text:
Different local anesthetic technique for postoperative analgesia in open cholecystectomy
Ahmed Eldaba, Mohamed Lofty MD
Department of Anesthesiology, Faculty of Medicine, Tanta University Hospital, Tanta, Egypt
Date of Web Publication 8-May-2015
Mohamed Lofty
Department of Anesthesiology, Faculty of Medicine, Tanta University Hospital, Tanta 01111
Paravertebral block is the technique of injecting a local anesthetic (LA) solution alongside the vertebral column close to the emergence of the spinal nerves. Infiltration of LAs into the surgical wound is a simple, safe, and low-cost technique for postoperative analgesia.
Patients with physical status ASA I-II aged 20-45 years of both sexes and scheduled for an elective open cholecystectomy with subcostal incision were included in this study. Patients were classified randomly using sealed envelopes into three equal groups of 60 patients each. At the end of the surgical procedures, for all the patients of the study, a continuous wound catheter (CWC) and a continuous paravertebral catheter were inserted: group I (CWC), group II (continuous paravertebral catheter), and group III (control group). Anesthesia was induced with an intravenous fentanyl injection (1.5 µg/kg), propofol (1.5 mg/kg), followed by cis-atracurium (0.15 mg/kg), and then the patient was intubated after 3 min. Maintenance of anesthesia was by isoflurane with minimal alveolar concentration (1.5) with additional doses of cis-atracurium (0.04 mg/kg) when needed.
A total of 120 patients were included in the study, with 40 patients randomized to each group. There were no significant differences in demographic data.
For mean arterial blood pressure, heart rate, and respiratory rate, there were no significant differences between the groups, except 30 min after extubation, when there was a significant increase in group III compared with the other two groups. For SpO 2 , there was no significant difference between the three groups. In terms of pain assessment using visual analogue scale, there was a significant decrease at all time points in the values of group II compared with the other two groups and in group I compared with group III.
We conclude that paravertebral block with a continuous infusion is more effective than a CWC infusion in postoperative pain management after surgeries with subcostal incisions, although both techniques showed a significant improvement compared with the control group.
Keywords: analgesia, open cholecystectomy, postoperative
Eldaba A, Lofty M. Different local anesthetic technique for postoperative analgesia in open cholecystectomy. Ain-Shams J Anaesthesiol 2015;8:252-8
Eldaba A, Lofty M. Different local anesthetic technique for postoperative analgesia in open cholecystectomy. Ain-Shams J Anaesthesiol [serial online] 2015 [cited 2022 Jan 22];8:252-8. Available from: http://www.asja.eg.net/text.asp?2015/8/2/252/156704
A number of postoperative dysfunctions are related directly to postoperative pain. The most important of these are pulmonary, circulatory, gastrointestinal, and urinary dysfunction. Thus, it is possible for acute severe unrelieved pain to result in significant morbidity and even mortality [1] .
The use of successful postoperative analgesia in patients may accelerate recovery and decrease morbidity by blunting autonomic, somatic, and endocrine reflexes [2] .
Paravertebral block (PVB) is an established technique for providing analgesia in which a local anesthetic (LA) solution is injected alongside the vertebral column close to the exit of the spinal nerves from the spinal column.
As the spinal nerve exits out the intervertebral foramen, it lacks both the epineurium and part of the perineurium of the peripheral nerve and has only a thin membranous root sheath [3] .
Surgical wound infiltration with LAs is a technique for postoperative analgesia and has the advantages of being easy, safe, and inexpensive. This local application reduces pain transmission from the wound and suppresses the local inflammation that may occur in response to the injury. LAs can be administered at the end of the surgical procedure to infuse the wound through catheters and/or as single-dose infiltrations [4] .
The introduction of wound infiltration with LAs not only provides this much-needed alternative analgesia but, in fact, in some cases, provides superior analgesia [5] .
In this study, we aimed to compare PVB and continuous wound catheter (CWC) infusion for postoperative analgesia in surgeries with a subcostal incision.
Patients with ASA I-II physical status and aged 20-45 years of both sexes who were scheduled for an elective open cholecystectomy with subcostal incision were included in our study after obtaining approval from the ethics committee and written informed consent from each patient. This study was carried out in Tanta University Hospital from March 2013 till December 2013.
Cardiac, respiratory, and hepatic patients, patients with bleeding disorders, patients with a history of relevant drug allergy, morbid obesity, mental dysfunction, history of substance abuse, and chronic analgesic use were excluded from the study.
Anesthetic technique
Preoperative
The following procedures were carried out for every patient included in this study:
Medical and surgical histories of the patient were evaluated. Clinical examination of the patient was performed. Routine laboratory investigations were assessed including complete blood picture, prothrombin time and activity, liver functions, and renal functions. An intravenous 18 G cannula was inserted. 10 ml/kg intravenous crystalloids were administered as maintenance fluid.
Intraoperative
In the operative room, routine monitoring of heart rate (HR) and rhythm by ECG, arterial blood pressure by noninvasive blood pressure including systolic, diastolic, and mean arterial blood pressure (MAP), peripheral oxygen saturation (SpO 2 ) using a pulse oxymeter, and measurement of end tidal CO 2 by capnogram were performed. Preoxygenation with 100% O 2 for 3-5 min was carried out. Anesthesia was induced with an intravenous fentanyl injection (1.5 µg/kg), propofol (1.5 mg/kg), followed by cis-atracurium (0.15 mg/kg), and then the patient was intubated after 3 min. Anesthesia was maintained by isoflurane with minimal alveolar concentration (1.5) with additional doses of cis-atracurium (0.04 mg/kg) when needed. At the end of the surgical procedures, for all the patients of the study, a CWC and a continuous paravertebral catheter were inserted.
Continuous wound infusion
One multiholed catheter was inserted along the entire length of the wound at the end of the surgery. After closure of the transversus abdominis muscle (deep muscular layer), the catheter was placed superior to the transversus abdominis muscle and below the oblique muscles (both the internal and the external).
Continuous paravertebral block
At the end of the surgery, the patient was turned to the lateral position, allowing the side to be operated and blocked upwards. At the level of the seventh thoracic vertebra, a 22-G (8-10 cm) epidural needle was inserted 2.5-3 cm lateral to the spinous process of the thoracic vertebra and advanced perpendicular to the skin in all planes to contact the transverse process at a variable depth (2-4 cm) according to each individual's body built.
The needle was withdrawn and redirected in the cephalic direction to walk above the transverse process and gradually advanced until a subtle click was felt as a result of penetration of the superior costotransverse ligament and feeling that resistance to air or saline was lost, and then a catheter was inserted so that not more than 4 cm of the catheter length was within the paravertebral space. The technique was performed only on the side of the operation.
At the end of the surgery and the study procedures, each patient was recovered gradually.
Patients were classified randomly using computer-generated random numbers and sealed envelopes into three equal groups of 40 patients each.
Group I (continuous wound catheter group)
They received 20 ml of plain bupivacaine 0.5% (single shot) in the wound catheter as a loading dose, followed by a continuous infusion of plain bupivacaine 0.5% for 24 h through the catheter at a rate of 5 ml/h.
They received 20 ml of normal saline 0.9% (single shot) in the paravertebral catheter, followed by a continuous infusion of normal saline 0.9% (5 ml/h) for 24 h through the catheter.
Group II (paravertebral block group)
They received 20 ml normal saline 0.9% (single shot) in the wound catheter as a loading dose, followed by a continuous infusion of normal saline 0.9% (5 ml/h) for 24 h through the catheter.
They received 20 ml plain bupivacaine 0.5% (single shot) in the paravertebral catheter as a loading dose, followed by a continuous infusion of plain bupivacaine 0.5% (5 ml/h) for 24 h through the catheter.
Group III (control group)
They received 20 ml normal saline 0.9% (single shot) in the wound catheter, followed by a continuous infusion of normal saline 0.9% (5 ml/h) for 24 h through the catheter.
They received 20 ml normal saline (single shot) in the paravertebral catheter, followed by a continuous infusion of normal saline (5 ml/h) for 24 h through the catheter.
The loading doses for all groups were injected just after insertion of the catheters and before recovery from anesthesia.
Postoperative intravenous paracetamol (10 mg/kg) infusion, together with an intravenous ketorolac ampoule (15 mg) injection, was administered when needed [when visual analogue scale (VAS) score³4].
Postoperative measurements
In all groups the following parameters were measured postoperatively:
The MAP, HR, and respiratory rate (RR) were measured and recorded before induction of anesthesia (baseline), 30 min after extubation (when the patient became fully awake), and 3, 6, 12, and 24 h after recovery. Pain assessment using a VAS was performed at 30 min after extubation (when the patient became fully awake) and 3, 6, 12, and 24 h after recovery. For the first 24 h, time to first analgesic request after recovery of anesthesia and postoperative analgesic consumption were recorded. The occurrence of nausea and vomiting for 24 h postoperatively, duration of hospital stay, and the occurrence of postoperative wound infection were recorded for 1 month.
Sample size calculation was carried out using VAS of postoperative pain as the main response variable. Thirty-five patients per group were required as identified by power analysis to detect a 15% difference with a power of 80% and a significance level of 0.05%. Quantitative data were presented as means and SD and qualitative data were presented as frequency and percentages. To compare between groups, the Student t-test was used. P value less than 0.05 was considered significant. To analyze data, the SPSS (version 11; SPSS Inc., Chicago, Illinois, USA) software program was used.
In our study, 120 patients were included; 40 patients were randomized to each group. No significant differences in demographic data were detected ([Table 1]).
Table 1 Demographic data
For MAP, HR, and RR ([Table 2] [Table 3] [Table 4] and [Figure 1] [Figure 2] [Figure 3]), no significant differences were detected between groups, except 30 min after extubation, when readings in group III were significantly higher than those of the other two groups. For SpO 2 , no significant differences were detected between the three groups.
Figure 1: Comparison between the three groups in postoperative mean arterial blood pressure. Data are expressed as mean ± SD .
Figure 2: Comparison between the three groups in postoperative heart rate. Data are expressed as mean ± S D.
Figure 3: Comparison between the three groups in postoperative respiratory rate. Data are expressed as mean ± S D.
Table 2 Comparison between the three groups in postoperative mean arterial blood pressure
Table 3 Comparison between the three groups in postoperative heart rate
Table 4 Comparison between the three groups in postoperative respiratory rate
In terms of pain assessment using VAS, there was a significant decrease at all time points in the values of group II compared with the other two groups and in group I compared with group III ([Table 5]).
Table 5 Comparison between the three groups in postoperative pain (visual analogue scale)
Postoperative analgesic consumption (paracetamol
and ketorolac) was significantly less in groups I and II compared with the control group ([Table 6] and [Figure 4]). Also, it was significantly higher in group I compared with group II. Postoperative hospital stay (days) was significantly less in group II compared with other groups ([Table 7] and [Figure 5]).
Table 6 Comparison between the three groups in the total postoperative analgesic consumption per first 24 h (mg)
Table 7 Comparison between the three groups in the total postoperative hospital stay
There was one case of postoperative nausea and vomiting (PONV) in group I and another one in group II and three cases in group III. There was no postoperative wound infection in any of the groups for one month.
Figure 4: Comparison between the three groups in the total postoperative analgesic consumption per first 24 h. Data are expressed as mean ± SD.
Figure 5: Comparison between the three groups in the total postoperative hospital stay. Data are expressed as mean ± SD.
In this study, PVB and CWC infusion led to significant control of postoperative pain after surgeries with a subcostal incision. PVB showed better control compared with CWC infusion. Both PVB and CWC infusion reduced postoperative total analgesic consumption per first 24 h. PVB reduced postoperative hospital stay. There were no significant differences in adverse effects.
In agreement with our study, the analgesic effect provided by the paravertebral technique is better than that of other types of analgesia and local wound infiltration after inguinal herniorrhaphy [6],[7],[22],[23] . PVB can also improve early ambulation, decrease the analgesic requirements, reduce postoperative nausea and vomiting, and lead to earlier discharge from hospital [8],[9] .
Naja et al. [6],[7] used a nerve stimulator technique to detect the paravertebral space and compared the outcome of their block with systemic analgesia in inguinal hernia repair. With the use of the PVB, pain scores were reduced significantly, consumption of systemic analgesia was less, and the rates of discharge were increased. Also, greater surgeon satisfaction was achieved with this technique [6],[7] .
Richardson et al. [10] reported a series of eight patients undergoing abdominal vascular surgical procedures. Following induction of general anesthesia, bilateral PVBs with catheters at T10 were placed and their use was continued after surgery for 4 days with other analgesia such as diclofenac and patient-controlled analgesia with morphine. There was no need for additional intraoperative opioids or neuromuscular blockers and excellent postoperative analgesia was provided. No complications were detected because of the PVB [11],[12] .
Wound infiltration with a LA was described for the first time in 1935 by Capelle. Afterwards, Blades and Ford used this technique for gynecological procedures, reporting a decrease in opioid requirements [13] .
Hopf et al. [13] confirmed that the reduction in pain caused by local infiltration reduces the decreased wound perfusion and oxygenation induced by inflammatory response and increased catecholamines, thus improving wound healing, and this was observed in this study as no cases of postoperative wound infection were recorded within 1 month [13],[14] .
In a systematic review performed by Liu et al. [4] , the usefulness of this analgesic method was confirmed during several painful surgical procedures, such as thoracic, cardiac, gynecological, or spinal surgeries. The success of this technique may be related to the nature of surgery and also to the level of tissue where the infiltration takes place. In particular, if the catheter is placed subcutaneously, there may be some improvement in postoperative pain scores [4] .
In agreement with this study, Forastiere et al. [15] studied the efficacy of 0.5% ropivacaine as a continuous wound infusion by the ON-Q system for postoperative pain after open nephrectomy, showing that compared with placebo, it decreases pain and the requirement for narcotics [15] .
In Sidiropoulou et al.'s [16] study, the catheter was not only placed in the subcutaneous tissue but also near the intercostal nerve bundle for adequate management of pain.
Several studies comparing boluses with a continuous infusion for the maintenance of PVB confirmed that a continuous infusion is associated with lower pain score and opioid requirement.
A study carried out by Wheatley et al. [17] reported a reduction in patients' pain after thoracotomy when local surgical infiltration by the ON-Q Pain Relief System was compared with a single-shot epidural analgesia in combination with ON-Q with a continuous epidural infusion. The Wheatley et al.'s [17] study concluded that 0.25% bupivacaine administered by a continuous infusion (4 ml/h) through an ON-Q elastomeric infusion pump is a safe and efficient adjunct in the management of postoperative pain following thoracotomy. Use of the ON-Q Pain Relief System enables reductions in narcotic use and yields pain scores compared with a continuous epidural infusion [17] ; similar results were also obtained in our study.
In agreement with this research, a meta-analysis of 10 randomized studies reported that thoracic paravertebral block (TPVB) produced pain relief comparable with that of thoracic epidural following thoracic surgery. Also, the results showed that a TPVB resulted in an improved side-effect profile (hypotension, urine retention, PONV, pulmonary complications) and decreased rates of pulmonary complications and block failure. Therefore, TPVB is currently recommended for thoracic surgery [17],[18] .
Naja et al. [19] and Lönnqvist et al. [20] reported a 6.1% rate of overall technical failure during PVB (performed in 620 adults and 42 children). Recorded complications were inadvertent vascular puncture in 6.8%, epidural spread signs in 1.0%, and pleural puncture in 0.8% (five patients); three of these patients (nearly 0.5%) developed pneumothorax subsequently. Also, in terms of feasibility, in an older study of Lönnqvist et al. [20] , TPVB was reported to yield a 10.1% overall failure rate, with complications such as hypotension in 4.6%, vascular puncture in 3.8%, pleural puncture in 1.1%, and pneumothorax in 0.5% of patients.
The data of the research seem to show the safety of TPVB in terms of adverse effects: respiratory, infectious, or hemodynamic. Furthermore, there is no need for any specific monitoring for TPVB over the usual follow-up of patients in the postoperative period and there is also no need for hospitalization in the ICU.
The results of the research were supported by those of Zohar et al., who proved that with CWC, the requirement of morphine was significantly lower after total abdominal hysterectomy. Liu et al. [4] confirmed these findings in a systematic review in which it was shown that the use of CWCs provided better analgesia at rest and after mobilization, and a decrease in morphine use and related adverse effects; also, it was associated with higher patient satisfaction and a trend toward reduced hospitalization period. Notably, in the review performed by Liu et al. [4] , these benefits were observed in large numbers of various surgical procedures (cardiac, thoracic, abdominal, gynecological, and orthopedic) [21] . Failure of CWC to provide effective analgesia may be attributed to the pain resulting from drains (placed at a distance from the main incision). However, this was not observed in the study because of the absence of a postoperative wound drain.
Finally, the CWC technique is feasible in anesthetized patients and is uncomplicated and rapid to put in place. At the end of the procedure, the catheter is placed near or on the wound under direct visual control. There is almost no need for handling by nurses in CWC; thus, the risk of infections is limited. Therefore, the equipment is essential and the complication and risks are minimal, allowing patients to stay in conventional care units during the postoperative phase, with no need for admission to the ICU. CWC has a very low cost because of its simplicity, rapidity, and ease of use. To date, there are no reports of toxicity events with LAs.
The limitations of this study include fixed doses of LA and the use of no adjuvants, which may increase the analgesic effect of both the TPVB and the CWC infusions, different positions of CWC, and different sizes of incisions.
Large-scale CWC investigations are required to identify the ideal catheter positions, doses, volumes, and LA concentrations. Analgesic efficiency of this technique could be improved by adjuvant therapy (e.g. clonidine or morphine), as could epidural analgesia associations.
Finally, we conclude that PVB with a continuous infusion is more effective than CWC infusion in the management of postoperative pain after surgeries with subcostal incisions, although both techniques showed significant efficacy compared with the control group. Also, both techniques reduced postoperative analgesic requirements, with no significant differences in adverse effects. PVB reduced the duration of postoperative hospital stay.[24]
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Sidiropoulou T, Buonomo O, Fabbi E, Silvi MB, Kostopanagiotou G, Sabato AF, Dauri M A prospective comparison of continuous wound infiltration with ropivacaine versus single-injection paravertebral block after modified radical mastectomy. Anesth Analg 2008; 106: 997-1001.
Wheatley GH III, Rosenbaum DH, Paul MC, Dine AP, Wait MA, Meyer DM, et al. Improved pain management outcomes with continuous infusion of a local anesthetic after thoracotomy. J Thorac Cardiovasc Surg 2005; 130:464-468.
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Naja MZ, Ziade MF, Lönnqvist PA. General anaesthesia combined with bilateral paravertebral blockade (T5-6) vs. general anaesthesia for laparoscopic cholecystectomy: a prospective, randomized clinical trial. Eur J Anaesthesiol 2004; 21:489-495.
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[Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5]
[Table 1], [Table 2], [Table 3], [Table 4], [Table 5], [Table 6], [Table 7]
1 Effectiveness of thoracic paravertebral and intercostal nerve blocks as a part of postoperative analgesia in patients undergoing open cholecystectomy under general anesthesia in Addis Ababa, Ethiopia: A prospective cohort study, 2018
Bedru Jemal,Misrak W/yohanes,Tewoderos Shitemaw,Nugusu Ayalew,Zemedu Awoke,Sileshi Abiy
International Journal of Surgery Open. 2019;
Eldaba A
Lofty M


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Ten strikers who should be on Bristol Rovers' summer shopping list
The Gas will be adding attacking players in the summer transfer window - here are some options
Andy Hunter
THE LATEST NEWS ON THE GAS STRAIGHT TO YOUR INBOX
Darrell Clarke has made it very clear that he will be looking for a striker in the summer transfer window to bolster his options in the forward area.
Ellis Harrison, Tom Nichols and Rory Gaffney all played their part this season, scoring 16 goals between them.
Another one or two strikers would certainly improve the depth Bristol Rovers have in that area and there are a number of forwards in the EFL that could be available and realistic signings for The Gas.
We take a look at those strikers which could make the move to The Memorial in the summer.
Dom Telford
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There were many calls for Clarke to give Telford more of an opportunity, with the striker spending most of his time playing for the Rovers youth side and scoring bags of goals.
Telford is likely to be released by Stoke following their relegation to the Championship and would be a free agent.
The striker knows the club very well and it would be no surprise if Rovers were to make him an offer of a permanent move this summer.
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Sudan-born Mohamed Eisa has been a revelation for Cheltenham Town this season following his move from non-league side Greenwich Borough.
The 23-year-old has scored 25 goals in 50 games for Cheltenham and was given a three-year deal following his flying start to the 2017/18 season, so he wouldn't be available on a free.
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If Rovers were to gamble on Eisa and he has the same sort of season he has just had for Cheltenham it would be a superb move for The Gas.
Rhys Healey
Following Cardiff City's promotion to the Premier League, it is unlikely that Rhys Healey will stay on at the Bluebirds and he could become available.
The 23-year-old has had loan spells at Colchester United, Dundee, Newport County and most recently Torquay United.
His only League One experience came in his first loan spell at Colchester so it would be a gamble by Darrell Clarke.
The striker has been highly spoken of by Cardiff boss Neil Warnock and showed good form for Newport in League Two last season.
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Ricky Miller
Peterborough United striker Ricky Miller has been made available after being transfer listed by The Posh.
He moved to the club last summer after his brilliant season with National League Dover, scoring 42 goals in 43 games.
He has struggled for form in League One with The Posh and was loaned out to League Two Mansfield Town midway through the season, scoring 1 goal in 8.
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Following his loan with Coventry Nazon had another loan stint, this time at League One Oldham Athletic, impressing once again.
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His goal scoring ability at this level could make him a great signing if Rovers were to pursue it.
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The 28 year-old has made 145 appearances and scored 55 goals in all competitions since joining AFC Wimbledon from Scunthorpe United in 2015.
Taylor is out of contract this summer and likely to be offered a new deal by Ardley, however, he could reject the offer and look for a new challenge elsewhere.
A strike force of Taylor and Ellis Harrison would be a force to reckoned with next season in League One and Rovers should seriously consider the AFC Wimbledon striker if he becomes available.
Taylor is a proven goalscorer at League One level
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Akinde has scored 90 goals in 177 appearances for The Bees, although he only managed 7 last season in a poor Barnet side that were relegated back to the National League after three seasons in League Two.
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It is likely a number of Football League sides are looking at Akinde, although the 28-year-old is unproven at League One level.
If he were to make the step up to League One and capture the form of his first three seasons at Barnet then the 6ft 2in man would make a great addition to the Rovers forward line.
Christian Doidge
The Forest Green Rovers forward does have links with the Gas. He was with the club as a youngster but left after two years having failed to gain a scholarship at the age of 15.
The Newport-born forward honed his skills in the Welsh leagues before making the move to Dagenham and Redbridge.
In 2016 he joined FGR and his 27 goals helped propel the side into the Football League for the first time. He's continued his hot streak into this season with his 25 goals helping keep Forest Green up.
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He has finished as the Grecians top goalscorer this season with 24 goals in his 45 matches.
The former Bournemouth player joined Exeter for a club record fee in the summer from Aberdeen, and it would likely take a substantial bid to prise him away from St James' Park.
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Bristol City FCThe full pre-Canaries press conference transcript.
Every word Paul Tisdale said on Bristol Rovers transfers and Crewe Alexandra
Bristol Rovers FCPaul Tisdale's pre-match press conference in full ahead of Bristol Rovers' trip to Crewe Alexandra on Tuesday
Dean Holden's classy message for Steve Cotterill over battle with COVID-19
Bristol City FCRobins head coach hoping that the former Bristol City boss is soon back on the sidelines.

redpajama_set_name: RedPajamaCommonCrawl


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Bonnie Rotundo
681 Sunset Drive Se
Listed by: Century 21 Collective, (803) 546-0861
MLS: Brunswick County Association of Realtors
Welcome to your dream home! A private piece of paradise on the Intracoastal Waterway! Nestled in the Sunset Harbor Community, this completely updated home sits directly on the ICW and boasts 55 feet of ICW frontage. Enjoy your private 10' X 20' dock, 115' pier and boat lift as you take in the beautiful sunsets along the ICW. This 3 bedroom, 2 bath home has been fully updated. Updated features include new stainless steel appliances, granite kitchen countertops, LVP flooring, updated bathrooms and a new washer and dryer. Enjoy the view of the ICW from the sunroom, patio or your private dock. Take in the beautiful sunsets and enjoy the wildlife along the ICW. This home is being sold with the adjacent vacant parcel (234ID042).
I'd like to learn more about 681 Sunset Drive Se Bolivia, NC 28422.
Information courtesy of Century 21 Collective is subject to verification and is not guaranteed.
Broker Associate NC/SC
Coldwell Banker Sloane Realty Oib
16 Causeway Dr
Ocean Isle Beach, NC 28469
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Provided courtesy of The Coastal Carolinas Association of REALTORS®. © 2023 Coastal Carolinas Association of REALTORS® MLS. All rights reserved. The data relating to real estate for sale on this website comes in part from the Broker Reciprocity Program of the Coastal Carolinas Association of REALTORS® Multiple Listing Service. Real estate listings held by brokerage firms other than Coldwell Banker Sloane Realty Oib are marked with the Broker Reciprocity logo and detailed information about them includes the name of the listing brokers. The information provided is for consumers' personal, non-commercial use and may not be used for any purpose other than to identify prospective properties consumers may be interested in purchasing. All information provided is deemed reliable but is not guaranteed accurate, and should be independently verified. Information last updated on 01/28/2023 01:42 AM.


Luxury was redefined the moment the All-New 2019 BMW X5 xDrive entered the market earlier this season. As the fourth generation model of its 20-year legacy, the X5 elevates the concepts of safety and comfort to new heights. The moment you enter the cockpit, we recommend that you prepare yourself for a driving experience like no other. Read along to find out how the All New 2019 X5 xDrive made it on everyone's Christmas list this year.
When driving with precious cargo, you shouldn't sacrifice comfort for unevenly distributed weight in your car; that's why the X5's 2-Axle Air Suspension effortlessly self-levels itself in order to bring you comfort on an entirely new level, no matter the occasion. From off-road treks to sport thrills, this intelligent machine will adjust its height to ensure that you'll have the perfect road experience every single time.
Offload your burdens and let the BMW X5's two-section electric tailgate do the work for you. With the option to go hands-free and ability to lower the height thanks to the 2-Axle Air Suspension, loading your car has never been more seamless.
New and improved, the new X5 has the following standard safety features: lane departure warning, blind spot detection, front collision warning with brake intervention, cross traffic warning from the rear, rear collision prevention, and of course, speed limit information. But what really makes this car special is the Reversing Assistant, which has yet to be matched by any of our competitors. It's intelligence designed to maximize the incredible capabilities of the BMW X5 and enables you to reverse out of tight situations comfortably.
The X5's interior is drenched in luxury. From the innovative Panorama glass roof Sky Lounge that emanates 15,000 LED lights to emulate a perfect starlit sky to the Heated & Cooled Cupholders that keep your beverages at just the right warmth or chill, the all-new 2019 BMW X5 infuses customizable technology to become the ultimate extension of you.
You can handle any road well with the xOffRoad Package, which not only protects the underbelly of the X5 but also unlocks an extra button within the centre console that reveals four terrain modes. As well, the locking rear differential feature enables greater pivotal versatility. This package gives the driver ultimate freedom to equip their BMW with the right settings to conquer all kinds of surfaces including sand, rock, gravel, or snow.
This only scratches the surface of the All-New 2019 BMW X5 xDrive's excellence. To learn more about BMW's latest marvel, book yourself a test drive to get up close and personal or visit us in-store as we continue the conversation on this beauty.


1. A cover letter that briefly introduces yourself and describes how your strengths, competencies and experiences align with the job description below.
5. A list of three professional references along with their current place of employment, contact information (e-mail and both office and cell phone), and a brief description of your professional relationship with each person.


1. Let's start out by getting to know you. Tell us 4 things about yourself that are not in your bio.
I'm left handed. I hear apparently it's an indicator of creativity, but growing up for me it just meant I would get pencil lead smudged all over my hand as I write. I also once tried to teach myself how to juggle and didn't get very far, and because I used oranges instead of actual balls whenever I smell oranges I am reminded of my clumsiness.
I once was chased by a cow across a field in Scotland. I was backpacking and hiking the length of Hadrian's wall and the trail would cut across fields; you simply had to go over the fence where indicated, hike across the field, go over the next fence and so on. There was this massive cow that made this fearsome noise and I ran, much to the amusement of my friends, who were not afraid of cows.
My bio says I love hiking, and that's descriptive but I also include climbing in that which most people might not think of. It's strenuous but I enjoy the sense of accomplishment when finishing either a trail or getting to a certain elevation. And the sense of teamwork when you summit with who you're with is incomparable, you just feel incredible and love everyone so much. The highest I've climbed is a peak in the Andes that came to 18,000 feet. That particular summit was hard won; there was a storm on the way and we had to rush, my friends and I miscalculated how much food we'd eat and on the last day of the journey had one potato and a bar of chocolate to split between four. The view at the top was incredible, though, and we were so high up I swear I could see the curve of the earth on the horizon.
Alaska. I've made plans to go before but I've never gotten around to it; I'd love to take the time and do it over the course of six months or so, spend a good summer and the fall to see the vastness of their state parks, to climb Denali, to lick few glaciers, kayak, hike, swim, so much more. I'd love to stay and see the Northern Lights as well.
Water. I drink so much of it. I'll probably finish at least three glasses while eating an entire meal in a restaurant. I have a ton of favorite foods and many favorite restaurants, but if I had to pick one restaurant, it would be this amazing place in my parent's hometown. I'd order: marinated beef in an onion pancake roll, juicy pork and shrimp dumplings, the kind made with soup inside so when you bite it the broth will ooze right into your mouth, savory fried turnip cake, fried leek and mushroom dumplings, and some wide egg noodles tossed in a light hoisin sauce topped with crispy duck.
I hope to finish my next novel!
Almost everything; if I find a summary that's intriguing I'll take a chance on it. I'm rather partial to fantasy and science fiction within the young adult genre as well as the adult genre but I'm open to reading anything that piques my interest.
Fun, engaging summary, diverse characters and diverse authors.
Food printers for the masses. NASA already has one that will print pizza for astronauts; now I'd love to see that available for us common folk. How many times have you seen a photo on some food blog and just wished you could eat it?
Romance is definitely taking the time to learn what your partner loves and is passionate about, the kinds of things they would appreciate, and incorporate those into the time you spend together. Also creating time out of a busy schedule to spend together is quite romantic, too. It's not just flowers and candlelit dinners to me, I think that generic stuff only goes so far, because it applies to almost everyone! Flowers are generally appreciated, but if you take the time to find out a person's favorite flower or something that has significance to them, that's special.
Absolutely! My next novel is about a girl who comes from a superhero family yet hasn't displayed any powers yet, and she's striving to prove herself. She takes a mysterious job alongside her high school crush and the two of them uncover a plot that may reveal some startling truths about the world's system of heroes and villains.
Kevin Luong walks to the ocean's edge with a broken heart. Remembering a legend his mother told him, he lets seven tears fall into the sea. "I just want one summer—one summer to be happy and in love." Instead, he finds himself saving a mysterious boy from the Pacific—a boy who later shows up on his doorstep professing his love. What he doesn't know is that Morgan is a selkie, drawn to answer Kevin's wish. As they grow close, Morgan is caught between the dangers of the human world and his legacy in the selkie community to which he must return at summer's end.
Thank you for having me on your blog and for taking the time to have me here today, it's much appreciated!


ATREG successfully advises Cypress on 200mm fab sale.
Seattle, Wash., March 2, 2017 – ATREG, Inc., which specializes in helping global companies divest and acquire infrastructure-rich advanced technology cleanroom assets, announced today that it has successfully advised Cypress Semiconductor Corp. (Nasdaq: CY) on the sale of the subsidiary that owns its operational 200mm semiconductor manufacturing facility based in Bloomington, Minn., USA. Under the terms of the agreement, SkyWater Technology Foundry, backed by Minn.-based holding company Oxbow Industries, LLC, purchased the capital stock of the subsidiary to operate the fab as a stand-alone specialized foundry. The company will continue to manufacture wafers for Cypress under a multi-year supply agreement while attracting new foundry customers. The transaction allows Cypress to reduce its manufacturing footprint and cost structure while increasing the utilization of its Fab 25 located in Austin, Texas, in line with the company's plan to improve gross margins.
Given the fab's proven history of efficiency, the expertise and dedication of its workforce, and its established success in delivering specialized wafers on time to a diverse customer base, SkyWater Technology Foundry sees a strong foundation for a stand-alone business and is committed to continuing the fab's support of Cypress and its customers with superior quality and on-time delivery.
Headquartered in Seattle, USA, ATREG, Inc. specializes in helping companies divest and acquire infrastructure-rich advanced technology manufacturing assets, including front-end and back-end semiconductor fabs, cleanroom facilities, and technology campuses in North America, Europe, and Asia. For more information, please visit us online at www.atreg.com, read our blog, or follow us on LinkedIn and Twitter.
Founded in 1982, Cypress is the leader in advanced embedded system solutions for the world's most innovative automotive, industrial, home automation and appliances, consumer electronics, and medical products. Cypress' programmable systems-on-chip, general-purpose microcontrollers, analog ICs, wireless and USB-based connectivity solutions and reliable, high-performance memories help engineers design differentiated products and get them to market first. Cypress is committed to providing customers with the best support and engineering resources on the planet, enabling innovators and out-of-the-box thinkers to disrupt markets and create new product categories in record time. For more information, please visit us online at www.cypress.com.


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Hollywood Intersection To Be Named For Carol Burnett Next Week
Filed Under:Carol Burnett, Emmys, Highland Avenue, Hollywood, Selma Avenue, The Carol Burnett Show, Tom Labonge
NEW YORK, NY - APRIL 11: Actress/comedian/writer Carol Burnett visits at SiriusXM Studios on April 11, 2013 in New York City. (Photo by Robin Marchant/Getty Images)Carol Burnett, comedy legend, stopped by Sirius Radio studios in NYC this week. (credit: Robin Marchant/Getty Images Entertainment)
LOS ANGELES (CBSLA.com) — Beginning April 18, the intersection of Highland Avenue and Selma Avenue in Hollywood will be officially known as Carol Burnett Square.
The city of Los Angeles is honoring Burnett — the beloved award-winning actress, comic and author — for her lifetime achievements in show business.
The intersection, next to Hollywood High School, was chosen because the school was Burnett's alma mater and because she grew up in Hollywood.
Burnett is widely recognized by the public and her peers for her work on stage and screen, most memorably "The Carol Burnett Show."
TIME named the program one of the "100 Best Television Shows of All Time" in 2007. The popular variety show (it ran from 1967-1978) garnered 25 Emmys.
"Carol has Hollywood in her blood and is one of the most energetic, funniest performers we have ever known. But most importantly, she has an incredible, open heart," said Councilmember Tom LaBonge.
Burnett is scheduled to be in attendance — and the public is welcome to join — in the unveiling of the Carol Burnett Square plaque April 18th at 2 p.m.


unique hotels is chosen for its distinctive character, individual style and local charm. Discerning service, wonderful dining and recreation facilities for all guests are a given. Think refreshingly understated personality and contemporary sense of style. Combine this with a quintessentially warm and hospitable spirit and regardless of your reason for choosing AVANI, each hotel or resort will perfectly reflect your needs. There are 75 rooms at Avani Bentota.


Decades before Wolfgang Puck launched a culinary empire, he was a savvy young chef from Austria, where food is cuisine and using seasonal and foraged ingredients, even fresh game, is ingrained in the national diet. To him, good food has always been healthy food.
After stints at French all-stars like Maxim's in Paris, Puck emigrated to the U.S. and soon landed at L.A.'s famed Ma Maison. His cooking attracted the Hollywood elite, and the innovative young chef became pivotal in the rise of fresh, light, locally sourced California cuisine. In 1982, Puck opened Spago, his flagship restaurant in a group that would sweep across the U.S and fold in other businesses, from high-class catering to TV programs. That first Spago, a civilized fine-dining venue in West Hollywood serving farm-to-table haute cuisine shot to restaurant fame. At a time when very few restaurants were serving thin, charred-crust pizzas, for instance, he was serving them with ritzy toppings like smoked salmon and caviar.
From the beginning, Spago has offered waistline-friendly chicken breasts, which continue to be favorites. Puck recommends roasting them – avoiding a lot of extra oil while still keeping them moist. Cut the breasts in half to ensure they cook "evenly and quickly, yielding white meat that is as juicy as dark meat," he says.
Below are two of Puck's easy recipes for beautiful, company-worthy chicken breasts. Chicken with garlic and parsley, on the Spago menu since it opened, is adapted from Wolfgang Puck Makes It Healthy. Each recipe includes tips for making the dish lighter and healthier.
Healthy tips: You could make this with skinless breasts, which "limits the fat in the dish and cuts the calorie count in half," Puck says. Although this recipe calls for grilling, he says roasting would work, too. He recommends serving this with a whole-grain side, or go with baby vegetables sautéed in olive oil then finished in a little water to soften them.
1. Preheat a grill to moderately hot.
with the parsley and a little salt and pepper.
and chill until ready to use.
4. Grill chicken 8 to 10 minutes per side, just until cooked through. Do not overcook.
and pepper. Place each serving on a heated plate, and top with the sautéed garlic and parsley.
Healthy tips: If using skinless breasts, it will be difficult to include goat cheese. If you eliminate the goat cheese, you'll have a lighter (but less interesting) dish. You could further lighten it by replacing the cream with half-and-half.
1. Preheat oven to 450°F, or preheat a grill until hot.
2. In a bowl, mix goat cheese, half the herbs, and white pepper to taste.
3. Loosen skin of chicken breasts. Divide cheese mixture; place some under skin of each breast, patting gently to distribute evenly.
4. Season chicken lightly with salt and pepper. Sprinkle with olive oil. Roast in oven for 15 to 20 minutes, or cook on hot grill for 10 to 12 minutes per side – just until chicken is cooked through.
5. Combine diced shallot and chardonnay in saucepan; bring to a boil and reduce to a glaze, about 1/4 cup. Add the stock and reduce by half.
6. Add the cream (or half-and-half); continue to reduce until sauce lightly coats back of a spoon. Whisk in butter in small pieces, making sure each piece is incorporated before adding the next. Season sauce to taste with salt and pepper. Strain into clean saucepan, and add remaining chopped herbs. Spoon a thick stripe of the delicious wine sauce across the plate. Slice each chicken breast on the bias into 5 pieces, and place on top of sauce. Serve immediately with a green salad.


Stickpage Forum > Creative > Writers' Lounge & wRHG > Original Literature > A Surprise Visit - Erik Story Chap.
View Full Version : A Surprise Visit - Erik Story Chap.
Hey there, So this is a kind of Story to progress some canon i have for Erik. CnC is very welcome.
"Would you like a drink ma'am?" the sales lady repeated the same line for the nth time today, the clearly tired smile plastered to her face.
The young girl, looking around sixteen, declined as she walked by the bright reds and yellows of the tropical fruit juice kiosk. She ascended the glossy white tiled staircase leading to street level outside the train station. The girl covered her eye from the intense assault of light the midday sun brought upon the cityscape. Most of the pedestrians coming to and going from the biggest train hub in Sierra Pines glanced at the fetching young woman her black disheveled hair fell in a disorganized curtain behind her, one set of particularly long bangs covered her right eye and cheek. This contrasted greatly with the open, white and gold jacket she wore stopping just above her black thigh-highs showing just a thin sliver of pale skin but before long the passersby turned their attention elsewhere once they caught sight of the scary looking black blade and even more ominous looking book she had by her side.
"Where to?" The cab driver asked the girl climbing into the back seat. The girl remained silent, merely handing the man a slender sheet of paper. The man scanned the writing then huffed in response as the taxi lurched forward into the ever flowing, busy streets of the megatropolis. The girl sighed as she looked beyond the glass window gazing at the mass of people trudging along their daily lives. Her mind wandered, ever so often focusing on one or two from the crowd, suddenly one turned his head staring straight at her with a piercing gaze and twisted smile.
The girl rubbed her eye, blinking furiously hoping it was a trick of the heat haze only to find more and more from the crowd turn their unsettling visages on her with every try. The girl quickly averted her gaze and shut her eyes, her quickening heartbeat a pounding drum in her ears.
"No, no, I'm free, I'm free from that horrid place," she whispered over and over. The girl's racing heart beginning to calm from chanting the makeshift mantra. Taking a deep breath, she opened her eyes to stare at her bloodstained hands; franticly looking around everything was dyed crimson like she was looking through a red filter, flesh and offal sprawled on the faux leather seat beside her, bloody handprints staining the windows, the torn rags she wore as clothes dripping red.
The girl immediately looked up to see the driver looking clearly worried. She looked around again to find everything normal again, no frightening gaze from passersby, no blood coating anything, no visible stich work nor tear mark in her attire. Only now did she realize she was shivering like she was on the verge of hypothermia, aside from that she was sweating buckets and breathing so shallow she was reaching one breath per second. It was one of her PTSD attacks again.
With that, the man drove off to find another person in need of immediate transportation leaving the girl in the relatively empty side walk. She turned her back to the street looking up at the tall apartment building, it was situated in the nicer, quieter part of the city, and the surroundings were calmer and cleaner than the bustling highways of the densely packed commerce district. She sighed deeply as the adrenaline from her panic attack began to fade; just the faintest ghost of a smile crossed her neutral expression.
Erik felt like doing nothing today, the weather was simply too hot to do anything comfortably outside the range of an air-conditioner. This left him with little choice but lazing on a chair in a loose fitting shirt and a pair of shorts while burying his nose in a book he picked up a week ago from the bookstore a block east from the RHG complex. Madeline and Claire were also enjoying some down time after cleaning, planted on the couch in front of the flat screen still in their signature uniforms, every now and again breaking into giggling fits due to the comedy movie playing.
The two finally broke into full bouts of laughter when the doorbell rang. "I-I'll get it," Claire said as she wiped a tear from her eye, trying her best to calm her breathing. After a bit of putting her maid uniform in order, she opened the door to a familiar young lady. She had long messy black hair covering one eye, pale skin, a white jacket covering a dark colored T-shirt and mini-skirt, cloudy blue left eye staring straight at the maid.
"Good day Ms. Ikezawa, a pleasure to see you again," Claire said with a soft smile.
"Likewise Claire, and I've told you before to just call me Yukino. It's the least I could do for someone who took care of me for six months after my treatment." Her tense shoulders relaxing just a bit.
"I was hardly alone, Madeline was there as well," the maid replied with a straight face.
"But she already calls me by my given name," The girl continued to stare, her murky blue eyes into Claire's solid black.
"…Alright but only in private, I still have a standard to uphold; now please come in Master will be happy to see you," the maid said while letting the swordswoman in.
"Yukino!" Madeline's sudden cry brought Erik out of his book-reading reverie. He looked up just in time to see the blue-clad, silver-haired maid glomp the new arrival, the movie all but forgotten. The puppeteer quickly put down the book walking in front of the entangled duo while Claire tried to pry her co-worker off Yukino.
"It's been a while, a year?" Erik started.
"Fine, the occasional "hero of justice" showing up now and again, he was rather competent I only had to step in three to eight times." She replied still wrapped in Madeline's embrace.
"A job," she answered bluntly.
"Madeline," Erik called. The maid visibly deflated as she let go of the swordswoman. The two maids returned to the couch to continue the giggle-fest while the other two made their way to the dining room that was out of earshot.
Erik feeling rather peckish took a chocolate bar from the fridge; Yukino took off her jacket and fixed her hair showing the hidden right eye. It was just as Erik remembered; completely black from pupil to the sclera, the only other color coming from the cracks running through it like fractures in extremely dry, blackened earth pulsing with powerful red energies. The two sat opposite of each other on the table, Erik taking a bite from his snack.
"So can you eat anything?" Erik asked genuinely curious of her condition.
"Is it wrong for me to want to work with you again?" she replied with raised eyebrows.
"Tonight, one in the morning, first and only time Kyle Santiago's travel route was leaked." She produced a picture form her jacket. It showed a twenty-something scientist archetype, buttoned up shirt, lab coat, and clipboard in hand only thing missing was a pair of glasses on the man's silver-haired head. He was in some kind of presumably immaculately white hallway talking to someone out of the shot. The picture itself was of low quality like someone pulled it off some closed circuit security cameras and used image enhancement software to bring it to borderline presentable resolution.
"Isn't that the guy who caused a scandal for performing illegal human experiments with unstable Psitech?" Erik asked as he scanned the picture.
The alley way was rather wide, wide enough for a garbage collection truck to go through the divide created by the two rows of brick and mortar structures but a dump truck was the least frequent visitor of this back alley. Among the bags of trash from the businesses that line either side, the scattered papers and refuse that nobody, not even garbage teams, bothered to pick up, here the less than reputable of society gathered to evade the gazes of others, illegal substance salesmen and users, dirty deals between reputable entities large and small, street gangs and their racket victims, these two silent walls and the many others like them throughout the city bear witness to them all.
Yukino stood atop the roof of a currently closed small-time burger joint watching over the empty alleyway that her target would use to evade leaving any kind of footprint, digital or otherwise. She waited patiently slightly enjoying the small breeze that was caressing her face. She gently touched the claw-like mark underneath her corrupted eye.
Her mind easily wandered back to that question when she was near Erik, he was the first person to directly ask after she joined the Menagerie, the group that saved her. It took her a while to answer back then but her response has never changed since.
"The target will be here soon, Master suggests preparing yourself," Erik's masked puppet, Gris, suddenly appeared near her.
"Thank you for the alert." Yukino immediately turned her gaze from the puppet, it reminded her too much of the Warden, just replace its gears and metal with cartilage and bone.
The puppet disappeared just as quickly and as silently as it arrived. Soon after three identical cars turned into the dimly lit alley, all there were jet-black, had tinted windows and lacked identification plates, it would be a good assumption to say they were likely bullet proof and were packed with trained and armed guards.
The Hex caster took the jagged black saber in her right hand and the fear-inducing book in her left, her heart began to race but in a different way from her panic attacks, not out of fear but out of excitement. She knew it was wrong, that this was from the taint she was forced to ingest in the form of the Warden's blood and flesh but she long decided to work with it than to oppose it completely, to use this foul gift to help her second family, with that she jumped.
The car at the front of the three vehicle convoy came to a screeching halt as Yukino smashed into the engine block flattening it into a pancake, the girl herself was perfectly fine as not only her eye but her whole body had changed post-liberation becoming stronger, faster, more durable among other things. On the other end of the convoy a similar event unfolded but instead of a blur of white, a ball of red crashed into the car rendering it unable to move; the assailant blurring into a mass of mist.
Back up front, the black vehicle's five occupants began to climb out of the wreck, kicking or smashing the butts of their weapons into the doors if they had too. The suited men quickly spotted Yukino and pointed their guns at her but before they could fire the curse master had already slit one in the throat and proceeded to use him as a shield absorbing the accurately aimed bullets. No sooner had they riddled their comrade full of holes did a mysterious fog quickly envelop them, soon they not only lost sight of their attacker but of their allies as well as the fog blocked vision of everything more than a foot in front of them, their only indicators being the greatly muted bang of gunfire and diminished muzzle flashes. One man, crouching with his back to the car wreck, tried to reach the occupants of the third car via his earpiece, at first only static then he recognized the sound of more muffled gun fire, the man on the other end screaming incoherently. He was about to talk back when he felt a sudden chill run through his abdomen, gazing down he found a black saber impaling him to the car through his stomach. He looked up at the sound of footsteps, the girl who crashed into their car earlier was looking down on him with dead eyes, he raised his rifle but the sound that came next was the pained screams of a man.
Inside the second car, the suited agent at the wheel repeatedly tried and failed to contact his allies in the other two vehicles only getting static over the communication lines. The man crashed his fist into the steering wheel; the most likely situation was that everyone else was already dead. He would have floored it and pushed the vehicle in front of him if only he had a clear view of his surroundings and positions of the attackers, seeing as both were out of his grasp he wrestled between blindly driving through the fog or risk abandoning the apparently meager protection the vehicle afforded them and make the rest of the way on foot.
"We are working on it," the lead agent grudgingly replied.
They don't seem to be wannabe anything. "F*** it, everyone get out we're legging it," the man at the wheel said unbuckling his seatbelt.
The other similarly suited three complied and formed a tight square around the scientist, the researcher tightly hugging a briefcase containing his prototypes. They slowly moved going one step at a time through the thick mist that absolutely refused to lighten. A sudden noise caused them to freeze each armed man raised their weapon reflexively their vision flicking around systematically trying to look for hostiles. The lead agent at the front of the pack heard a whistling sound beside him from the corner of his vision something impacted the chest of the agent to his left and sent the man tumbling into the fog.
Kyle Santiago's mind ground to a sudden halt upon hearing the struggling gasps from his bodyguard. The suited man was desperately grasping at the area around his neck as if trying to pry off some invisible hands. The scientist's curiosity got the better of him as he glanced at the man's neck finding strange black symbols encircling the man's collar. At first, he quickly concluded them to be some kind of tribal style tattoo until he saw that the lines were moving, circling around the man's neck like coiling serpents. The bodyguard's struggles ceased as he yielded to asphyxiation, the marks disappearing as well, leaving the scientist alone. Santiago's anxiety levels shot through the roof as he clutched on to his briefcase full of research like it was a buoy and he was in the middle of a raging ocean storm. To his relief, the fog began to fade revealing a young teenage girl in a white jacket leveling a saber at him.
"Drop the case," she ordered.
"Oh well, I guess you'll live even if you lose an arm here." She spoke in such an emotionless voice the scientist wondered if it was one of those low budget voice programs people download off the internet to use in videos.
"You, you wouldn't dare," Kyle challenged. To his dismay the girl began chanting in some incomprehensible tongue, glowing magical runes etching themselves into the flat of the unevenly serrated blade as well as floating over the open book she held in the other hand. The hair on the back of his neck stood at attention, his blood ran cold as he stared mesmerized at the glowing script. He snapped out of his trance the moment the girl stopped chanting. She took a step closer while he took a step back. The scientist's body was coiled tighter than a spring instantaneously the energy was released as he ran dropping the case as pain flowered in his left arm; his adrenaline stopped any further reactions as he ran for his life. What he failed to notice was eldritch script leaking from his wound onto his skin, slowly spreading outward.
"Are you sure you should just let him run?" Erik came out from his hiding place behind a garbage dumpster in one of the alley's side paths.
"It's fine, the curse I placed on him is a strong one, he will cross into the afterlife within the hour. I doubt he can find anyone who can undo it within that time period; the autopsy should say he died of simultaneous multiple organ failure." Yukino explained while she picked up the dropped case.
"It must be nice having clothes enchanted to be stain free," Erik gestured to her still spotless white jacket, "So what are you going to do with that?" the puppeteer pointed to the case.
"It was fun working with you again," Erik said with a smile.
"It was nice for me as well." the two exchanged a brief and chaste embrace. "Are you sure you want to go forward with using that curse you asked for into one of your Puppets?" Yukino asked when the two separated.
"I hope that I don't have to explain the measures you'd need to keep something like that under control right?" her voice filled with genuine worry.
"I am fully aware, you don't have to worry Yukino, I won't resurrect that monster, I promise on the off chance that I can't control it I'll destroy it before it gets loose," he said to ease his friend's worries.
This needs more views, people should start noticing your thread, the story's cool.
Thank you for the kind words, it helps.
Looks really good! You do some nice character work, and Yukino seems to have a neat backstory! I hope to see her again!


Several times I have been asked whether God can use a Christian's witness if there is hidden sin in that person's life. The answer is always—yes.
There are times God works through us, and there are other times He works in spite of us. Either way, God wants to work in us and through us to bring people to Christ.
With that said, though, we must remember that evangelism is a spiritual work, and a person who refuses to confess his sin will experience grave consequences in ministry.
God desires to show us what to say and how to respond to the people He puts in our path. But, when there is sin in our lives, that sin acts like a clog preventing His spirit from flowing through us. We are not nearly as sensitive to what the Lord is trying to say. That's why examining ourselves, as we seek to be effective witnesses for Christ, is essential. The cleaner the instrument the more powerfully God can use it.


The Invacare Platinum Mobile portable oxygen concentrator is built to withstand the tests of everyday life. Weathering daily bumps and various climate changes, this POC is designed to get you through the rigors of every day life. With unique design elements that provide simplified maintenance and easy at home care, the Platinum Mobile is the perfect addition to your active lifestyle. Check out these features - Sensi-Pulse technology that automatically adjusts to deliver just the right amount of oxygen as you move about through the day. A smart, modular design that has 37% less tubing and fewer internal joints than the previously model. An integrated particle filter in the carry bag which makes cleaning a snap. Easy to access Hepa filters that are positioned conveniently on the outside of the unit so when you do need to change one, it is fast and simple. Flexibility - the unit holds one or two batteries depending on how long you want to be "off the grid" or how much weight you want to carry.
With all these features, the Invacare Platinum Mobile POC is a great choice for your mobile freedom.


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Biden is still seizing private land for the border wall even though nothing is being built
The families that own the land feel betrayed.
Chris Pandolfo
Bill Clark/CQ-Roll Call, Inc via Getty Images
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President Joe Biden on day one of his presidency put an end to construction of former President Donald Trump's border wall. But three months later, Biden's government is still seizing private land for wall construction, even though no wall is being built.
This week, the federal government seized six acres of land from a family in Hidalgo County, Texas, after a federal judge confirmed the government's right to take the land in an eminent domain case that began when Trump was president. The land belonged to Baudilia Cavazos and her family, who have been fighting in court since 2018 to stop the government from taking it.
"We are utterly devastated," Baudilia Cavazos told Reason Magazine after the judge's decision. "We thought President Joe Biden would protect us. Now we've lost our land. We don't even know what comes next."
President Trump constructed more than 400 miles of border wall along the U.S.-Mexico border, at times using eminent domain authority to seize private land for wall construction. Eminent domain is a power that allows the government to acquire private property for public use.
President Trump's administration wanted to use eminent domain to seize approximately seven acres of Cavazos land, constructing the wall in the middle of it and dividing it between the U.S. and Mexico sides. The family's home would have been on the U.S. side of the border, but several rental properties they own would have been inaccessible on the Mexican side, which the family says would result in a major loss of income.
Though Biden paused construction of the wall pending a federal review of the legality of its funding, his administration never withdrew the case against the Cavazos family. Their case was one of nearly 140 eminent domain cases that remain active along the southern border, Politico reported.
On the campaign trail, Biden promised to end these eminent domain cases, telling NPR in August 2020, "End. Stop. Done. Over. Not going to do it. Withdraw the lawsuits. We're out. We're not going to confiscate the land."
But so far, his administration hasn't kept its promise. The Department of Justice told Politico that it is seeking to delay the pending eminent domain cases until Biden's review of the wall project is completed.
The families that own the land, and progressive activists who believed Biden would enact a full reversal of Trump's immigration and border policies, feel betrayed.
"Yesterday, we witnessed a betrayal of the Biden Administration's commitment to end construction of the border wall," Ricky Garza, an attorney for the Texas Civil Rights Project, said in a statement. "In federal court, the President's pause on border wall construction is meaningless without immediate action from the DOJ to dismiss these cases."
Joe Rogan eviscerates CNN: 'People know they're full of s**t … they disseminate propaganda'
Ivy League business students' remarkably clueless answers on what the average American worker makes in a year sparks internet firestorm
Jim Jordan reveals just who might be investigated if the GOP takes the House in the midterm elections
Journalist describes President Biden as 'articulate and detailed,' but says this can be 'weaponized by his opponents to make him look addled and weak'


Welcome to the Georgetown Racquet Club!
Tennis season is fast approaching and we have some of the best courts in Georgetown!!!
See below for the different leagues we have available over the summer.
Monday evenings will have two groups of play with first group from 7:00 to 8:15 pm and second group from 8:15 to 9:30 pm. Play starts Monday, 6 May. All levels welcome.
After a long winter, I am sure you all can't wait to hit the courts again! I know I can't! There will be two sessions with the first starting May 8 to July 3 and the second session from July 10 to September 4.
Format: 2 scheduled sessions*: May 11 – Jun 29 & Jul 6 – Oct 26; Regular players (committed) + spares, 2 shifts, responsible for your own substitute.
Play to start May 11, 2019. Schedule to be ready May 5.
** There will be 2 shifts each morning: 1st shift of 8 players from 8:00 to 9:30 am and 2nd shift of 8 players from 9:30-11:00 am.
Announcing the spring/summer session of our Saturday morning Junior Squash Program for ages 10 to 17.
Ryan Wilson will be running a spring/summer session of the Saturday morning Junior Squash Program.
This session will run for 12 weeks starting on Saturday, April 27th and is open to members AND non-members.
This is a great opportunity to improve your squash game, meet other juniors and have fun.
Weekly sessions will include instruction as well as the opportunity to play games.
The Georgetown Racquet Club is a family oriented volunteer-run squash, tennis and fitness club located in Georgetown, Halton Hills, Ontario.
Our enthusiastic membership organizes Box Ladders, a House League, Round Robins, Junior Days, Ladies Nights, Tournaments, Exhibition Matches, and Inter-club Teams.
New members are always welcome. We even offer a one month trial membership to introduce you to the club and all it has to offer.


How to become more productive!
Student life can get very busy sometimes, especially if you have a part-time job alongside lectures and assignments. And it's so easy to fall into the trap of procrastination until you end up feeling like you're getting snowed under, both figuratively and literally.
But don't you worry, here's a generic guide to staying productive when you want nothing more than to just stay indoors and slouch in front of a TV or laptop all day!
I am sure that everyone reading this functions differently, and I'm sure these tips won't work for all, but hopefully, some of these can come in handy!
For many of you, 'enjoy' and 'working' in the same sentence may be a bit of a stretch, but the environment you work in really is key!
Whether it's at home locked in your room with some headphones on, on a long train journey, or in one of the University's designated workspaces, find somewhere where you feel your most productive, where you won't be easily distracted, and where you feel you're most relaxed for long periods!
For me, the Peirson and The Hive work an absolute treat for this. If I can find a quiet table in either to space out my notebooks and laptops, then I can work for hours on end and feel really productive!
Oh Hell no, he did not just say study buddy?!
And I meant it too! Since my first year at Uni, I have lived with Tipa, and we have constantly gone to The Hive together in order to get our work done.
It works really well because not only do we have each other's company on the journey over, but we have each other there to bounce ideas off and motivate each other to keep working throughout the time we are there as well.
It also makes it far easier to take the breaks you need to keep focus for long periods, as it's far more entertaining chatting to someone in between workloads than sitting by yourself!
You will feel a lot more productive if you can actually physically see how much work you are getting done, especially on days where it feels like you're putting in a lot of effort and getting next-to-nothing done.
By knowing what you need to do at the start of the day's work, and seeing your progress throughout as you tick off items, you can really feel more positive about your efforts.
And, if you're very much a member of the 'Smartphone Generation', and would like to use your phone to keep track of all this instead of taking a written list everywhere with you, there is an app called Errands which makes it incredibly easy to do so.
Operant Conditioning may be decades old now as a theory, and used more regularly than it is recognised, but it is still valid!
If you set yourself a target to reach a reward, such as a thirty-minute TV break or a few sweets or something similar for every 700 words you write, it will break the process of work apart nicely and make it feel far less of a chore.
Just a few easy points there, and I'm sure many of you have others, such as listening to music or something similar, which you are welcome to put below!


Take a listen to "The Elevation" (Mixtape) by ERATED on Juss Russ Radio. Up and coming Hip-Hop musician, ERATED released a very soulful and thought-evoking project on AudioMack recently that has had his fans and peers buzzing in excitement. "The Elevation" (Mixtape) is a 14-track body of work which embodies who ERATED is as an artist as well as highlights the philosophies in which he applies to maneuver his way through life. ERATED leans toward the more lyrical and conscious side of Rap music, often speaking on real life issues as well and social topics that have an affect on the general population. As an emcee, he is a great storyteller and uses this strength heavily throughout "The Elevation" (Mixtape) narrating the tales of his life and times up to this point as both a man and artist. This project is great for those people who enjoy music that provides some food for thought and stimulates the mental nodes on a higher level. Make sure you download the AudioMack App so you can stream "The Elevation" (Mixtape) on your own time. Listen to "The Elevation" (Mixtape) by ERATED on Juss Russ Radio.


Conflict resolution, problem solving, communication and coping under pressure are transferable skills desired by many employers As Delicatessen Store Manager.
5 :: Why do you want to leave your current company As Delicatessen Store Manager?
This question seems simple, so many people fail to prepare for it, but it's crucial. Here's the deal: Don't give your complete employment (or personal) history As Delicatessen Store Manager. Instead give a pitch—one that's concise and compelling and that shows exactly why you're the right fit for the job. Start off with the 2-3 specific accomplishments or experiences that you most want the interviewer to know about, then wrap up talking about how that prior experience has positioned you for this specific role.
7 :: What did you like least about your last (or current) job As Delicatessen Store Manager?
10 :: Tell me why do you want this job As Delicatessen Store Manager?
11 :: Tell us about a typical day at work. How does it start? What do you do?
Often, interviewers will ask questions to find out the level of technical knowledge As Delicatessen Store Manager that a candidate has concerning the duties of a care assistant. In a question such as this, there is an opportunity to demonstrate professional knowledge and awareness. The confidentiality of a person's medical records is an important factor for a care assistant to bear in mind.
14 :: How do you evaluate success As Delicatessen Store Manager?
I evaluate success As Delicatessen Store Manager in different ways. At work, it is meeting the goals set by my supervisors and my fellow workers. It is my understanding, from talking to other employees, that the Global Guideline company is recognized for not only rewarding success but giving employees opportunity to grow as well.
15 :: Why did you select the University _______?
16 :: What would you do if you won the lottery?
Depends on the situation... I like to label certain tasks as either A B or C...A being the one that requires immediate attention, and C which are tasks that aren't urgent but eventually need to get done... I like to focus my work As Delicatessen Store Manager on the things that need to get done, and done quickly... While balancing the other work alongside our first priorities.
18 :: How did you hear about the position As Delicatessen Store Manager?
Another seemingly innocuous interview question, this is actually a perfect opportunity to stand out and show your passion for and connection to the company and for job As Delicatessen Store Manager. For example, if you found out about the gig through a friend or professional contact, name drop that person, then share why you were so excited about it. If you discovered the company through an event or article, share that. Even if you found the listing through a random job board, share what, specifically, caught your eye about the role.
19 :: What do you expect from this job As Delicatessen Store Manager?
20 :: What attracted you to this company As Delicatessen Store Manager?
21 :: What is your personal mission statement?
23 :: Are you good at working in a team As Delicatessen Store Manager?
25 :: Tell me about a time when you had to make a decision without all the information you needed. How did you handle it As Delicatessen Store Manager? Why? Were you happy with the outcome?
26 :: What's the last book you read?
27 :: What have you done to prepare yourself to be a supervisor?
28 :: What qualities do you believe are important to have as a manager?
30 :: How do you feel about taking on repetitive tasks As Delicatessen Store Manager?


IKF PKB PRESIDENT JOHNNY DAVIS AND AK PROMOTIONS.
Note: IKF World Classic Trainers get in Free.
Fighter Registration ENDS At 2:PM Saturday, August 3rd, 2018.
SATURDAY 3:00 PM: Rules Meeting & Officials Fight Assignments.
(**) Point Kickboxing / Muay Thai Tournament will take place during the Main Tournament Time.


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Antique Clocks 4U
About Antique Clocks
Clock Parts and Repair
The Clock Blog
Author: clocksadac
More information here: John Shone, British antique grandfather clock dealer
Clocks have been used for thousands of years to keep track of time. And during that period, there have been many changes made to these devices. Long before the clocks we have now came to be, people used devices such as hourglasses to keep track of time. In ancient Egypt, obelisks were used to track the movement of the sun and they divided the day into two twelve-hour periods. After a while, they developed water clocks which were also made use of by the Greeks. There were many time tracking devices employed in the early ages and we will take a look at the different devices and the eras in which they were used. You will get a glimpse of how your wrist watch came to be in the process of reading this.
Candle clocks
If you go through the books of History, you will find that the earliest mention of this device was made in AD 520 in a Chinese poem which points at the use of this candle at that time. It could have been in use at an earlier point but that cannot be proved. A graduated candle clock was used to tell time at night and was in use in ancient Japan till the tenth century when other devices came to be. Such a candle was made of six candles, each of which was thirty centimeters high and they were of uniform thickness. The candles burnt for four hours and as such the burning of one candle would indicate that twenty minutes had gone by. Each burning candle would leave a mark and they could tell the time by counting the number of marks that had been made. To prevent the flames from getting extinguished, the candles would be placed inside a glass box.
During this period, people also used oil-lamp clocks. In this type of device, people would measure the oil reservoir and time could be estimated by checking the rate at which the reservoir had dropped.
Incense clocks
In the sixth century, incense clocks were used alongside water clocks, mechanical clocks and candle clocks. It is suspected that they originated from India due to the use of Devanagari characters on the clock. The upside to using these clocks as opposed to candle clocks was that they burned much more evenly and without a flame which made them more accurate and safer for use in the indoors. There were various forms of incense candles but the most common forms were incense sticks and incense seals.
Astronomical clocks
The first of these devices was constructed in the eleventh century by a Chinese astronomer. In the device, an escapement mechanism was incorporated which also included the earliest recorded power transmitting chain drive which was used to drive the armillary sphere. Muslim astronomers took up research on astronomical clocks and they were able to come up with a wide array of very accurate astronomical clocks which they used in their mosques and their observatories. They came up with water powered astronomical clocks in the thirteenth century and an astrolabic clock in the fourteenth century. They also came up with highly efficient astrolabes which had the ability to serve as both time keeping devices as well as calendars.
This device originated from ancient Egypt and it divided the day into twelve equal segments, regardless of the time of year. The hours varied depending on seasons such that they were shorter during the winter and they were longer during the summer. These clocks were later taken up by Muslim astronomers who came up with the idea of using hours of equal length all year long in the fourteenth century. Following the acceptance of the concept of equal length hours, the sundials became popular during the renaissance period.
You have probably heard of this device and it is very likely that you have seen it somewhere. Back in the fourteenth century, people relied on an hourglass to keep track of time. Its earliest recording is in a painting that was made in the year 1338. However, it is suspected that its earliest use dates back to the eleventh century. As from the fifteenth century, hourglasses became one of the most popular time tracking devices and they were used at sea, for cooking purposes, in churches and in industries to name but a few places where people made use of these remarkable devices. They were very reliable, quite easy to construct, reusable and quite accurate. These devices also held symbolic meanings such as death and father time.
Mechanical clocks
The earliest clock makers are believed to have been the Christian monks who needed to make use of time tracking devices so as to regulate their strict prayer schedules. Before the making of the mechanical clocks, they relied heavily on devices such as candle clocks to keep track of time. The first recorded clock made by the Christian monks dates as back as the year 996. Once the mechanical clocks came into being, they would broadcast the time through the ringing of a bell which would either be rung by hand or by the use of a mechanical device. The early clocks showed hours and the first recorded clock that shows minutes was made in the year 1475.
These devices were made in the sixteenth century. Back then, watches were very delicate and as such, they easily got damaged when exposed to elements of the weather. Women got to wear wrist watches while men used pocket watches. After the First World War, the perception of men to wrist watches changes and a whole new market was created for men's wrist watches.
The history of clocks would not be complete if we failed to mention these amazing clocks. In the year 1656, Christian Huygens became the first person to use a pendulum as a driving device in clocks which saw the development of the first grandfather clock which was known as a long case clock. The first cases were made of oak and with time, more beautiful cases were achieved through the use of mahogany. Grandfather clocks were very popular up until cheaper clocks flooded the market in the nineteenth century, bringing their mainstream production to an end.
Seeing how far we have come in the development of clocks, it makes you appreciate your watch more, doesn't it?
The Antique Clocks Blog
Coming soon … our blog covering the world of antique clocks.
We are developing this website to show off the wonderful world of antique clocks as well as offering advice on choosing, buying, and caring for clocks.