text:
Innervated Cross-Finger Pulp Flap for Reconstruction of the Fingertip
Publication date (electronic) : 2012 November 14
doi : https://doi.org/10.5999/aps.2012.39.6.637
Nae-Ho Lee, Woo-Sik Pae, Si-Gyun Roh, Kwang-Jin Oh, Chung-Sang Bae, Kyung-Moo Yang
Department of Plastic and Reconstructive Surgery, Chonbuk National University Medical School, Jeonju, Korea.
Correspondence: Si-Gyun Roh. Department of Plastic and Reconstructive Surgery, Chonbuk National University Medical School, 20 Geonji-ro, Deokjin-gu, Jeonju 561-712, Korea. Tel: +82-63-250-1860, Fax: +82-63-250-1866, pssroh@jbnu.ac.kr
Received 2012 August 26; Revised 2012 September 26; Accepted 2012 September 27.
Fingertip injuries involving subtotal or total loss of the digital pulp are common types of hand injuries and require reconstruction that is able to provide stable padding and sensory recovery. There are various techniques used for reconstruction of fingertip injuries, but the most effective method is functionally and aesthetically controversial. Despite some disadvantages, cross-finger pulp flap is a relatively simple procedure without significant complications or requiring special techniques.
This study included 90 patients with fingertip defects who underwent cross-finger pulp flap between September 1998 and March 2010. In 69 cases, neurorrhaphy was performed between the pulp branch from the proper digital nerve and the recipient's sensory nerve for good sensibility of the injured fingertip. In order to evaluate the outcome of our surgical method, we observed two-point discrimination in the early (3 months) and late (12 to 40 months) postoperative periods.
Most of the cases had cosmetically and functionally acceptable outcomes. The average defect size was 1.7×1.5 cm. Sensory return began 3 months after flap application. The two-point discrimination was measured at 4.6 mm (range, 3 to 6 mm) in our method and 7.2 mm (range, 4 to 9 mm) in non-innervated cross-finger pulp flaps.
The innervated cross-finger pulp flap is a safe and reliable procedure for lateral oblique, volar oblique, and transverse fingertip amputations. Our procedure is simple to perform under local anesthesia, and is able to provide both mechanical stability and sensory recovery. We recommend this method for reconstruction of fingertip injuries.
Keywords: Finger injuries; Subcutaneous tissue; Microsurgery; Nerve transfer
Fingertips are parts of the human body that are always exposed to the external environment and play an important role in feeling delicate sensations. Anatomically, thickness of the epidermis and the dermis is 2 to 3 mm, and the epidermis is composed of cornified, stratified, squamous epithelium. Dense connective tissues and numerous fibrous septa connect between the skin and the synovium and increase the fingertips' durability and function as cushions. These structures prevent the skin from slipping when pinching an object [1,2]. Similar tissue must be obtained in order to reconstruct the fingertips, and the primary concern in reconstruction must be recovery of sensation. Therefore, it is important to select the optimal surgical method considering the patients' age, sex, occupation, and the importance of the injured finger [2-5].
Treatment of fingertip injuries should take into consideration proper maintenance of the soft tissues, restoration to normal length, prevention of fingernail deformity, recovery of normal sensation without pain, and reconstruction within a minimal length of time with maximal functional and cosmetic satisfaction [2,4,6,7]. The best treatment would be surgery using the simplest method with similar tissue and possibly leaving minimal damage to the donor site. The methods of fingertip reconstruction are local flaps such as volar V-Y advancement flap, regional flaps such as cross-finger and neurovascular island flap, distant flaps like groin flap, and a free flap using the toes [2].
The authors used innervated cross-finger pulp flap for fingertip reconstruction from September 1998 to March 2010 in 69 patients. We also had 21 cases of non-innervated, cross-finger pulp flap as the control group to compare the degree of nerve regeneration.
From September 1998 to March 2010, we reconstructed fingertip defects in 90 patients who had soft tissue defects or bone exposure due to fingertip injuries. There were 53 males and 37 females with an average age of 46 years (range, 3 to 76 years). There were 43 cases of middle finger injuries, which was the highest number of injuries, and right hand injury was predominant. The most common cause of injury was crushing injuries by machine compression. Other causes included cutting machines, fruit knives, electric saws, and bite injuries. The control group included 21 patients who had received non-innervated cross-finger pulp flap, and the experimental group included 69 patients who received innervated cross-finger pulp flap. The operation time, patient satisfaction, and recovery of sensation were compared between the two groups. We observed two-point discrimination, stiffness of the involved joint, cold intolerance, hypersensitivity, numbness, and pain. The follow-up averaged 24 months (range, 12 to 40 months).
Except for the 12 pediatric patients, the operations were performed under local anesthesia. We tied a tourniquet around each patient's upper arm, cleansed the operation site, and debrided the necrotic tissue on the fingertip. At the same time, we manipulated the pressure of the tourniquet to check the condition of the fingertip vessels. We used rubber bands for 15 to 20 minutes to compress the distal finger for the patients who complained of pain caused by the tourniquet.
The flap was commonly designed on the opposite pulp area of the adjacent finger and over 2 mm away from the nail wall. When the depth of the defect was deep, a sufficient amount of subcutaneous fat layer and arterioles were included in the donor flap when it was elevated. For small defects, a random cutaneous flap was used. After flap elevation, a full thickness skin graft was performed for the coverage of the defect site, and then a tie-over dressing was applied. When we selected the donor site for a full thickness skin graft, the graft was obtained from the hypothenar area if the defect size was under 1 cm, and the graft was obtained from the medial plantar area or the wrist crease if the width of defect size was above 1 cm.
To improve sensory restoration, the pulp branch from the proper digital nerve was dissected under a microscope and transferred, with the nerve temporarily sutured, to the defected area. A neurorrhaphy was performed between the pulp branch from proper digital nerve and the recipient's sensory nerve with 11-0 nylon sutures (Figs. 1, 2).
Illustration of the operative method
Epineural neurorrhaphy between the pulp branch of the flap and injured finger.
The joined nerves are tucked into the wound and the remainder of the flap margin, and all of the wounds are sutured.
After the elevated flap was sutured to the recipient site with 6-0 nylon sutures, an anchoring 4-0 nylon suture was applied between the connected fingers for flap immobilization. A tie-over dressing was opened on the 3rd postoperative day. Postoperative dressing was applied every 2 to 3 days. Flap detachment was performed after 9 to 10 days.
A 27-year-old male was admitted with a crushing injury of the left index finger caused by a press machine. The patient had 1/4 of the distal phalanx amputated, and the wound surface was severely crushed, and therefore, impossible to replant. Because the wound surface was too wide and deep, we decided to perform an innervated cross-finger pulp flap using the radial side of the middle finger as the donor site. We elevated a 2.2×1.3 cm flap with the sensory nerve. The sensory nerve was anastomosed in the center of the flap and the defect area. The two-point discrimination was 4.4 mm at 12 months after surgery. No complications such as scar contracture or depression were noted on the donor site (Figs. 3, 4).
Crushing injury of the left index finger by a press machine
Neurorrhaphy was performed using 11-0 nylon sutures.
Intraoperative view
Innervated cross-finger pulp flap was performed using the radial side of the middle finger as the donor site.
A 35-year-old male was admitted with a right index fingertip injury caused by compression from a heavy object. The distal phalange was partially amputated, and the bone was exposed. Because the wound surface was slanted towards the ulnar side, we concluded that it would be better to use the radial part of the middle finger as the donor site. We designed a 1.9×1.7 cm axial cutaneous flap and elevated it with the cortical pulp branch. A full thickness skin graft for the donor site was performed and then a neurorrhaphy was conducted using 11-0 nylon sutures. The patient's two-point discrimination test was 4.4 mm at 18 months after surgery, and the patient was satisfied with the cosmetic results (Figs. 5-7).
Crushing injury of the right index finger by a heaby object
Right index fingertip injury caused by compression from a heavy object. The distal phalanx was partially amputated and the bone was exposed.
Postoperative follow-up view
Follow-up view showing the healed flap with good contour in the index finger.
We reconstructed the fingertips of 90 patients with soft tissue defects and bone exposure accompanied by fingertip injuries using cross-finger pulp flap. We used non-innervated cross-finger pulp flap in 21 patients and innervated cross-finger pulp flap in 69 patients. The flaps survived in all of the cases and showed satisfactory progress regardless of the width and length of the flap. The size of the flaps were 1×0.8 cm to 2.3×1.4 cm. The full thickness skin grafts for covering the donor site were taken up well, and cosmetically, they were satisfactory. In all of the cases, primary closure of the donor site for the full thickness skin graft was possible, and the mean surgical duration was 48 minutes.
In the cases with non-innervated cross-finger pulp flap, the recovery of sensation was poor when compared with the cases with innervated cross-finger pulp flap. The two-point discrimination test and Semmes-Weinstein monofilament test was administered 12 months after surgery and resulted in a mean distance of 7.2 mm and kit sizes between 4.08 and 4.56, respectively, which showed recovery of sensation (Table 1). Dryness of the flap was also observed. On the other hand, in cases with innervated cross finger pulp flap, we observed recovery of sensation 3 months after surgery and improvement in Tinel's sign. The two-point discrimination test and Semmes-Weinstein monofilament test were administered 12 months after surgery and resulted in a mean distance of 4.6 mm and kit sizes between 3.22 and 3.84, respectively (Table 2). There was a statistically significant difference in the sensory recovery between the two groups (P=0.001). Consequently, we had confidence that the final outcome of our method (cross-finger pulp flap with neurorrhaphy) was much better than the other method (non-innervated, cross-finger pulp flap) for sensory recovery.
Patients without neurorrhaphy
Patients with neurorrhaphy
We did a satisfaction survey of 90 patients after the operation. Both the experimental and control groups were satisfied with the cosmetic outcomes except for 5 cases. In the control group, 12 of the 21 patients complained of an imbalance occurring when using pencils or chopsticks. On the other hand, patients who had fingertips reconstructed with innervated, cross-finger pulp flap did not complain about any aspects of their everyday life.
Joint stiffness as a result of immobilization for flap stability was present temporarily and resolved completely during physical therapy. There was no impairment of joint movement.
Cold intolerance was present in 15 patients at the end of the follow-up, and the two-point discrimination was above average in those patients.
Scar contracture of the full thickness skin graft of the donor site was minimal. We were also able to avoid sensory loss of the donor fingertip by using pulp sensory nerves branching from the digital nerves. The scar of the hypothenar region, which was the donor site of the full thickness skin graft, was inconspicuous and the patients did not feel any discomfort in performing the activities of daily living.
In various types of fingertip injuries, microsurgical replantation is most effective in cases of complete amputation below the distal interphalangeal joints. Unfortunately, fingertip injuries that are accompanied by severe crushing injuries are technically not suitable for microsurgical replantation, but other modified methods have been introduced. Applying local flaps to small defects is an unarguably simple procedure and it is superior for sensory recovery. However, free flap using the tissues of the plantar area and the toes is currently preferred in cases with larger defects and in cases that need reconstruction of the fingernails [2,4,8,9]. We use distant flaps for the cases that are not suitable for free flaps. For the cases with a local flap and undergoing a larger operation such as free flap, which is impossible to perform due to the site and size of the defect, we apply a neurovascular island flap or cross-finger flap.
However, some of the weaknesses of the neurovascular island flap are that one side of the proper digital artery must be sacrificed and sensory recovery is relatively poor. Likewise, non-innervated cross-finger pulp flap also has the weakness of poor sensory recovery [8,9]. In 1983, Cohen and Cronin [10] first performed innervated cross-finger flap to overcome these weaknesses. They anastomosed between the dorsal sensory branch and the pulp branch. A two-point discrimination test resulted in 4.8 mm, which was within a satisfactory range, but solidity and durability decreased when the patients pinched an object because dorsal skin was used, which was different from the pulp tissue [10,11].
Many other authors have strenuously insisted on the advantages of sensory reconstruction for fingertip injuries. For instance, Ozdemir et al. [12] presented innervated dorsal adipofascial turnover flap for fingertip amputations and claimed the procedure had the advantage of sensory recovery without functional or aesthetic disturbance at the donor site. Lassner et al. [13] presented sensory reconstruction of the fingertip using the bilaterally innervated, sensory cross-finger flap and reported good functional results, especially in sensory recovery. In addition, Li and Cui [14] presented the advantage of his surgical technique, innervated reverse island flap based on the end dorsal branch of the digital artery, for fingertip reconstruction. Our authors referred to these studies and designed a modified innervated cross-finger pulp flap using the pulp tissue of the fingertip area as the donor site to overcome these shortcomings.
Our method resulted in a two-point discrimination of 4.6 mm, a Semmes-Weinstein monofilament test of between 3.22 and 3.84, and a satisfactory radius of rotation, which enabled the surgeons to cover the defects of the fingertips and the front and lateral side of the pulp area without difficulties. This method is also advantageous because it is a simple method that can be performed with local anesthesia and it is able to reduce the surgical duration and leaves minimal scarring on the donor site.
An objective method for measuring the degree of sensory recovery after covering fingertip defects is the two-point discrimination test and Semmes-Weinstein monofilament test [11]. Patients should have a result of 8 mm or less in order to obtain satisfactory function of the fingertip. Sensory recovery is greater and faster in younger patients, and careful observation is required for 12 months after surgery. As a result, to improve sensory recovery, maximal amounts of subcutaneous tissue must be included in the neurovascular island dissection, compression must be avoided, and the tension of the island flap and approach to each nerve ending must be accurate during neurorrhaphy [8-11].
This paper was supported by research funds from Research Institute of Clinical Medicine of Chonbuk National University in 2008.
1. Johnson RK, Iverson RE. Cross-finger pedicle flaps in the hand. J Bone Joint Surg Am 1971;53:913–919. 4934075.
2. Kappel DA, Burech JG. The cross-finger flap. An established reconstructive procedure. Hand Clin 1985;1:677–683. 3831054.
3. Miura T. Thumb reconstruction using radial-innervated cross-finger pedicle graft. J Bone Joint Surg Am 1973;55:563–569. 4267352.
4. Spokevicius S, Gupta A. The modified cross finger flap for finger pulp and nail bed reconstruction. J Hand Surg Br 1997;22:745–749. 9457578.
5. Cronin TD. The cross finger flap: a new method of repair. Am Surg 1951;17:419–425. 14829803.
6. Gurdin M, Pangman WJ. The repair of surface defects of fingers by trans-digital flaps. Plast Reconstr Surg (1946) 1950;5:368–371. 15417339.
7. Fisher RH. The Kutler method of repair of finger-tip amputations. J Bone Joint Surg Am 1967;49:317–321. 5335173.
8. Joshi BB. A sensory cross-finger flap for use on the index finger. Plast Reconstr Surg 1976;58:210–213. 781703.
9. El-Khatib H. Adipofascial axial pattern cross-finger flap. Plast Reconstr Surg 1996;97:850–853. 8628784.
10. Cohen BE, Cronin ED. An innervated cross-finger flap for fingertip reconstruction. Plast Reconstr Surg 1983;72:688–697. 6353456.
11. Markley JM Jr. The preservation of close two-point discrimination in the interdigital transfer of neurovascular island flaps. Plast Reconstr Surg 1977;59:812–816. 323891.
12. Ozdemir R, Kilinc H, Sensoz O, et al. Innervated dorsal adipofascial turnover flap for fingertip amputations. Ann Plast Surg 2001;46:9–14. 11192049.
13. Lassner F, Becker M, Berger A, et al. Sensory reconstruction of the fingertip using the bilaterally innervated sensory cross-finger flap. Plast Reconstr Surg 2002;109:988–993. 11884822.
14. Li YF, Cui SS. Innervated reverse island flap based on the end dorsal branch of the digital artery: surgical technique. J Hand Surg Am 2005;30:1305–1309. 16344193.
(open-access, http://creativecommons.org/licenses/by-nc/3.0) :
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
A 1.9×1.7 cm axial cutaneous flap was elevated, and neurorrhaphy was performed using 11-0 nylon sutures.
a)20 piece kit includes sizes: 1.65, 2.36, 2.44, 2.83, 3.22, 3.61, 3.84, 4.08, 4.17, 4.31, 4.56, 4.74, 4.93, 5.07, 5.18, 5.46, 5.88, 6.10, 6.45, and 6.65.


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I totally have to hang my head in shame because I still hit up the tanning bed a few times before vacation, but I'm totally a sunless girl year round. I love St. Tropez tanning mousse, but I love trying out new products. Thanks for the tips!


Requests for PVC Loom enhancements keep coming in . . .
The website has been getting a lot of traffic since the March/April issue of Handwoven Magazine came out.
They wrote a nice little review of the Building A 4-Shaft PVC Loom book under the Media Picks section on page 14.
Ever since the book was published I've received questions from weavers on making modifications and enhancements to the design of the loom. The main request is, "Can I add 4 more harnesses to create an 8-shaft PVC Loom?" And, the other request is, "Can I add 2 more slider bars to handle shafts 1-3, and 2-4?" I was expecting that people would be at least curious if these modifications could be done, and the answer is "YES!" I'm working on those now and will make the modifications available over the Internet probably by early Summer.
The other question I get is about making the PVC Loom bigger. "Can I make it 3 feet wide?" Well, I'm not sure about this. I think you may be able to make it bigger – but you may have to increase the diameter of PVC Pipe used. Going out to 3 feet will make a frame that is more susceptible to bending. The problem is that it may look great when you first build it. But, after using it for a year or so, you may notice the pipes bending under the tension of the warp threads.
The current design uses 1 1/4″ PVC Pipe for the frame. Using 1 1/2″ may work for a wider loom. And, there is also a 2″ diameter pipe you could try. But, remember that there are several other parts that need to be widened if you are going to try this. Besides the front and back beams, there are the front and back rollers, the reed frame, the harnesses, and the action board on top. The action board needs to be as wide as the harness frames so the Texsolv cord can reach the harness frame ends.
One other note . . .
I'm about to finish modifications to the very first PVC Loom I constructed. It was the prototype and had an older version of the action board. I am outfitting this loom with the improved action board and getting it ready to weave some towels. The interesting thing about this PVC Loom is it's narrower than the final design. It can weave approx. 21 inches wide. (This was before I noticed that a 24 inch wide frame only has about 21 1/2 inches of usable front and back beam inbetween the elbow joints of the PVC pipe. Oh well – live and learn. ) But, I noticed that it's actually quite nice at this size. It's hard to describe, but I like the feel of this loom. Maybe it's the nostalgia of being my first PVC Loom, but I'm taking special care in reviving this old prototype. I'll have some pictures to post soon. Here is a photo of the original prototype. This is from about 2003.


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I love to watch those Tiny House shows on TV. Since I am a pack rat I just can't imagine moving from the house that I am in now to a Tiny House. I have a 5 bedroom house.. and it is packed to the rafters… in every nook and cranny. I hate to part with anything.. and although Hubby will not admit it, he is almost as bad as I am.
I can't help it I like my things….
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Many of the Tiny Homes that are built on those TV shows are really very clever. They have great storage ideas. I love it that they are built on wheels.. so that your able to pick up and MOVE….
I have found a site that has great pictures of a Tiny Home. You can see their idea here.
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1 Lord, I have so many enemies!
3 But you, Lord, are my shield!
8 Rescue comes from the Lord!
Being able to read the whole story, and having read the whole story year after year, we forget how spiritually dark today really is.
As a camper I enjoy the predawn night. The campfires are out, the stars seem to glow in ways I couldn't see before going to bed. At that point I'm used to the dark. I've lived a whole night with it. Holy Saturday, in contrast is a quick and deepening darkness.
Now depression? That's a feeling and a darkeness I am not comfortable with, nor do I want to re-experience. It does trick the mind into thinking happiness and hope will never return. All appears lost.
I think many Americans can connect with the Disciples this Saturday before Easter. Their hope is dead. Jesus, the one they thought was going to take down the system and become the warrior king of scripture, didn't lift a finger to fight and died on a cross. On Saturday, not only could none of them understand what was coming, they were completely lost in the darkness. What do we do with that today?
The Disciples, the ones who saw Jesus face to face, and witnessed his ministry were scared. We, as biblical readers, know there is a blinding light on the other side of their darkness, but they did not. This day is here to remind us the truth about darkness: The darkness does not take away or destroy the things that give us hope and love, it simply hides it from view. God is always there, and always present. Just because you can't see it, doesn't make it any less true.
If this particular message seems to be speaking directly to you, I'm so sorry you are dealing with the weight of depression. My personal experience lasted about two years, and part of my journey was being honest about it. Please seek out people with spiritual flashlights to help you see what has always been there. You are not alone, and the light is right around the corner.


Henry Allen Nord's painting "Labor at Rest," donated to the Idaho Falls Municipal Library in April 1940, still hanging in the Museum of Idaho. Another mural was hung at the same time, but has gone somewhere else in ensuing years.
While researching a writing this week's "Looking Back" column for the Post Register, I came across a name I didn't know, Henry Allen Nord, an Idaho Falls native most famous for his mural work in the 1930s and the artist responsible for the largest piece of public art produced by the New Deal.
Born in 1904, Nord left Idaho Falls as a young man to attend the Art Institute of Chicago and later Yale University. After graduating, he moved to Southern California, where he did his work an taught.
One of Nord's paintings, "Labor at Rest," still hangs above an office door at the museum's south end. The other larger painting, the mural "Men and Horses," is no longer hanging and its whereabouts are unknown, said Museum Curator Claire Smith.
Nord's mosaic mural in Long Beach, Calif.
Celebrating Long Beach's love of recreational living, this was the largest piece of public art to emerge from the New Deal. Nord started it in 1936 and, with assistance from Albert Henry King and Stanton MacDonald-Wright, finished it in 1938. It graced the facade of the old Long Beach Municipal Auditorium until the building was torn down in the 1970s. In 1982, it was relocated to its current space at 3rd Street and Promenade, where it now caps off the north end of the popular strip.
Plenty of people today have strong views about the government's role in funding art projects, but I think it is interesting to go back 80 years to the Depression and look at attitudes then.
As administrator of the Federal Emergency Relief Administration, the Civil Works Administration and the Works Progress Administration, Harry Hopkins noted that "artists were starving the same as everyone else." He believed that paid work was psychologically better for unemployed people than simply giving them money, and the Public Works of Art Project was established in December 1933. Over six months, $1.3 million was spent, employing 3,749 qualified artists, resulting in more than 15,000 pieces of public art.
A few other things about Henry Allen Nord: When World War II started he enlisted in the U.S. Army. Too old to serve in combat, his mission was to help design camouflage.
He died in 1981 and is buried in Idaho Falls' Rose Hill Cemetery along with his parents; his wife, Dorothea, and daughter, Carolyn, both of whom died in 1969; and his older brother, Lawrence, who died in 1904.


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text:
Why men are better at self-promotion than women
Research shows women underrate their performance even when they have an objective measure of how well they've done.
Last Updated: 18 Feb 2020
There's an art to self-promotion.
Too much and you're a braggart, too little and you'll spend an unpleasantly large proportion of your life wondering why less competent people keep getting promoted above you.
Folk wisdom has long had it that men are better at self-promotion than women, which has contributed to disparities in pay and the gender imbalance in senior positions.
A recently revised study, published in the National Bureau of Economic Research, provides tangible evidence for that argument.
Harvard Business School's Christine Exley and Wharton's Judd Kessler wanted to understand how individuals described their own performance in self assessments.
They found that women tended to describe their performance in tests lower than men did, despite the fact that both groups had the same average test scores. The spread was significant - women on average gave themselves 46 out of 100, while men scored themselves 61.
At first glance this may not seem to be anything new. There are numerous studies suggesting gender-based differences in confidence levels when individuals are asked to score themselves. However, what is surprising here is the fact that the women in the study still underscored themselves (or indeed, men overscored themselves) despite being aware how they had actually performed.
They were also aware that the employer would use their self-assessment scores when deciding whether to employ them and when assessing pay-levels.
Rather than attributing an unwillingness to self-promote to confidence levels - the "carefully controlled" methodology enabled the researchers to "rule out many possible drivers of gender differences in performance". Exley believes it's the consequence of "societal norms".
"If women are more averse to engaging in self-promotion, perhaps because of societal pressures or expectations, a gender gap in self-promotion may follow even when it is against their financial interests," Exley tells the Harvard Gazette.
The research suggests that simply telling women how well they've performed won't be enough to encourage them to self-promote, although adopting more objective performance metrics in employee assessment could be one potential solution.
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Image credit: Metronome / Contributor via Getty images
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tv Charlie Rose PBS November 8, 2013 3:30am-4:30am EST
typhoon haiyan is blasting ashore in what would be stronger than a category five hurricane, if such a thing existed. in u.s. history only hurricane andrew ravaged florida in 1982 comes close. there are fears it may inflict a historic catastrophe. larry jacobs, abc news, new york. >> so scary. with catastrophic wind gusts and up to a foot of rain this typhoon could definitely go to our history books. >> our coverage continues with accu-weather meteorologist jim dickey. >> the good news is the storm has likely reached the peak intensity. earlier on, wind gusts, 160, 170 miles an hour that's about as bad as you can see from one of the systems here. still likely gusts to 125 mile an hour range. causing widespread destruction. the rain continues to pour down as well. many spots eight to 12 inches of rain nosing in to manila. john, diana, back to you.
>> thank you the, jim. we will monitor damage reports all morning long as we track this typhoon. we will have extensive updates later this morning on good morning and "america this morning." now let's check our national forecast. over than some lingering rain and snow, we're going to have in the northwest, we have some lake effect snow around the great lakes, as well. most of the nation can plan on mild and dry days. however, it will be a very windy from montana to wyoming and across the corn belt. temperatures coast to coast will be in the 50s and 60s. the southwest some summer-like readings in the 70s and 80s. all right an ohio man recovering after a dramatic explosion in suburban cleveland. it was captured on camera. one of the propane tanks he was delivering fell off the forklift and the ran over it. a huge fire ball erupted just as a car was passing by. it sounded like a bomb but the man managed to escape with smoke coming from his body and already is released from the hospital. another disturbing allegation against richey
incognito already accused of bullying a teammate. he allegedly harassed a volunteer during the dolphins annual golf tournament last year. he's accused of touching the woman's privates with a golf club, rubbing himself up against her and pouring a bottle of water on her face. the woman told police that others witnessed the incident but didn't stop incognito who was reportedly drunk. >> he is not the only high-profile sports figure to be linked to anger issues. rutgers basketball coach mike riels was fired for physically and verbally abusing his college players. it cause caught on tape. she speaking out in an interview with robin roberts. rice his he is a changed man. >> how do you defend throwing a ball at players, striking players, verbal abuse, the anti-gay slurs? >> you don't. it's unacceptable. it's something that i'll never get over. >> reporter: rice insists he's changed for the better since the scandal broke in new jersey six months ago.
>> there you see him with his wife and his wife during this interview said it has been devastating for their entire family. >> absolutely. his reputation and they have to pay the bills and this is a high-paying job he had and i'm sure that's -- got to get a new career at this point. >> absolutely. and also what save it says about her husband and the environment he might be creating in his own home if this is the way he is treating kids under his belt. >> you hope he's changing. i think everybody deserves a second chance. everybody. >> absolutely. hopefully he has changed and hopefully he gets a second chance and makes it right. >> you will see the full interview on "good morning america" and 20/20 by the way. now we start with the redskins visiting the viking. washington had a ten-point lead at halftime thanks to rg3. >> minnesota scoring the final 20 points and defense forcing griffin in to three straight incompletions. minnesota holding off 34-27. college ranks stanford hosting oregon.
both teams in the top five the cardinals bate 26-0 lead shutting out the ducks high-speed offense until well in to the fourth quarter but oregon staged a late comeback. including a 65 yard return of a blocked field goal attempt. it wasn't enough, though. stanford takes down oregon for the second straight here. the final score 26-20. i'm going to come out and say, i don't follow -- >> not your thing. >> probably because my school hofstra is never anywhere near. >> hofstra pride. >> that's us. >> that is slightly better than my violets. the violet. struck fear in the hearts. >> the violent violets. >> coming up, the date "star wars" fans have been waiting for. and a happy moment in a courtroom that brightened the lives of 50 children. you are watching "world news
now." ♪ we are family i've got all of my sisters and me ♪ >> announcer: "world news now" weather brought to you by colonial penn life insurance. you disgust me.
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north carolina to honor one of the most admired pillars of faith. >> as dan harris reports it was graham who gave them a birthday gift. >> no man come to the father but by me. >> reporter: the preacher seems slower these days but his final message to america still clear as a bell. >> our country's in great need of a spiritual awakening. there have been times as i have gone city to city and i've seen how far people have wandered from god. >> reporter: his final sermon shot over the past year in billy graham's mountain top home in north carolina. here he is in his favorite chair with his dog by his side. this son of dairy farmers, minister to every president since truman and brought the gospel directly in to america's living rooms, but in private he is a surprisingly hum able man. married to the same woman ruth
for more than 60 years. she died in 2007 with. the grahams spoke with diane in 1992. . the grahams spoke with diane in 1992. >> his favorite meal is can of vienna sausages, cold tomatoes and a can of baked beans, all cold dumped on a plate. his favorite meal. a man like that has to be -- >> reporter: throughout his life it's been the gospel that has sustained him. >> is there one passage of a scripture or one part of a hymn that never fails to make you feel great? >> what a friend we have in jesus. eisenhower's favorite hymn and my favorite hymn. ♪ what a friend we have in jesus ♪ >> reporter: today on this video what maybe billy graham's final public prayer. >> i invite you to come in to my heart and life. i want to trust and follow you as my lord and savior in jesus name, amen.
>> he's very direct in the final message arguing that america is in spiritual peril but there is hope in the form of the gospel. it's remarkable to watch this man who's seen so much change in the course of his public ministry but his core message has not changed one bit. dan harris, abc news, new york. >> amazing man. >> his staff says over the course of his lifetime he has probably reached an audience between broadcast and radio of 2.2 billion people and i have a funny feeling they are conservative about that. >> since 1955 gallup has had a poll of the most admired men and women and billy graham is on the list more than any other person. since 1955. >> i'm not surprised. >> transcends whatever faith. everybody admires this man. he's a great man. >> reason to. rihanna proving you do not need a glass to enjoy happy hour. and a surprise celebrity wedding that was over in minutes. find out who orchestrated the whole thing. it is coming up next in "the skinny."
minutes. find out who orchestrated the whol >> announcer: "world news now" continues after
♪ skinny ♪ so skinny >> all right. welcome in to "the skinny." once again, rhihanna is in the news once again. if it was anybody else nobody
would blink but because it is rihanna we hav show ♪ so skinny >> all right. welcome in to "the skinny." once again, rihanna is in the news once again. if it was anybody else nobody would blink but because it is rihanna we have to show you. she was in a club in barbados. the sugar trawl lounge. >> what is she drinking out of. >> a stiletto. >> it is a glass stiletto or is it leather and gross and sweaty and nasty? >> that's the question. this is posted by a fellow club goer post ed on instagram but the question is it her raggedy old stiletto she is drinking out of because she is so cool or a new glass ware we are so behind and don't know about because she's riri and we are not. questions, questions, questions. >> i really hope it is made of glass. >> probably is. probably being silly. >> okay. let's talk about kaley cuoco and ryan sweeting. the tennis player and tv actress from "big bang theory." >> kind of losing it on this friday. ellen always knows how to have fun. she arranges and surprises kelly
kaley cuoco with a mock wedding to her fiance. check it out. >> take my rings. here. >> take my rings. here. here. >> this isn't legal, right? >> it is legal. >> does this look real to you. >> power invested in me by google search you guys are married. >> only ellen can pull it off. >> is it official. >> no. it is a mock wedding but looked official. >> she talked about how she swore off love before she met him and she wasn't in it to and by the second date she was like oh, yeah. this is it. >> she is pretty. look at that picture. listen to this. "star wars" episode seven, we have a date for its release. it will be released december 18th, 2015. we have a while before we will see this. disney bought "star wars," one
of the biggest movie franchises, from lucas films in 2012 and production has begun. shooting will begin in spring 2014 and it will be heavy hitter names here. j.j. abrams will district it. he directed "mission impossible 3", "star trek" and scripted by abrams and lawrence kasdan who scripted "raiders of the lost ark," "return of the jedi." in good company. there you have it, everybody. it is coming on out. >> i hope it is good. >> it's going to be excellent. disney is behind it. >> disney is the parent company so if it is not good we will say it is good any way. >> it will be great. >> jay-z getting him in legal hot water any way. he is being sued. manhattan record label wants to drag him in to court. i guess they haven't done it yet. this is courtesy of "the daily news." they socked the brooklyn rapper and his record company with a copyright infringement lawsuit. saying he copied a '60s jam and he will have to defend himself.
the track "run this town" features rihanna and kanye west and samples hook and sling dozens of times allegedly according to the suit. i guess it goes with the territory but we'll see what happens.
♪ we are family i've got all my sisters and me ♪ >> many of us take our families for granted forgetting there are many children out there who are praying to sing the words "we are family." >> yesterday in texas 50 children had those prayers answered. >> reporter: at the juvenile justice center the usual somber atmosphere is overflowing with smiles and the laughter of little ones. the halls and courtrooms are transformed in to the enchanted emerald city from the "wizard of oz." >> it is a fairy tale beginning too, right? >> emma franco went in to foster care as a toddler.
the 16-year-old is dressed as dorothy but she won't have to click her heels together to go home. instead -- >> adoption granted. >> reporter: the gavel gives her a forever family. anna wishes more people would open their hearts to the many children who need a place to call home. >> they have a chance at getting a family and a new start and they can change the world for us. >> reporter: for aaron martinez and his brother and sister the wait is finally over. >> i'm excited. because i will have a brother and sister and a new mom and dad. >> it's been a long process, and we're ready to, you know, finish. >> tell the truth and nothing but the truth. say yes. >> yes. >> in a courtroom filled with family and friends. >> are you asking the court to grant this adoption today. >> yes. >> tears flow as the youngsters get a new last name.
a fairy tale ending to their time in foster care. >> adoption granted. >> adoption granted. >> adoption granted. >> very good. >> reporter: and a new beginning. >> this town's gone through a rough time in the last week or so. we have had a lot of people lose a lot, their homes, their children, their friends, their families, and today as we pause we get to watch the magic of making a family. >> wow. >> wonderful. the statistics for children who live in foster care are startling. there are 40,000 children living without permanent families right now in the foster care system. some of them will go on to adulthood without ever being adopted. >> each year 27,000 children age out. are you tearing up again? >> i am. >> you are now -- how much are you docked every time you tear up? >> half of my paycheck. >> i think 5 bucks. you owe 10 bucks to the wnn pizza fund. >> i'm on it. get my wallet.
>> announcer: this is abc news "world news now" informing insomniacs for two decades.
breaking news this morning -- one of the most powerful storms ever. it's landed into the philippines this morning, wreaking havoc, with winds around 200 miles per hour. millions of people caught in its path. here at home, a rare presidential apology. >> i am sorry that they are finding themselves in this situation. >> president obama, talking to americans losing their health care coverage, despite his assurances. critics are already calling it half-hearted. a delivery in the nation's heartland. and the driver who survives a fireball. for the second-straight year, stanford pounds out a win over oregon. and their fans take to the field to celebrate.
good friday morning. going to get right to it now. a giant storm, bearing down on the philippines this morning. ripping through the vulnerable islands with deadly force. >> it's being called a supertyphoon. one of the most powerful on the planet. winds have toppled 200 miles an hour. and the storm is far from over. we begin with abc's dan harris. >> reporter: it's called supertyphoon haiyan. it's 300 miles wide. and it's bearing down on the philippines right now. this storm has had wind gusts of 235 miles per hour. that is comparable to an extremely powerful category 5 hurricane. evacuations have been ordered. and officials are preparing people for significant risk to both lives and property. as it hit land, the sustained winds, as opposed to the wind
gusts, were recorded at an unheard of 195 miles per hour. by comparison, the massively destructive superstorm sandy, carried gusts of 80 miles per hour. and hurricane katrina, the worst in recent american history hit with 120-mile-per-hour winds. but this one is much bigger. and the warnings from officials found like something you hear before the start of a war. at this hour, we still do not know the extent of the damage. we may not know for a long time. but officials have predicted that some areas will lose power or be left completely uninhabitable for weeks or months. and what's not directly impacted by the high winds of the storm could face serious flooding from a severe storm surge. >> simply incredible images already. this is the 24th serious storm to hit the philippines this year alone. and you heard dan make a reference to war. >> the philippine government has mobilized cargo planes, dozens
of military helicopters there will be more about this massive storm coming up on "gma." our other big story, fresh fallout over obama care. the president apologizing to americans who were dropped from their insurance plan. >> experts fixing healthcare.gov say new problems are popping up. abc's tahman bradley joins us from washington with the very latest this morning. good morning, tahman. >> reporter: good morning, diana and john. we heard the president admit that the rollout has not gone according to plan. we also heard the president say that he feels personally responsible for fixing it. but what we have not heard are the words, i'm sorry, until now. president obama is apologizing to americans being forced off their health insurance plans by his reform law. >> i am sorry that they, you know, are finding themselves in this situation, based on assurances they got from me. >> reporter: the nbc news interview is the confession. for years, the president made
this pledge. >> if you like your plan, you can keep your plan. >> reporter: the obama administration says 80% of americans are eligible to keep their coverage. but millions are being forced to shop for new plans because of the standards established by the affordable care act. mr. obama admits, he should have explained it better. >> we weren't as clear as we needed to be in terms of the changes takes place. >> reporter: the apology is not enough for angry republicans. mitch mcconnell said, if the president is truly sorry for breaking his promises to the american people, he'll do more than just issue a half-hearted apology on tv. some lawmakers want the administration to add flexibility to obama care, allowing americans the freedom to keep their plans if they choose. the white house insists those people losing their insurance will soon get a better deal. under obama care, insurance companies are now required to provide more basic coverage. americans are finding it difficult to enroll. technicians for healthcare.gov are discovering new problems by the day.
but the administration, john and diana, insists that website is going to be fully up and running by the end of the month. >> a lot of skeptics out there. tahman, a couple senators offering up a change to obama care. what's their plan? >> senator mark dirk, a republican, and joe manchin, a democrat, have introduced legislation a delay for individual mandate requiring americans to buy health insurance or play a penalty. american businesses back in july were allowed to delay the rollout of obama care. now, the american people should bellowed a delay because of all those website woes. >> abc's tahman bradley, live in washington for us this morning. thank you. another note from the white house. a new report saying the government shutdown last month cost the u.s. between $2 billion and $6 billion in lost productivi productivity. that's due to federal workers staying home. new signals this morning there could be a major breakthrough in nuclear talks with iran. secretary of state kerry is making an unscheduled trip to
join negotiations. iran's plan to cap some of the activities in exchange for relief from crippling sanctions has been accepted by the six nations involved in the talks. hundreds made a pilgrimage of sorts to north carolina. the reverend billy graham, celebrating his 95th birthday. kicking off the party, the debut of a new religion outreach video graham made from his home. >> our country is in great need of a spiritual awakening. the good times. i've gone from city to city. and i've seen how far people have gone to see god. >> among the guests, donald ump. and former vice presidential candidate, sarah palin, who told graham, we need him around for another 95 years. a new "time" magazine is creating a buzz.
chris christie, with the tag, the elephant in the room. >> others got the message the emerging cloud in the republican party. neither "time" nor christie, shedding light on what they think. time, now, for a look at the weather across our nation. other than lingering rain and snowshowers in the pacific northwest and lake-effect snow around the great lakes, most of the nation can plan on a mild, dry day. >> temperatures coast-to-coast, in the 50s and 60s. in the southwest, summer-like readings in the 70s and 80s. and coming up, brand-new allegations against the nfl player accused of bullying a teammate. and twitter coming off a sparkling day on wall street. the rest of the market, didn't do so well. and the countdown is on to the next "star wars" movie. when will it arrive from a galaxy far, far away. stay with us for the details. so ally bank has a raise your rate cd that won't trap me in a rate.
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welcome back. by all accounts, it was a successful stock market debut for twitter. when its shares opened for trading yesterday, they were over $45 each. and that created lots of new millionaires and even some billionaires. particularly among twitter employees and its early backers. retail investors who bought when trading started lost money. twitter opens this morning at $44.90 a share. outside the twitter hysteria, it was a rough day for stocks. all three major averages, the dow, nasdaq and s&p 500 suffering heavily losses. investors were selling on concerns of the fed beginning to rein in its long-running stimulus program. the new job reports will provide a clearer picture of the
impact of the government shutdown. economists forecast that american employers added $122,000 jobs in october. that's down from 148,000 the month before. the unemployment rate may tick up one point. and thanksgiving travel will be up slightly from last year, an airline industry group says. about 27 million passengers are expected to travel from november 22nd to december 3rd. that's a 1.5% increase from last year. and there won't be much margin for error here. planes are expected to be more than 85% full. motor trend magazine naming the cadillac cts of its car of the year. they were impressed of the smooth ride and the handling of the luxury car. the first cadillac to offer an eight-speed transmission. starting cost, 46,000 bucks. and it is official. the galaxy far, far away is coming to a theater near you in just two years. >> lucas film has set the release date for episode 7 for december 18th, 2015.
shooting is set to begin next spring. lucasfilm was purchased by disney. when we come back, a brazen store heist. has police in chicago on the lookout this morning. that explosion we showed you at the top of the show. an update about the man who survivored, straight ahead. [kevin] paul and i have been friends... [paul] well...forever. is inspected by the usda... but perdue asked them to go further. they verify that all our chickens are cared for in a clean, safe environment... and fed an all-veggie diet. no other chicken company does this. but at perdue, we believe in a beer chicken.
well, at perdue, we say you are what you eat...eats. so we feed our chickens an all-veggie diet, including corn and marigolds with no added animal by-products... hormones...or steroids. because at perdue, we believe in a better chicken. a wet, windy november storm has been pounding the portland, oregon metro area. flooding out major roadways. it also knocked out power across the city, including at portland international airport. people were in the dark for about 40 minutes. and roads in the portland area may be slick for this morning's commute. plan on rain and snow from the dakotas all the way to the great lakes. >> if you're flying, not tranquil day in the skies over the u.s. no weather-related airport delays are expected. back to the news we go. the big announcement from the fda, cracking down hard on transfats, warning they are
simply not safe. >> now, the government plans to get rid of them completely. they are found in packaged food, mostly to improve taste, texture and self-life. but they do a lot more harm than good. >> you can still have some transfats in a product that says zero. you need to look at the ingredient list and see if it has partially hiydrogenated oil. the technology that companies use will only measure up to a certain point. if they're below that, they're allowed to say zero, even if the product has transfat in there. the new change in fda will eliminate that and make the food safer. >> the final ruling won't come until after a 60-day period, when the fda will hear from the public. but insiders say eliminating all transfats from our food is virtually a done deal. a huge explosion ripping through a home in new jersey, badly injuring an elderly couple
there. the homeowners were trapped inside, after the blast leveled the house. neighbors rushed in and saved the husband and wife. it's too soon to tell if the new gas lines are to blame. a man was delivering propane tanks. one fell off the forklift and he ran it over. a huge fireball erupts. the man managed to escape with smoke coming from his body. but he's already been released from the hospital. the chicago police are looking for a brazen band of thieves targeting sports authority stores. check out they operate. it's in flash mob mode. the m.o. is to grab armfuls and full racks of clothing. then, they head out the door to a waiting vehicle. all this happens in a matter of minutes. >> wow. we're hearing for the first time from the former rutgers coach, fired over the abuse allegations. coach mike rice was fired for
physically and verbaling abusing his players in practice. now, he's speaking out for the first time in a broadcast interview with abc's robin roberts. rice says he is a changed man. >> when it became public, what was your reaction? >> my first reaction, when i saw the tape was, one of shock. sadness that i would put myself in a situation like this. >> you can see more of robin's exclusive interview coming up on "good morning america." and tonight on "20/20." a new allegation this morning in the miami dolphins bullying investigation. it involves suspended lineman richie incognito, who allegedly harassed a volunteer during the dolphins annual golf tournament last year. he's accused of touching a woman's private parts with a golf club. rubbing himself against her and pouring water from a bottle in her face. and the attorney for jonathan martin has issued a new statement, claiming, quote, harassment that went far beyond the traditional locker room hazing. jonathan endured a malicious physical attack and vulgar
comments. now, highlights from college and the pros. we get the highlights from espn. >> welcome to our "sportscenter" studios in los angeles. big night in college football on thursday. the headliner, oregon and stanford. from the farm in palo alto. oregon came in number three in the bcs. stanford, number five. kevin hogan, get in there. 8 carries, 57 yards for him. tyler gaffney did most of the work. 157 yards. marcus marrioiotamariota, for a touchdown. oregon trailed 26-0, at one point. a couple of passes late for mariota, the heisman candidate. stanford hangs on to win, 26-20. from the nfl, redskins and vikings. cris carter being honored. christian ponder, scrambles. lands awkward on his left harm. left the game with a dislocated
left shoulder. he did not return. next play, though, adrian peterson, how easy is that? 75 yards for a touchdown. 28-27, vikings. for the goal for the redskins. final seconds. robert griffin iii to santana moss. maybe one foot down. but not the second one. vikings win it, 34-27. griffin, 281 passing yards and 3 touchdowns. his former team, though, baylor, beat oklahoma thursday night to remain unbeaten. that's all we have. now, back to you. >> all right. visitors to an atlanta exhibition featuring artifacts from the "titanic" must have thought they were being punk'd when they found it was unexpectedly posed. >> and the reason on this sign. "titanic" the artifact exhibit is being closed for water damage. the exhibit of the "titanic." one turned away visitor tweeted,
getting a sinking feeling. >> yeah. by the way, the water damage is minimal. and the exhibition has reopened. there was another tweet that said, this is just the tip of the iceberg. >> and another one that said, hopefully the people who built the "titanic" did not build this exhibit. >> can laugh now. coming up next, "the pulse." getting down and boogying in the operating room. wait until you hear what this is about. and maybe you're cooking some bacon this morning. notice that aroma. now, you can actually bring it with you. [ male announcer ] this is jim, a man who doesn't stand still. but jim has afib, atrial fibrillation -- an irregular heartbeat, not caused by a heart valve problem. that puts jim at a greater risk of stroke. for years, jim's medicine tied him to a monthly trip to the clinic to get his blood tested. but now, with once-a-day xarelto®, jim's on the move. jim's doctor recommended xarelto®. like warfarin,
xarelto® is proven effective to reduce afib-related stroke risk. but xarelto® is the first and only once-a-day prescription blood thinner for patients with afib not caused by a heart valve problem. that doesn't require routine blood monitoring. so jim's not tied to that monitoring routine. [ gps ] proceed to the designated route. not today. [ male announcer ] for patients currently well managed on warfarin, there is limited information on how xarelto® and warfarin compare in reducing the risk of stroke. xarelto® is just one pill a day taken with the evening meal. plus, with no known dietary restrictions, jim can eat the healthy foods he likes. do not stop taking xarelto®, rivaroxaban, without talking to the doctor who prescribes it as this may increase the risk of having a stroke. get help right away if you develop any symptoms like bleeding, unusual bruising, or tingling. you may have a higher risk of bleeding if you take xarelto® with aspirin products, nsaids or blood thinners. talk to your doctor before taking xarelto® if you have abnormal bleeding. xarelto® can cause bleeding, which can be serious, and rarely may lead to death.
you are likely to bruise more easily on xarelto® and it may take longer for bleeding to stop. tell your doctors you are taking xarelto® before any planned medical or dental procedures. before starting xarelto®, tell your doctor about any conditions such as kidney, liver, or bleeding problems. xarelto® is not for patients with artificial heart valves. jim changed his routine. ask your doctor about xarelto®. once a day xarelto® means no regular blood monitoring -- no known dietary restrictions. for more information and savings options, call 1-888-xarelto or visit goxarelto.com. all right. time to check, "the pulse," the stories you'll be talking about today. we begin with a rhode island
woman who lost her leg in the april 15th boston marathon bombing. >> she now has a new bionic-style prosthetic leg that will allow her to wear her favorite heels. the leg has a silicone cover that matches heather's right leg, complete with the freckles and a little razor burn. and the foot can even be given a ped di cure. a doctor had a dance party before undergoing surgery. they danced right there in the operating room. >> the mother of two called dancing her medicine. she urged all of her friends, by the way, to record them getting their groove on so she could watch the tape during her recovery. >> the harlem shake? i guess it's yesterday's dance. >> this is the kind of thing that destresses you completely.
she has some moves now. that's great. they say everything is better with bacon. wait until you get a whiff of this one. >> i don't know about this one. it's introducing bacon deodorant. you heard me. designed for those with active lifestyles. people that sweat like pigs. the makers of power bacon promise it will make your armpits meaty fresh. >> ranging from popcorn to sh e shaving cream. they need to make cheeseburger toothpaste. that's what i'm talking about. >> why do you want to walk around smelling like fried food? essentially, that's all bacon is. it's just fried. >> is there anything that smells better than bacon? >> i agree with you. >> that spring-fresh scent. >> i don't know if that meaty freshness is what i'm going for. i have a funny feeling. you want that for christmas, don't you? >> i'll smell meaty fresh. see how it goes.
i'll smell meaty fresh. don't i smell meaty fresh already? >> it's best you don't smell like bacon. local news is next, by the way. i've always tried to give it my best shot. these days i'm living with a higher risk of stroke due to afib, a type of irregular heartbeat, not caused by a heart valve problem. at first, i took warfarin, but i wondered, "could i up my game?" my doctor told me about eliquis. and three important reasons to take eliquis instead. one, in a clinical trial, eliquis was proven to reduce the risk of stroke better than warfarin. two, eliquis had less major bleeding than warfarin. and three... unlike warfarin, there's no routine blood testing. [ male announcer ] don't stop taking eliquis unless your doctor tells you to, as stopping increases your risk of having a stroke. eliquis can cause serious and in rare cases fatal bleeding. don't take eliquis if you have an artificial heart valve or abnormal bleeding. while taking eliquis, you may bruise more easily and it may take longer than usual for any bleeding to stop.
seek immediate medical care for sudden signs of bleeding, like unusual bruising. eliquis may increase your bleeding risk if you take certain medicines. tell your doctor about all planned medical or dental procedures. i've got three important reasons to up my game with eliquis. [ male announcer ] ask your doctor today if eliquis is right for you. you feel...squeezed. congested. beat down. crushed. as if the weight of the world is resting on your face. but sudafed gives you maximum strength sinus pressure and pain relief. so you feel free. liberated. released. decongested. open for business. [ inhales, exhales ]
[ male announcer ] powerful sinus relief from the #1 pharmacist recommended brand. sudafed. open up. checking our top stories. a monster typhoon hammering the philippines this morning. it may be the most powerful storm in recorded history, with winds topping 200 miles per hour. there are reports of fatalities, landslides and widespread power outages. president obama is apologizing to those americans who have been dropped by their insurance companies. but he says they will be able to purchase better policies through the health care exchange. twitter gets set for day two on the stock market. analysts say now is the time to sell twitter stock. a level most experts believe is unsustainable. looking at friday's forecast. cool and dry in the east. wet and snowy over the great lakes. lingering showers over the northwest. sunny and warm across the south. finally this morning, the big-city mayor who admitted to
smoking crack-cocaine, making headlines and punch lines. >> this is how the late-night comics are treating rob ford in your "friday funnyies." >> i was in a drunken stupor when i did it. we thought he was a cokehead or a crackhead. turns out he's just a drunk. >> he smoked crack when he was in a, quote, drunken stupor. if he smokes crack when he's drunk, i hate to see what he does when he's on crack. >> i can't change the past. >> rob ford can't change the past. he can't even remember the past. i mean, what part of drunken stupor does the media not understand? i mean, it's not called a drunken smartfor. >> he wears his emotions on his leave. do we have a picture of him? yeah. let's set the scene, right? i'll be the mayor of toronto. and you tell me we don't have
anymore crack. in canadian. >> right. there's no more crack, eh. >> you need help. and i don't mean help carrying a case of beer down into the basement so you can get drunk enough to smoke crack. i mean, help, help. >> how to tell if your mayor is smoking crack. blurred vision. >> [ bleep ]. >> loss of balance. denies smoking crack. >> i did not use crack-cocaine. >> admits to smoking crack. >> yes, i have smoked crack-cocaine. >> and how to tell if your mayor is smoking crack. >> by the way, i thought crack made you lose weight. didn't it? eating that chocolate-covered crack. >> we shouldn't be laughing.
that's what's making news in america this morning. >> stay with us for "good morning america." have a great weekend. and a jail causing a scandal. now baltimore police are celebrating a big blow to one gang. a look out of baltimore's inner harbor. it may not be a bad day to grab a heavy coat. it is friday, november 8th. and as lynette forecasts yesterday. and the cold companies that moves through -- cold temperatures that move through. 31 ad owings mills.
and 39 degrees in arnold. it will be a cold start to the day. on the chilly side. the winds on the light to calm side but they will be picking up. another breezy day. radar is different. we are dry and stay that way. temperature at 40. let's check traffic now with lauren. >> we are looking at high speeds we made out to howard county along the eastbound lanes. nothing to get in your way. and speaking of the beltway. here is the west side and the national pike no problems on
the inner loop. we'll show you the latest drive times on the outer loop. to travel from 795 down to 95 an 11 minute commute up to 83 and no concerns now. and a typical six minute ride. two people are dead and injured following a crash in hunt valley. and it involved three cars. and it was on york road between mc corm yak and thornton hill road. three of the four people were taken to the hospital. one was flown to shock trauma. you can be the late toast know about the breaking news by following us on twitter. remember that hash tag. a huge blow for aing gang here, police and prosecutous say 48 people have been
indicted with the family gang. they are the gang that the fbi says took over the baltimore city detention center leading to a scandal this year. and it intercepted a gang. >> we're focusing on people who have taken lives. >> and they say that they are being charged under the anti- gang statute. and a priest and teacher accused of abusing a minor. the father taught from 1975 to 1979. a former student accused him of abuse. he has been suspended from public ministry. he has been working in georgia
since 2010. >> and four days, three robberies and a woman had her purse stolen. and two men stopped her and yelled at her. she dropped her purse and they took the purse. >> depends on the time i get off. >> if you are out try to be with someone else. >> it follows two students who were targeted. the 24 year old student was stabbed and cell phone stolen a 20 year old student was pushed to the ground and robbed of cash. a man is behind bars accused of killing two brothers. he is now facing charges in the double shooting that happened tuesday the 25 year
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Husband and I had to do some "talking and listening" (therapy speak for having an argument) this week. He's been watching me mope around on the days that I have nothing to "do". He reminded me that it was a dream of mine to have a baby and then be able to enjoy said baby without having to worry about working. When he sees me acting miserable, he feels cheated because he's working hard to provide for us and for me to have this time, and I better damn well enjoy it.
This struck me as true, and in the moment was like putting a guilt cherry on top of my anxiety sundae with hot depression sauce.
My new mission is to enjoy this time because: Ian is only a baby once. I don't know how long this time will last. I'm pretty sure he will be my only child.
My best days are when Ian and I are out and about, hanging with other mamas. As a mama, I'm learning that my work future will include many reinventions, and I would love for my future work to include supporting mamas whilst supporting myself and my family, and maybe even having Ian with me. What that will look like? I have no idea.
Husband has suggested I make a list of things I want to do. I got nothin' so far, except that I'm feeling inspired to cook again and blog about it. So I will start there and see what happens. I would also love to cook for new families (basically come in to their home for a day, stock the fridge and freezer with good stuff, make them a couple yummy meals while I'm there, and hopefully get to squeeze the baby). I will start the marketing on that soon!
Anything I'm not thinking of? Any suggestions on how I can enjoy this time and/or transition into mama workhood would be lovingly received.
As for today, I'm going to fill in as facilitator at my very favorite mom's group in the whole wide world (definitely part of my vision), and stuff the mamas full of vegan flourless peanut butter cookies.
In a large mixing bowl, whisk together flax meal and water, adding water one tablespoon at a time until it reaches a wet paste consistency. Add sugar and peanut butter and combine until stiff dough forms.
Roll about one-inch balls of the dough and place on a sprayed cookie sheet, or a cookie sheet lined with parchment paper. I like to do thumbprints, but you can flatten however you see fit. Go crazy.
Bake 8-10 minutes or until bottom is lightly browned. Cool completely before storing in an airtight container for up to one week, or forever in the fridge. These are also kind of killer straight out of the freezer on a hot day, especially if they are accompanied by home made strawberry ice cream, making a gourmet PB & J sandwich, but that's a whole other Oprah.
Wondering if hemp protein powder could replace the Flax Meal? Hemp Protein powder says it can replace up to a certain amount of flour.


text:
Knicks can learn a thing or two from Celtics
Steve Popper
BOSTON - Late in the third quarter Tuesday, Kristaps Porzingis, already frustrated, had a shot deflected, caroming off the side of the backboard. As the Celtics raced to the other end, Porzingis just stood under the rim.
This is what the process looks like right now. That blocked shot put him at 1-for-12 on the night, paired up with Tim Hardaway Jr. who was enduring another dreadful shooting night. And on the other end the Knicks were helpless as the Celtics young tandem of rookie Jayson Tatum and Jaylen Brown took turns creating personal highlight reels at New York's expense.
The result was a predictable 110-89 defeat for the Knicks that left you wondering if they actually have a process. It may have seemed surprising to hear Frank Ntilikina's name raised in trade talk as Phoenix shopped disgruntled point guard Eric Bledsoe around the league. But maybe it shouldn't be.
The Knicks are in a rebuild and while patience is key, something that the franchise has rarely exercised, opportunity must also be examined. If the Knicks would like a blueprint all they had to do was look across the court at TD Garden on Tuesday.
The Celtics have undergone a drastic rebuild - two actually - in the last five years. After general manager Danny Ainge began dismantling a veteran team just two years removed from the Eastern Conference Finals, sending away Kevin Garnett, Paul Pierce and Jason Terry to the Nets, a youth movement took hold.
But as that team began to ascend, earning the top seed in the Eastern Conference last season, general manager Danny Ainge tore it apart again, leaving only four players in place from last year's team as they took the court this season.
The Celtics traded away their most popular player, Isaiah Thomas, in a deal with Jae Crowder and the Nets unprotected 2018 first-round pick to Cleveland and brought in Kyrie Irving. They went big in free agency, uniting Gordon Hayward with the man who coached him in college, Brad Stevens.
The quick fix to try to catch the top teams in the NBA — namely the Warriors and Cavaliers, who have met in three straight NBA Finals — hit an obstacle just minutes into the season as Hayward suffered a devastating ankle injury.
"Well, I'm sure Danny's looking at championships, the best way to get there," Knicks coach Jeff Hornacek said. "So he's not afraid to make moves, do certain things. Again, it's not a surprise."
So maybe it's not a surprise that the Knicks would investigate the asking price for Bledsoe, just as they investigated the market for Kristaps Porzingis in the summer as they were shopping Carmelo Anthony around the league.
The Knicks have talked about the rebuild based on four young pieces — Porzingis, Ntilikina, Willy Hernangomez and Hardaway Jr. But that still leaves them far from contending, so if bold moves accelerate the process, it's hard to fault general manager Scott Perry for listening.
The Knicks looked more than a few moves away Tuesday as the Celtics quickly built a double-digit lead in the first quarter and the Knicks never got closer than that again, trailing by as many as 25 points. Porzingis finished 3-for-14 for 12 points. Hardaway Jr. was 2-for-11 for 6 points. Only Enes Kanter's 16 points and 19 rebounds - there were a lot of offensive rebounds to be had - were a bright spot.
But the bright spots are few right now. Asked what went wrong, Hardaway Jr. was not shy,
"Everything. (We) couldn't get anything offensively," Hardaway Jr. said. "We're all out there just running like we don't know what's going on. It can't happen. It's frustrating at the same time, but it's still early in the season. We've just got to go to the drawing boards and get back to practice, just go out there knowing what we have to do offensively and defensively.
"You guys see it out there. It's no secret. We're turning the ball over, lackadaisical out there. Nothing seems crisp really. I mean, yeah, that comes with not really that much experience all together, like all these other teams. But at the same time we can control what we can control, that's keeping the ball in our hands and executing properly."
"It was just a rough night for us," Hornacek said. "We just have to try, when we're not having a good night shooting, you really have to execute. You have to set harder screens and not really worry about making that shot. Get it on the defensive end. I thought it affected us when we weren't making shots."
The offense was dreadful, the defense was lackadaisical and even the coaching - or more specifically the players learning - didn't escape the finger-pointing three games into the season.
"It was a lot of possessions ,like a normal eye might not see it, but we messed up on a lot of plays where the ball wasn't getting delivered on time or one or two guys not being on the same page as far as the play-calling," Courtney Lee said. "That's on us. We've got to pay attention more in practice, make sure we execute more when we're out there."
The future was on hold on this night as Ntilikina was held out due to a nagging ankle problem.
"We brought him in," Hornacek said of Ntilikina. "We've trying to develop him. When he doesn't have the injuries, he's a smart kid that really comes up and you tell him once and he's got the plays. He's got to battle through these little nagging injuries he has right now, but we want him to get back as soon as possible so he can play."
Porzingis was overseas all summer but he followed the trade rumors, including the news that Irving had included the Knicks among the teams he was interested in being relocated to as he asked out of Cleveland.
"I saw that one on Twitter," Porzingis said. "But I wasn't trying to pay too much attention to my own trade talks and even less to other guys. I was focused on working out at home."
The Knicks now are among the teams who have inquired about Bledsoe, who the team has openly stated it will move forward without after he tweeted out Sunday, "I don't wanna be here." Hornacek coached him in Phoenix and the Suns reportedly asked for Ntilikina and Hernangomez in a package.
"I don't know much," Porzingis said. "I just saw his tweet. I read some rumors. As I said I'm trying to not get into details. Whatever happens…if anybody wants to know my opinion I'll think about it. Right now I'm focused on what we have to do right now and with the guys we have right now."
Ntilikina has shown little on the court, playing in just one preseason game and less than eight minutes on opening night before missing the next two games with a sprained left ankle. He was sitting out Tuesday night in Boston, but worked long after the team's morning workout, moving without a limp and shooting.
When he finally finished, he addressed the business of the NBA that he has found himself suddenly thrust into just a week into his career.
Knicks Starting Five: Knicks Starting Five: Live from Boston
Trade talk: Knicks monitor Eric Bledsoe trade talk
Chemistry class: Enes Kanter working well with Porzingis
"I heard he wants to be traded," Ntilikina said of Bledsoe. "I'm focused on basketball and on how I can make my ankle be better and may game be better so I can be back on the court.
"It's nice (that teams are interested), but I'm really focused on what I'm doing right, on how to be better, how to be back on the court for my team."
The Knicks are his team - for now at least. The Celtics provide a lesson that there are no sure things in the NBA anymore.
"My thoughts were it's a crazy league," Hornacek said of the Celtics summer moves. "There's all kind of things that happen. I think the league now is a lot different in terms of guys staying at one spot for a long time. you've got to expect anything in today's game I guess."
Email: popper@northjersey.com


text:
using System.Web.Mvc;

namespace LaptopStore.App.HtmlHelpers
{
    public static class HtmlExtensions
    {
        public static MvcHtmlString Image(
            this HtmlHelper helper,
            string imageUrl,
            string altText = "")
        {
            var imgBuilder = new TagBuilder("img");
            imgBuilder.MergeAttribute("src", imageUrl);
            imgBuilder.MergeAttribute("alt", altText);

            return new MvcHtmlString(imgBuilder.ToString());
        }
    }
}

redpajama_set_name: RedPajamaGithub


text:
FINTEC GLOBAL BERHAD
Entitlement subject Rights Issue
Type Renounceable
Entitlement description
RENOUNCEABLE RIGHTS ISSUE OF UP TO 1,971,299,066 NEW ORDINARY SHARES IN FINTEC GLOBAL BERHAD (''FINTEC'' OR THE ''COMPANY'') (''FINTEC SHARES'' OR ''SHARES'') (''RIGHTS SHARES'') AT AN ISSUE PRICE OF RM0.08 PER RIGHTS SHARE TOGETHER WITH UP TO 1,577,039,252 FREE DETACHABLE WARRANTS IN FINTEC (''WARRANTS C'') ON THE BASIS OF 5 RIGHTS SHARES TOGETHER WITH 4 FREE WARRANTS C FOR EVERY 5 EXISTING SHARES HELD BY THE ENTITLED SHAREHOLDERS OF THE COMPANY AT 5.00 P.M. ON 25 NOVEMBER 2020 ("RIGHTS ISSUE WITH WARRANTS")
Ex-Date 24 Nov 2020
Entitlement date 25 Nov 2020
Entitlement time 5:00 PM
Share transfer book & register of members will be to closed from (both dates inclusive) for the purpose of determining the entitlement
a.Securities transferred into the Depositor's Securities Account before 4:30 pm in respect of transfers 25 Nov 2020
b.Securities deposited into the Depositor's Securities Account before 12:30 pm in respect of securities exempted from mandatory deposit
c. Securities bought on the Exchange on a cum entitlement basis according to the Rules of the Exchange.
Number of new shares/securities issued (units)
Rights Issue/Offer Price
Par Value (if applicable)
Entitlement indicator Ratio
Entitlement Details
Entitlement Ordinary Rights
Ratio (New:Existing) 5.0000 : 5.0000
Rights Crediting Date 25 Nov 2020
Fractional Entitlement
Registrar or Service Provider name, address, telephone no TRICOR INVESTOR & ISSUING HOUSE SERVICES SDN BHD
Unit 32-01, Level 32, Tower A,
Vertical Business Suite, Avenue 3, Bangsar South,
No. 8, Jalan Kerinchi
The Abridged Prospectus together with the notice of provisional allotment and rights subscription form pursuant to the Rights Issue with Warrants (collectively, the "Documents") will only be despatched to the shareholders of the Company whose names appear in the Company's Record of Depositors as at 5.00 p.m. on 25 November 2020 ("Entitled Shareholders") and who have a registered address in Malaysia or who have provided the Share Registrar, Tricor Investor & Issuing House Services Sdn Bhd, with a registered address in Malaysia in writing by 5.00 p.m. on 25 November 2020.
The Documents are not intended to (and will not be made to) comply with the laws of any country or jurisdiction other than Malaysia, and are not intended to be (and will not be) issued, circulated or distributed in countries or jurisdictions other than Malaysia and no action has been or will be taken to ensure that the Rights Issue with Warrants complies with the laws of any country or jurisdiction other than the laws of Malaysia.
Entitled Shareholders who do not have a registered address in Malaysia for the service of documents and wish to provide a Malaysian address, should inform their respective stockbrokers to effect the change of address by 5.00 p.m. on 25 November 2020.
Holders of Warrants A, Warrants B and ICPS ("Convertible Securities") who wish to be entitled to the Rights Shares with Warrants C must exercise / convert their Convertible Securities into new Shares by lodging their duly completed exercise / conversion forms together with the relevant subscription monies with the Share Registrar, Tricor Investor & Issuing House Services Sdn Bhd, on or before 5.00 p.m. on 13 November 2020. This is to enable the new Shares arising from such exercise / conversion to be allotted to the respective holders of the Convertible Securities such that their names will appear on the Record of Depositors of the Company by 5.00 p.m. on 25 November 2020.
This announcement is dated 11 November 2020.
Company Name FINTEC GLOBAL BERHAD
Stock Name FINTEC
Date Announced 11 Nov 2020
Category Entitlement(Notice of Book Closure)
Reference Number ENT-11112020-00008
Corporate Action ID MY201111RHDI0001


text:
Fashion model dies after collapsing on runway in Brazil
Updated 29th April 2019
Credit: Andre Penner/AP
Written by Claudia Dominguez, CNNSusannah Cullinane, CNN
A male fashion model has died after collapsing on the runway at Brazil's Sao Paulo Fashion Week.
Twenty-six year-old Tales Soares, known artistically as Tales Cotta, was walking the runway Saturday when he suddenly stumbled and fell as he was about to exit.
His catwalk fall was captured on a video from the event.
Soares received help after falling and was taken to a hospital where he later died, fashion week organizers said in a statement posted to Twitter.
Vogue Brazil director criticized over 'slavery' party
Organizers added, "We are sorry for this loss and give our sincere apologies to Tales' family."
Soares' cause of death is not yet known.
His management company, Base Management, remembered Soares as having "exemplary behavior."
In an Instagram post, Base said that the model never had, or complained about health problems and was a vegetarian who had a healthy diet.
The company said that Soares would "always be in our hearts and our memories."


If you are thinking about having the wonderful wooden deck railing ideas for little meters, then you definitely might want to begin with some of these simple tips. That is since these simple tipsmight have the ability to support you receive the attractive wooden decks although you may not have the large place that you'll require for the wooden deck. As an addition compared to that, you can definitely have the attractive deck made from wooden material where you could appreciate your own time on the backyard.
The very first suggestion that you can decide to try is to pick the storey model deck. This 1 is considered as among the simplest and the easiest thing that you can decide to try to have the attractive wooden decks for the little yard. However, make sure you aren't applying way too many steps for the wonderful wooden deck railing ideas for little yards. The 2nd suggestion that you can decide to try is to add the organic components on the garden where you have the wooden deck. This 1 will surely be anything wonderful for you to have. You can easily produce a kind of little pool round the wooden deck or you can even add some little rocks crops round the wooden deck. That may definitely produce your little wooden deck appears better in several ways.
The last suggestion that you can just decide to try is to pick the kind of distinctive formed deck for the yard. If you believe that you can only get the kind of round or square and rectangular form deck, then you definitely might want to think about that once again. That is because you can easily construct the wonderful wooden deck railing ideas for little meters with various other wonderful form including the square, heart form, and various other forms that you wish to apply for your yard deck.


It is hot, hot, hot! Every year I forget how hot it is waiting on subway platforms for the train. I seem to block out how much the heat and humidity, especially during a heat wave make it so much worse. Trains with no AC don't help either. I shouldn't complain too much about it,… Continue reading This heat!