuries. 36,500 words, 70 historical images, 46 contemporary images, 5 maps, Bibliography
During the latter half of the twentieth century the little-known and often lawless region where Laos, Burma, Thailand and China meet has become known and widely romanticised as 'The Golden Triangle'. Originally a Western designation applied to the region because of its wealth in jade, silver, rubies, lumber, rare animal products and, above all, opium, the name has stuck and is today accepted both in Chinese and in Thai.
By reputation, by very definition, the area is off the beaten track. The home of drug warlords, arms dealers, insurgent armies, latter-day slave traders and plain, old-fashioned bandits, it is also the home of an extraordinarily wide range of colourful ethnic minorities, many still only partly known and understood, and a veritable Tower of Babel linguistically.
Price : US$8.99
The Tibetan funerary text Bardo Thodol or Tibetan Book of the Dead. 16,000 words, 4 appendices, 71 historic images, 9 contemporary images
Bardo Thodol or 'The Tibetan Book of the Dead' is a mystical funerary text rooted in the Tibetan Tantric and Vajrayana Buddhist teachings. Composed by the guru and sage Padmasambhava in the 8th century, the Bardo Thodol is recited by a Buddhist lama over a dying or recently deceased person as a spiritual guide to the process of death and that which follows. This illustrated version combines the English language text by Walter Evans-Wentz with a unique collection of 80 pictures relating to the Tibetan Buddhist tradition.
Price : US$8.99
Over New Year 2012-2013 we published the following ebooks which are now available on our own site at COGNOSCENTI BOOKS, as well as on Amazon, iStore, Kobo and Barnes & Noble. We will be adding them to Smashwords and to the Best Indie Book Store in the near future.
At the same time we managed to pass 20,000 images posted in our online image library PICTURES FROM HISTORY. We still have another 120,000 or so undigitized images in our stock library, so we're likely to be posting for at least another decade… Meanwhile, we will continue to add new digital images as they are shot.
A journey through North Vietnam's historic past and fast-changing present; 62,000 words, 4 maps, 81 contemporary images, 38 historical images, glossary, bibliography
Vietnam is a name that resonates in the American national consciousness. Yet before the Gulf of Tonkin Incident in 1964, few Americans knew much about Vietnam, causing former US Secretary of Defense Robert McNamara to comment that Americans were 'almost completely ignorant of Vietnamese culture, knowing little of the language or long history of the country'. By contrast, since the fall of Saigon in 1975 there can be few people anywhere in the world that do not know the name, location and recent history of Vietnam. Yet beyond the period of US involvement in what Americans call the 'Vietnam War' and Vietnamese call the 'American War', how much has changed? The war was of seminal importance to the United States, and Americans inevitably tend to view Vietnam and matters Vietnamese through its prism. But is the same true, in reverse, for Vietnamese? The answer, many in America may be surprised to learn, is a resounding "no". Almost no Vietnamese bear a grudge against the USA, and the great majority of Vietnamese people are positively friendly towards Americans.
This is less true for China, Vietnam's close neighbor, mentor and rival for more than two thousand years. In comparison with this long love-hate relationship, US involvement in Vietnam – so significant and painful to most Americans – is just a brief, albeit equally painful, memory to most Vietnamese. This simple fact can be seen in the street names of Hanoi, Vietnam's national capital and the oldest capital city in Southeast Asia. Vietnamese like to name their streets after what they consider to have been 'acts of foreign aggression', and in greater Hanoi no fewer than 119 streets are named after 'acts of Chinese and French aggression'. And the number named for 'acts of American aggression'? – Tellingly, just two. Based on an intimate personal knowledge of Vietnam extending over two decades, this book explores Hanoi and the North – Vietnam's historic heartland and, conversely, the region most influenced by Chinese culture and most suspicious of Chinese intentions. It leads the reader not just across the contemporary north, but also through its long history, linking the present-day with the distant past.
Price : US$8.99
Angkor is the largest religious complex in the world and the greatest historic attraction in Southeast Asia. 20,000 words, 81 contemporary images, 18 historic images, 7 maps
For much of the second half of the 20th century Cambodia was racked by war and famine. Yet it was not always like this. Before its rice fields were stained with blood in the mid-1960s, Cambodia was celebrated as a land of fertile tranquility where a predominantly Buddhist people continued the myriad artistic and cultural traditions of the old Khmer Empire—the first high civilisation in Southeast Asia, exemplified by the extraordinary temple of Angkor Wat, surely the Eighth Wonder of the World. Angkor has to be seen to be believed. It is the largest religious site in the world and, beyond doubt, the major cultural and historical attraction in all of Southeast Asia.
Price : US$8.99
The photographs in this coffee table e-book colourfully reveal the glamorous world of Thai transvestite cabaret. 4,000 words, 86 full colour images
In Thailand practically every town or village has several openly transsexual boys or men who dress as women and are born with feminine characteristics. They are known by a Thai term which translates as 'Women of the Second Kind', and are also often known by the English loan word 'Ladyboy'. Perhaps no other country in the world has such a large percentage of transsexuals, nor arguably does there exist any other culture where persons of the 'third gender' can live and interact with society so freely and comfortably.
Price : US$7.99
One hundred of the most beautiful and most compelling woodblock prints of bijin or 'beautiful women' from Suzuki Harunobu, master printmaker of 18th century Edo – today's Tokyo – together with essays on Harunobu's life and times, his artistic techniques and of course his 'beauties'
Suzuki Harunobu was a celebrated 18th century Japanese ukiyo-e artist who produced thousands of exquisite woodblock prints illustrating aspects of life and society in old Edo – today's Tokyo. His subjects extended from Kabuki actors and courtesans to landscapes, explicit eroticism and street scenes. Yet the subject at which he most excelled was bijin-ga or paintings of beautiful women. This book examines Harunobu's life and times and artistic achievements, as well as 100 full colour images of his most appealing and winsome bijin or beauties – with their lovers, at their everyday domestic chores, in the Yoshiwara brothel quarter, or just viewing nature.
Price : US$7.99
Illustrated with the full Utagawa Kuniyoshi print edition of 1847-1848
The story of the 47 Ronin is perhaps the most popular and best known legend of traditional Japan. Set in the early 18th century, it tells a tale of honour and bloody revenge as the brotherhood of 47 masterless Samurai pursue the ruthless killing of Lord Kira, the official who brought about the downfall and suicide of their master, Lord Asano. This edition of the story is illustrated by the full set of masterful woodblock prints created by celebrated artist Utagawa Kuniyoshi in 1838-39, images as vivid and striking today as when they were first made 175 years ago. A new version of the tale of the 47 Ronin is currently under production by Universal Pictures starring Keanu Reeves and Hiroyuki Sanada. This book sets the film in its true historical context and is accompanied by 68 outstandingly rare and beautiful images.
Price : US$7.99
Illustrated with the full Tsukioka Yoshitoshi woodblock print edition of 1869
The story of the 47 Ronin is perhaps the most popular and best known legend of traditional Japan. Set in the early 18th century, it tells a tale of honour and bloody revenge as the brotherhood of 47 masterless Samurai pursue the ruthless killing of Lord Kira, the official who brought about the downfall and suicide of their master, Lord Asano. This edition of the story is illustrated by the full set of colourful woodblock prints created by master artist Tsukioka Yoshitoshi in 1869, images as evocative and memorable today as when they were first made 150 years ago. A new version of the tale of the 47 Ronin is currently under production by Universal Pictures starring Keanu Reeves and Hiroyuki Sanada. This book sets the film in its true historical context and is accompanied by 64 outstandingly rare and beautiful images.
Price : US$7.99
Illustrated with the full Tsukioka Yoshitoshi and Utagawa Yoshiiku woodblock print edition of 1866-1868
Between 1866 and 1868 the celebrated Japanese artist Tsukioka Yoshitoshi, in collaboration with his colleague Utagawa Yoshiiku, produced a series of images of graphic horror and cruelty entitled '28 Famous Murders with Verse'. The series of 28 ukiyo-e woodblock prints shocked, horrified and delighted the citizens of Edo – or at least those of a voyeuristic and morbid disposition. Known as the muzan-e, 'atrocious' or 'cruel pictures', all 28 are reproduced here together with other examples of the genre by Yoshitoshi, as well as short essays of 'The Strange World of Tsukioka Yoshitoshi' and '28 Famous Murders with Verse'.
Price : US$5.99
9,500 words, 43 full colour plates, 2 black and white plates
The Book of Kells is a magnificently illuminated manuscript Gospel in Vulgate Latin containing the four Gospels of the New Testament – Matthew, Mark, Luke and John – together with various prefatory texts and tables. It was created by Celtic monks on the small Island of Iona off the coast of western Scotland in about 800 CE. The text is mainly in Vulgate Latin dating from the 4th century CE, though there are passages in Vetus Latin or 'Old Latin' that predate the Vulgate Bible. The Book of Kells is chiefly celebrated for its illuminated illustrations and extraordinarily elaborate ornamentation. It is considered to represent the very best of insular illumination and is widely considered Ireland's most important national treasure. This ebook includes full colour images of all the major illuminated pages in The Book of Kells, together with an introduction, the main text of Sir Edward Sullivan's seminal study of the Book of Kells from 1914, a brief biography of Sir Edward Sullivan, and an essay on Saint Columba and the Island of Iona where the book was made.
Price : US$7.99
47 Ronin is an upcoming 2013 fantasy-adventure-action film depicting a fictional account of the Forty-Seven Ronin or masterless warriors, a real-life group of samurai in 18th-century Japan who avenge the murder of their master. The American studio Universal Pictures is producing the adaptation. The movie is directed by Carl Erik Rinsch and stars Keanu Reeves, Hiroyuki Sanada and Kou Shibasaki. Filmed in Hungary, the UK and Japan, it is due for worldwide release late in 2013.
The chances are it will be a blockbuster in the West, where few people are familiar with the true story of the 47 Ronin. Yet in Japan the heroic tragedy of the Forty-Seven Ronin has long been one of the most popular themes in Japanese art and culture, being represented on stage – both in the kabuki and bunraku genre of theatre, in the cinema and on TV, as well as in traditional woodblock prints and painting. The story has been made into a movie at least six times, but this will be the first Hollywood epic production.Back in the 18th and 19th centuries when the events took place, long before the age of film and video, Japanese people celebrated the exploits and selfless heroism of the 47 Ronin both through theatrical productions and through ukiyo-e prints which could be taken home and hung on the walls or kept in books. Many series of such prints were produced by a range of famous Japanese artists, but the most celebrated remain those of Utagawa Kuniyoshi (1797-1862) and of Tsukioka Yoshitoshi (1839-1892). Now Pictures From Historyis pleased to present the full run of Utagawa's 1847-48 edition, as well as the full run of Yoshitishi's 1869 edition, together with various supplementary woodblock prints. We hope they will also provide historical background and a cultural foil for the forthcoming movie.
China is the third largest country in the world (after Russia and Canada) and is also home to the oldest continuous civilisation the world has ever seen, dating back between four and five thousand years. It's hardly surprising, then, that at 43 (and counting) China has the third highest number of UNESCO World Heritage Sites of any country, coming just behind Italy at 47 and Spain at 44 – a figure that will certainly continue to rise.
Even as things stand at present, there are an immense amount of UNESCO-recognised sites scattered across this vast land – and believe us, it takes a lot of time and a great deal of effort to document and photograph them. Once again, then, it's hardly surprising that there are gaps in our coverage – but we're working assiduously to correct this.
For the present, our coverage includes Beijing's Forbidden City, the Temple of Heaven, the Summer Palace and – just outside the city – the Ming Tombs and the Great Wall (which stretches all the way to Jiayuguan in the far west). Then there's the Terracotta Army at Xi'an, the Mogao Caves at Dunhuang, the former Qing Summer Capital at Chengde, Mount Emei and Leishan, as well as the West Lake of Hangzhou, the Classical Gardens of Suzhou, the Ming Tombs at Nanjing, the Mount Emei Scenic Area and the Giant Buddha at Leishan.
To this we have added the Old Town of Lijiang, the Dazu Rock Carvings, the Upper Yangzi at Tiger Leaping Gorge, the Historic Centre of Macau, the Sichuan Giant Panda Sanctuaries, the South China Karsts of Yunnan and Guizhou, the Tulou Round Houses of Fujian and the Kaiping Diaolou Watchtowers of Guangdong.
Not bad, we hope you will agree, and we are working to extend our coverage to all UNESCO sites in China. The only problem is that the list is certain to continue growing, so the task may take some considerable time to complete!
RECENT ASSIGNMENTS (September 2012)
Our most recent assignment for the Tourism Authority of Thailand was to the beautiful Andaman Sea coast of Krabi Province in the far south of the Kingdom.
Off the Beaten Track Along the Krabi Coast
With majestic limestone cliffs and outcroppings, large stretches of well-preserved wilderness, and a laid-back vibe, Krabi province, on Thailand's southwest Andaman Sea coast, is ideal for travellers looking for a relaxing vacation in a wonderfully natural setting.
Most visitors to Krabi head straight for the magnificent beaches at Railay, Ton Sai and Ao Nang. With a little extra effort, you can explore further afield to experience even more of the green goodness this scenic southern province has to offer. The Krabi coast features many less-visited national parks and nature reserves, along with quieter beaches, where you can discover your own true tropical paradise.
We start with Than Bok Khorani National Park, located 45km northwest of Krabi town. Distinguished by a series of towering limestone outcroppings, brilliant green rain forests, fascinating mangrove forests, pristine islands, intriguing sea caves and beautiful waterfalls, it's a wonderful place to recharge your batteries and commune with nature.
You can easily reach the park by bus, motorbike or hired car from Krabi town or the Ao Nang area. Once there, the best way to get about is by foot – particularly exploring the rich mangrove forests by wandering along the specially-built ironwood boardwalks.
By contrast, the breathtaking sea-girt caves and delightful islands nearby are ideal for exploring by kayak. This has to be one of the most enjoyable kayaking experiences in Southeast Asia. If you're archaeologically-minded, there are also prehistoric rock paintings of human and animal figures at Tham Phi Hua To Cave… Continued
It is a pleasure to announce the launch of our new Cognoscenti Books website.
We are based in the historic and lovely old walled city of Chiang Mai in the far north of Thailand, surrounded by forested mountains – a wonderful place to live and work.
Cognoscenti Books is the publishing arm of the online image library Pictures From History, which in turn developed from our core business, the News and Features Agency CPA Media, founded in Hong Kong in 1993.
Technology has moved at an incredibly fast and accelerating rate over the intervening two decades. Back in 1993, like just about everybody else, we shot all our images as 35mm or medium format transparencies, then sent them out to clients by post or by courier.
By the time we decided to go digital, we had built up a specialist Asian photo library of more than one hundred thousand images, both contemporary and historical. We began digitizing these in 2010, and now have nearly 20,000 images online, with well over 100,000 still to go – it's a painstaking though very rewarding task.
Perhaps through serendipitous chance, our decision to establish an online image library coincided with the sudden and continuing rise of e-publishing, so with thousands of fine images of Asia already to hand – many of them of a rare historical nature – it suddenly became possible to establish an e-publishing business.
It is our intention that our growing catalogue of e-titles will be distinguished not just by informed and informative text, but by beautiful and unusual images that should, we hope, appeal to a discerning readership. From this we derive our name, Cognoscenti – books for the knowledgeable, or for 'those in the know'.
Platforms: Cognoscenti Books are currently available by direct download as epubs from our own website, as well as from Amazon and Kobo. We are in the midst of registering for tax purposes with the IRS in America, but as soon as this process is complete Cognoscenti titles will also be available at the Apple iStore and at Barnes & Noble.
Latest Titles:
Recent assignments for the Tourism Authority of Thailand have included visits to the historic city of Lamphun, once capital of the Mon Kingdom of Haripunchai (c. 800-1200 CE) and to fascinating Patara Elephant Farm, both in the north of Thailand and so quite close to our home city of Chiang Mai:
Thai history and culture comes alive in Lamphun, a relaxed and traditional northern Thai city that is filled with historic architecture from the Mon, Lanna and Chiang Mai eras. Visitors to Thailand can explore the past in the bucolic provincial capital of Lamphun, the oldest city in the north, and one of the longest-inhabited settlements in all of Thailand.
Founded in the mid-9th century by the legendary Queen Chamadevi, Lamphun was established as the centre of the Kingdom of Haripunchai. It flourished as a centre of Mon Buddhist culture and influence until its conquest by King Mangrai of Lanna in 1281.
Lamphun has been overshadowed by Chiang Mai ever since, and therein lies much of the town's charm. Located just 26 km south of Chiang Mai, Lamphun is generally visited as an enjoyable and rewarding excursion from the northern capital. Tranquil, lotus-filled moats and some of the most distinguished historical architecture in Thailand combine to attract both Thai and overseas visitors who want a glimpse of the Kingdom's past…continued
The national symbol of Thailand, elephants are wonderful, intelligent and deeply compassionate creatures. If you dream of a Thai elephant encounter in a natural and positive environment, you can enjoy the once-in-a-lifetime experience of personally caring for an elephant among the rolling hills and lush valleys of northern Thailand's Chiang Mai Province at Patara Elephant Farm.
The Thai elephant experience at Patara Elephant Farm is simple and pure. Each visitor is introduced to an individual elephant. A mahout (elephant handler) will teach you to say the elephant's name and then assist you with the animal throughout the entire day. This is the beginning of a real "one on one" elephant experience. You'll become totally immersed in caring for and learning what elephants need and how to look after them.
The number of visitors at to the farm on any particular day is strictly limited. During my visit, there were two families comprising no more than a dozen people between them. This is one place where there are always more elephants than people! Continued
Pictures From History has posted three new image collections from the Middle East and Central Asia. Of course, they're not complete – and by definition never will be, as we expect to continue adding to them on a regular basis. Still, we feel that they are already sufficiently extensive to merit announcing, and we hope you will agree.
Timur's Legacy – the Architecture of Samarkand and Bukhara
'Let he who doubt Our Power and Our Munificence look upon Our Buildings'.
Amir Timur, 1379 AD
Timur, better known in the West as Tamerlane from his nickname Timur-i-leng or 'Timur the Lame', was the last of the great nomadic warriors to sweep out of Central Asia and shake the world. As befits a man styled 'World Conqueror', we know a lot about him – and not all of it good. In 1336, at Shakhrisabz in present-day Uzbekistan, the wife of a minor chief of the Mongol Barlas clan gave birth to a son with blood-filled palms, a sure omen that the infant was predestined to cause the death of thousands. He was given an appropriate name – Timur or demir means 'iron' in Turkish – and raised in the Turkic-Islamic tradition of the surrounding steppe as a rider, archer and swordsman... continued
From abroad, we are accustomed to believe that Eretz Israel is presently almost totally desolate, an uncultivated desert, and that anyone wishing to buy land there can come and buy all he wants. But in truth it is not so.
Ahad Ha'am (Asher Ginsberg), 'A Truth from Eretz Israel' (1891)
Ha'am was a prominent Zionist theoretician who devoted his life to the concept of establishing a Jewish state in Palestine, but he never attempted to deny the existence of a Palestinian people. On the contrary, he warned his fellow Jews against the 'great error' of treating Palestinians with contempt and of regarding Arabs as 'savages of the desert'. Yet as recently as 2011 two Republican presidential candidates in the USA, Rick Santorum and Newt Gingrich, both baldly denied the existence of a Palestinian people.
Such claims are clearly preposterous and irrational. Of course there are Palestinian people, just as there was once a united Palestine. And while the majority of Palestinians are Arab Muslims, there are also Arab Christians, as well as Jews, Samaritans, Armenians, Greeks, Circassians, Druze, Bedouin and others, still living side-by-side in the intertwined patchwork of territories that now comprise Israel and Palestine.
This seems axiomatic. But for those who continue seriously to doubt the present demographic evidence, or perhaps the written word, there remains an indisputable third source of proof – pictures of historic Palestine and its people, taken between the mid 19th century (the first known photograph of Palestine dates from as early as 1837) and the end of the British Mandate in 1948… continued
Quinquireme of Nineveh from distant Ophir,
Rowing home to haven in sunny Palestine,
With a cargo of ivory,
And apes and peacocks,
Sandalwood, cedarwood, and sweet white wine
John Masefield (1917)
Perhaps the oldest trade route known to history, preceding the Silk Road by at least five hundred years, the Incense Road – also known as the Incense Route or Incense Trail – comprised a complex network of overland and maritime trade routes connecting the Mediterranean World of Antiquity with Southern Arabia, the Horn of Africa and India's Malabar Coast. These were the sources of fragrant resins and barks such as myrrh, frankincense, cinnamon and sandalwood used in the manufacture of incense, a product greatly desired and valued in the ancient civilisations of Egypt and Persia, Mesopotamia and the Indus Valley… continued


text:
How beautiful are these wedding cake cookie favors? Love how they turned out!
Category Archives: Cookie Favors
Ballet Slipper Cookie Favors
Flower Cookie Favors
Fabulous and Forty Cookie Favors for Girls Weekend
My college girlfriends and I (there were nine of us) decided to take a trip to the Jersey Shore to celebrate all of our 40th birthdays! We stayed at Harrah's Resort and Casino in Atlantic City — we lounged at their fantastic indoor pool, spent time at the Red Door Spa, ate at some great restaurants and danced each night like we were 21 again! We had a fantastic time!
I made gift bags for all the ladies, which included these Fabulous & Forty cookie favors.
It was fabulous!! Nothing beats Girls Weekend!!
Jewelry Cookie Favors
Logo Cookies for Merci Beaucoup
These logo cookies were made for Merci Beaucoup – they create personalized Welcome Bags for weddings and other events.
Edible images are fun to work with because you can use logos, pictures, monograms, etc. and really personalize your cookies!
Baby Shower Dessert Table
We created a dessert table for my girlfriend's baby shower which was held at the R2L in Philadelphia. Let me tell you, this place was spectacular – great views of the city, delicious food and super accommodating waitstaff.
The dessert table was in the center of the room and was styled the same on both sides. There was a dark chocolate cake with salted caramel buttercream, mini carrot cakes with cream cheese buttercream, mini red velvet cupcakes with cream cheese buttercream topped with butter cookies, plates of butter cookies and mini chocolate cupcakes with vanilla buttercream.
How about those gorgeous flower arrangements above? Stunning, right? They were created by Petah Bashano Event & Floral Design. Petah also did the event planning for the entire soiree which was a huge hit!
The custom invitations and dessert table signs were done by Chick Invitations. The artwork was also used to make edible images to put on the butter cookies. Ticings transferred the artwork onto edible frosting sheets! How cute are those little zebras?
The cake bunting, also created by Chick Invitations, matched the "Oh Baby" theme.
Hope you enjoyed the pictures! I had a blast creating the desserts and styling the table!
First Birthday Party Dessert Table!
Love, love this first birthday party theme! An explosion of pink for little Samantha. Pink and gray elephants, candy, cookies and cupcakes made this dessert table almost to sweet to eat!
The smash cake was vanilla with dulce de leche buttercream. The cupcakes were red velvet with cream cheese frosting and then some more vanilla with dulce de leche buttercream! Delish!
Paper Elephant Tags: CupcakeDream on Etsy
Elephant Cake Topper: SBrandesDesigns on Etsy
Elephant Dress: Lil'BitofWhimsy on Etsy

subset: commoncrawl


text:
On Sunday, August 12th at 12:30 pm, former parishioner Mary Lou Dickinson will read from her new novel, The White Ribbon Man. There will be a Q and A with the author after the reading. This is a free event open to all. Please join us!
"The White Ribbon Man is a murder mystery set in Toronto. A woman's body is found in the basement toilet of a downtown Toronto church. It is an Anglican church that welcomes homeless people for coffee and soup and has a congregation composed largely of social activists. The discovery challenges a community that sees itself as a compassionate one and causes people who once were comfortable with each other to become suspicious instead. During the investigation we get to know something about the minister whose sleepwalking makes him suspect, a librarian who answered the classified ad in the Globe and Mail placed by another suspect; one of the wardens who is an activist against violence against women, a member of the congregation who was the neighbour and friend of the murdered woman, and the detective in charge of the investigation. The gentle handling of all of these characters and their issues allows the reader to see humanity and vulnerability of each one and the way in which as a community they support one another.
"After a woman is found dead in a downtown church basement, nearly everyone becomes a suspect. Dickinson deftly takes us into the world of a social-justice community and their struggles to cope in the aftermath of violence. When a writer and cop unintentionally team up, imagination and evidence blur. This is a page-turner with an unexpected plot-twist that will leave the reader guessing until the very end."


text:
This exciting new Jeff Pitchell CD is entitled American Girl because (at the request of the films director, Oscar nominee James Woods) Jeff wrote a few of the tunes for the movie, An American Girl. The film, starring Kristen Stewart, should be released this year. And, it appears that American Girl, the CD, has almost as many players as a movie: Jeff Pitchell, Jay Geils, and Gerry Beaudoin, all lead-guitaring; Reese Wynans and Bruce Bears on keyboards; David Smith and Jesse Williams on bass guitar; Mike Durham on rhythm guitar; Marty Richards on drums; Lynn Williams on drums/percussion; Jim Hogan on sax and baritone sax; Rich Lataille on tenor and alto sax; Scott Heff and Scott Aruda on trumpets; with backup vocals provided by Etta Britt, Bekka Bramlett, Linda Casey Ransom and Nakita Walker. Phew!!!!
While Jeff wrote most of the tunes, there are several covers, including T-Bone Shuffle (by Aaron Walker). This version of the classic blues tune includes Jeff, vocalizing and playing lead guitar, with Gerry Beaudoin on 2nd lead guitar and Jay Geils on 3rd lead 3 lead guitars add up to a bonanza of strings, making some amazing blues music!!!!! Definitely a special tune listen closely and enjoy. Since Jay Geils contributed guitar support on the American Girl album, there are a couple of tunes from the J. Geils Band; Homework and Hard Drivin Man, with Jay again doing 2nd lead duty. All Jeff Pitchell albums are packed with rocking blues tunes; Lady K has them all, and she had fun playing bits and pieces of the other CDs, comparing the previous versions of the two earlier Pitchell tunes that were included here. Out in the Cold and Prisoner of Love are the do-overs not because they needed to be, but because they are such good tunes. Two major changes to this version of Prisoner are that it has a swingier beat, and an additional player: Jay Geils, playing amazing slide next to Jeffs lead (turns out its Lady Ks new favorite version).
Every Day is a mid-tempo, upbeat look at a good way to live life: Make a stumbling block a stepping stone . . . every day will start again . . . every day is a chance to win. The up-tempo, rocking Saturday Night features killer guitar, along with vocals proclaiming Im gonna hold ya, Im gonna squeeze ya, gonna kiss you on Saturday night (at shows this tune is going to have all of the ladies clustered around Jeff, up-close-and-personal while he rocks it out). I Found Me is terrific, a slow, humble love tune. He sings: It goes to show we learn nothin from the things we know . . . that I was lost as I could be, but I came to see that I found you when I found me. The title tune is funky, with a hip mid-tempo beat, and explains the appeal of an American Girl. With her smile wide as the sky, her laughter sounds like the water . . . like those streams she passes by. American Girl, youre free . . . a dream free as the breeze . . . beautiful woman angel face. The finale includes some compelling Pitchell guitar riffs.
Step Up is appropriately titled because hip-swinging is absolutely essential while listening to this tune it begs for movement with its upbeat tempo and hard-rocking screaming guitars, while the lyrics challenge you to move: What good does it do you just to twiddle your thumbs? . . . Step Up, show me your stuff! More: are you ready to roll? . . . Im gonna rock your soul . . . you know you got it in ya, dont ya . . .you know you gonna do it, dont ya? Rock away the lyrics are catchy, the beat begs for dancers, and the guitar is kick-ass!
You probably wouldnt imagine it from the title, but My Jesus is a slow, bluesy song about love (and life) gone right. This is probably Lady Ks favorite tune on the album because its an interesting take on love and how it happens (and also because the blend of guitar and organ is yummy). Hes thanking his God that falling in love and living his life all went so well: When I first met you baby, I was thinking about a hit and run . . . look at us now, for years were havin fun . . . As I gaze into your eyes under the sweet moonlight, time was right, lovin you that night. And to his lord, hes thankful because he stood by me while I have sinned . . . dont know the reasons why Ive sinned . . . Ill just leave it to Jesus in the end.
Seriously is a seriously fun, finger-snapping, toes-tapping blues tune, warning us all not to take life (or ourselves) too seriously. There are serious things happening all the time: healthcare, warfare, hurricanes, crack cocaine, earthquakes, poison snakes, headlines (just to name a few). You should live life according to Bogies philosophy that nothing is really serious, because the world is always three drinks behind whatever is really happening. Go have a good time tonight.
Beautifully Broken is a slow-tempo love tune. Feel like your dreams just came and went . . . somehow you have to be strong enough to bend . . . keep your eye on the prize, keep moving forward. Through my eyes you would see that you are perfect to me . . . if broken, then beautifully broken.
The rock and rolling It Comes to Me Naturally is Jeffs modern-day take on the life of what would seem to be a very popular gigolo and braggard! Hes is warning women that hes really no good except at sex. These lyrics are a riot: all around town my name is mud, I cant help it cause its in my blood . . . it comes to me naturally . . . I jump on any woman who looks good to me. I like this one here and that one over there, bring me 20, then another 20, bring me a 100 . . . when Im finished and all out of breath, bring me your mother and Ill thrill her to death!!!!
Jeff Pitchells music isnt back-porch blues, its rocking, rolling, guitar-heavy electric blues and Lady K predicts that American Girl will be another winner for Jeff.


text:
Cal Pump Power Control Center with 50' Cord – PC50
The Power Control Center allows backyard water gardeners the flexibility of installing a pond where no electricity is near the pond site. Now you can control the operation of your pumps, UV Clarifiers, underwater lights, and other necessary items with the Power Control Center. The ultimate luxury to power your pond.
1) 50' Power cord Line voltage & low voltage timers
2) Dual 110V and 12 volt
3) 150 watts maximum
4) Weather resistant construction for safety and durability
5) 1 year warranty


text:
By Glenda Council Beall
My mother's illness and my brother having cancer also piled on the distress. I wrote poems about them too.
I didn't set out to write those poems, nor most of the ones in Untying the Knot; they just happened. One of my friends said, "Oh now that you've had a tragedy, your poetry will get better." I wince at that, but it's probably true. My poems definitely got deeper emotionally and darker in tone. However, I also believe in trying to stay positive, so many poems have a positive spin. Some are even funny. Like I said, poetry was therapy.
When I kept writing divorce poems two years later, I said to a poet friend, "Oh no, another divorce poem," and he said, "That's fine. Many good poets are obsessed with one topic." Then I read Sharon Olds's Pulitzer Prize winner, Stag's Leap, also about the end of a 30-year marriage. It blew me away with its grief and honesty, and it inspired a couple more poems, including "Telling My Mother."
Even after my publisher had accepted my manuscript, I felt the need to add two more poems, both for my therapy and for rounding out the story. The publisher said okay. One was "And So It Comes to This," which takes place sitting at the divorce table with Ken and the lawyers. That moment needed to be described. The other was, "Komodo," a poem about forgiving the other woman. It was work-shopped by Carol Ann Duffy, the Poet Laureate of Great Britain, at the San Miguel Poetry Week in Mexico in January 2014. When I asked whether I should add it to my book, she said, "Absolutely. Many people will relate to it."
GCB: Why did you feel you should publish this book, and who do you find to be your most appreciative readers?
KAREN: Many poets start out with a chapbook first, but I had had the thought in my head long before this book, that maybe I'd jump right in and try to get a full-length book published. So there it was: a book. Wow. Friends responded positively to it. It took on a life of its own. I submitted it to two contests but didn't win. Then submitted it to a publisher who took it. That was very lucky. I'm happy to report that the book seems to be viable poetry that poets appreciate, while also being a story—simply and honestly told—appreciated by even those who think they don't like poetry. It seems especially to touch people who've experienced some kind of loss of a beloved partner.
GCB: Every poem in Untying the Knot hits hard with the pain and uncertainty you went through. It is one of the most personal books of poetry I've read and I appreciate that because I am a believer of "bleeding on the page" in order to communicate deeply with your reader. Do you find discussing these poems at readings brings back the hurt you endured?
KAREN: No, I actually don't think the hurt comes back in that way now. It took me a long time before I could read these poems in public. The book was accepted by a publisher about three and a half years after my ex left me. Knowing then that the poems were going to be out there in public when the book was published six months later, I decided to start sharing some at readings. I found audiences related to me more than they had when I read my other work. I believe that showing my vulnerability makes me more "real" to my audience, and thus they feel a kinship. People often approach me afterward to say the same thing (affairs or divorce) happened to them. Both men and women tell me this.
GCB: Was this book written and published out of spite or to get even with anyone? Did you think long and hard as to whether you should publish such an openly candid view of your divorce?
KAREN: I never had any thoughts of revenge or spite. My thinking was that the book might help people going through a similar situation. Also, by the time Untying the Knot was put together, I felt removed from the story, almost like it happened to someone else. The book became a thing rather than "my story." However, once it was published, I suddenly got shy, thinking, "My gosh, I have opened my kimono to the world, and even if I close it back up, people will remember what they saw." It's an odd feeling knowing that your very intimate thoughts and feelings are out there in the world. When Poet Tom Lux wrote the blurb for the back of the book describing it as, "a courageous, deeply human book," I thought "courageous?" but now I know what he means. I was naively courageous, I guess.
GCB: You and I were going through serious loss about the same time. My husband's death ended my long marriage. We must go through various steps as we try to rebuild our lives. Is the finding of another person, who loves you and that you can love, a healing step in recovery?
KAREN: My prayer during the separation was, "Please help me end up with the man I'm supposed to be with, whether it's my husband or someone else." I knew I wanted partnership, but I also knew it had to be with the right person. I consider Chris an answer to that prayer. I knew him for about six months, but didn't start dating him until just before the divorce was final. By that time, I was in the acceptance stage of grief. I had successfully put my life back together and was doing fine living alone. So I never felt like I fell into Chris's arms on the rebound. Experiencing unconditional love from him made me realize that I'd never accept anything less again.
GCB:You seem to be happy these days with your new guy. Do you still have moments when you feel sad about the divorce?
KAREN: I'd say I feel sad about the loss of 31 years of life as I knew it and loss of my little family: me, Ken, our daughter and our two Welsh Terriers. In the end, I knew the divorce had to happen. I was ready to move on. But it is a sad thing to end a relationship, and I'll probably always carry at least a smidgeon of that sadness of loss. However, I have a wonderfully fulfilling relationship with Chris now and do not harbor any hopes that Ken and I will get back together. He and I don't communicate regularly, but when we do it is friendly, and I don't feel sad.
GCB: You have been a loyal and active member of NCWN and Netwest for a long time. You were very involved in the publishing of the anthology, Echoes across the Blue Ridge. You began the Writers Night Out monthly reading and continue to facilitate that event. Your participation in the Atlanta literary community is extensive. Why do you continue to volunteer and support NCWN and NCWN West?
KAREN: For a long time, I felt a need to do volunteer work and did do some with the children's hospital in Atlanta. But that wasn't my thing. When I realized I could do something for writers and audiences, I lit up.
The NCWN, and especially Netwest, had helped give me the encouragement and know-how to become a published poet, and so I wanted to give back. While it's not "charity" work, it is bringing people together. Writers so appreciate the support and connections: They are constantly thanking me. Yet I get support from them too.
In Atlanta, I missed the connections I had to other writers when I was in the mountains. So I started a poetry group in Atlanta, and most of us are now dear friends, just as I have dear writer friends in the mountains. Wonderful things happen when a group of like-minded people get together. Hosting the open mic gives writers a venue to read their work out loud and for audiences to hear the work firsthand. People are happy at Writers' Night Out, and that makes me happy!
GCB: Tell us anything you want our readers to know, anything about your book that you want us to know and where they can buy it.
Karen: Untying the Knot is a memoir in poetry about the end of a long marriage and the healing. Most people recommend that the book be read cover-to-cover because it reads like a story. According to Poet Thomas Lux, "it is written with grace, humor, self-awareness, and without a dollop of self-pity."
GCB: Thank you, Karen, for giving us this insight into your writing and for your genuine comments about how you came to write Untying the Knot.
Karen's book, Untying the Knot can be purchased in paperback and Kindle at http://www.amazon.com/Untying-Knot-Karen-Paul-Holmes/dp/0615998984/ref=sr_1_1?ie=UTF8&qid=1407440890&sr=8-1&keywords=karen+paul+holmes.
Also available at City Lights Bookstore in Sylva, NC. Until Aug 21, you can enter to win one of 10 free copies on Goodreads. https://www.goodreads.com/book/show/22599734-untying-the-knot
Read a poem from the book below:


text:
Ayanna's Showing Off!!
Ayanna is back with two great FUNKY clips!! My most prolific model is back with two great clips! Enjoy as she shows her ass literally before spreading her legs nice and wide to push out some nice logs!! She actually pushes out a nice airy fart in the first scene right in front the camera before sitting down. Then enjoy her grunting and straining before a nice long wiping session. Enjoy as she teases you with her dirty toilet paper as well!! She must have to wipe like 1000 times to get it out!! But then again this girl really digs for gold when she goes to wipe her ass!! Another great GPS adventure!!
I'm out on a bike ride when I need to shit so badly. I do it right there in my skinny jeans, you see them bulge as a HUGE shitty load drops into them. I carry on riding my bike, squashing the mess all over myself. Once I get home things get even more dirty!


text:
Sen. Nancy Kassebaum, Key G.O.P. Moderate, To Retire in 1996
Sen. Nancy Landon Kassebaum, R-Kan., the chairwoman of the Senate panel that handles education issues and a leading moderate voice on issues affecting schools and children, announced last week that she will not seek re-election next year.
Ms. Kassebaum, who became the first woman to chair a major Senate committee when she assumed the top position on the Labor and Human Resources Committee this year, was first elected in 1978. Her prior political experience consisted of three years as a school board member and a stint as a congressional aide. But she is also the daughter of Alf Landon, the former Kansas governor who was the 1936 GOP presidential nominee.
"My reason for this decision is very simple and purely personal," Ms. Kassebaum said at a news conference in the Kansas Statehouse in Topeka. "I believe the time has come for me to leave the Senate and pursue other challenges, including the challenge of being a grandmother."
The departure of the well-liked Ms. Kassebaum paves the way for Sen. James M. Jeffords, R-Vt., to take the reins of the committee if the Republicans, as expected, retain control of the Senate after the 1996 elections. Mr. Jeffords, who served 14 years in the House before winning a Senate seat in 1988, is considered to be one of the most liberal GOP senators, and has a longstanding interest in education.
"Generally, there will be a welcoming of his chairmanship, at least on our side," said Sen. Paul Simon, D-Ill., a member of the education committee.
Pivotal Role
Observers said Ms. Kassebaum has been able to play a particularly constructive role in the Senate on education and other issues because of her moderate views and friendly relations with colleagues across the political spectrum.
When Democrats controlled the House and the Senate, Ms. Kassebaum often helped forge compromises between the two parties and the two bodies.
"She was very frequently the swing vote and took other people with her in support of education," said former Rep. William D. Ford, D-Mich. "We were very thankful for her."
From 1991 to 1994, Mr. Ford headed the House Education and Labor Committee, the companion panel to Labor and Human Resources that is now known as the Economic and Educational Opportunities Committee. At that time, Ms. Kassebaum was the ranking Republican on the Senate panel.
Bill Frenzel, a guest scholar at the centrist Brookings Institution and a former House Republican, predicted Ms. Kassebaum's departure will lead to further partisanship in a Senate that has become more contentious in recent years.
"Nobody's retirement is a disaster, and we are all replaceable, but Nancy is very unusual in that she's kind of the peacemaker in the Senate," Mr. Frenzel said. "Everybody has just enormous respect for her. ... She's been able to draw people with divergent views together."
Mr. Frenzel said it will be difficult for Mr. Jeffords, or anyone else, to step in and fill the void, either within the party or on the committee.
Block Grant Plan
While she is not viewed as a harsh critic of federal education programs, Ms. Kassebaum has devoted her year as the chairwoman of Labor and Human Resources to giving control over some programs to the states.
Her legislation to consolidate some 90 job-training programs into a single block grant passed the Senate 95-2 and awaits a conference with the House.
She has also proposed a "youth-development block grant" that would consolidate 23 youth-oriented health, education, and crime-prevention programs.
And her proposal to create a single child-care block grant survived a House-Senate conference committee and was included in HR 2491, the massive budget-reconciliation measure that also carries proposals to revamp such programs as welfare and Medicaid. (See story, page 16.)
Ms. Kassebaum's criticism of the Clinton administration's direct-lending program for college students was a big factor behind the decision of conferees to include in the reconciliation bill a provision sharply limiting the size of the program.
Similarly, the moderate lawmaker's sponsorship of legislation to eliminate the National Education Standards and Improvement Council, which was to certify voluntarily submitted state academic standards and assessments under the Goals 2000: Educate America Act, contributed to political sentiment against the council, which has yet to be seated.
Vol. 15, Issue 13
We encourage lively debate, but please be respectful of others. Profanity and personal attacks are prohibited. By commenting, you are agreeing to abide by our user agreement.
All comments are public.


text:
A full-service company providing a Professional Surveyor in Marquette and Alger Counties. Call for a quote on your survey.
Dustin D. Taylor, Professional Surveyor licensed in Michigan, has over 20 years of surveying experience. For 18 of those years he has been a Surveyor in Marquette and Alger Counties. A graduate of Michigan Technological University, Dustin worked for several companies before starting Peninsula Land Surveying in 2004.
If you are looking for a Surveyor in Marquette, a Surveyor in Munising, or places North, South, East or West of there, our service area includes Marquette County (Marquette, Negaunee, Ishpeming, Gwinn, Big Bay, Champion, Little Lake, Palmer, Michigamme, Skandia, Sands) and Alger County (Munising, Grand Marais, Chatham, Trenary, AuTrain, Deerton, Melstrand, Shingleton, Sundell, Traunik, Sand River, Eben, Wetmore).
From start to finish, the client receives top-notch quality and attention to detail.
Surveys are completed in a timely manner.
Competitive pricing.
Repeat clients continue to choose Peninsula Land Surveying for their exceptional service.
Boundary Surveys and Lot Surveys
Parcel Divisions
FEMA Elevation Certificates and LOMAs
Topographic Surveys
ALTA/ASCM Surveys
Contact Peninsula Land Surveying - Estimates are free
Please have the property Legal Description when inquiring
It depends. Each survey is unique in its own way. Once we examine your Legal Description, we will provide you with a cost to survey the property.
The client can usually choose from the following services:
- setting/locating property corners
- marking property line(s) between set corners
- a Certificate of Survey (survey drawing)
- or a combination of the above
Please have the property Legal Description when contacting us.
The best place to obtain the Legal Description is on a Deed which you can obtain at the Register of Deeds office at your county courthouse.
Tax Bill Descriptions are also acceptable for initial estimates.
If your property has been surveyed before please include the survey drawing if available.
130 County Road KR, Marquette, Michigan 49855
(906) 387-2280
Please leave a message if you call and we are unavailable - we are out in the field surveying!
Copyright © 2017 Peninsula Land Surveying - All Rights Reserved.


text:
Rho's experience advances products through Phase II trial management
Rho is adept at managing every aspect of Phase II clinical trials. We offer a broad range of services needed to establish safety, dosing, and proof of concept bringing drugs, biologics and medical devices closer to approval.
Clinical operations provides experience and leadership at each site
The value of Rho's Clinical Operations lies in the experience we bring to the client. As a result, we can provide strong site management and enrollment strategies. We consider the Lead Clinical Research Associate (LCRA) to be an integral part of the study—that's why ours have an average of 5 to 10 years of clinical operations leadership experience. Our non-regional CRA model allows our CRAs to develop expertise within therapeutic areas, become more closely integrated with the rest of the project team, and focus on a smaller number of protocols.
Medical monitoring services with a focus on safety
Rho's Medical Monitors are a vital component to Phase II clinical trial success where establishing safety is key. Medical monitoring plays an important role in providing protection to research subjects, integrity of results, and consistency of protocol. Our team of Medical Monitors is composed of an on-board staff and network of specialist physicians that guide study teams through the issues faced in clinical research studies.
Robust statistical services and advice
Our creative statisticians design small yet flexible Phase II studies. Our statisticians support data and safety monitoring boards (DSMBs) and conduct interim analyses. Because timing is so critical in these phases of development, our counsel can help you make timely and informed decisions about sample sizes and doses, which will guide your program development.
Clinical data management capacity
Phase II studies require the ability to balance flexibility and speed when it comes to managing sites, subjects, and case report forms (eCRFs or CRFs). Rho provides agile and adaptable clinical data management services necessary for successful phase II studies.
Discover Rho's expertise in Phase II trials
Our phase II clinical trial capabilities include:


text:
Gargnano, August 30th, 2018 - It is all set in Gargnano, Western shore of the Garda Lake, for the fifth act of the Cetilar Sailing Series - M32 European Series, whose dates and location coincide with one of the most famous regattas of the Italian Lake Garda, the "50 Miglia, Gorla Trophy", that will take place on Sunday the 2nd of September.
A fleet of four M32 cats, representing four Countries, gathered in "Circolo Vela Gargnano" to compete in the penultimate act of the season and to move further steps in the overall leaderboard, to discover who will be the winner of the 2018 edition of the M32 European Series.
Andrea Lacorte, with his Vitamina Veloce from Italy, in Gargnano will try to defend the leadership gained in the previous events from the attacks of the English GAC Pindar by Ian Williams, that follows in second place in the overall ranking with a gap of 4 points.
On the starting line of Garda Lake, together with the already named Vitamina Veloce and GAC Pindar, there will be the Swedish entry Vikings by Hakan Svensson and Shark Team by Guido Maini from Monaco.
Races were supposed to start today, but the typical southern wind of Garda Lake didn't fill in as expected and forced the Race Committee, chaired by PRO Mattias Dahlstrom, to send the fleet back to the moorings, ending the day with a no wind, no race.
The appointment is then set for tomorrow, when the Race Committee will try to benefit from the early morning Peler wind to conclude the first races of the series on Garda Lake, under the eyes of hundreds of spectators already gathered in Gargano for the upcoming "50 Miglia" and "Centomiglia", ready to be amazed by the speed and the action of the M32 regattas.


text:
(Editor's note: Coinciding with World AIDS Day, CMT.com spoke to Wynonna about her calling to educate young people — and their parents — about the dangers of HIV and AIDS.)
In her role as a national spokesperson for YouthAIDS, Wynonna has grown certain of one thing: "Parents are terrified to talk to their children about sex."
Wynonna recently donated a portion of her proceeds from her 20th anniversary tour to the organization, which educates 15- to 24-year-olds around the world about HIV and AIDS.
During her tour, Wynonna visited college campuses to discuss the disease with the very generation most likely to be infected.
"I walk onto a college campus, and I sit down and talk to 100 students about, 'Did you know you can get AIDS by giving a blow job?'" she says. "And they look at me like, 'Thank you for saying it like we think it.'"
Not everybody will condone her candid approach, of course, but she thinks it's the only way to go.
"You have to say 'blow jobs,'" she insists. "You can't say, 'Let's talk about oral sex.' That's the hard part, because I'm very traditional and I felt like, 'Oh, gosh, can I do this?' But I thought, if the parents get mad at me, I'm sorry, but these parents have to talk on their level."
Wynonna's sister, actress Ashley Judd, is the international spokesperson for YouthAIDS, and she and founder Kate Roberts have educated the singer on the facts about HIV and AIDS. Now she considers it her mission to pass that knowledge to others.
In the U.S., most people get HIV through unprotected sex with an infected partner or sharing a needle that has been contaminated. The HIV virus causes AIDS, a disease that harms the body's immune system by attacking certain kinds of cells that defend the body against illness.
During her travels, Wynonna has found that many parents and their children don't have the first clue about HIV.
"They don't know it's a virus," she says. "It's like saying to someone, 'Do you know where your pancreas is?' Let's get down to the nuts and bolts. They completely don't have any information. The parents are looking at me like, hhmmmm? They don't even know how to talk to their children about sex, for crying out loud."
Privately, she has discussed sex with her two children (Grace is 8 and Elijah is nearly 10), as well as the 15-year-old son of her new husband, Roach. Publicly, she recalls one presentation when an 18-year-old student announced he talked to his father about sex, and his father then replied, "Man, you're teaching me some things."
"The whole audience laughed," Wynonna recalls. "But that's pathetic. It really is. We have to get real here. Put this in capital letters: If you think that talking to your child about sex is going to promote them to have sex, that's not true."
She adds, "We are so afraid if we hand this kid a condom, he's going to go out and do it. I don't know why we have that fear. They're going to have sex. My whole thing is: Their parents aren't talking to them. They're looking at the floor, like 'Hurry up and get this over with.' They don't have an open dialogue with their kids. This is the saddest thing I see. They don't talk to their kids at all about anything. Very few of the kids said that they had an open dialogue system with their parents. They said they found out through their siblings, friends, dirty books and, God bless, the Internet."
Quoting the proverb that charity begins at home, she says, "This is the most important thing I could say: If you don't tell them, someone will."
Wynonna became active in the YouthAIDS organization after Roberts — whom she had met at a Youth AIDS banquet with Ashley — told her about the disease's crushing effect around the world, especially on young women. About a half-hour into a conversation a few months later, Roberts recounted a visit to a brothel in Asia and telling the teenage girls there about HIV and safe sex. Roberts said one of the girls, age 12, tearfully begged Roberts to take her infant daughter to America.
Shaken and touched at the story, Wynonna dedicated herself to YouthAIDS, speaking to young adults about how AIDS is contracted and how to prevent infection. She encourages them to set boundaries for themselves and to feel confident in saying no — two lessons she did not learn when she was their age, she says.
"I love them so much, and I want them to have so much more," she says. "That's why I'm doing this. I don't care about the dinner, the banquet. I care about the people as much as I've ever cared about anything in my life."
She adds, "I'm not doing this because I'm liberal. I'm doing this because I believe in Jesus, and I believe that Jesus would want me to do this in love. This is not a sermon. This is not preaching. This is a teaching opportunity to me."
She talks about the "Christian blinders" that most parents wear, how they insist that their children aren't having sex — and how those parents are dead wrong.
"We have to realize our kids are having sex, and they're hiding it from you," she says. "Ages 15 to 25. … This isn't 25 to 35. This is 15! I'm meeting these people, and I'm amazed at the ignorance level of all age groups. We expect them to be ignorant at 10, 15 and, OK, 20. I'll give you that. But 25-, 30-, 35- and 40-year-olds don't know what's going on. They think it's that homosexual disease. People are still afraid to hug someone with AIDS. It's so crazy."
She knows what she says is controversial, but she's not backing down.
"However many yucky letters I get is worth it," she says, "because if I'm upsetting the parents, maybe it will convince them in some way to get off their high horse and get on the level of their kids. Sit down and say, 'I love you, son — enough to tell you about this.'"


text:
Basic Research into Lymphoma
The primary focus of our laboratory program is to translate the latest scientific discoveries directly into new treatments for patients with lymphoma. This operation involves everything from early discovery and chemistry of new small molecules through preclinical drug development and biochemical pharmacology. Central to our laboratory focus on developing the most promising drugs as quickly as possible, is the reliance on the development of novel animal models of the disease. These unique models allow us to assess safety and efficacy very early in the development process, and to refine the optimal strategies for application in the clinic. Additionally, we believe that no drug being developed today will be used exclusively as a single agent; hence, we initiate the evaluation of drugs in combination in order to identify only the most promising and synergistic combination to move forward into the clinic. These techniques employ the use of high-throughput combinatorial screening.


text:
So it's been 25 months since my THR.
Current status: weight up (thanks Vancouver!), new hip working perfectly, old hip working perfectly.
I'm hoping to get a meeting with my surgeon this month. But as it stands, there is certainly no reason to think about getting the other hip replaced. Maybe it will never become painful. Fingers crossed.
Other than that, life is great. Making plans for the fall that include Winnipeg, Halifax and Scotland. Sounds similar to last year!
And so I goes!


text:
Do I have to carry my glass home?
The glass is included as part of your ticket – it is yours to keep if you want it, but it is your own responsibility to take it away with you. If you don't want to keep it then you can leave it behind, but we aren't able to offer any refund if you do.


text:
There are many ways to watch people play video games, but one of the easiest is to fire up Twitch. Available on multiple platforms, including desktop, mobile, browser, and set top boxes, the Amazon-owned streaming service specializes in broadcasting real-time gaming—though it offers kinds of content, too. Twitch's ubiquity, ease of use, and high adoption rate make it an excellent service, despite a few issues. It's one of the best video game live streaming services.
Similar Products
Twitch Prime and Channel Subscriptions
Twitch is a free service that inserts ads into its streams at regular intervals. If you're an Amazon Prime or Prime Video member, your membership includes access to Twitch Prime, a premium experience that grants extended broadcast storage for broadcasters (60 days instead of 14 days), a single Twitch channel subscription (which includes ad-free viewing), exclusive emoticons, expanded chat color options, a chat badge, and free games delivered on a monthly basis. Twitch states that the games are yours to "keep forever."
To me, the Twitch Prime channel subscription is the most attractive benefit, as it lets me watch, say, TeamSp00ky without Twitch inserting ad breaks into the stream. It should be noted, that that doesn't prevent channel hosts from plugging sponsors during their broadcasts. You can only apply the Twitch Prime channel subscription to a single channel at a time; you can switch another channel every 30 days. This is a change in how Twitch handles ad-free viewing; a few months ago, a Twitch Prime membership gave you with ad-free viewing across the board.
If you want more ad-free channels, or you don't have an Amazon Prime subscription, Twitch gives you the option to subscribe to individual channels for $ 4.99, $ 9.99, or $ 24.99 per month. Broadcasters set the subscriptions rewards, so the fun extras vary from channel to channel. You can give channel subscriptions to friends, too.
Alternately, you can sign up for the $ 8.99-per-month Twitch Turbo, a subscription that serves up ad-free viewing across Twitch's many channels (you still see front page takeovers, however), extended broadcast storage, additional emoticons, custom chat username colors, priority customer service, and an exclusive chat badge. If you're a broadcaster, Twitch Turbo benefits you, too—if you're a Twitch Partner. If you're a member of that group, you still get credit for ad impressions when a Twitch Turbo subscriber watches your channel.
In addition, Twitch lets you Follow channels if you create an account. Following channels doesn't give you subscription benefits, but it places those streams into a column on the left side of the interface that alerts you when a streamer begins broadcasting.
Twitch also lets you buy Bits, a virtual currency that you use to purchase emotes from broadcasters to drop into the chat. Pricing starts at $ 1.40 for 100 Bits, and broadcasters get a cut of viewers' purchases. This is yet another way for viewers to support their favorite streamers.
Twitch Platforms
Twitch has become the de facto streaming service for gamers, as it's nearly everywhere, as mentioned earlier. Twitch has Mac and Windows desktop apps; Android and iOS mobile apps; and PlayStation 4 and Xbox One console apps. You can find Twitch apps for Amazon Fire TV, Chromecast, and Nvidia Shield, too. That said, you won't find Twitch on Roku or Apple TV devices. Instead, you should download the unofficial but reliable Twitched or Twitchy apps.
Mixer, Microsoft's Twitch competitor, isn't quite as ubiquitous. As you'd expect, it's integrated into Windows 10 and Xbox One, and has Android and iOS mobile apps, but that's about it.
Discovering Game Streams
The Twitch home screen has evolved a lot over the years. In the past, certain popular games, such as Counter-Strike: Global Offensive and Dota 2, dominated the Discover section, creating an element of sameness to a section that should have been about content discovery.
Twitch now does a better job of highlighting a wider variety of games and genres; it now also features Fortnite, Overwatch, and PUBG. Additionally, you can view a full list of all live shows, explore games by genre, key a term into the search box, or check out clipped highlights of users' cool gaming moments. There's a lot of Twitch content, but it's pretty easy to find something of interest.
Channels and Video Resolution
I spend more time than I care to admit watching Twitch content. In fact, I probably watch it more than Netflix (I should really cancel my subscription) and YouTube. The majority of my Twitch consumption involves fighting games, but I also tune into chess competitions, esports, and the dedicated Bob Ross channel.
Twitch streams are quite reliable; I very rarely encounter video issues. It helps that Twitch auto-adjusts the stream to match your internet connection speed, but you can manually adjust the bit rate, too. For example, TrU3Ta1ent's recent Mortal Kombat 11 stream let me tweak the video setting from 720p/60 frames per second all the way down to 160p. I'd hate to think what a 160p stream looks like on a high-resolution display, but at least the option's there for those times when your internet connection drops the ball.
Many Options
Twitch is ripe with features for viewing, interacting, and streaming. I won't highlight them all, but I will touch on a few of note.
Squad Stream, released in early 2019, lets up to four Twitch streamers go live and broadcast together in one window. The benefit? As a viewer, you get more angles on the action, a way to discover new streams, and the ability to chat with multiple Twitch communities at once. It's a terrific way to expand how you use Twitch. Mixer has a very similar co-streaming feature that supports up to four broadcasters.
Clip is a feature that Twitch has had for a while now, but it's still pretty cool. It's designed to let you record hype moments by grabbing the video from about 25 seconds before and five seconds after you click the Clip button. A trimming tool is included to help you edit the captured video a bit.
If you want to minimize the distractions, activate either the Theater Mode or Full Screen Mode via icons in the bottom-right corner of the video player. Theater Mode darkens the interface so that your focus is the video content. It also increases the video player's on-screen real estate, while keeping the chat feed. Full Screen Mode, on the other hand, takes things to the next level by ditching the chat feed in order to give the video player even more space.
Twitch Broadcasting
PC gamers, if you plan to broadcast from a PC, visit the Creator Dashboard. Here you can see stats, test your stream, and download the appropriate software that enables you to stream. Like YouTube Gaming, Twitch demands additional software, such as XSplit Broadcaster or OBS, to broadcast your gameplay to the world. Mixer, on the other hand, needs no such third-party app on PC; you simply log into Mixer.com and fire up the Windows 10 Game Bar. If you game on PlayStation 4 or Xbox One, you can Twitch stream using the appropriate Twitch console app.
You cannot, however, stream gameplay using the Twitch mobile apps; you can only view content. That's one area where YouTube Gaming excels, though it has some rather particular requirements. Mixer offers Mixer Create, an app that lets you stream from mobile devices.
Twitch gives you plenty of presentation tools for enhancing your stream. You can title your broadcast, set up privacy settings so that only certain people can tune in your feed, and generate a stream key that lets others who have streaming software broadcast to your channels. The last is incredibly handy for multi-person teams
Twitch used to automatically archive streamed videos by default, but not anymore (you now have to dive into options and set it up). If you want to retrieve your videos at a later time, make sure that you activate this feature, or you'll lose everything.
Scratching the Twitch
Twitch is the face of streaming video game content for good reason: It's easy to use and has enough flexibility to cater to casual and core users alike. Basic account holders must deal with some rather jarring ad videos, but, overall, Twitch is the place to go for professional and hobbyist streaming video game feeds. Twitch is PCMag's Editors' Choice for streaming video game services.


text:
Hello there and welcome again to Buon Appetito's website, here we are making available. Key information about the services that are provided, by Buon Appetito in and around the local area of Llandysul. We hope you enjoy your visit to our website, and also that you will visit us at the Coffee Bar/ Delicatessen one day.
Food and Drink
In the coffee bar we provide a wide range of food and drink, most of our food dishes come from an Italian background, and others that are more traditional for a cafe, all food dishes avilable can be seen on our Food Menu.
We also provide many Hot and cold drinks, most of which are based on traditional Italian Coffee's, and others from more traditional cold drink manufacturer's, to see the range of drinks that are available please, have a look at our Drink Menu.
We are a family run Coffee Bar/Delicatessen that is based in the small West Wales village of Llandysul, that is situated alongside the well known, welsh river of the teifi. For more information on how to find us,visit our Contact page.


text:
Company enhances focus on quality product innovation to deliver unwavering consumer demand for taste, health and convenience at a good value
Today General Mills announced an aggressive lineup of new products set to bring more consumers to General Mills' leading brands. More than 50 new items will debut from the company's U.S. Retail business with dozens more rolling out in international markets during the second-half of the company's fiscal 2014, which ends in May.
This lineup builds on strong introductions during the company's first-half of fiscal 2014, with standouts including Nature Valley Protein Granola, Yoplait Greek blended yogurt, Nature Valley Soft Baked Oatmeal Squares and Old El Paso frozen entrees.
The latest wave of new products from General Mills is poised to meet growing consumer interest in snacks, protein-rich breakfast items, and globally-inspired convenience meals.
Snack Foods on the Rise
Consumers are seeking snack foods more than ever. General Mills continues to lead growth in the grain snacks category in the U.S., adding almost 10 points of market share over the past five years. Through the first-half of fiscal 2014, strong new product innovation from Fiber One and Nature Valley has driven a gain of nearly four more share points and retail sales gains of 11 percent.
In the second-half of the fiscal year, General Mills is launching a diverse lineup of new items across its portfolio geared to meet consumers' increasing appetite for snacks that offer added benefits like protein, fiber, whole grains, or a full serving of a fruit or vegetable.
Most notable:
- Nature Valley Breakfast Biscuits – Available in Blueberry and Honey flavors, the new breakfast biscuits provide 26 grams of whole grain, 5 grams of protein and 4 grams of fiber per serving.
- Fiber One Meal Bars – The Fiber One franchise enters the nutrition bar category with new Fiber One Meal Bars touting 10 grams of protein, 9 grams of fiber and fortified with 14 vitamins and minerals. Available in Chocolate Peanut Butter, Strawberry Greek Yogurt and Dark Chocolate Almond varieties.
- Yoplait Greek 100 – Taste plus protein all in 100 calories. New indulgent flavors of Yoplait Greek 100 include Apple Pie and Strawberry Cheesecake.
- Yoplait Light Dessert Mix-Ins – Yoplait Light Dessert Mix-Ins come with a serving of yogurt and a separate pack of toppings. Consumers can mix together flavors like Key Lime Pie with Graham Cracker Crumbles, Boston Cream Pie with Chocolate Cookie Crumbles, and Coconut Cream Pie with Graham Cracker Crumbles.
- Nature Valley Nut Clusters (exclusive to convenience stores) – These bite-sized clusters of nuts, dried fruit and seeds pack in 8 grams of protein per serving. Nature Valley Nut Clusters come in two varieties: Roasted Nut and Seed, and Apple Cinnamon.
- Cascadian Farm Protein Bars – For consumers seeking alternative protein, these new bars are made with organic pea protein and are available in Peanut Butter Chocolate Chip and Honey Roasted Nut.
- LA RABAR uber bars – These sweet, salty and chewy bars add two new decadent flavors: Dark Chocolate Turtle and Dark Chocolate Peanut.
- Green Giant savory snacks – Building on the growing popularity of its veggie snack chips, Green Giant is introducing new Baked Sweet Potato Fries and Baked Veggie Puffs.
- Chex Mix Popped – Popped popcorn plus traditional Chex Mix combine for a lighter snack option. Available in Sweet & Salty and White Cheddar flavors.
- Chex Chips (exclusive to convenience stores) – A bigger, puffier version of the Chex pieces consumers love, in four bold flavors: Caramelized Onion, Cheddar Jalapeño, Cinnamon & Sugar, and Wasabi.
- Food Should Taste Good Pita Puffs – Available in four sophisticated flavors – Pesto, Chive, Cinnamon Sugar, and Multigrain – these pita puffs are big on flavor with a light, crisp texture.
Breakfast Still a Great Start
Ready-to-eat cereal is still the most popular at-home breakfast choice in the U.S., with more than 90 percent of U.S. households purchasing cereal each year. Big G has led category performance for several years and gained share through the first half of fiscal 2014. General Mills plans to drive growth in the second-half by bringing product news and innovation to the cereal aisle with:
- Fiber One Protein Cereal – For protein seekers, this sweetened granola cereal offers 10 grams of protein with milk and 20 percent Daily Value of fiber. Available in Maple Brown Sugar and Cranberry Almond varieties.
- Nature Valley Protein Granola – Great taste plus 10 grams of protein per serving, the new Cranberry Almond flavor is ideal with milk, on top of yogurt or all on its own.
- Multi-Grain Cheerios Dark Chocolate Crunch – Dark chocolate flavored O's and clusters made with real cocoa and five different whole grains, the newest Multi-Grain Cheerios variety provides 15 grams of whole grain, 9 grams of sugar and just 110 calories per serving.
- Chocolate Toast Crunch – Consumers who love those irresistible squares will be excited to try this new chocolate variety.
- Cascadian Farm Graham Crunch – These delicious organic graham squares are made with wheat, rice, oats and a sprinkle of sugar.
Convenient Meals add Global Flavor
With less time to prepare and cook the evening meal, consumers are seeking quick and convenient choices to solve the nightly dinner dilemma. While consumers' tastes evolve to embrace products with globally-inspired flavors, General Mills is introducing these flavorful varieties from brand favorites:
- Helper Bold and Helper Ultimate skillet dinners – Flavor is front and center with adventurous new Helper Bold varieties including Spicy Chipotle Chicken Enchilada, Firehouse Chili Macaroni and Crispy Buffalo Chicken. Helper Ultimate introduces Sweet and Spicy Teriyaki and Orange Chicken.
- Progresso and Old El Paso microwave bowls – Easy prep plus taste appeal, Progressointroduces Creamy Garlic Parmesan Pasta and Rustic Marinara Pasta bowls while Old El Pasodebuts Cheesy Nacho and Chipotle Black Bean bowls.
International Products to Launch
Outside of the U.S., General Mills also will launch dozens of new products that will meet consumer demand for taste, health and convenience. Some examples from around the world include:
- Haagen-Dazs (Europe) – The super-premium Haagen-Dazs ice cream brand introduces Secret Sensations Tiramisu flavor, reminiscent of the popular Italian dessert.
- Yoki snacks (Brazil) – Yoki unveils snacks inspired by the world's top soccer teams including Argentinian Barbecue potato chips, Mexican Pepper peanuts, and German Mustard microwave popcorn, among others.
- Yoplait Yopa! Greek yogurt (France and Belgium) – Yopa! in France and Belgium represents the latest in a line of Greek yogurts that General Mills offers around the world. This strained yogurt includes fruit on the bottom in six flavors: Strawberry, Blueberry, Lemon, Mixed Fruit, Peach and Passion Fruit, and Plain.
- Bugles Potato Sticks (China) – This crunchy potato stick snack is made with real potatoes and is available in Original and Tomato varieties.
"We are focused on the quality of our new product innovation, and have a strong slate of new products to bring consumers more of what they want," said Peter Erickson, executive vice president of Innovation, Technology and Quality. "Consumers have unwavering high standards for food. They want products that deliver on quality, taste, health, convenience and value, but at the same time they want more. More flavor, more fun, more nutrition. The more we connect with consumers to truly understand their most significant needs, the better we are able to bring remarkable new products to market."


text:
The host of The Voice and Today shared a snapshot of his Thanksgiving dinner today, and the TRL alum announced to the world that he commemorated his mother by using her old recipes. The former MTV VJ said he was "deeply missing the smell of mom's Jimmy Dean sausage" as he woke up in the morning.
He added, "Luckily, she left the family recipes." Carson's wife, Siri Daly, shouted out to her mother-in-law with an Instagram photo of Carson's mother's recipes and sausages.
Every year, Carson and I would wake up to the sound of pots and pans clinking and the smell of sausage frying. This year, I am in charge of "Kiki's stuffing" and wishing I could ask her if I need more butter (the answer would be YES). So thankful for memories, family and dear friends. Happy Thanksgiving to you and yours! ❤
Siri stated that every year she and Carson would wake up to the sound of pots and pans clanging and the smell of sausage frying. However, this year, they missed that sound and smell as Carson's mother passed away recently.
As you may already know, Daly's mother died in September of this year at her home in Palm Desert. A spokesperson for the family told The Desert Sun that she suffered a heart attack in the morning.
Carson wrote on Twitter that there are "no words for the loss" of his mother. Additionally, his colleagues on-air announced the sad news and one day after, The Voice won the 2017 Emmy for outstanding reality competition series.
Just five weeks after Carson's mother died, Daly's stepfather, Richard Caruso, died after fighting a long battle with bone cancer. We send out our condolences to Carson and his wife, who have both suffered significant losses this year.


text:
solar nights
via Soular Order.
I really like my moody evenings and skies as you might have guessed. I tend to like certain sorts of music that goes with all such. Given my age it might be a little odd for people – I love my chillstep, deep dubstep but then I also love my older balearic chill, deep house and the like.
CHRISTIAN HORNBOSTEL | official web.
via CHRISTIAN HORNBOSTEL | official web.
Mentioned here are a couple of artists that I really have some time for – Soular Order, a Manchester based producer and also Christian Hornbostel. The two are very different but still they have the capacity to add to particular moments and moods. You can find some of the photos from our group on Sellfy –
f4mmedia (f4mmedia) – Sellfy.com.
via f4mmedia (f4mmedia) – Sellfy.com.


text:
Soaked in Bleach
A Documentary Film About the Death of Kurt CobainDVD - 2015 | Widescreen
From the critics
Community Activity
CommentAdd a Comment
Interesting look at the death investigation of Kurt Cobain. It has some shocking revelations about what happened, and wasn't reported.
An eye-opening documentary covering some serious blunders made by some high ranking individuals in the Seattle police department, e.g. not releasing photographs to other law enforcement officials; ruling the death a suicide w/o a thorough forensic investigation; allowing the remains to be cremated within less than a week, etc. etc... After watching this I absolutely question the gold digger Courtney Skank's involvement -- with her ex in the picture, her filing a missing person's report claiming Kurt was suicidal when others in his inner circle adamantly deny that he was, Kurt's request to his lawyer to have Skankie removed from his will... and she got away with *everything*. Speculation? Reopen the case!
Flashback to 1995. I'm at Lollapalooza when Courtney Love takes stage. "Take that shirt off! I don't want to see that fucker's face!" she shouted at someone in the front row wearing a Kurt Cobain shirt. Then she asks us if we'd like to see their daughter, which of course the audience goes wild and does. Then she says she can't bring her on stage or child services will take her away from her. Then she stage dives, comes back up completely naked accusing the audience of stripping her clothes from her (which would have been impossible - she was lying and she shed her clothes on purpose). At that moment, I was sick. "She did it," I thought. This documentary thinks so too. But this is a mystery we will probably never have answers to.
I rented this DVD and would love to watch this again!, This really proves that Courntey and her ex Cali had something to do with Kurt Cobain's death. A couple thoughts his sucuide note was not his hand writing, Kurt at the time was going to divorce Courtney, Kurt had 3 X the herion in hisbody compared to 3 people taking it found in the autosophy. My opinion Courtney wanted the money.
Age SuitabilityAdd Age Suitability
There are no age suitabilities for this title yet.
SummaryAdd a Summary
There are no summaries for this title yet.
NoticesAdd Notices
There are no notices for this title yet.
QuotesAdd a Quote
There are no quotes for this title yet.


text:
Customize your JAMA Network experience by selecting one or more topics from the list below.
Ventilator-associated pneumonia, defined as pneumonia (infection of the lung) occurring in a person who is being assisted by mechanical ventilation (a breathing machine), is a serious and life-threatening infection. Because individuals who contract ventilator-associated pneumonia are already critically ill (requiring mechanical ventilation), the death rate from ventilator-associated pneumonia is high. The August 20, 2008, issue of JAMA includes an article reporting that silver-coated endotracheal (breathing) tubes may help prevent ventilator-associated pneumonia. This Patient Page is based on one published in the April 11, 2007, issue of JAMA.
Risk factors
Longer duration of mechanical ventilation
Advanced age
Depressed level of consciousness
Preexisting lung disease
Immune suppression from disease or medication
Hand-washing procedures before and after any patient contact
Avoiding endotracheal intubation, if possible
Maintaining the bed at a 30-degree head-up position
Minimizing the duration of mechanical ventilation
Conversion to tracheostomy (hole in the throat) tube when ventilation is needed for a longer term
Proper endotracheal tube cuff pressures to prevent regurgitation of stomach contents
Enteral (through the intestinal tract) feedings instead of parenteral (through the veins) nutrition
Careful blood sugar control in patients with diabetes
Diagnosis and testing
Development of fever, increased white blood cell count, and new or changing lung infiltrate on chest x-ray are all signs of ventilator-associated pneumonia. Diagnosis can be challenging because other lung diseases can have similar signs and chest x-rays may not be conclusive. Cultures of tracheal aspirate (samples from the windpipe) show which bacteria (or fungus) are responsible for ventilator-associated pnuemonia. Sometimes bronchoscopy (looking directly at the trachea and bronchi with a special flexible lighted instrument) is necessary to get better samples. In rare cases, open lung biopsy to obtain lung tissue may be done.
Antibiotics remain the cornerstone of therapy for ventilator-associated pnuemonia. Choice of antibiotic is guided by bacteria culture results.
Because ventilator-associated pnuemonia occurs in hospitalized persons, it may be caused by bacteria that are resistant to multiple antibiotics. Treatment may require specialized antibiotics.
Supportive care, including prolonged mechanical ventilation and intensive care, may be necessary.
For more information
National Heart, Lung, and Blood Institutehttp://www.nhlbi.nih.gov
Centers for Disease Control and Preventionhttp://www.cdc.gov
American Lung Associationhttp://www.lungusa.org
Inform yourself
To find this and previous JAMA Patient Pages, go to the Patient Page Index on JAMA's Web site at http://www.jama.com. Many are available in English and Spanish. A Patient Page on diagnosing and treating pneumonia was published in the February 9, 2000, issue.
Sources: National Heart, Lung, and Blood Institute; Centers for Disease Control and Prevention; Society of Critical Care Medicine; American Lung Association
The JAMA Patient Page is a public service of JAMA. The information and recommendations appearing on this page are appropriate in most instances, but they are not a substitute for medical diagnosis. For specific information concerning your personal medical condition, JAMA suggests that you consult your physician. This page may be photocopied noncommercially by physicians and other health care professionals to share with patients. To purchase bulk reprints, call 312/464-0776.
Torpy JM, Lynm C, Glass RM. Ventilator-Associated Pneumonia. JAMA. 2008;300(7):864. doi:10.1001/jama.300.7.864
© 2020
Create a personal account or sign in to:


text:
And more posts on ZW's FB from Mysterymom7 or CK without the B as I now call her. The more they post stuff on my FB or send emails or IMs and PMs telling me what I can and can not blog about only makes these posts go on explaining what I'm going through… how can she not have learned that by now. I was happy with my nonsense debates with Nancy. Geez… when will some of you get that you are somewhat in charge of what I blog about.
So here's the lattest from Cristin:
She truly goes through life thinking it doesn't matter what she says and does, only what others say a do, an opinion of course, but one with lots to back it up. It's kind of crazy that these nuts all hooked up, I mean they all seem to feel that way… everyone around them is wrong for what they say and do… but they can't see their problems… their drama… their gossip… is directly related to what they say and do.
Look I have many other things I can be blogging about… how many posts do you want me to go on about this?


text:
Fiji country market growing at 4%; Fiji Airways is dominant serving airline; Hong Kong is fastest growing market
Airports Fiji Limited (AFL) is responsible for the operation of 15 public airports in the Fiji Islands. These include two international airports; Nadi international Airport – Fiji's main international gateway and Suva Nausori Airport – Fiji's domestic hub, and the remaining 13 outer island airports. Its closest neighbours are Vanuatu to the west, New Caledonia to the southwest, Tonga to the east, the Samoas and France's Wallis and Futuna to the northeast, and Tuvalu to the north – all of which are served with routes from Fiji.
Fastest growing country market is Hong Kong
Total weekly seats across all country markets from Fiji have grown by 4.4% over the past year. While the top two country markets of Australia (+3.5%) and the domestic market of Fiji (+3.2%) have both posted growth, they were both outstripped by the fastest growing country market in the last 12 months which was Hong Kong (+49%). In total, eight of the top 12 country markets delivered annual growth, with two remaining flat (South Korea and New Caledonia) and two declining — New Zealand (-1.4%) and United States (-0.5%).
Notable exceptions to the above top 12 would appear to be the China and Japan country markets, unless this traffic currently routes via other intermediate points like Hong Kong or Australia. New nations which have joined the country market list for Fiji, although outside the top 12, are Nauru and Solomon Islands, with the Marshall Islands dropping out of service. As a result, 15 nations are now served from the Pacific island, versus the 14 witnessed 12 months ago.
Fiji Airways growing while remainder hold steady
Unsurprisingly Fiji Airways, analysed by anna.aero last year, is the dominant carrier in its home market, offering 85.1% of all flights across the 15 airports of the islands — although according to Innovata schedules, it only serves 10 of them. Its 9% increase in the number of flights it operates, up from 251 weekly services 12 months prior, has actually seen it improve its share of the local market from 83.7%. Some of this growth has come as a result of its expansion of its operation from Suva, which have included the resumption of twice-weekly 737-700 flights to Sydney after a seven-year gap, and the weekly ATR 72 operation to Apia in Western Samoa, after a 15-year hiatus.
Total flights across all carriers have grown by 7% since last August. Of the remaining serving carriers, they have all maintained the same number of flights year-on year, with one exception, Air New Zealand. However, although the Star Alliance carrier has trimmed back one weekly frequency when compared to last year, its weekly seats have actually increased by 3%, due in part to the introduction of its 332-seat 777-300 on some of its rotations to Fiji in August 2014. At the time of writing, there are no new services planned for any Fijian airport for any of S14, W14/15 or S15 seasons, according to anna.aero's New Route Database.