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Updated: Jul 14th 2020
Professor Paul Thursday - What Is A Low Level Jet
Throughout the summer season, large complexes of thunderstorms routinely impact the central and northern Plains of the US. Meteorologists call large complexes of thunderstorms mesoscale convective systems (MCS). These storm complexes will oftentimes bring heavy rains along with the potential for high winds and hail. Much of the rain that falls during the mid summer months over the Plains can be attributed to MCS's. One of the most important ingredients needed for an MCS to form is something called a low level jet.
Most of us are familiar with the upper level jet streams that occur across the globe. The two main upper level jet streams are known as the polar and subtropical jet streams. These are pivotal to forecasters as they act as highways for weather systems. Upper level jet streams are found between 25,000 and 35,000 feet above the surface. Low level jet streams are typically found around 5,000 feet aloft. A strong low level jet may have winds over 60 mph while strong jet stream winds can exceed 200 mph.
Low level jet streams form at night, which is why they are often referred to as nocturnal low level jets. These jet streams routinely orient themselves in a south to north orientation across the western Plains of the US. They often start near the Gulf of Mexico in Texas or Louisiana and then snake their way northward into the central and/or northern Plains region. As they head north, they transport warm air and humidity into the Plains. This northward transport of warm and humid air can result in late night thunderstorms at the north end of the low level jet stream. The low level jet also acts to support storms that develop during the afternoon or early evening hours and can keep them going into early the next morning. The low level jet gives the storms a constant supply of moisture to keep them together for long periods of time.
An example of an MCS that is supported by a low level jet throughout the night. Image Courtesy: NOAA
Professor Paul Thursday - What Is A Forecast Model?
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It is official: the first trademark application of 2018 is serial number 87739622 for "the image of a cat's face and shoulders with the word 'HAIL' in uppercase lettering at the bottom of the mark" claiming "animal advocacy, t shirts, stickers, entertainment services." Let's unpack this one a bit, and see if we can figure out what lessons this application may teach us for use in the coming year.
Beginning with a bit of background, this application was filed by an individual in Seattle, Washington, and there is no attorney of record listed. Although the mark is listed for individual ownership, the applicant is also the registered agent for Hail Kitty, LLC in Washington. The company filings also provide for alternate names of Hail the Kitty, LLC, or Hail the Meiji Kitty, LLC. And who is the Governor (manager or managing-member) of the LLC? Meiji Kitty herself — the very kitty shown in the mark. Meiji Kitty is no slouch, providing online reviews while also running her LLC. She is not, however, a trademark attorney (from what we can tell), and so perhaps did not identify some of the issues in this filing.
First, this application is a 1(a) application, meaning the applicant declares that the mark has been used in commerce prior to filing. With a claimed first use date of October 20, 2012, the applicant puts a stake in the ground and asserts that this particular image has been used to designate the source of the claimed goods or services since that date. While this may be true, a priority date from over five years ago can open up the mark to later challenge. For example, if a challenger to the mark could demonstrate that this particular image hadn't been consistently used to identify the source of the claimed goods or services during the intervening years, there could be a basis to allege fraud on the United States Patent & Trademark Office (USPTO). Given that the applicant signs a declaration acknowledging that "willful false statements and the like are punishable by fine or imprisonment, or both, under 18 U.S.C. § 1001," and that § 1001 specifically provides for imprisonment of not more than 5 years, one should be particularly careful prior to making such a declaration. Failing to properly designate a first use in commerce date can create legal headaches and result in unnecessary expense and lost time. The takeaway? Take extra care to be certain that the mark has been used in commerce beginning on the claimed date and with no significant breaks in use prior to the application.
Second, this application is filed under International Class 35, which generally covers "advertising; business management; business administration; office functions." Importantly, class 35 is a class specifically for services, and cannot be used to claim protection for physical goods. Further, even for services, one must be careful which class to use, as particular services fall under other classes. As you recall, applicant is claiming "animal advocacy, t shirts, stickers, entertainment services." Animal advocacy? While this is a service, it often is found under class 36 as a part of charitable services. T shirts are physical goods, and cannot be claimed under class 35 — rather, they fall under class 25 for clothing. Stickers are also a physical good, generally falling under class 16. And entertainment services, properly a service, will generally be found under class 41. These numbers matter, as filing in an improper class may result in the USPTO issuing an office action, which identifies an issue with the application requiring resolution prior to registration. If an application is filed in a fundamentally incorrect class, the mark will not proceed to registration, the filing fees will not be refunded, and the "place in line" in the process is lost. The takeaway? Applicants must understand and carefully select the proper class for a particular mark. One helpful tool for this is the online Trademark ID Manual, which allows the public to search for terms in the trademark database and provides guidance on which classes are appropriate.
As trademarks serve to identify the source of a good or service, the question becomes whether this specimen supports the claimed good of "t shirts." Putting aside the matter of being filed in an improper class, the specimen itself is an issue, as it suggests that the mark is a design on the front of the shirt. Unfortunately for applicant, according to § 1202.03(a) of the Trademark Manual of Examining Procedure (TMEP), "matter that is purely ornamental or decorative does not function as a trademark." The mark specimen should demonstrate how the mark designates the source of the shirt itself, rather than being a design simply placed on the front of another provider's physical shirt. Thankfully, TMEP § 904.03(i)(B)(2) provides very clear guidance on what would suffice for a specimen, and could save applicant a likely office action. The takeaway? Take the time to clearly understand what type of specimen is required prior to filing. Not only will this increase the chances of getting a mark granted — it also educates the applicant on what ongoing use in commerce will be sufficient to maintain trademark protection once a federal registration is granted, avoiding the risks of the mark being declared abandoned.
Lastly, this application was filed as a TEAS Reduced Fee, which lowers the per-class government filing fee to $275 per class. If, however, the applicant used the Trademark ID Manual to select preapproved language for goods and services, she could have reduced this fee even further to $225 per class by filing as a TEAS Plus application. This not only saves money, but can speed up the processing time for the application by reducing office actions to modify particular wording in the application. The takeaway? The USPTO has mechanisms by which applicants can save money, speed up processing, and improve the chances of obtaining registration — but the applicant must seek out and use those tools.
The issues above could likely be avoided by engaging an experienced trademark attorney who deals with these issues regularly. Further, trademark applications don't stand alone, but rather are part of a larger business strategy. Retaining counsel with the knowledge and insight to assist with overall growth is a key step in building the foundation for long term success.
To learn more about the services offered by Creedon PLLC, please visit our Trademark and Transactional pages.


Vilmos Aba-Novak (Hungarian: Aba-Novak Vilmos, til 1912: Hungarian: Novak Vilmos; March 15, 1894 - September 29, 1941 was a Hungarian painter and graphic artist. He was an original representative of modern art in his country, and specifically of its modern monumental painting. He was also the celebrated author of frescoes and church murals at Szeged and Budapest, and was officially patronized by the Hungarian nobility.
Novak was born in Budapest, Hungary, where he would also die. His father was Gyula Novak, and the mother was Rosa Waginger (Hungarian: Waginger Róza from Vienna).
After studying at the Art School until 1912, he began work under Adolf Fenyes. Between 1912 and 1914, Novak studied at the College of Fine ... Displaying 750 of 2094 characters.


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3 thoughts from athenahealth CEO Jonathan Bush: What he's reading, who he admires and what news he's watching like a hawk
Molly Gamble (Twitter) - Thursday, June 18th, 2015 Print	| Email
"The fact that a CEO with such market dominance — who could spend the rest of his life patting himself on the back — actually cut himself to grow back a healthier part is inspiring to me."
Jonathan Bush, cofounder, CEO and president of Watertown, Mass.-based athenahealth, was in Chicago Wednesday at the National Healthcare Innovation Summit. Here, he answered a few of our questions.
Question: What's the last piece of news that surprised you?
Jonathan Bush: "I have this fundamental belief the infrastructure of healthcare is obsolete. It's all pre-Internet. But because we love healthcare and because it's a public good, we create a regulatory environment where it's hard for it to die. And I'm always saying, 'These have to die or be disrupted.' The fact that all of the last remaining dinosaurs in the payer space are merging to me is evidence that this is going on, and I think what's coming after that — I do believe there will be a collapse.
What we do in healthcare to avoid a collapse is merge. The hospitals try to create a monopoly, buy doctors, put it all together and raise the price. It doesn't work, so they merge with competition, create a new thing, try to get cost savings out of that. Then they merge again. Eventually, I assume one day they just can't — their credit rating is just too weak. We've seen a fair amount of hospitals' credit ratings go backwards.
On the device side, the same thing. Welch Allyn can't grow, it's stuck making products and their pricing is dependent on third-party framework. All of the equipment is designed for inside the box. [Editor's note: This interview took place the morning Hill-Rom announced it was acquiring Welch Allyn.]
There is very little room [for insurance] to offer new or different things. The merging — that big, collection of mergers — I think it creates space so people can creep up and begin to offer disruptive alternatives. We're certainly seeing that on the provider side with the emergence of retail clinics. There is consolidation of the old way, and the collapse is good — as long as there are lots of scrappy alternatives around the outside. But if there aren't, we'll have a problem. That's what's in the news that I'm watching."
Q: Which CEOs, in healthcare or outside of it, do you admire most?
JB: "In healthcare, Toby Cosgrove closed two hospitals and chased high-profit care away from his system. He's attempting to replace it with a sales force flying in tertiary care [under bundled payments with employers]. The fact that a CEO with such market dominance — who could spend the rest of his life patting himself on the back — actually cut himself to grow back a healthier part is inspiring to me. It's hard to cut away what you have already and insist on what, strategically, you should have instead.
I think John Mackey [co-CEO and co-founder of Whole Foods Market] and Steve Jobs do and did the most important thing a CEO can do, which is ensure no matter how big they get, they are still really tiny compared to the opportunity. Never outgrow your segment. Never settle in the upper right quadrant of your market, where you have all the biggest customers.
Jobs said I'm no longer going to sell computers — I mean I'll sell them, but I'm not going to care. I'm going to take the computing out of computers and sell them where there is no computer. He died, and [Tim] Cook, who saw profitability of Apple spike, went from the iPhone 5 to the iPhone 6. I'm like, that's it? That's not good enough. That's not enough. Maybe the Apple Watch, but maybe Cook is ending it and Apple won't be small any more. It'll be big. You can be scrappy at any size as long as what you are looking out against is vastly bigger, better and more important than you. Once you fill your opportunity, you're it. You will be rendered obsolete by the next best thing. Jobs made there be a frontier of enormous size and beauty.
Think about how many restaurants get the vat of Marsala sauce and the food comes from Sysco and it's essentialized where it's like, I don't really know what I'm eating. But at Whole Foods, I know everything about it. I can get it extra spicy, from this region, fully cooked, partly cooked. [Mackey] took on the established supermarket with unknown, commoditized food and came way in above it, then took on the restaurant and came way in below it. For people who work and cook, for people who work and come home to kids — it's ecstasy. Thank God [you] can go some place that feels good, smells good, has flowers before I come home to be a cooking mom or dad. I love that."
Q: What's the last memorable thing you read?
JB: "I'm reading "Killer Angels." It's the story of the Battle of Gettysburg, and it talks about these generals around Robert E. Lee: Their personalities, their tensions, their communication issues — where they didn't quite get it. They thought he said this, but he said that. Or they knew he was wrong, but they respected him so much they didn't want to get up in his face.
There's another set of characters, totally different — the Yankees — who are more intellectual, more diverse, spent a lot more time talking to one another and were never deferential. The [general] of the Union army was just forced into the job he didn't want because the other guy quit, whereas Lee was like royalty.
My whole team is going to Gettysburg in July with the chairman of the history department of [the U. S. Military Academy at] West Point, and we're going to walk to [the site of] each of these mess-ups. And basically from what I can tell so far it was the South's to lose. They lost it. Everything was in their favor and they blew it [due to] communication and culture. That excess reverence to Lee — nobody said, 'Lee, no, no.'
The other thing: Lee loved his men so much. He was so acutely aware of what they needed emotionally, that he managed on that. Some of his decisions came from the fact that he knew how they felt. He didn't dare disappoint them.
Basically, they picked the wrong fight. The Yankees had the high ground, but Lee knew his guys wanted to fight. He couldn't stand up to them and say, 'No, we're going to make them walk north off the high ground.' He did it because he loved them. I can't tell you how often, as CEO, you do something because you love your employee or your team that hurts the company."
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Sometimes when you paint something yummy, like this peach, the branch it hangs from can often be overlooked.
It's the same when painting blossom.
But if you get it wrong, a badly executed branch can really detract from your otherwise-loved painting.
So in this video I wanted to show you how I painted this particular branch in lots of detail.
The branch is from this peach painting which I painted from my latest Craftsy class!
I hope it helps you get ALL of your painting looking good!
How long did it take for you to finish this piece?
Very informative, as always. I enjoy adding branches and twigs but do struggle with them. I have thoroughly enjoyed your advice about painting lightest tones then darkest tones, an invaluable tip that has helped balance my paintings immensely. Thank you!
Thank you Anna, this is very helpful. I always struggle with getting the right balance of tones in my branches and stems, so hopefully I can follow your tips and struggle no more.
Thank you! Can't wait to paint the peach.
I really enjoyed that. I liked all the mixes of paints. Very good tips. Thank you Anna.
Thank you Anna ,I. Do tend to be a bit lazy with branches and twigs I have just finished a blue ti sitting on a branch and I shall now re do it .
Thank you Anna for covering this as I have always struggled with making a branch look realistic.
I can feel the fuzziness of that peach. It looks incredible.


As she peeks around the door, she realizes that the room should have been darker. The faint light falling in from the stairwell would only have reached a small part of it. The light is on in the bathroom and there is a gun pointed at her.
She holds up her hands, instinctively.
It's a man holding the gun and his voice sounds strained. Robin does as she is told. He's sitting on the bathroom floor, shirtless and bloody.
Bane comes home, but connecting with people is not so easy.


You can purchase information on MICHAL SHALOM LTD in 4 formats. Basic, detailed, and full reports are ready within 12 - 36 hours. Legal & bankruptcy searches take 3 - 4 business days.
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Pollution Systems' designs are able to incorporate many energy saving options including the use of preheated combustion air, a secondary heat exchanger and sophisticated burner controls. Pollution Systems will work closely with you to understand the trade-offs between initial capital investment and the expected savings in operating costs. If you would like more details, take a look at our Cut Sheet of Recuperative Thermal Oxidizer.
These systems incorporate a heat exchanger with a com-bustion chamber and can handle a wide range of process flow rates and VOC concentrations. The heat exchanger is used to preheat the VOC laden air prior to entering the combustion cham-ber to reduce operating cost.
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Had an MRI in Jan 2012 I have had a lot of migraine headaches in the neck, left shoulder left arm and hand radiating pain. I can't work my desk job and haven't in over 1 year. I am on Lyrica, amitriptyline and maloxacam.? I have been diganosied with cervical spondylosis. How bad is it? I am reposting in this area, hopefully my ? will get answered. Thank you!
C3-4 imagining demonstrates broad-based ridging composed of desiccated disk material confined to the ventral epidural region. There is mild right facet arthropathy. There is no central canal or foraminal stenosis.
C4-5 Broad based ridging composed of desiccated disk material is present confined to the ventral epidural region. Mild right facet arthopathy is seen. There is no central canal stenosis. Imaging demonstrates moderate to severe right and moderate left foraminal stenosis.
C5-6 Imaging demonstrates broad-based disk bulge confined to the ventral epidural region. There is a slight left paracentral disk protrusion which abuts and contours the ventral aspect of the cord. There is a focal moderate central canal stenosis. Imaging demonstrates severe right greater than left foraminal stenosis.
C6-7 Imaging demonstrates broad-based ridging confined to the ventral epidural region. There is no evidence of desiccated disk material. There is a slight paracentral predominance. This contours the ventral aspect of the cord. There is mild to moderate central canal stenosis. Left uncovertebral joint hypertrophy is present, Imaging demonstrates mild to moderate left foraminal stenosis. The right foramen is patent.
C7-T1 Broad based ridging composed of desiccated disk present; This has a bilateral foraminal predominance. There is however no central canal; stenosis. Mild left foraminal is present. The right foramen is patent.
Spondylosis is a general term for a condition that everyone has, which is that over time there's a lot of wear and tear on the spine.
At two levels (C5-6 and C6-7) you have disk bulges big enough to impact the spinal canal. The radiologist does not consider them to be serious, YET. Do you have any symptoms in your legs, which might indicate cord involvement at the cervical level?
You have a lot of foraminal problems due to the bulging disks and ridging. The foramina are openings in the spine where peripheral nerves leave the spinal cord and head off into the shoulders and arms. If something is growing into these openings, it creates stenosis (narrowing), and may pinch the roots of those peripheral nerves, causing a wide variety of symptoms.
If you read down the various levels, you'll see that the only places the radiologist considers the foraminal narrowing to be "severe" is on the right side, which, unfortunately, does not correspond to your symptoms.
I think you need to get a couple more opinions about what's causing your symptoms (including why apparently severe right-side foraminal stenosis is asymptomatic) and what might be done. Depending on the size of the disk bulges, a surgeon might want to remove them via ACDF surgery which, hopefully, would clear out the foramina. Alternatively, foraminotomy procedures could be employed to specifically address the foraminal narrowing.
Last edited by WebDozer; 01-31-2012 at 12:22 PM.
I really appreciate your advice! Maybe it is a pinched nerve causing the pain on let side?! I really agree and think I need another opinion. Thanks a bunch!
Jenny, Good luck with your surgery. What are they doing this time? I haven't seen you on recently. So sorry that you need yet another surgery. One of my biggest fears. At least most of the winter was not bad with snow like last year. Again good luck and I'll be thinking of you. I have been diagnosed with RSD and going for Stellate Ganglion Blocks to see if that helps. Also have 2 bulges in the lumber with a tear at a 3rd. Oh joy!


text:
Q: Changing the border length in CSS I realize that borders wrap the content but is it possible to make the bottom border percentage of the element it is bordering? Also is it possible to reduce the border length by a set pixels i.e. -20px.
nav li {
display: inline-block;
*display: inline; /*For Internet Explorer 7*/
*zoom: 1; /*For Internet Explorer 7*/
padding: 10px;
font-family: "Changa One" , Cursive;
font-size: 1em;
}

nav li:hover {
border-bottom: 1px solid orange;
padding-bottom: 3px;
}

When I hover I want the bottom border (udnerline) to be reduced by 20px because my padding spaces the list elements by 20px (10px both sides). Any answers are much appreciated!

A: You can use margin to space your elements rather than padding if you don't want the border to show on the space in between elements.
With regard to the other question, I don't think you can use % for a border.

A: maybe it will help
http://jsfiddle.net/jk43ej0g/

{
    padding: 0;
    margin: 0;
    box-sizing: border-box;
}

nav{}
nav li {
display: inline-block;
*display: inline; /*For Internet Explorer 7*/
*zoom: 1; /*For Internet Explorer 7*/
padding: 10px;
font-family: "Changa One" , Cursive;
font-size: 1em;
}

nav li a{
    display: block;
    text-decoration: none;
    color: #000;
}

nav li:hover a{
    border-bottom: 1px solid orange;
    padding-bottom: 3px;
}

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text:
Year : 2015 | Volume : 8 | Issue : 4 | Page : 547--554
Magnesium sulfate as an anesthetic adjuvant for children undergoing adenotonsillectomy
Noha M Elsharnouby1, Mohamed M Elsharnouby2, Nahla F Abou Elezz3,
1 Department of Anaesthesia and Intensive Care, Faculty of Medicine, Ain Shams University, Cairo, Egypt
2 Department of Otorhinolaryngology, Faculty of Medicine, Ain Shams University, Cairo, Egypt
3 Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Noha M Elsharnouby
Department of Anesthesia and Intensive Care, Faculty of Medicine, Ain Shams University, 3 Ismail Fahmy Street, Seven Building Square, Heliopolise, Cairo
Background This randomized, double-blind, prospective-controlled study was designed to assess magnesium sulfate, an N-methyl-D-aspartate receptor blocker, as an anesthetic adjuvant decreasing emergence delirium/agitation, pain, postoperative analgesic requirement, and adverse events. Patients and methods Forty-seven patients undergoing an adenotonsillectomy were included in two parallel groups: the magnesium group received magnesium sulfate 40 mg/kg intravenously after induction of anesthesia, followed by 15 mg/kg/h by a continuous intravenous infusion during the operation. The same volume of isotonic solution was administered to the control group. Primary outcome measures were emergence delirium/agitation assessed by pediatric anesthesia emergence delirium scale. Secondary measures included intraoperative sevoflurane concentration, recovery time, pain assessed by objective pain score, time to first postoperative rescue analgesic, the total dose of rescue fentanyl required, need for rescue antiemetic, postanesthetic care unit (PACU) stay, postoperative total analgesic required, and postoperative adverse events. Results In the magnesium group, there was a reduction in the incidence and severity of pediatric anesthesia emergence delirium [(13 vs. 39%) and (8 vs. 14)], objective pain score (1 vs. 3), sevoflurane concentration (0.0001), time to discharge from the PACU (P = 0.04), postoperative analgesic requirement, and adverse events compared with the control group. Conclusion Magnesium sulfate as an anesthetic adjuvant decreased the incidence and severity of postoperative emergence agitation and pain, intraoperative sevoflurane concentration, time in PACU, and postoperative analgesic requirement.
Elsharnouby NM, Elsharnouby MM, Abou Elezz NF. Magnesium sulfate as an anesthetic adjuvant for children undergoing adenotonsillectomy.Ain-Shams J Anaesthesiol 2015;8:547-554
Elsharnouby NM, Elsharnouby MM, Abou Elezz NF. Magnesium sulfate as an anesthetic adjuvant for children undergoing adenotonsillectomy. Ain-Shams J Anaesthesiol [serial online] 2015 [cited 2022 Jan 20 ];8:547-554
Available from: http://www.asja.eg.net/text.asp?2015/8/4/547/172739
Adenotonsillectomy is one of the most common surgical procedures in the pediatric population [1] . Sevoflurane provides fast recovery and minimal cardiovascular disturbance [2] , with emergence agitation varying from 18 and 80% mostly in preschool children [3],[4] . Although emergence agitation resolves spontaneously, it still carries the risk of self-injury and mandates extra nursing care and supplemental sedatives and analgesics, delaying patient discharge from the hospital [5] .
The reason for postoperative agitation is unclear [5] and several medications have been suggested to decrease the emergence delirium, [6],[7],[8],[9],[10],[11],[12] including ketamine, [13],[14],[15] an N-methyl-d-aspartate (NMDA) receptor blocker, which was found to be of some benefit. Magnesium sulfate is both an NMDA receptor and a calcium channel blocker with a known antinociceptive effect [16] . In adults, magnesium sulfate is used as an adjuvant in anesthesia, decreasing the anesthetic requirements and postoperative analgesia, but with conflicting results [16],[17],[18] .
The present study was designed to investigate the use of magnesium sulfate as an anesthetic adjuvant in pediatric patients undergoing an adenotonsillectomy, affecting postoperative emergence delirium/agitation, pain, intraoperative sevoflurane concentration, recovery time, postoperative analgesic requirements, and adverse effects.
After receiving approval from the institution medical board and obtaining written informed parental consent, 47 children aged 3-10 years, ASA physical status (I-II), undergoing an elective outpatient adenotonsillectomy in the ENT department of Ain Shams University hospital were included in the study. Exclusion criteria were bronchial asthma, cardiovascular disease, renal disease, family history of malignant hyperthermia, mental retardation, any neurological disease potentially associated with symptoms of agitation, coagulation abnormalities, inability to provide informed consent, and children refusal to take premedication.
All patients were fasted and received paracetamol 20 mg/kg syrup orally for perioperative pain relief 60 min before induction of anesthesia. Parents were allowed to accompany their children into the operating room and stay during the induction to alleviate stress response. Before induction of anesthesia, routine monitoring ECG, pulse oximetry, and noninvasive blood pressure monitoring every 5 min during surgery were performed for the patients. Randomization was performed using a computer-generated list, and patients were randomized by opening sequentially numbered opaque envelopes immediately before entering the operating room. The children were assigned randomly to one of the two parallel groups: magnesium group (group M) and control group (group C).
Anesthesia was induced with sevoflurane in 100% oxygen through a facemask, with a gradual increase in sevoflurane concentration with every single breath to a maximum of 8%. After induction of anesthesia, an intravenous cannula was established. The magnesium group (group M) received 10% magnesium sulfate 40 mg/kg over 10 min, followed by 15 mg/kg/h, and the control group (group C) received an equal volume of 0.9% sodium chloride in a double-blinded manner. The solutions were prepared by the coordinator of the study, and the anesthetist who was in charge of the patients during the operation was unaware of the study medication.
Fentanyl (1 mg/kg) and atracurium (0.5 mg/kg) were administered to facilitate tracheal intubation. Supplemental atracurium was administered if indicated by monitoring muscle relaxation with a nerve stimulator (model NS242; Fisher Paykill, New Zealand, Australia). ETCO 2 was monitored and anesthesia was maintained with sevoflurane in oxygen. Sevoflurane concentration during surgery was adjusted to maintain the patient's heart rate (HR) and arterial blood pressure within 20% of the preinduction values with a constant fresh gas flow of 1 l/min using a semiclosed circuit system (Julian, Dräger, Germany). Ventilation was controlled to maintain normocapnia (PetCO 2 32-38 mmHg) and end tidal sevoflurane concentration was recorded. All patients received Ringer's solution in the operating room, 10 ml/kg/h, and completed in the postanesthetic care unit (PACU), 2 ml/kg/h. Standard monitoring included assessment of HR (ST segment was observed), mean arterial pressure, and arterial oxygen saturation (SpO 2 ), end tidal CO 2 tension, temperature, and inspiratory and expiratory gas concentrations (MAC), monitored and recorded every 5 min during anesthesia. Ringer's solution 15 ml/kg was administered as a fluid bolus for more than a 20% decrease in systolic blood pressure from the baseline and atropine 0.01 mg/kg for more than a 20% decrease in HR.
Adenoids were removed with suction cautery and tonsils were excised with electrocautery. No local anesthesia was used during the surgical procedures and the operation was performed by the same surgeon blinded to the anesthetic management. Blood loss was assessed by visual estimation of blood volume in sponges and the suction bottle.
Removal of the mouth gag was considered as the end of surgery. Infusion was stopped; neuromuscular blockade was antagonized with neostigmine 0.05 mg/kg and atropine 0.02 mg/kg at the end of the operation, recovery of neuromuscular function was confirmed with a nerve stimulator, and volatile anesthetics were discontinued. Oropharyngeal secretions were suctioned before extubation, and tracheal extubation was performed when normoventilation was achieved. The patients were then placed in post-tonsillectomy position until they were awake, as defined by eye opening, purposeful movement, or response to command. Time to awakening was defined as spontaneous eye opening or on command from the end of surgery and time from discontinuation of anesthesia to tracheal extubation was defined as the time to extubation; sevoflurane concentration, duration of anesthesia, and surgery were recorded by an observer blinded to anesthetic management.
Thereafter, all patients were transferred to the PACU with supplemental oxygen. Administration of oxygen was continued after extubation until the patient was awake and sustained room air saturations greater than 95% for 5 min. The duration of oxygen requirement was recorded as the time from tracheal extubation to cessation of oxygen supplementation in the PACU.
All patients were observed in the PACU for 2 h by a nurse who was blinded to the anesthetic technique. A quiet environment with one parent staying with the child was provided in the PACU. HR, systolic, and diastolic noninvasive blood pressure, respiratory rate, and SpO 2 were monitored and recorded in the PACU every 5 min for 15 min, and then at 15-min intervals for the next 2 h. Emergence agitation was assessed and recorded on admission and at 5 min, and then every 15 min thereafter using the pediatric anesthesia emergence delirium (PAED) scale [Table 1] [19] in PACU.{Table 1}
Fentanyl 0.5 mg/kg was administered if PAED scale was at least 10 and the agitated patients could not be calmed. Postoperative pain was evaluated using the objective pain score (OPS) [Table 2] [20] . Pain intensity was assessed on admission, 5 min after, and then every 15 min thereafter in the PACU for 2 h. If the OPS was at least 6 in the recovery room, the child received rescue analgesia as a bolus of fentanyl 0.5-1 mg/kg. Any desaturation episode with an SpO 2 below 95% was noted and recorded.{Table 2}
Incidences of adverse events such as nausea, retching, vomiting, shivering, breath holding, considerable secretions, laryngospasm, bradycardia, hypotension, signs of hypermagnesemia (flushing, nausea, retching, vomiting, hypotension, bradycardia, and somnolence), and bleeding were recorded after tracheal extubation and during PACU stay. Patients who had nausea, retching, and vomiting received a rescue antiemetic ondansetron 0.1 mg/kg. Hypotension and bradycardia were defined as a value of at least 15% less than the normal mean value for the child's age. Bleeding was classified as minor if medical attention was required and intravenous fluid or suction of the clot was initiated, and major if electrocautery or reoperation was required. Children were considered ready for discharge from the PACU with a modified Aldrete score of at least 9 [21] [a score of good [2] , fair [1] , or poor (0) for consciousness, respiration, hemodynamic status, skin color, and muscle force] and were free from pain, nausea, retching, and vomiting. Time to first postoperative rescue analgesic, doses of rescue analgesic received, need for rescue antiemetic, and duration of PACU stay were also recorded.
After discharge from the recovery room, every child was evaluated for pain and PAED scale every 2 h for the first 6 h and then every 4 h for 24 h after surgery. Once the child was able to tolerate oral fluids, any child with OPS score ≥6, or PAED score ≥ 10 received rescue medication of paracetamol 15 mg kg -1 orally every 6 hours as needed. If no improvement occurred, the patient received a rescue analgesic ibuprofen 5 mg/kg orally. The total dose of paracetamol and ibuprofen was recorded. Patients were discharged 24 h after surgery when they had no or mild pain, could tolerate clear fluids and soft food, had no bleeding, and no nausea, retching, or vomiting.
Primary outcome measures were emergence delirium/agitation assessed by PAED score. Secondary measures included intraoperative sevoflurane concentration, recovery time, intraoperative blood loss, time of oxygen requirement, pain assessed by the OPS score, time to first postoperative rescue analgesic, the total dose of rescue fentanyl required, need for rescue antiemetic, PACU stay, postoperative total analgesic required (paracetamol dose, ibuprofen dose), and postoperative adverse events.
A sample size of 44 patients (22 patients per group) was estimated at a power of study = 80% and a = 0.05 using Power and Sample size calculation 2.1.31 program. A pilot study of 10 patients was carried out and the expected improvement in the incidence of postoperative agitation (PAED score) after adenotonsillectomy among children would be 40% after a magnesium injection was used to calculate the sample size. 10% was added to the sample to cover for dropouts.
Data were analyzed using the computer statistical software system statistical packages for the social sciences, version 15 (SPSS Inc., Chicago, Illinois, USA). Data was presented as mean and SD, median or numbers, and percentages. Analysis of data between the groups was carried out using the Student t-test for independent samples for parametric data (age, weight, duration of surgery, duration of anesthesia, sevoflurane concentration, time to extubation, time to awakening, intraoperative blood loss time of oxygen requirement, time to discharge, fentanyl dose, paracetamol dose, ibuprofen dose, time to first postoperative rescue analgesia) or the Mann-Whitney and the Wilcoxon signed ranked test for nonparametric data (PAED score, OPS score). Categorical data between study groups (sex, ASA physical status, need for rescue antiemetic, episodes of hypotension, bradycardia, shivering, breath holding, incidence of considerable secretions, postoperative nausea, retching, and vomiting, bleeding, laryngospasm, desaturation episodes, and signs of hypermagnesemia) were compared using the c2 or Fisher's exact test. P-value less than 0.05 was considered statistically significant.
Sixty patients scheduled for adenotonsillectomy from 2011 to 2012 were assigned to the study, seven parents refused to participate, and four patients refused to take the premedication. The 49 patients were then randomized and included in the study to compensate for the possible dropout because of violation of the study protocol. Two patients in group C underwent t-tube placement with the surgery; thus, statistical analysis was carried out for 47 patients: 23 in group C and 24 patients in group M.
The patients in the study group ranged in age 3-9 years, mean age 5(2) years. The groups were comparable with respect to age, sex, weight [Table 3], surgical time, duration of anesthesia, intraoperative blood loss, time to extubation, and time to awakening [Table 4]. All patients underwent the same type of surgery, performed by the same surgeon. However, sevoflurane concentration (P = 0.0001) was significantly lower in group M than in group C. No patient in the study group had any intraoperative episode of hypotension or bradycardia [Table 4].{Table 3}{Table 4}
In the recovery room, oxygen requirements were not significantly different between groups; however, group M had a significantly shorter time to discharge from the PACU (P = 0.04) and a decreased incidence of PAED score >10, median maximum PAED score, median OPS, and median maximum OPS [Table 5].{Table 5}
The median PAED score was significantly reduced in group M than group C, respectively, at T0 (on admission) (P < 0.0001), T1 (5 min) (P < 0.0001), T2 (15 min) (P < 0.0001), T3 (30 min) (P = 0.04), T4 (45 min) (P = 0.04), and T5 (60 min) (P = 0.03), but not significantly differently at T6 (75 min) (P = 0.1), T7 (90 min) (P = 0.9), T8 (105 min) (P = 0.6), and T9 (120 min) (P = 0.07) [Figure 1].{Figure 1}
Moreover, the median OPS were significantly reduced in group M than in group C, respectively, on T0 (on admission) (P = 0.04), T1 (5 min) (P = 0.01), T2 (15 min) (P = 0.002), T3 (30 min) (P < 0.0001), T4 (45 min) (P = 0.001), T5 (60 min) (P = 0.04) but not significantly different at T6 (75 min) (P = 0.2), T7 (90 min) (P = 0.5), T8 (105 min) (P = 0.3), and T9 (120 min) (P = 0.7) [Figure 2].{Figure 2}
In the PACU, time to first analgesic requirement (P = 0.0001) was significantly longer, with significantly reduced doses of rescue analgesic (fentanyl) requirement (P = 0.02) and rescue antiemetic in group M than group C [Table 5].
Postoperatively, there was a significant reduction in episodes of shivering (1 vs. 5, P = 0.02), breath holding (0 vs. 4, P = 0.03), and postoperative nausea, retching, and vomiting [4 vs.11, (P = 0.02)] in group M than in group C. The incidence of considerable secretions was not significantly reduced (2 vs.3, P = 0.6) in group M than group C. No patient had an episode of bleeding, laryngospasm, bradycardia, hypotension, desaturation, or signs of hypermagnesemia.
After discharge from the recovery room, no patient had any episode of agitation defined by PAED greater than 10 or bleeding; only three (13%) patients in group C and one (4.2%) patient in the group M had nausea, retching, and vomiting (P = 0.3), and the incidence of OPS greater than 6 was significantly reduced (P = 0.04) in group M [1 (4.2%)] than group C [6 (26.1%)]. Both the total dose of paracetamol required [447 (146) vs. 578 (216), P = 0.02] and the need for ibuprofen [1(4.2%) vs.6 (26.1%), P = 0.04] were significantly reduced in group M than in group C.
This study evaluated magnesium sulfate 40 mg/kg, followed by magnesium sulfate infusion 15 mg/kg as an anesthetic adjuvant in children undergoing adenotonsillectomy. Magnesium sulfate decreased the intraoperative sevoflurane concentration, incidence, and severity of postoperative emergence agitation and pain, together with increased time to first analgesic requirement, decreased postoperative analgesic requirement, need for rescue antiemetic, time to discharge from PACU, and postoperative adverse events.
Emergence agitation is a complex phenomenon of multifactorial etiology, reported after sevoflurane anesthesia possibly because of central nervous system irritant effects or interaction with other medications [5] . Other risk factors that may cause emergence agitation include young age, preoperative anxiety, pain [5] , otorhinolaryngologic surgery [3] , and shorter time for awakening [3] . Thus, we studied children ranging in age from 3 to 9 years undergoing adenotonsillectomy with sevoflurane anesthesia. Magnesium sulfate was investigated because of its NMDA and calcium channel-blocking effect on central nervous system, causing sedative, anticonvulsant, and affect perioperative analgesia [16] .
In our study, the magnesium group received magnesium sulfate 40 mg/kg over 10 min after the induction of anesthesia, followed by 15 mg/kg/h by a continuous infusion during the operation. This resulted in decreased intraoperative sevoflurane concentration, but had no effect on the duration of anesthesia and surgery, intraoperative blood loss, extubation time, and time to awakening, possibly because opioid potentiation and sedative effect were counteracted by the reduced sevoflurane concentration reported in the magnesium group. The potential risk of using magnesium was the occurrence of episodes of intraoperative hypotension or bradycardia, which did not occur in both groups.
Magnesium possibly decreased the anesthetic requirements and potentiated analgesic action through NMDA receptor antagonism in the central nervous system. The calcium channel-blocking effect prolonged opioid actions and reduced catecholamine released by sympathetic stimulation, which decreased peripheral nociceptor sensitization or the stress response to surgery [16] .
There are major concerns about the assessment tool of emergence delirium/agitation in a pediatric patient group, which is responsible for the wide variation in the incidence reported in various studies [3],[4] . The PAED scale is a comprehensive validated scale available to measure the incidence and severity of emergence delirium/agitation with an appropriate cut-off value greater than 10 to define emergence delirium/agitation [19],[22],[23] . In the present study, we used the cut-off value of greater than 10 to define the incidence and severity of emergence delirium/agitation. In PACU, there was a decreased incidence of PAED score greater than 10 (13 vs. 39%) and median maximum PAED score (8 vs. 14) in the magnesium group (group M) compared with the control group (group C). Moreover, the decreased sevoflurane concentration might have contributed toward the decreased incidence and severity of postoperative emergence agitation. Pain was one of the factors contributing toward emergence agitation; [5] thus, we concurrently assed pain objectively using OPS. The median OPS and median maximum OPS were significantly reduced in group M compared with group C. In the PACU, both PAED and the OPS score were significantly decreased in the magnesium group within the first 60 min, but did not differ significantly later. The decreased incidence of emergence agitation and pain resulted in a shorter PACU stay than group C.
Magnesium as an NMDA receptor and calcium channel blocker had a sedative action with increased production of vasodilator prostaglandins [16] , which could account for the anticonvulsant action that led to a beneficial adjuvant effect, decreased incidence and severity of emergence agitation and pain, as well as decreased episodes of postoperative shivering and analgesic required. The reduced episodes of nausea, retching, vomiting, and the need of antiemetic may be because of the decreased dose of fentanyl in the magnesium group. Episodes of breath holding were also decreased in group M, with no difference in oxygen requirements and incidence of considerable secretions. No patient in our study had episodes of bleeding, laryngospasm, bradycardia, hypotension, desaturation, or signs of hypermagnesemia.
Patients were followed up after discharge from the recovery room. The severity of pain (OPS > 6) was reduced, with a decreased dose of paracetamol and ibuprofen needed in group M than group C. In both groups, no patient had PAED greater than 10, or bleeding, and only one patient in group M and three patients in group C had nausea, retching, and vomiting. Being an inexpensive drug, magnesium sulfate may be a suitable adjuvant in pediatric adenotonsillectomy.
Studies were carried out evaluating the effect of several medications on emergence agitation, with conflicting results [7],[11],[12],[14],[15],[24],[25],[26],[27],[28],[29],[30] . Midazolam [7] and propofol [25] were found to exert no effect [30] . Fentanyl may be beneficial [11],[12] , but may potentially cause delayed recovery [11] , increased nausea and vomiting [31],[32],[33] , and respiratory depression [11] . Clonidine increased sedation [26],[27] , dexmedetomedine increased emergence and extubation time [28],[29] , with concern in terms of episodes of hypotension, bradycardia, postoperative bleeding [28],[29] , and cost [34] . Ketamine produced both analgesic and opioid-sparing effects when used at low doses [14],[15] ; however, studies have reported conflicting results [14],[15],[33],[35],[36] .
The use of different doses of magnesium to reduce emergence agitation has been studied, with conflicting results. Apana and colleagues administered intravenous magnesium sulfate in 110 pediatric patients, 3-16 years of age, undergoing adenoidectomy with or without tonsillectomy. In that study, magnesium sulfate 30 mg/kg or equal volume of saline for controls was started 10 min before and infused until the end of the operation; anesthesia was induced using propofol 2-2.5 mg/kg, vecuronium 0.1 mg/kg, fentanyl 1 mg/kg, and sevoflurane at 1 MAC with nitrous oxide in an oxygen (35%) mixture was administered as maintenance. In the magnesium group, time to open eyes was significantly higher [12.7 (17.5) vs.7.7 (3.5) min], with a lower agitation score at the 60th min [1.0 (0.3)vs. 1.3 (0.7)], and no significant difference in adverse effects [37] . Another dose of magnesium sulfate was studied in 42 children 3-7 years of age undergoing an adenotonsillectomy [38] . Magnesium 15 mg/kg or saline was administered about 20 min after the endotracheal intubation intraoperatively; anesthesia was induced by a mask with 8% sevoflurane in nitrous oxide and oxygen and patients were ventilated with 60% nitrous oxide and sevoflurane at 1-1.5 MAC in oxygen. However, they did not find any significant effect in reducing the incidence of emergence agitation, except increased recovery time [38] . Another study was carried out on 70 children 4-7 years of age undergoing an adenotonsillectomy, where 30 mg/kg bolus of intravenous magnesium sulfate after induction, followed by a continuous infusion of 10 mg/kg/h or an equal volume of saline 0.9% in the control group were used [39] . The incidence of emergence agitation was significantly reduced in the magnesium group (36 vs.72%), but was not associated with a significant difference in postoperative pain scores, delayed recovery, or side effects [39] . The different dose and time of administration of magnesium sulfate, the anesthetic technique used, and pain assessment tool in these studies might have accounted for the difference from our study.
This study, although placebo controlled, has a potential limitation as the perioperative magnesium level was not measured. Further studies are warranted comparing different doses of magnesium sulfate, measuring perioperative magnesium level, and comparing magnesium sulfate with other drugs used to decrease emergence agitation.
We conclude that magnesium sulfate as an anesthetic adjuvant decreased the incidence and severity of postoperative emergence agitation and pain, intraoperative sevoflurane concentration, time in PACU, and postoperative analgesic requirements.
N.M. Elsharnouby, M.M. Elsharnouby, and N.F. Abou Elezz participated in designing the research, and collecting and interpreting the data. N.M. Elsharnouby, M.M. Elsharnouby, and N.F. Abou Elezz participated in writing and reviewing the manuscript. N.M. Elsharnouby and M.M. Elsharnouby are the authors responsible for keeping the research files. N.M. Elsharnouby submitted the final version of the manuscript and is the corresponding author.
Financial support was provided by institution resources only.
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3 Voepel-Lewis T, Malviya S, Tait AR. A prospective cohort study of emergence agitation in the pediatric postanesthesia care unit. Anesth Analg 2003; 96:1625-1630.
4 Grundmann U, Uth M, Eichner A, et al. Total intravenous anaesthesia with propofol and remifentanil in paediatric patients: a comparison with a desflurane-nitrous oxide inhalation anesthesia. Acta Anaesthesiol Scand 1998; 42:845-850.
5 Vlajkovic GP, Sindjelic RP. Emergence delirium in children: many questions, few answers. Anesth Analg 2007; 104:84-91.
6 Kulka PJ, Bressem M, Tryba M. Clonidine prevents sevoflurane induced agitation in children. Anesth Analg 2001; 93:335-338.
7 Viitanen H, Annila P, Viitanen M, Tarkkila P. Premedication with midazolam delays recovery after ambulatory sevoflurane anesthesia in children. Anesth Analg 1999; 89:75-79.
8 Tesoro S, Mezzetti D, Marchesini L, Peduto VA. Clonidine treatment for agitation in children after sevoflurane anesthesia. Anesth Analg 2005; 101:1619-1622.
9 Shukry M, Clyde MC, Kalarickal PL, Ramadhyani U. Doesdexmedetomidine prevent emergence delirium in children after sevoflurane-based general anesthesia? Pediatr Anesth 2005; 15:1098-1104.
10 Ibacache ME, Mun�oz HR, Brandes V, Morales AL. Single-dosedexmedetomidine reduces agitation after sevoflurane anesthesia in children. Anesth Analg 2004; 98:60-63.
11 Cohen IT, Finkel JC, Hannallah RS, Hummer KA, Patel KM. The effect of fentanyl on the emergence characteristics after desflurane or sevoflurane anesthesia in children. Anesth Analg 2002; 94:1178-1181.
12 Cohen IT, Hannallah RS, Hummer KA. The incidence of emergence agitation associated with desflurane anesthesia in children is reduced by fentanil. Anesth Analg 2001; 93:88-91.
13 Kararmaz A, Kaya S, Turhanoglu S, Ozyilmaz MA. Oral ketamine premedication can prevent emergence agitation in children after desflurane anaesthesia. Paediatr Anaesth 2004; 14:477-482.
14 Da Conceic¸a�o MJ, Bruggemann DACD, CarneiroLeao C. Effect of an intravenous single dose of ketamine on postoperative pain in tonsillectomy patients. Paediatr Anaesth 2006; 16:962-967.
15 Erhan OL, Goksu H, Alpay C, Bestas A. Ketamine in post-tonsillectomy pain. Int J Pediatr Otorhinolaryngol 2007; 71:735-739.
16 Dube´ L, Granry JC. The therapeutic use of magnesium in anesthesiology, intensive care and emergency medicine: a review. Can J Anesth 2003; 50:732-746.
17 Telci L, Esen F, Akcora D, Erden T, Canbolat AT, Akpir K. Evaluation of effects of magnesium sulphate in reducing intraoperative anaesthetic requirements. Br J Anaesth 2002; 89:594-598.
18 Lysakowski C, Dumont L, Czarnetzki C, Trame'r MR. Magnesium as an adjuvant to postoperative analgesia: a systematic review of randomized trials. Anesth Analg 2007; 104:1532-1539.
19 Sikich N, Lerman J. Development and psychometric evaluation of the pediatric anesthesia emergence delirium scale. Anesthesiology 2004; 100:1138-1145.
20 Hannallah RS, Broadman LM, Belman AB, et al. Comparison of caudal and ilioinguinal/iliohypogastric nerve blocks for control of post-orchiopexy pain in pediatric ambulatory surgery. Anesthesiology 1987; 66:832-834.
21 Aldrete JA. The postanesthesia recovery score revisited. J Clin Anesth 1995; 7:89-91.
22 Aouad MT, Yazbeck-Karam VG, Nasr VG, et al. A single dose of propofol at the end of surgery for the prevention of emergence agitation in children undergoing strabismus surgery during sevoflurane anesthesia. Anesthesiology 2007; 107:733-738.
23 Bong CL, Ng AS. Evaluation of emergence delirium in Asian children using the pediatric anesthesia emergence delirium scale. Paediatr Anaesth 2009; 19:593-600.
24 Demirbilek S, Togal T, Cicek M, et al. Effects of fentanyl on the incidence of emergence agitation in children receiving desflurane or sevoflurane anaesthesia. Eur J Anaesthesiol 2004; 21:538-542.
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26 Reimer EJ, Dunn GS, Montgomery CJ, Sanderson PM, Scheepers LD, Merrick PM. The effectiveness of clonidine as an analgesic in paediatric adenotonsillectomy. Can J Anaesth 1998; 45:1162-1167.
27 Fazi L, Jantzen EC, Rose JB, Kurth CD, Watcha MF. A comparison of oral clonidine and oral midazolam as preanesthetic medications in the pediatric tonsillectomy patient. Anesth Analg 2001; 92:56-61.
28 Olutoye OA, Glover CD, Diefenderfer JW, McGilberry M, Wyatt MM, Larrier DR, et al. The effect of intraoperative dexmedetomidine on postoperative analgesia and sedation in pediatric patients undergoing tonsillectomy and adenoidectomy. Anesth Analg 2010; 111:490-495.
29 Guler G, Akin A, Tosun Z, Ors S, Esmaoglu A, Boyaci A. Single-dose dexmedetomidine reduces agitation and provides smooth extubation after pediatric adenotonsillectomy. Paediatr Anaesth 2005; 15:762-766.
30 Cohen IT, Drewsen S, Hannallah RS. Propofol or midazolam do not reduce the incidence of emergence agitation associated with desflurane anaesthesia in children undergoing adenotonsillectomy. Paediatr Anaesth 2002; 12:604-609.
31 Mukherjee K, Esuvaranathan V Streets C, Johonson A, Carr AS. Adenotonsillectomy in children: a comparison of morphine and fentanyl for peri-operative analgesia. Anaesthesia 2001; 56:1181.
32 Allford M, Guruswamy V. A national survey of the anesthetic management of tonsillectomy surgery in children. Pediatr Anesth 2009; 19:145-152.
33 Hasnain F, Janabaz KH, Qureshi MA. Analgesic effect of ketamine and morphine after tonsillectomy in children. Pak J Pharm Sci 2012; 25:599-606.
34 Mizrak A, Karatas E, Saruhan R, Kara F, Oner U, Saricicek V, Baysal E. Does dexmedetomidine affect intraoperative blood loss and clotting tests in pediatric adenotonsillectomy patients? J Surg Res 2013; 179:94-98.
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37 Apana A, Aykaça E, Kazkayasib M, Dogancic N, Tahranb FD. Magnesium sulphate infusion is not effective on discomfort or emergence phenomenon in paediatric adenoidectomy/tonsillectomy. Int J Pediatr Otorhinolaryngol 2010; 74:1367-1371.
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Suspect in custody after hit and run accident that killed pedestrian | Spiros Law, P.C.
The Granite City Police Department in Illinois announced on April 21 that authorities have taken into custody a suspect they believed may have caused a fatal hit-and-run accident that killed 25-year-old Mark Scott Harris, the Belleville News-Democrat reported.
Granite City police were seeking a silver to gray two-door extended cab truck that they believed ran into Harris, who had been walking at the side of the road.
Harris' body was found at around 8 a.m., approximately five hours after he was hit and left there. Although Harris sustained other injuries, the injury that caused death was trauma to the head, according to the County Madison Coroner Steve Nonn.
As of this report, Assistant Police Chief Major Ken Rozell said that details would remain under wraps until the charges have been finalized. The department will make their case at the Madison County State's Attorney's Office.
The legal team at Spiros Law, P.C., helps accident victims and their families pursue the justice they believe they deserve in court. Call our offices at (815) 929-9292 today to learn more.


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Kali Rogers, Contributor
CEO and Founder of Blush Online Life Coaching
How to Get Over Your Quarter-Life Crisis
So you're stuck in your quarter-life crisis. Sucks, doesn't it? It's a pretty lame time. And what makes it worse are the articles out there that simply give you advice on how to just get by during this phase. Ew. We don't want to 'just get by.' We want this nasty business to be over, please. I mean, if you're going to sit here and read an article, you'd probably like some concrete advice on how to get out of this hellish phase, stat.
I feel ya.
So, for all of you out there that actually want to do something about this awkward time, here is how to unapologetically drop kick your quarter-life crisis into last week.
1. Stop Comparing. Now.
Comparing is probably what got you in this mess in the first place. Let me guess--you logged on Facebook, saw all of the pretty careers and pretty weddings and pretty babies, and cried yourself to sleep. (I mean, I don't know this from personal experience or anything...)
But you cannot compare the beginning of your journey to the middle of someone else's. You have to stay focused on your own path, your own pace, and your own goals. Comparing is crap. It will only make you second guess EVERY decision you've already semi-made. It's totally ok that you will never be able to achieve someone else's life. That's not your purpose. Your purpose is to live your own.
So, no more comparing. No more judging. Get a new hobby, k?
2. Talk About It.
Most of us feel really ashamed about feeling stuck, and instead choose to play the whole 'life is swell' card at cocktail parties and wedding showers. But in reality, we all have felt rather crappy at one point or another, and ALL we wanted to do is blab about it to a kind soul that would listen. Scratch that--anybody who would listen. But oh...it's so embarrassing. No one wants to admit life isn't turning out the way they wanted. Especially not when Facebook is a glowing advertisement for how everyone else is doing SOOOOO MUCH BETTER.
But you gotta buck up.
Be the brave one, and talk about it. You don't have to talk about it to everyone--but try talking to your best friend. If that doesn't work, try a family member. And if that doesn't work, well then you need some new humans in your life. Just kidding--go talk to a life coach! We specialize in that stuff! (And we're the BEST.) The point is, in order to get out of this crisis, you must release these ugly feelings holding you back. Get them out of your system by vocalizing everything it is that you feel. Be heard. Be validated. Because guess what? This is normal. Yes, this crisis is completely normal. Trust us, you're not alone.
And in those dark moments when you really feel down about yourself, remember that you're handling it a lot better than Amy.
3. Quit 'Should-ing' Yourself.
Ah, expectations. Such a-holes. They torment you and tease you and make you feel like anything you have ever accomplished in your life is as puny as puny can be. So let's get rid of them! Stop SHOULD-ING yourself.
I should be married by now. I should have my dream job by now. I should be making this amount of money by now. I should be happier.
Stop beating yourself up for these phantom accomplishments you were "supposed" to achieve. Let yourself just be! You want to know how I already know you're awesome? (Other than the fact that you're reading this.) Because you're worried about your future. You care. You're spiraling into a hazy fog because you are so freaked out over the fact that you might not have an awesome life. And THAT above anything else is a great indicator for the opposite.
You will get through this, because you want purpose. You want meaning. You want happiness. And if you want those things, you will get those things, because you will work for them. So give yourself a break, and let these extreme expectations go.
No more deadlines, no more age limitations, and definitely no more should-ing. You know you're doing it--whether you want to admit it or not.
4. Do Some Self Due Diligence.
Once you've cut out those masochistic behaviors, it's time to move on to the fun stuff. Now...the big question: Do you know yourself? Like, really know yourself? Many of us think we do...but it usually turns out that we're more familiar with our fave character from Friends than we are ourselves.
So get to know yourself. I want all of you to research your personalities. Myers-Briggs. Enneagram. The Big Five. Whatever test you can get your hands on, do it. And don't roll your eyes at me! These personality tests open the doors to really exploring who you are, what you love, what you hate, and where you thrive. So where to take these tests? I love this one and this one, and also this one.
Note: No, these tests do not DEFINE you, but they do give a blueprint for where to start. And bonus--they give insights into strengths and weaknesses, careers, relationships, and more. If you feel stuck, there is a reason, and you need to make a change. But a lot of times, we either a) don't know what to change or b) know what to change, but don't know how. These tests can help. They can give you direction and clarity. Take the tests, read up on the results, and let me know what you find out.
Spoiler alert: You're going to realize you're the a super legit human.
5. Daydream.
Ok, now for the super fun stuff. Do you spend any part of your time daydreaming? If you're not, you need to start. It's awesome. Try to daydream before bed, at the gym, in the shower...whenever you have time. Visualize yourself in five years, ten years, twenty years. Don't limit yourself. What does it look like? What are you excited about? What have you achieved?
It's fun, right?
Now, compare your vision to the personality tests you just took. Where are there similarities? Are there traits that you may possess that would naturally make you great at these future endeavors? Told ya.
Through daydreaming you can tap into what it is you really want. You can see yourself happy and accomplished. You can put out into the universe those desires that you've been hiding. You know how when you feel bad, more crappy things seem to happen? Yeah, me too. But imagine the opposite! You put these super happy thoughts out into the world, and all of a sudden, you feel way better about where it is that you're going. Maybe you're not there today, but you now have an idea as to where you will end up. And that right there is a fabulous start. Keep on dreamin'.
YEAH THEY DO!
6. Research.
Ok, now that you have some glimpse of a life that you really want, it's time to research how to get there. Maybe in your dream you saw yourself as an accomplished professional in a specialized field. Great--time to look up some certification or graduate programs. Perhaps you saw yourself on this awesome creative endeavor. Also great! So maybe it's time to quit your day job, start bartending, and get to work. Maybe you saw a special romantic someone (aww!). So let's make dating a priority! Whatever it is that you believe will be the key to a fulfilling life, there is no reason not to explore it.
Spend a few hours a week browsing the Internet, reading articles, or talking to people in the sake of research. Chances are you will end up piggy backing off of your original idea, and that's even better. Be precise, because the more specific you get, the easier it will be to achieve what you want. Have funnnnnn!
7. Find Support.
It's hard to change your life on your own. Sure, you can do it, but why would you want to when other people can join the cause? You've already talked about the things you didn't like (refer to #2---keep up please!), so now is the time to share the happy things. The things that you want. The things that you are actively trying to achieve. Let your friends and family HELP you. You never know what their networks or expertise can offer.
On another note, now is the time to try and find some sort of a mentor figure. Somebody who you look up to, somebody who may have the same interests as you, and definitely someone with more experience than you. Listen to them. Take some advice. Let them help you set some small goals to reach. It's awkward at first, but after you get some clean cut verbal affirmations, you'll know it's worth it.
8. Put Yourself Out There.
So you've researched and dreamt and talked and all of those good things. Now it's time to give it a whirl. You want to be a writer, eh? Well then, it's time to write. Put some words down on paper. Submit them to publications. Start a blog. Outline a book. You want to be a photographer? Take some pics. Post 'em on Facebook. (And send me the link please!) You want to be a nurse? Enroll in a class. Buy a few books. And if you want a partner in life--you gotta go out and meet one. It doesn't matter how big or small it is, just take at least one action to get you moving.
I just want to note, that yes, this is scary as hell. What if you fail? What if it's embarrassing? What if you don't think you're any good? It's so normal to get caught up in these paralyzing thoughts. So let's go through them.
What if you fail? Well, you won't. You might not like it, or it might not come together all at once, but that's not failing. If you give it enough shots to know that something really isn't clicking with you, no big deal. So go back to #4 and start dreaming. It's not that you failed, it's that you need to pivot.
What if it's embarrassing? It's always awkward the first time you really take yourself seriously. For instance, you can talk about working out all day long, but the first time you try out the treadmill, you almost feel like a fraud. And that person next to you is running REALLY fast...and...now you want to leave. But don't! Every marathon runner started somewhere. (And yes, please extrapolate this to other activities!) After you keep trying, it will feel more and more comfortable. All of a sudden, the gym isn't as intimidating. Working out is actually fun after a few weeks! I mean, kind of. Well it's not dreadful. So keep going!
What if you're not any good? If you seriously feel like you aren't good at what you are trying to accomplish, you haven't given it enough time. And the reality is, the ONLY thing that matters is that you enjoy it. I love Malcolm Gladwell's theory that experts are experts, because they spent hours and hours perfecting their craft. They aren't fabulous because they have this unique and inherent talent---they are fabulous because they kept at it. (Even Macklemore agrees.) If you enjoy this new change in your life, the skills will follow.
Just do me one favor--do not take yourself out of the competition before it's even started. Give yourself a chance, and put yourself out there. If you do not limit yourself right off the bat--you just might surprise yourself.
9. Invest in Yourself.
School costs money. Websites cost money. Coaches cost money. LIFE costs money. Do not be afraid to put money, time, and effort into yourself. There's no need to feel selfish. You deserve a shot at a happy and fulfilling life, and most of the time that requires some self spendin'. That's just the reality. So don't feel like a brat just because you need to spend some money on yourself. These investments can and will pay off in the future.
Remember -- you do not have to go through these times alone. The quarter-life crisis can be a real b*tch, and it's important that you find people to help (just like we talked about in #7!) Trust that you'll get through it and come out on the other side better than ever. Here's to looking forward to the later half of our 20's!
If you want to learn more, come say hi to me over here! I do life coaching with some other awesome people, and we'd love to chat. We also have an awesome blog that's home to lots of fun articles, like the this original one! Thanks for reading this article...love ya mean it.
Images: hollywood.com, giphy (3), pandawhale.com, tumblr.com (2), mic.com, wikia.com
The 20 Funniest Tweets From Women This Week (Jan. 9-15) Joanne Rogers, Pianist And Widow Of TV's Mister Rogers, Dead At 92 Pro-Trump Protests Fizzle Out At Capitol Buildings Across The U.S. Defense Officials Fear Inside Attack At Inauguration, Prompting FBI To Vet Guard
Women Adulthood Love Quarter Life Crisis Personality


Multiple projects that required new brand identities.
Brief: To brand an IT consultancy business.
Response: Inspired by the clients passion for visualising data, the brand mark takes visual cues from a scatter/plot graph. It also radiates out from the O, giving the brand mark a heart/central point of focus, in order to communicate the idea of a soul.
Brief: To brand a start up florist business.
Response: The client new exactly what she wanted. I was able to recreate this for her by hand painting the foliage details and personalising the type.
Brief: A 24hr university project to create a brand mark for a student bar concept.
Response: Having decided to embrace the industrial look for the bar, the brand mark feels Industrial in style and uses the shape of the 'T' to create a grid like pattern. This could also resemble how a terrace may be marked on an architectural floor plan.
Brief: To brand an independent publishing company.
Response: The client wanted to capture the essence of her books; mystery, thrill, light and dark, and also wanted to capture the meaning of the word 'Luminarie', which is Italian for 'Light'. I felt a lantern captured this as both an emblem of light and mystery. The brand mark is brought together by using the 'L' from 'Luminarie' to be the foundation for building the lantern shape.
Brief: To brand the University of St Andrews Pool Society.
Response: Using key components of the game to create a simplistic, retro brand mark.
Brief: To create a concept for a pub, bar or restaurant and to then give that concept a brand identity.


Just like to take this moment and thank all my loyal customers whom I have served over the past 23 years. My wife and I decided we no longer need this big home here in Geneva that helped us raise 4 great children. We have decided to move out of Illinois and be with our children and grandson. This prompted the sale of my business to Carlisle Enterprises. I feel that they have the best "customer service" attitude that I have and wanted them to continue to provide service to my loyal customer base.
So thank you all again for your many many years of patronage. I wish you all Great Health, Peace and Prosperity!


This brand new tiny home on wheels feels anything but tiny! Sleek modern design, vaulted ceilings, king-sized sleeping loft, and all of the amenities in the bathroom and kitchen. This home has everything you need for tiny house living without sacrificing the comforts of a traditional home. The first thing people say when they walk in is how big and open it feels. The kitchen is built with cooking lovers in mind, with much more storage and cooking space than most tiny homes, and includes custom butcher block counter tops and brand new stainless steel appliances. The whole home is floored with beautiful vinyl plank flooring, offering water protection. There is plenty of storage space in the full-sized closet, the shelving in the bathroom, under the stairs, under the couch, and in the kitchen. Couch is included with purchase. There is space for a small home office in the living space. The home includes in-wall 4K HDMI wiring so that you can wall mount your TV without cluttering up visible space with cords or digital media devices. There is even an insulated extreme weather pet door on the front door, should you decide to have your furry friends join you on your tiny home adventure. This tiny house on wheels is built to road legal specifications (8.5' wide, 13'7" tall) and includes the trailer. The included appliances (all brand new) are a Samsung 5 burner gas range, a microwave, a 10 cu.ft. refrigerator/freezer, a 12,000 btu mini split AC/Heating system, and a washer/dryer combo. There is also a top-of-the-line Separett composting toilet included, so there is no need for sewer hookups or a black water holding tank. All you need are a hose for water, a 30 amp circuit to plug into (standard RV hookup), and a small propane tank for the range, and you're all set! In terms of financing, we recommend that you look into LightStream, a reputable online lender that offers tiny house loans. Unfortunately we are unable to offer financing.


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The Man in the High Castle 2015 123movies
Jan. 15, 2015 Amazon
The New World Jan. 15, 2015
Sunrise Oct. 23, 2015
The Illustrated Woman Nov. 20, 2015
Revelations Nov. 20, 2015
The New Normal Nov. 20, 2015
Three Monkeys Nov. 20, 2015
Truth Nov. 20, 2015
2Season 2 Dec. 16, 2016
The Tiger's Cave Dec. 16, 2016
The Road Less Traveled Dec. 16, 2016
Escalation Dec. 16, 2016
Duck and Cover Dec. 16, 2016
Kintsugi Dec. 16, 2016
Land O' Smiles Dec. 16, 2016
Loose Lips Dec. 16, 2016
Detonation Dec. 16, 2016
Fallout Dec. 16, 2016
3Season 3 Oct. 04, 2018
Now More Than Ever, We Care About You Oct. 04, 2018
Imagine Manchuria Oct. 04, 2018
Sensô Kôi Oct. 04, 2018
The New Colossus Oct. 04, 2018
Excess Animus Oct. 04, 2018
Kasumi (Through the Mists) Oct. 04, 2018
Baku Oct. 04, 2018
4Season 4 Nov. 15, 2019
Hexagram 64 Nov. 15, 2019
Every Door Out... Nov. 15, 2019
The Box Nov. 15, 2019
Happy Trails Nov. 15, 2019
Mauvaise Foi Nov. 15, 2019
All Serious Daring Nov. 15, 2019
No Masters But Ourselves Nov. 15, 2019
For Want of a Nail Nov. 15, 2019
Fire from the Gods Nov. 15, 2019
Frank Spotnitz
Alexa Davalos
Joel de la Fuente
Jason O\'Mara
Brennan Brown
Chelah Horsdal
Frances Turner
Watch The Man in the High Castle 2015–2019 123movies, Full TV Series Online – What would it be like if the Allied Powers had lost WWII, and Japan and Germany ruled the United States?.
Plot: Explore what it would be like if the Allied Powers had lost WWII, and Japan and Germany ruled the United States. Based on Philip K. Dick's award-winning novel.
Smart Tags: #1960s #nazi #alternate_history #based_on_book #based_on_novel #multiverse #espionage #kempeitai #third_reich #national_socialist #dictatorship #guerilla #freedom_fighter #berlin_germany #san_francisco_california #yakuza #imperial_japan #imperial_japanese_army #wehrmacht #gestapo #spy
Find Alternative – The Man in the High Castle 2015–2019, Streaming Links:
7.9/10 Votes: 101,684 | IMDB
# One of the best TV dramas in recent memory
First, a disclaimer: I've not read Dicks' original version of The Man in the High Castle, nor do I intend to read it. I am judging the show entirely on its own merits, without any influence or critiquing related to the novel.
## On to the review!
I'm going to keep this short and simple, so you don't have to read a shit-ton of stuff and so that I don't write any spoilers. Here's what you need to know:
As a sci-fi story, The Man in the High Castle falls a bit short. The showrunners tried to wrap up the sci-fi bit at the end, but they did a pretty piss-poor job. Budget cuts? Rushed delivery? Who knows? Fortunately, the sci-fi aspect of this story isn't actually what makes it great.
What makes The Man in the High Castle great storytelling and great television is the alt-history and the in-depth character story arcs; in particular, the story of the Smiths—the highest-ranking family in the Nazis' American Reich—is absolutely fantastic. In John and Helen Smith, we get to explore what it might have meant for regular Americans to throw their lots in with the Nazi Party had the Axis powers won WWII. Through dialogue and flashbacks, we get to see how joining the Nazi Party twisted both John and Helen into persons unrecognizable from their alt-world selves. Truly, the Smiths' story arc was easily my favorite, and it is the backbone of the show. You will never feel sorry for John or Helen, but you will understand them—and you will feel sorry for their children.
Add to this mix some solid intrigue and action, plus a strong, capable female protagonist, and you will see why The Man in the High Castle is really good television.
Also, don't let my initial talk of the sci-fi component scare you off. The showrunners may not have done a great job of resolving that part of the story, but the characters' stories were all resolved to my satisfaction. (Well, with one exception, but…it didn't ruin the show for me.)
I recommend this show highly to people who enjoy:
– Military fiction
– Historical fiction
– Alt-historical fiction
– [Light] sci-fi
– Political intrigues/dramas/thrillers
Review By: tmdb32847728
How appellant the idea of a multiverse where the wavefunction collapse doesn't turn realities unreachable from the other quantum fluctuation results, in brief terms, referring to the "Many Worlds Theory" or the different view of Laura Mersini-Houghton. So the gods want, personna dream. As if the kraft happens, the series goes beyond the original work, admiringly well. The details, scenarios, characters. As a youngster I read mostly the twisted Philip K. Dick stories, those with bugs… Who knows how many, forty years ago? Not me.Heinlein or Le Guin, The Stars My Destination, the Heechee saga, Dorsai, even "old style space operas" by EE Doc Smith, Clifford Simak, to name a few, seemed to leave a clearer picture than Philip K. Dick which one must reread here and then considering the number of superb cinema and TV "Adaptations", too much to refer or choose one as "the best".
Not a fan of dystopian literature or ordinary TV series. But nothing of ordinary is here at play and there are Utopian undeniable traces. Art, decadence, suffering and resilience, life at its fullest. Love, and the hero within each child to crown the cake.
This work of distinguished direction, production, excellent acting and good pace, constitutes a good ensemble, rising the level and not defrauding our founded expectations. For personal reasons I usually expect the conclusion or at least two sequences and then let some distance from trailers, critics. Tasted it at a given opportunity. Better late than sorrow.
It was a pleasure to follow, in a row, three seasons of The Man in the High Castle. Congratulations to the crew.
Honored, with a bow.
Review By: mgenth
beyond impress, stayed up until 2 am on a week day…
I'm a TV show lover, but never! ever! has a series made me want to write a review. It was a cold Sunday evening… I was waiting for Sunday night football around 645pm. I decided to squeeze in the pilot. Needless to say, 7 episodes later I was still watching. The story line is incredible. The acting is great. The emotions that it brought out of me was real and raw. It made me appreciate and think differently about the word/idea/concept that we all throw around "FREEDOM." Yes, it's fictional, and yes it's just a TV-show, but boy! they hit on something, at least in me. I'm beyond impress! Monday morning, coffee to the rescue!
Review By: gaants
Ve Haf Vays of Making You Vatch Netflix
A dystopian future where mainstream media is in a state of collapse, and decent dead American novelists get their ideas plundered by cash-greedy online corporations. Oh, sorry, that's real life: What I meant is; well you know, the Nazis got the A-bomb first and won WWII. So we get the usual hacked-to-death Nazi Resistance shtick set in the Mad Men universe. Thing was, Mad Men didn't start out a nostalgic soap opera, it was a gripping character study to begin with. But the most interesting characters in TMITHC are the Japanese calligraphy ones all over California. Not to mention the barrel of fun the Art department has had reimagining Nazi graphic design for the Duck and Cover generation.
A crack shot truck driver (who's NOT a spy, repeat NOT, honest) and a lady Aikido expert (who makes me see a Street-Fighter style rapidly diminishing energy bar every time she's on screen) keep revealing surprising discoveries while time runs out, and the main Nazi baddie experiences ideological conflicts, probably because he's the only Nazi ever whose uniform fitted like a cheaper Sears-Roebuck suit. That's what happens in every episode. Meanwhile, enjoy the tongue-in-cheek CGI.
I've not read the Philip K Dick novel – maybe Amazon have it – but in any case I would expect some reference to be made to the um, Russian question. Apparently in this story Russia went the way of Afro-American and Arabic people. On an extended holiday.
It's easy to see that this atrocious rubbish might impress the impressionable, especially since Nazi iconography (NOT ideology, please) was, let's face it, so undeniably good and still has the power to instil a reaction today. David Bowie knew what he was on about. But this is a VERY BADLY WRITTEN WWII period drama disguised as provocative drama-documentary. I had to have an eye bath after I watched it.
Review By: joachimokeefe
Release Year 2015–2019
Rated TV-MA
Genre Drama, Sci-Fi, Thriller
Writer Frank Spotnitz
Actors Alexa Davalos, Luke Kleintank, Rufus Sewell
Country United States, United Kingdom, Canada
Awards Won 2 Primetime Emmys. 10 wins & 56 nominations total
Sound Mix Stereo
Aspect Ratio 16:9 HD
Camera ARRI ALEXA SXT, Arri Alexa Mini, Zeiss Master Prime Lenses (Season 1 – 4), Red Epic Dragon, Zeiss Master Prime Lenses (Pilot only)
Cinematographic Process HDR10
Original title The Man in the High Castle
Last air date Nov. 15, 2019
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A vehicle of interest is being sought in two drive by shootings that occurred within minutes of each other on August 5th. The Fannin County Sheriff's Office and Georgia Bureau of Investigation are searching for a suspect or suspects in two drive by shootings that occurred at approximately 2am on August 5th in the north portion of Fannin County.
FYN spoke with Officer Turner today, August 7th, who told us investigators are asking for the public's help in identifying a vehicle of interest. Authorities have a video of a newer model white pickup truck with some type of dark writing on the driver's side. The truck has a ladder rack and/or a toolbox. The truck was traveling in the area of Blue Ridge Drive at approximately 1:45am on August 5th. Authorities have sent us a still copy of the truck and have asked anyone with any information to please contact the Fannin Sheriff's Office at 706.632.2044. Authorities would like to know the driver of this truck. FYN will update as new information becomes available.


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O tenente-general Robert Harold Nimmo (22 de novembro de 1893 - 4 de janeiro de 1966) foi um oficial sênior do Exército australiano que serviu na Primeira e Segunda Guerra Mundial, com a Força de Ocupação da Comunidade Britânica no Japão, como oficial general comandante (GOC) do Norte Comando na Austrália e, finalmente, como o principal observador militar do Grupo de Observação Militar das Nações Unidas na Índia e no Paquistão de 1950 até sua morte em 1966. Criado em uma fazenda de ovelhas no extremo norte de Queensland, Nimmo frequentou a Southport School no sul de Queensland antes de entrar o Royal Military College, Duntroon, em 1912. Ele era o cadete sênior de sua classe, que se formou cedo para participar da Primeira Guerra Mundial. Ele serviu com o 5º Regimento de Cavalos Leves durante as campanhas de Gallipoli e Sinai e Palestina, alcançando o posto de formar-se. Ele foi elogiado por sua liderança como comandante de esquadrão de cavalos leves e suas habilidades como major de brigada da 1ª Brigada de Cavalos Leves nos estágios finais da guerra.

Nimmo foi nomeado tenente das Forças Militares Permanentes após a formatura em 3 de novembro de 1914, tendo ocupado o cargo de cadete sênior de sua classe de 40 homens, conhecido como sargento-mor da companhia. Ele foi comissionado na Força Imperial Australiana (AIF) no mesmo posto e ingressou no 5º Regimento de Cavalos Leves, parte da 2ª Brigada de Cavalos Leves do Coronel Granville Ryrie, formada por homens recrutados em Queensland. Em 21 de dezembro, o regimento partiu de Sydney para o Oriente Médio a bordo do SS Persic, um transatlântico da White Star Line que havia sido convertido em um navio de tropas e redesignado como HMAT A34. O regimento chegou ao Egito em 1º de fevereiro de 1915. Inicialmente considerado inadequado para o desembarque em Gallipoli em 25 de abril, toda a brigada desembarcou em Anzac Cove em 20 de maio em uma função desmontada para reforçar a infantaria severamente esgotada da 1ª Divisão que havia sido lutando contra a campanha de Gallipoli desde 25 de abril. Nimmo era comandante de tropa no Esquadrão A, e embora o regimento tenha desempenhado um papel defensivo durante a maior parte da campanha, esteve envolvido em alguns ataques menores. O próprio Nimmo esteve envolvido em combates consideráveis durante a campanha.

Ver também

Militares da Austrália

redpajama_set_name: RedPajamaWikipedia


70mm square pine newel base, but the peg newel I saw on Burbridge's site had a 50mm diameter peg. Will only 10mm each side and some adhesive really take the strain of being shoved?
If you glue and cramp two pieces of softwood together with pva glue and allow it to dry fully you will never manage to separate that joint by force, (try driving a chisel into the joint) the timber will split away first, usually close to the glue but not at the joint, the glued joint becomes stronger than the timber alone.
It has to be a reasonable assumption that the same applies to your newel post.
When gluing timber, (and usually anything else) one very important consideration is to always allow the glue to dry without disturbing the piece in any way.
Very true for two pieces in good contact. The question I suppose is how good do I think I'll be digging a round hole into the exact centre of the newel base?
I suspect good, but maybe not quite good enough so I was thinking of using a 2 part adhesive like Dry Flex which has some gap filling properties which PVA doesn't to the same extent.
The question I suppose is how good do I think I'll be digging a round hole into the exact centre of the newel base?
Digging is not really desirable, a 50mm auger bit will do the job, or a sharp spade bit.
If in doubt, use a polyurethane (expanding/foaming ) glue.
I was thinking of using a 2 part adhesive like Dry Flex which has some gap filling properties which PVA doesn't to the same extent.
Size of the gap is also an issue with joint strength.
Or I cut a couple of slots in the peg and make some wedge tenons. Or perpendicular offset dowels. Haven't made those in quite some time.


Cabinetmakers hold many of the jobs in the woodworking industry. They specialize in building wood cabinets for homes and businesses. Other woodworking professionals may work in factories or workshops. Sometimes, cabinetmakers build cabinets at the site; other times, they build cabinets in their workspace and install them later. Cabinetmakers must be precise with their measurements and work. Cabinetmakers can express their more artistic sides when creating a design, choosing wood, or putting a finish on cabinets.
Woodturners shape, polish, and cut wood into decorative creations. They use equipment such as lathes to shave the wood into objects that can be anything from bowls and boxes to sculptures.
Guitar makers can work for companies that manufacture guitars, or they can craft guitars in their own workshops. Acoustic and electric guitars are usually made from rosewood, spruce, mahogany, or cedar.
Toy makers use wood to create toys that will last for years. Handcrafted toys often outlast their plastic counterparts and make unique gifts. Wooden toys are often the most popular items at craft fairs. A skilled woodworker might branch into toy making to expand his or her offerings.


text:
CREATE DATABASE orakel DEFAULT CHARACTER SET utf8 COLLATE utf8_unicode_ci;
USE orakel;

-- --------------------------------------------------------

--
-- Tabellenstruktur für Tabelle archiv
--

CREATE TABLE archiv (
  id int(10) unsigned NOT NULL AUTO_INCREMENT,
  timestamp timestamp NOT NULL DEFAULT CURRENT_TIMESTAMP,
  name1 varchar(30) NOT NULL,
  name2 varchar(30) NOT NULL,
  score float NOT NULL,
  PRIMARY KEY (id)
) ENGINE=InnoDB DEFAULT CHARSET=utf8 AUTO_INCREMENT=1 ;

redpajama_set_name: RedPajamaGithub


Prepare to stop traffic in these Flora Ruby Drops! A hypnotising shade of red, these earrings are the epitome of class and elegance but they'll look just as trendy with a casual LBD. These interchangeable drops are also available in emerald, yellow or blue sapphire.


text:
Q: Spring Data JPA Dynamic Native Query I have native query stored in one of the tables and would like to fire the query.  I have been looking for alternatives for Pure JDBC.  my application has JPA capabilities.
Is there any framework or pattern to fire dynamic native queries?


Awesome Oud Keukengerei #11 - Wasrek Handdoekenrek Www Blossombrocante Nl was posted in March 18, 2019 at 5:06 pm. If you want to use this photo as your laptop wallpaper, please click the download link below or you can just right click on the image at the top and tap "Save Image As" to download the Awesome Oud Keukengerei #11 - Wasrek Handdoekenrek Www Blossombrocante Nl or by pick the "Set Desktop Background As" section if your internet browser has this option. If you were no able to take the the most outstanding photo you are expecting for, you shall go for "Search Column" at top right or browse another image backgrounds which you wish. This photo has the image size is 137kB and the dimension of 666x1000. Awesome Oud Keukengerei #11 - Wasrek Handdoekenrek Www Blossombrocante Nl has been viewed by 2 users and it is an attachment from Oud Keukengerei.


Only 2 weeks before the release of MudRunner!
The team is working day and night to polish the game and launch the best possible title at the end of the month. But testing a game with a team of a few dozen QA testers and releasing it to hundreds of thousands of players are two different things.
We refuse to take any risk when it comes to ironing out a game that so many of you are eagerly awaiting and that's why we decided to host a Technical Test open to 1000 players, in order to gather as much technical feedback as possible.
In essence, we're looking to make sure that we can test the game on PC on as many machines as possible. This test will have restricted content, so that you don't get spoiled on the all the surprises to come in the game.
Three challenges: Repair and refuel, Climb A Hill, Cross A River.
The idea here is to test the game in a variety of locations, and the content we are including in the Technical Test will introduce you to the basics of the game, cockpit view, and crossing water.
This test will be under NDA, so you won't be able to share videos, screenshots or information about what you find in the Technical Test.
We will be inviting people to this Technical Test on a first come, first serve basis. Once 1000 players have signed up, that will be it, so make sure you sign up fast!
We'll contact you by email if you're selected. The Technical Test starts October 19th at 4.00 PM (CEST) / 7.00 AM (PDT) / 5.00 PM (MSK) and will last a few days.
I would like to test it!
Will this be tested on Xbox one before the release next week?
Signed up hopefully be able to test it. Looking forward to the game release.
I want to test the game!!!