2017 has flown by and the summer holidays are here at last! Read on to find out about our top 5 summer holiday essentials and ensure you are on top of your health and wellbeing for summer.
If you're travelling over the summer break or eating different food than you would normally, a pre and probiotic is essential for your summer holiday kit. Probiotics increase the good bacteria in the digestive system to balance the good-to-bad bacteria ratio, so that you receive more energy and nutrients from the food that you eat. Prebiotics provide the food for the probiotic and good bacteria to feed on and multiply. A pre and probiotic will help to restore optimal gut flora balance for better digestion, reduced bloating and better gut and immune health.
Good quality virgin coconut oil is a versatile ingredient for your summer essentials kit. Although coconut oil is a saturated fat, it is full of other compounds such as lauric acid and MCTs (medium-chain triglycerides) which make it easier to digest and faster to absorb, quickly nourishing the skin from the inside-out. Not only is coconut oil great for cooking due to its higher heat point, coconut oil can also be used externally on our skin and hair. It is a great skin moisturiser, soothing for chapped lips, sun burn and mosquito bites, and can also be used to tame and nourish dry, frizzy summer hair!
Required for more than 300 biochemical reactions in the body, magnesium is an essential mineral necessary for our health and wellbeing. It is commonly found in greens, dairy, nuts and seeds. In order to help make sure that you are getting the right daily dose, magnesium can also be taken as a supplement in a tablet, powder or rubbed on as a cream. It is perfect for sore muscles after swimming at the beach or playing backyard cricket with the family. Largely known to support relaxation, magnesium can be taken to support a good night's sleep, to help with muscle aches and children's growing pains.
The spice of the year; Turmeric in many forms has had a lot of attention in 2017. Consumed for thousands of years, turmeric's bright yellow roots have been traditionally used to support total wellbeing. With temperatures rising in summer, it is easy for the body to feel more stressed. Turmeric is a potent antioxidant that helps to protect the body from oxidative stress; and as we tend to move more in the summer months, turmeric's anti-inflammatory properties help to support both tired and stiff joints. Remember that the curcumin content of the turmeric in your spice cupboard is not high enough for a therapeutic effect. Look out for high-strength, quality turmeric with Bioperine or Curcuwin® - both help to increase bioavailability and support better absorption of turmeric by the body.
Always remember to slip, slop, slap and wrap when you are out in the sun! Collagen is essential for the health of connective tissues, and the harsh UV rays in New Zealand increase our need to look after our skin. Collagen is found predominantly in our muscles, bones, skin and blood vessels and helps to rejuvenate tired and pigmented skin. For more tips on looking after your skin and staying sun smart this summer visit sunsmart.org.nz.
Lots of Merry Christmas wishes and a safe, happy and healthy summer holiday to you all!


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Information about college & university in San Antonio, TX
Write a Review How much does it cost to go to Quest College and what are in-state and out-of-state tuition and mandatory fees? Depending on the field of study, insurance coverage and the type of accommodation (students living off-campus in an apartments around San Antonio), the total cost of studying at Accredited Quest College can range from $4,322 to $78,229. Are you interested in studying some specific programs at this university? We are here to tell you how to choose the degree you want to pursue and where to look into the reputation of each college & university. We and our partners has released the latest 2019 ranking results for Quest College university and a number of work study programs at schools around San Antonio city, Texas.. We also provide a step-by-step guide to apply for a financial aid at several colleges at the same time. The type of accreditation is "Institutional" - accredited status is granted by the appropriate agency, in this case by Council on Occupational Education.
Find more reviews of this university on Yelp
Reading good and bad reviews of colleges and universities around San Antonio can be very instructive. Learn how both local and international students or former students of the Quest College rate their university experience, on-Campus or off campus living and make the right decision based on student and professor reviews. Note: information about Quest College, TX provided by reviewers on Yelp may be important, but you should always search for multiple resources for your research. Examples of these sources include: niche.com, studentsreview.com, glassdoor.com, topuniversities.com. Remember to search for tailored reviews and student testimonials, rather than just large number of positive and negative rating.
Accreditation: Institutional, Accredited, 02/14/2011 - Current
Zip Code: 78229, Texas
Address: 5430 Fredericksburg Road, Suite 310, San Antonio, TX
Website: sorry, there is no official website
Discover universities in San Antonio, TX
Quest College: bachelor's degree & master's programs
Students, educators, and other people interested in university education and e-learning programs in San Antonio, Texas should know about the importance of obtaining a college degree from a college or university of higher education with accreditation. Quest College is Accredited by Council on Occupational Education. This campus San Antonio 5368 Fredericksburg Road, #310 is focused on different education areas. There are many ways you can contact Quest College, from phone (210-366-2701) and email to social media.. Before you visit Quest College or any similar college or university around San Antonio, it is important to ask several questions about the university, their teachers, professors or assistants and education or services they provide to students.
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Quest College campus information
Quest College is Accredited as Institutional by Council on Occupational Education - higher education accreditation in the United States. If you are planning a visit to Quest College, with its main campus in San Antonio, TX, you can use the address below to find directions to the campus. Quest College is a name of the campus located at 5368 Fredericksburg Road, #310 with zip code 78229. You can follow guides to help you do research of all important information relating to student life, maps, pictures and photos of campus, graduate programs, details about campus size, shared services, stores, opportunities for sports, relax and entertainment and, last but not least, services to help international students. Are you searching information on how to travel to the Quest College by car, bus, train, taxi or any other public transport? The university campuses around San Antonio, TX have an extensive network of public transport and are easily accessible by bus and train. Pick up your self-guided tour map and walk around Quest College campus at your leisure. You can use interactive google maps to find out more about campus, faculty, dining options, student housing and whole university. By using google map maker, you will be able to fix and improve the maps of the campus areas.
Student financial aid in San Antonio, scholarships & student loans
There are various forms of financial aid for local and international students who want to study at a particular faculty, such as federal or commercial student loans and grants or scholarships (gift aid). This funds can be used on direct and indirect costs associated with the study and expenses like tuition, accommodation, books, board, living expenses or travel and transportation. Are you eligible for more favorable financial aid from your future university or government? Universities and colleges of postsecondary education, that are eligible to participate in FSA (federal financial aid program) are marked with 6-8-digit OPE ID. What does OPE code mean in relation to Quest College and how to find it? We can help you find out how to get federal student aid to help pay for your studies in San Antonio and explore a wide range of student loans. The OPE ID of Quest College is 3400300. A unique identifier has been assigned by the U.S. Department of Education's Office of Postsecondary Education (OPE).
What programs is Quest College known for?
Still deciding what you want to study at Quest College in Texas? There are popular online career test to help college and university students to identify university programs, courses and lectures that suit their skills and preferences. What (which subject) should you study to get the future career of your dreams? Quest College with Actual accreditation is a major program in this faculty, but there may be other study programs and free online courses with certificates, as well as other opportunities associated with local colleges that offer undergraduate, graduate and postgraduate degrees. In the world of higher (university) education are distance and e-learning programs in San Antonio increasingly popular. Finding your perfect university program with our course guides and comparison tools is easier and more enjoyable. Why you should choose an accredited college degree at Quest College? Mainly because an accreditation ensures a basic level of quality and standards in the education you receive from this college or any similar institution. Quest College has been Accredited by Council on Occupational Education at 02/14/2011 - Current. This type of accreditation is called Actual with two branches - regional and national.
Accreditation, graduate programs, licensing and accrediting agencies
What does university accreditation mean and why is important? Understanding accreditation of U.S. colleges and universities is very important because the right accreditation helps you determine if Quest College in San Antonio meets or exceeds minimum standards of quality. Earning an accreditation in the United States for a specific university programs is an entirely voluntary process. Some regional and national commissions on accreditation do not accredit bachelor's or master's programs (Ph.D.), while others do. Every undergraduate and graduate program should be evaluated by an independent accrediting agency. How to know if the Quest College has an accreditation and what happens when a college loses accreditation? You should do a proper research to ensure that the college or university of your choice is licensed and accredited, but as you can see below, this university is according to the latest information properly "Accredited". For smaller colleges in Texas, a loss of accreditation will probably mean, that the college or university will have to end.
Academic departments & programs - this faculty is Accredited to offer various types of education
Understanding accreditation - Quest College is Accredited as Institutional, Actual, but agency status is unexplained
Date and type of last action - We do not have any information regarding probation, loss of accreditation or pre-accreditation, termination, renewal, expiration or voluntary withdrawal, 02/14/2011 - Current (updated 01.18.2021)
Degree types in the USA
There are many ways to get the most actual information about the bachelor's and master's program(s) you're interested to study at Quest College for successful careers in a wide variety of professions. We have collected many useful contact details, phone numbers and addresses listed on this page, but if you have problems to find the telephone number you require, please call 210-366-2701 - the phone number of the Quest College - or visit official website.
Degree Levels
Average Completion Time
Common Prerequisite
Associate degree 2 years High school diploma or equivalent
Bachelor's degree 4 years High school diploma or equivalent
Professional degree At least 6 academic years of college work Doctor's degree
Master's degree 1-2 years Bachelor's degree
Doctoral degree 2+ years Master's degree
Tuition & fees - San Antonio registrar's office - Quest College
How much will it cost to go to Quest College and what kind of tuition fees national and international students should expect, if they plan on studying in Texas or specifically in San Antonio? According to the college board, the average cost of tuition & other study fees for the 2017–2018 school year was $35,000 at private colleges, ca $9,500 for in-state residents at public colleges, and $23,000 for out-of-state students attending public universities. How much is 2-4 years at Quest College and what you need to know about college tuition costs?
Attending a prestigious state school (university) in Texas, TX as an in-state student might be the least expensive option.
How much is tuition, fees, housing?
Type of College
Average Published Yearly Tuition and Fees
Public Two-Year College (in-district students) $3,500 - estimate only
Public Four-Year College (in-state students) $9,000 - estimate only
Public Four-Year College (out-of-state students) $23,000 - estimate only
Private Four-Year College $35,000 - estimate only
Average costs of studying at different types of U.S universities (2017-2018)
Public 2 year college Public 4 year college Public 4 year college (out-of-state fees) Private non-profit four-year colleges
Tuition & fees $3,500 $9,000 $25,000 $34,000
Room & board $8,400 $10,000 $10,000 $12,000
Total (yearly) $11,500 $19,000 $35,000 $46,000
Average "indirect" expenses for undergraduate students
When determining the cost of any college - including Quest College - it's important to consider both direct costs (such as tuition and study fees) and indirect costs such as books and supplies, room and board, transportation (trips back home - by bus/train or by plane), loan fees and other personal expenses. If you would like to apply for financial aid, you may ask for federal student loans as part of your school's financial aid offer. Federal student loans for college or career school include:
Direct Subsidized Loans for undergraduate students $5,500 up to $12,500 per year
Direct Unsubsidized Loans for graduate or professional students up to $20,500 each year
Direct PLUS loans for education expenses not covered by other financial aid
Direct Consolidation Loans will combine all of your eligible federal student loans into a single one
In-State Residents Out-of-State Residents
Living on Campus Commuter Living on Campus
Books and Supplies $1,350 $1,350 $1,350
Personal Expenses $1,600 $1,600 $1,600
Transportation $1,100 $1,900 $1,200
TOTAL INDIRECT COST $4,050 $4,850 $4,150
Reviews, comments, questions: Learn more about the University
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redpajama_set_name: RedPajamaCommonCrawl


As part of a whole house renovation, the client required an entertainment system to feature in the main living space.
The room centred around a black stone fireplace so a suitable solution had to be found that provided the high impact picture and sound performance yet not over power the room decor and style.
Artcoustic wall mounted speakers offer a high end performance and remain minimal in their design. These were positioned around a 65" OLED LG 4K screen which sat above the feature fireplace. A slim centre speaker sits neatly beneath the curved OLED screen with Diablo monitor speakers to the left and right of the screen.
Two compact wall mounted monitor speakers positioned either side of the sofa with a discrete panel subwoofer sat at floor level.
The equipment, consisting of a Denon amplifier, Sky HD and CCTV was hidden away in the garage so that it did not take up space in the main room. An Elan g! iPad based control system was installed so that full control of the Living room TV cinema was easy and convenient.


Trophy Hunters Alberta is Alberta's premiere Moose outfitter, owning some of Alberta's best allocations for the species throughout the forested area leading into the slopes of the Canadian Rocky Mountains. THA has 66 moose allocations offering both archery and rifle hunting experiences. Prices for moose hunts in Alberta are typically about half of the price charged for a moose hunt in Alaska, the Yukon or in British Columbia. Trophy Hunters Alberta is renowned for its moose hunting successes in Alberta.
THA's premium moose hunts take place in the coniferous forests and willow muskegs of west-central Alberta, in the foothills of the eastern slopes of the Canadian Rocky Mountains. The more southern WMUs actually border on spectacular Banff National Park with its incredible scenery. Our moose hunts are conducted over hundreds of square miles of rich wilderness habitat supported by a well-managed and moisture-abundant regional biology.
THA has an excellent track record for our moose hunts and is well known for its moose hunting successes in Alberta. THA was the recipient of the APOS (Alberta Professional Outfitters Society) Award for 'Largest Moose – Archery on an Outfitted Hunt'. We are also very proud of the former world record Shiras moose killed in Southern Alberta by Brad Miller that scored 461 7/8 SCI and had a spread of 61 inches!
We hunt moose using various methods to attract the moose to our hunters. If one method is not working, we can change the plan and/or location as required. During the moose rut season, which usually occurs during late September through the middle of October, we will frequently be calling moose with cow calls and/or bull grunt calls. If the bulls are unresponsive, we will cover as much territory as possible utilizing ATVs on our rut hunts and 4x4s on our late season hunts to find our bull moose. No matter which method of transportation is utilized, we expect to do a fair amount of walking/stalking to find, and get close to, our bull moose.
Accommodations for our moose hunts can vary from tent camps through trailer/motorhome camps to working Alberta ranches, local B & Bs, motels and Guest Resort cabins.


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Road Closed
The Sierra Nevada, the range of "snow-capped mountains," rises along the western edge of the Great Basin. The dividing line that was drawn between Nevada and California begins near the Cascade Range in the north and then follows the Sierra south, taking a bend at Lake Tahoe. The Sierra juts up into the humid atmosphere moving east from the ocean and drags the moisture out of it. Snowfall in the Sierra can be massive, and avalanches and slides come without warning.
Caltrans sometimes closes highways into the Sierra when snowfall or other precipitation creates hazardous conditions. It was during such a situation that Sharon and I chose to try to drive from San Francisco to South Lake Tahoe, in March of 1983. We planned to meet up with Sharon's father, Dave, and his second wife, Mary, in South Lake Tahoe and Stateline. South Lake Tahoe is in California, and Stateline, as you might guess, is next door in Nevada.
Echo Summit heading to South Lake Tahoe. Notice the sandbags in the lower part of the photo, where a slide had occurred. Photo by Shea, CC BY 2.0.
Gambling is legal in Stateline, and it's a lot less hardcore than in Reno—at least it was at that time. One casino had a roulette table that took ten-cent chips. I was in roulette heaven.
The largest highway going over the Sierra is Interstate 80, going from Sacramento to Reno and crossing at Donner Pass, where the Donner party had become snowed in over winter in 1847–1848. But I-80 takes you a long ways away from South Lake Tahoe—at least an extra 100 miles of driving. The other way is via US Route 50 from Sacramento, which crosses Echo Summit. We set off on this route in our Volkswagen Rabbit.
Memorial to the Donner Party, half of whom perished, at Donner Pass. Photo by Seano1, CC BY-SA 3.0
The old VW Rabbit, which was also called the Golf, was a reliable small car with 74 horsepower—about half that of a 2016 Ford Focus. With the engine in the front and front-wheel drive, plus a 5-speed manual stick shift, it was useful for mountain roads—you could drop it into a lower gear and stay there to climb summits. Ours was beige, similar to the one in the photo shown here.
We set off on I-80 to Sacramento, but soon began receiving warnings that it was snowing in the Sierra. By Sacramento, reports were saying that US Route 50 was closed over Echo Summit.
We had to make a choice.
We decided to continue on US 50 just in case we could get through.
Radio reports said the road was closed.
Those Variable Message Signs spanning the highway warned that the road was closed and vehicles needed to turn back.
But we saw no barricades. My thinking was, if the road was truly closed, eventually we would get to a barricade and be forced to turn back. Yes, we'd probably have to go all the way back, at least to Placerville, and then go north to pick up I-80.
We had no cellphones and no GPS. We had a paper map. I can't remember now how we used to contact people when we were driving long distances to meet. I think we had the name of the hotel or motel and the phone number, possibly the room number, at which Dave and Mary were staying. Pay phones could be found, but in this part of the highway, services were sparse.
US Route 50 is "The Loneliest Road in America," and being closed added to this reputation. No one else was on the road going our direction, and hardly anyone going west.
Pay phone. Photo by RoyalBroil, CC SA 3.0.
I was reminded of the film "On the Beach," a classic post-apocalyptic film from 1959 centering on the crew of a nuclear submarine, USS Sawfish. In this film, nuclear war had broken out, and everyone who hadn't been incinerated was dying from radioactive fallout as it spread throughout the Earth. In one scene, Sawfish makes its way to San Francisco and surfaces. The camera shows streets completely and eerily empty. That's how it felt on US 50; a world devoid of people.
The sky was overcast, and as we climbed into the foothills, we started to get rain. This changed over soon to snow. And it was getting dark. But the road was still clear. Somewhere east of Kyburz, we came to a checkpoint where the Highway Patrol had us pull over. There were a few other cars in the same place.
Kyburz. Photo by Eogan. Public Domain.
I asked the officer if it was possible to go over the summit to South Lake Tahoe. He said that the highway plow, a big front loader with a snowplow attachment, was soon to start up and over the pass, and that's what the cars were waiting for—to follow the plow. He asked if we had chains.
Of course we had chains! In California, it's a good idea to carry chains in the trunk on general principles, and they are required in cases like this. Ours were the cable-chain variety—not the big heavy ones like you might see on "Ice Road Truckers." But they were chains. The patrolman said to put them on, because the convoy would be leaving soon.
We then experienced the thrill of putting the chains on the front tires in semi-darkness in snow. When we bought the chains, I had taken the time to do a dry run, so I knew how to do this, in theory. It's best to know how, because the highway patrol will not do this for you. Naturally, a dry run isn't the same as being wet out in the snow, having freezing fingers, and not being able to get that inside clip to attach. Perseverance furthers.
We got in line and made our way over the pass, at a crawl, in blizzard conditions. The yellow lights flashing on the plow ahead in the blowing snow were a comfort, although it was a false comfort; the danger was above us, not ahead of us. But we managed to slip by.
On the other side, off came the chains, and we proceeded to our destination. We had made it in one piece and were feeling pleased with ourselves, as though our decision to keep going had been confirmed as the correct one, and not just a lucky break.
I wish I could say that this was a great trip and well worth it. But Sharon's dad seemed to think we had been foolish (not to say stupid) to have come over US 50, and he was irritated with us. In addition, I ran out of my gambling money pretty quickly, and it's boring to be in a gambling town if you're not engaging in it.
Photo by Richard Styles from FreeImages.
I think we decided to take I-80 to get back home. That was probably a good thing. Two weeks later an avalanche and landslide closed US 50. This time there were barricades, and the road didn't open for weeks.
Sweta Parikh link
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redpajama_set_name: RedPajamaGithub


NEW YORK, Feb. 12, 2019 (GLOBE NEWSWIRE) -- Weight Watchers International, Inc. (NASDAQ: WTW) ("WW") will release its results for the fourth quarter and full year 2018 after market close on Tuesday, February 26, 2019.
WW will host a conference call at 5:00 p.m. ET the same day. During the conference call, Mindy Grossman, President and Chief Executive Officer, and Nicholas Hotchkin, Chief Financial Officer, will discuss the fourth quarter and full year 2018 results and answer questions from the investment community.
Live audio of the conference call will be simultaneously webcast on the Company's corporate website, corporate.ww.com. A replay of the webcast will be available on this site for approximately 90 days.
WW – the new Weight Watchers – is a global wellness company and the world's leading commercial weight management program. We inspire millions of people to adopt healthy habits for real life. Through our engaging digital experience and face-to-face group workshops, members follow our livable and sustainable program that encompasses healthy eating, physical activity, and a helpful mindset. With more than five decades of experience in building communities and our deep expertise in behavioral science, we aim to deliver wellness for all. To learn more about the WW approach to healthy living, please visit ww.com. For more information about our global business, visit our corporate website at corporate.ww.com.
04/16 WEIGHT WATCHERS INTERNATIONAL : WW – the new Weight Watchers – Annou..
04/16 WW – the new Weight Watchers – Announces NASDAQ Stock Ticker Sy..
04/11 WEIGHT WATCHERS INTERNATIONAL : Hagens Berman Reminds Weight Watchers (WTW) Inve..
04/10 Pomerantz Law Firm Reminds Shareholders with Losses on their Investment Weigh..
04/02 LOSSES ALERT : Rosen Law Firm Announces Filing of Securities Class Action Lawsui..
03/30 LEAD PLAINTIFF DEADLINE ALERT : Faruqi & Faruqi, LLP Encourages Investors Who Su..
03/29 WEIGHT WATCHERS INTERNATIONAL : Oprah Winfrey Surprises WW Members With Calls To..
Chart WEIGHT WATCHERS INTERNATIONAL, INC.


Whoever gives you motivation to look and feel better, keep them in mind when you feel like giving up. Married with kids? Keep your spouse in mind. Because while you may have already landed the best-looking guy or gal around, nothing says, "I love you" like continued dedication to look your best for your sweet thing.


Wanting It, Getting It, Keeping It … At What Cost?
Decision-Making: Don't *uck it Up!
Entrepreneurs dream. They start businesses to make a product or provide a service that fulfills a need. They present their creation to the market, work hard, and strive to achieve success.
To some, having a reputable product or service and making a sustainable profit is not enough. Discarding their humility, these dealmakers smirk at the smallness of their original dreams. To them, success means becoming bigger and more powerful.
These egotistical promoters crusade to protect their brand and insulate themselves from 'outsiders.' They strive only to create more for themselves and their loyalist.
These autocratic leaders grab and maintain power through chaos. They create and foster an anarchic environment fueled by frustration and discontent. They shout messages of hate against those who think or act differently. They sell themselves as strong and admirable.
In turn, their faithful disciples cling to them. They believe anything to relieve them of their fears. They feel overwhelmed, ignored, and discarded. They will trust anyone that promises them a better life. Even if the person will act against their best interests.
Why do false leaders lose their way? They allow desire, envy, and rivalries to create a relentless obsession for recognition. They lose respect for simple aspirations. Their self-absorption makes them lose their empathy. They lash out at anyone who disagrees with or challenges them.
A mindful leader remains faithful to their original dreams. They realize they do not need to force things. Grateful for what they have accomplished, it is natural for them to do what is good and right. They know this will lead to growth and profit in time.
Adept leaders accept that businesses must evolve. The environment is never static. They must keep pace. Technologies change and so does culture and society. They acknowledge this, accept it, and remain vigilant to refine their strategic goals. This openness and acceptance allow them to thrive.
The wise leader accepts they are not alone, apart from the world. They celebrate the universality of dreams. They honor that people come and go, borders move, and alliances shift. Everything changes. They adapt.
The true leader finds balance. They do not attempt to delude themselves or others. They have clarity. Mindful leaders act in harmony with the times and maintain an honest dialogue with everyone. They respect their rivals and treat them as equals. Wise leaders support and protect their employees with clear and honest leadership. Thoughtful leaders create fair and transparent expectations. They help everyone achieve their goals through conversation and compromise, education and enlightenment.
Entrepreneurs are creators of value. To endure they must evolve with the social and business environment. They do not need to fear change or those outside their circle. They do not need to build a wall to protect them or their companies. They only need to stay the path and do the right thing. Everything else will take care of itself.


950 45th Drive Sw is a $360,000, 4 bedroom, 3.0 bath home located in Vero Beach, FL.
Lake front home on a large corner lot. Split floor plan. Tile and bamboo wood floors throughout. Eat-in kitchen with SS appliances/granite counter/breakfast bar. Impact glass and shutters. New impact front door in 2018. Owner expanded the brick paver patio & added a lanai tent within last 1 1/2 yrs. Alarm system. Large fenced corner lot.
I am interested in 950 45th Drive Sw, Vero Beach, FL 32968.


When I lived in Cuba, I always wanted to live in the United States. I imagined myself playing in a tree house with my friends, watching TV, and speaking English (although at that time I didn't know English). As I grew up, the Cuban government tried to "brain wash" me with Communist ideas through the school. But I saw that things were not as they said they were and I became less patriotic and loyal to my country. I started to love the United States, and as time passed this feeling grew stronger and stronger.
By the time I was in 5th grade I didn't like Cuba anymore. I hated it and I took the United States as my country and became loyal to it. About a year and six months ago, as I was coming to the United States by plane, I felt like I was "coming home."
My family and I used to spend a lot of time together. We used to get together every Sunday evening. My three sisters and four brothers, of course, my father and my mother used to spend all the happiest times together.
Since my mother and father have gotten divorced nothing is the same for all of us. I don't even remember when the last Sunday was when we got together. I still miss those Sundays.
When I was born my family was very poor. During that time conditions were very bad but my father and my mom took care of me even though my mom didn't have enough money.
When I first set my eyes on my village under the terrible life of Vietnam, I told my family, "Communism is evil and the life of the Communist will never bring happiness."
Today God has blessed me to be in the USA to have a better life with my mom always by my side. But when I set my eyes on my father in America, I remember the way they treated my dad and the other people in Vietnam. Never will I lose those images from my mind.
For some reason my country, Puerto Rico belongs to the United States.
When I lived there, my life was different. Everything was fun. All my family lived near my house, even my classmates lived close to me.
After school, I used to go to a restaurant close to my best friend's home. Five of my best friends were everywhere I went.
Like every single Puerto Rican, I want peace for Vieques and we want to be independent from the United States government.
I have much to thank the United States in giving me the opportunities to have a better life, but I still believe Vieques deserves peace.
I was born in Managua, Nicaragua. This was a very big city compared with the other cities in Nicaragua, I loved that place but when I was eight or nine years old my parents got divorced. When I was ten, my mom had to move to the United States because of the economy. We were without her for 3 years or more. Then she found out a way to get as to come to her in the U.S where she lived. We moved into Maryland. It was a very big change for my two younger brothers and me. Now we have been in the U.S for three or four years.
I like Maryland for many reasons. One reason is the weather. I like this kind of weather because we have summer and in summer time I go to the beach or to the mountains. I go to very beautiful parks like the Kentucky Horse Park and I can go on the big horses etc. When I go to the beach, especially Ocean City, I love it because the sand is very clean and soft and the waves are big. I rent a jet ski with my brother and we go for a ride. In the wintertime, we play on the snow we go ice skating, too.
I grew up in Burkina Faso, a country in West Africa. I have been in foreign countries for the summer but I never left my country for such as long time. Now I am in the United States thousands miles away from my country and I miss it. I know how important my country is for me. My friends, my father and the rest and my family did not seem that important as now. Now, sometimes I feel like something is missing inside me. I know that it is my dad, my friends, and my country. Now, I know that you only recognize valuable things when you are far away from them.
Tuesday September 11, 2001, the terrorists attacked America. At 8:45 A.M. the terrorist attacked. They attacked the World Trade Center. They hijacked four planes. Two of the planes crashed into the World Trade Center and one crashed into the Pentagon and the last one crashed in Pennsylvania. After the world trade center got hit, they attacked the Pentagon. The media said that maybe the plane's original target was the White House where President Bush lived.
When the world Trade Center got hit it collapsed. Both of the buildings (twin buildings) collapsed. A lot of people lost their lives, the people in the planes, the people who worked at the World Trade Center, the people who worked at the Pentagon, and other people who were running from the World Trade Center as it collapsed. There were people who sacrificed their lives to save others&emdash; the firefighters, police, and many, many people.
According to what I heard in the news, 300 firefighters were massing and many police and other people. I'm glad that there still people who make those kinds of sacrifices, full of courage and kindness. I just hope that the government can do something about this tragedy. They should find out who did these terrorist attacks and make them pay for what they've done and make them suffer.


Friday May 4th 7pm- Saturday May 5th 5pm Mass.
All High School youth are invited to our annual NET retreat! the thme is Fully Alive!
The retreat is Free but space is limited. please use the form above to register!


Here are some emotional idioms to tell people whether you're happy, sad or angry.
I caught my boyfriend with another woman. I was so mad that I blew my top and kicked him out of the house.
Example Sentence - I'm worried she may be getting cold feet about our trip to Panama.
You've been giving me the same old excuses for months and I'm sick and tired of hearing them!
Meaning - If something rings a bell, it reminds you of something you have heard before, though you may not be able to remember it very well. A name may ring a bell, so you know you have heard the name before, but cannot place it properly.
Does what I just said ring a bell?
Meaning - If you hate someone's guts, you dislike them very much indeed.
Oh, Bob is terrible. I hate his guts! You may hate my guts for saying so, but I think you're getting gray hair.
What have I done to him? He gave me the cold shoulder the whole evening at the party.
Meaning - Someone who is very unhappy with someone or something.
She's down in the dumps because all her friends are out of town.
Her parents were worried sick when she didn't come home all night.
John was bored to death by the stories Amy told.
Meaning - To be in a very happy state.
Ann was really in seventh heaven when she got a car of her own.


Finally a pre-game beer that's acceptable in the shower.
"BACKGROUNDWe've always wanted to have our own beer (like all hipsters do). But not any beer and certainly not just a regular creative agency brew saying "Snask Lager". We wanted an idea, a concept, something bigger than just the actual beer. Something that could kickstart the night and act as your power up while fixing your hair and listening to "Dressed For Success" on repeat. We already work with the local genius brewer Fredrik "PangPang" Tunedal so it felt obvious that he would be the backbone of the brewing part.
THE CASEWe chose to create the Shower Beer. A sweet but strong pale ale in a 18 cl small bottle meant to gulp in three sips while standing in the shower getting ready for the night. It will of course also work to start the night in any bar alone or with your friends. Screen printed in pink on a brown small glass bottle we want the Shower Beer to be seen by being slender, elegant and different. The first batch sold out instantly at the first release party. The 2nd is in the brewery tanks.


Welcome to my blog archives for my 2010 trip to South America from Toronto, Canada. This trip was affectionately called Popping Down to South America.
If you have stumbled across this site by an internet search, the following might also be of interested to you. I am currently travelling with Jenn in Latin America as Trans-Continental Mambo.
The map below was my original route plan. With the exception of missing Chile, the route I actually took wasn't far off.


I'm gonna keep this one short and sweet, folks; this being the week leading up to a holiday, it only seems fitting that brevity is the better part of valor here. Ehm… unless you're sitting in an airport terminal or riding shotgun while your significant other drives, in which case I guess I should keep writing so you have something to read while you sit… um… I could do limericks, maybe?
Instead, what I'm going to share with you here in this column are two things; the dream of Thanksgiving, and the reality. I hope you'll stick with me right through to the end, because although it might seem to get a little sad in the second half… it's really not.
The wife and daughter are in the kitchen, along with mother-in-law, sisters, nieces. At this point, you might be thinking that the old-fashioned-ness of this vision borders on misogynistic. I can only apologize for that and offer, by way of explanation, this note: The female relatives I'm describing were, in reality, damn near matriarchal, and the menfolk were not allowed in the kitchen most times, with the holidays being a marked time of that general trend becoming a concrete rule.
There is egg-nog aplenty, and in two varieties; the adult variety for the adults, and the non-alcoholic version for the youngsters. On the television, the Diamondbacks are already whooping their opposite number and it's only the second inning. Beside the big mug of nog sits my PV, wearing an Aspire filled with Vapor Chef's Apple Bourbon Tobacco, a perfect flavor to compliment the rum in the egg nog.
I take a light sip of the drink, a deep draw on the PV, and listen to the craic of the house. All's warm and bright, and the world is as right and cozy as kittens.
Now here's the reality. There's no spacious-yet-cozy house; just a one bedroom apartment. Wife is actually ex, daughter is estranged as well, and all of the family are out of state. Friends are busy with their own families. There's no egg nog, no comfy recliner, no big screen television to watch the game on. And, damn it all, it's football season, not baseball season.
But I'm thankful, anyway. I'm thankful for the good things that there are in my life. There's a roof over my head. There's a cup of instant coffee sitting next to me; hazelnut. Delicious. There's a keyboard under my fingertips. And, hey, wouldn't you know it? There is an Aspire BDC sitting on a K101 mod, and there's Vapor Chef's "Nutty Caramel Apple" in there, and it surely is yummy.
I'm especially thankful for the hard times. Every bad judgment call, every misstep, has given me experience, grist for the mill that I can turn into good fiction and nonfiction both. If I'd never made the mistake of taking up smoking, I could not now tell you of the joys of switching to vaping.
Each and every one of you, when you lend your eyes to the words I write, gives me the best gift I could have ever asked for. So, you see, in many ways, the reality is better than the dream. Thank you so much for reading these words. Happy Thanksgiving.


Harwin's Datamate L-Tek Single Row, Male Vertical PC Tail Through Hole Connector, latched, gold & tin/lead, 6 -way. Non RoHs.
Mates with Female connector M80-8980605.
Can be used with Strain Relief Straps No. M80-0030006.


From Smirnoff Ice to My Little Pony, modern bros are all over the place.
What's more, not only are these guys watching the show, they're also messaging about the show, trolling fan boards about the show and making fan videos about the show.
Wired reports that 32-year-old Luke Allen is one such fan. "First we can't believe this show is so good, then we can't believe we've become fans for life, then we can't believe we're walking down the pink aisle at Toys R Us or asking for the girl's toy in our Happy Meal," he told Wired.
So just how many bros are into My Little Pony? Well, the fan site Equestria Daily (run by a man) "gets roughly 175,000 pageviews per day now," according to Wired.


Virtual reality is the newest trend in the market that every firm wants to foster. Samsung and Facebook are already making headlines with their offerings in virtual reality space. Now, Apple is attempting to jump into the battleground to make a space way for itself in this budding market.
Today, the Cupertino based tech giant has been granted a patent titled 'Head-Mounted Display Apparatus for Retaining a Portable Electronic Device with Display.' The patent describes a Samsung's Gear VR-like portable electronic device, which will be powered by the high definition screen of the iPhones. The patent was first filed back in September 2008 and the company is now awarded the same after five years.
According to images registered with the patents, the iPhone will be placed within the headset frame, and its screen will act as the primary display for viewing the virtual reality content. The pictures also depict a remote that could be used to control the content on screen.
Electronic headset concept is not new as Samsung and Google have gone far ahead in VR headset game. Samsung Gear VR is a commendable product which is compatible with Galaxy Note 4 and the new Galaxy A7 for now. The company is also exploring the virtual reality space with Project Beyond, which is a 360-degree camera for recording VR content.
Meanwhile, besides a VR headset, the patents speak of one more feature called picture-in-picture (PIP). This tool will aid users in keeping an eye on the real world when the headset is on. A total of 41 patents have been granted to Apple on Tuesday, which came to light today. These patents are related to optics, design and accessories. So, users can expect a pinch of new innovation with Apple's VR headset.


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Boys Basketball – TOC Final Preview: Ranney Eyes Storybook Ending to Four-Year Journey
Matt Manley Published: March 16, 2019
Scottie Lewis looks for a shot over Bergen Catholic senior Zach Freemantle. (Photo by Paula Lopez)
NJSIAA Tournament of Champions Final
Sunday, March 17, 2019, 4 p.m.
At Rutgers Athletic Center, Piscataway
No. 1 Ranney (30-3) vs. No. 2 Bergen Catholic (27-3)
Four years ago, a trip to the NJSIAA Tournament of Champions was just a dream, albeit a realistic one, for Bryan Antoine, Scottie Lewis, Alex Klatsky and Chris Autino. The four freshmen were varsity starters from Day One on the Ranney School boys basketball team – partly because they were especially gifted despite their youth and partly because Ranney had never been much for basketball.
Prior to the arrival of the quartet from the Class of 2019 and head coach Tahj Holden ahead of the 2015-16 season, Ranney had never won a game in the NJSIAA Tournament, never qualified for the Shore Conference Tournament and had the sort of basketball program in which a .500 season against a light schedule is a cause for celebration.
No matter how talented Antoine and Lewis were and how much talent the program would add and develop under Holden over the subsequent three years, a Tournament of Champions title might as well have been an NBA championship – a fun thing to dream about, something to work toward, but pipe dream.
Four years later, the framing has changed dramatically. Antoine and Lewis are McDonald's All-Americans and their Panthers squad is one win away from capturing that Tournament of Champions title while at the same time, one loss away from what would be a bitter disappointment.
"All of us are going to play at a higher level (of emotion) that anyone has seen us play," Lewis said. "This is the highest platform there is to play in the state. There are going to be tears (on Sunday): tears of joy end with a win or tears if we end in a loss. There are 311 teams that end their season with a loss and we don't want to be one of them."
From the perspective of what was essentially a start-up program four years ago, just reaching Sunday's Tournament of Champions final is an incredible accomplishment. Ranney had to go survive a serious test from the No. 5 team in the state, Wildwood Catholic, to win its second consecutive South Jersey Non-Public B championship and then beat defending Tournament of Champions winner Roselle Catholic win Non-Public B title and advance to the T of C.
Not only has Ranney made it exponentially farther than any team in its school history – the Panthers have made it as far as any team in the history of the Shore Conference. That would have been dumbfounding proposition just five years ago.
"It's crazy to be able to leave a legacy behind and no matter what happens on Sunday, we're going to be proud of what we accomplished," Lewis said.
In the long-range view, Lewis is correct: this season and four-year journey has already been a success. From the perspective of a team with two of the country's top high school guards and at least three other Division-l-level basketball players in the starting lineup, there is will be no moral victories. Sunday's showdown with Bergen Catholic is a make-or-break game.
There is someone who disagrees with Lewis's current position that he and his teammates have already sufficiently cemented their legacy as a success story from the Shore: Scottie Lewis from November.
"It's T.O.C. or bust at this point," Lewis said back in November when asked about the team's expectations.
While Lewis seems to be playing both sides, he is right on both counts. Ranney's four-year run puts them in the conversation among the greatest teams in Shore Conference history, regardless of what happens on Sunday at he RAC. Considering that the program had never gotten off the ground until this group arrived, there is an unprecedented nature to what Ranney has done.
He is also correct in calling this season "championship-or-bust." Ranney entered the season as the favorite to win the T of C, has been the No. 1 team in N.J. for most of the season and already beat Bergen Catholic during the regular season while playing without two of its current starters, senior Ahmadu Sarnor and junior Phillip Wheeler. While the Crusaders have played like a team formidable enough to beat Ranney over the last three weeks, the burden of expectations rests on the collective shoulders of the No. 1 seed.
If Ranney comes up short of the ultimate prize in N.J. high school basketball, they may still go down as one of the all-time teams at the Shore but will have missed out on the only way to separate from that pack. The 2002 Neptune squad led by Taquan Dean is the only other team from the Shore Conference to make it as far as Ranney has and that Scarlet Fliers team came up short against St. Anthony in the T of C title game.
While there have been a number of other teams to accomplish great things before the T of C started in 1989 – the 1977 Long Branch squad, the 1981 Neptune team that beat a Camden juggernaut in the NJSIAA Tournament, the undefeated Red Bank team from 1983 and any number of great teams from Christian Brothers Academy – a Tournament of Champions title would be the ultimate trump card for this Ranney team. In an era of high school basketball that requires pulling multiple Division I caliber players from multiple towns in order to have any reasonable chance to compete for a Tournament of Champions title, Ranney is on the cusp of being the super-team among super-teams in 2019. For all their accomplishments, none of the other great Shore teams from the past – whether they would care to or not – can make that case.
Finally, there is Ranney's position among some of the all-time teams during the Tournament of Champions Era. Certainly, St. Anthony's undefeated teams stand above the rest, while the St. Patrick team with Kyrie Irving and Michael Kidd-Gilchrist was as talented a team the state has ever seen, even if the Celtics were ineligible for the NJSIAA Tournament in that 2009-10 season.
Five years ago, St. Joseph of Metuchen made a run to the Tournament of Champions final, led by No. 1 overall pick Karl-Anthony Towns and fellow first-round pick Wade Baldwin. The Falcons had to scratch and claw but ultimately beat Linden and Newark East Side to win the T of C for the first and only time in program history. While St. Joseph has a basketball history far richer than that of Ranney, the Falcons never had and may never again have a team on that level.
While St. Joseph is the success story, last year's Hudson Catholic team is the other outcome. Despite being led by two McDonald's All-Americans in Jahvon Quinerly (Villanova) and Louis King (Oregon), as well as another senior standout in Luther Muhammed (Ohio State), Hudson Catholic failed to reach the Tournament of Champions with that heralded class.
It is possible Ranney is just scratching the surface of what it will be as a power player in New Jersey basketball. More likely, however, this is the chance for Antoine, Lewis, Klatsky, Autino, Sarnor, Wheeler and even freshman Elijah Perkins to grab the brass ring and put their names and the name of their school in a special page of the history book.
With a win, Ranney becomes the latest name on the list of champions – maybe not at the very top but among the best teams to pass through New Jersey over the last half-century. If Antoine and Lewis go on to have the kind of professional careers that many expect them to have, that would only add to the lore of this Ranney group.
Without a win on Sunday, they will be remembered as the team that had Bryan Antoine and Scottie Lewis and somehow didn't win it all. It won't take away from how far the program has come, their five tournament championships or their standing as one of the best teams in Shore Conference history, but there will always be that lasting blemish.
If Ranney can win on Sunday, there will be no blemish: just the final brush strokes of a masterpiece four years in the making.
READ: Ranney Rolls Into TOC Final
Crusading for Revenge
With one second left in one of New Jersey's best regular-season games of 2018-19, Bergen Catholic senior Doug Edert had the ball and a wide-open shot that he has made countless times in practice.
The St. Peter's University signee missed the shot and his team left Brookdale Community College on Jan. 12 with a hard-to-swallow 56-55 loss to Ranney.
"It was an elbow shot, a midrange shot that I shoot a million times every day," Edert said. "It's an open shot. I choked for my team and I felt horrible about it. I can assume you that it that happens again, I'll make it for my team."
That loss was the first of the season for the Crusaders and set off a three-game losing streak that included a 56-54 loss to rival Don Bosco and a 59-53 loss to Cardinal Hayes of the Bronx. Those would be Bergen Catholic's only three losses of the season.
Bryan Antoine drives for a layup against Bergen Catholic. (Photo by Paula Lopez)
"Not that it doesn't mean anything, but it was like a lifetime ago," Bergen Catholic coach Billy Armstrong said. "I think we are much better than when we played them and I think they are much better than when they played us."
The Crusaders enter Sunday on a 17-game winning streak and a dominant tear through the NJSIAA Tournament. During their run to the Non-Public A championship, the Crusaders beat their four opponents by an average margin of 30 points and scored 100 points in two of those wins – including against a St. Joseph of Montvale team currently ranked No. 15 in the state.
Bergen Catholic got its first test of the state tournament Friday in its first Tournament of Champions game in 17 years. Newark East Side led by 15 in the first half before the Crusaders came roaring back, eventually sealing a 79-75 win over the Red Raiders.
Xavier commit and 6-10 forward Zach Freemantle went off for 36 point and 14 rebounds to lead Bergen Catholic while Edert hit the go-ahead three-pointer in the fourth quarter that also pushed him past the 1,000-point mark for his career.
Freemantle and Edert had relatively quiet games against Ranney at the Boardwalk Showcase on Jan. 12, with Freemantle tallying 12 points and 10 rebounds and Edert netting 10 points. Junior Matt Zona was Bergen Catholic's standout that night, putting up 16 points and seven rebounds.
Without Wheeler and Sarnor, Lewis and Antoine carried Ranney to the win over Bergen Catholic, but not without some help from their friends. Perkins came up with several key plays down the stretch, including a crucial chase-down block in the late stages of the fourth quarter.
Lewis was tasked with guarding Freemantle and limited Bergen Catholic's big man to below his season average. Lewis expects to guard Freemantle again and this time, Ranney will have Wheeler to stick on Zona, who hurt the Panthers in the first meeting.
Keeping both Lewis and Wheeler out of foul trouble will be critical for Ranney, which has Autino on the bench to battle the Bergen bigs for some stretches of the game as well. The other key matchup will be point-guard battle between Edert against Sarnor. For Bergen Catholic to win, the Lewis-Wheeler-Sarnor trio cannot outscore Freemantle, Zona and Edert.
The x-factor for Ranney could be its shooting, which has not been sharp lately. The Panthers are 9-for-40 (22.5 percent) from three-point range over their last three games but have still managed to advance thanks to a relentless defensive effort that has held three straight quality opponents – Wildwood Catholic, Roselle Catholic and Moorestown to 50 points or fewer.
Antoine has found ways to score when his perimeter shot is not falling and when Sarnor, Lewis and Wheeler have found their respective offensive rhythms, he hasn't needed to carry the load. The Shore's all-time leading scorer enters Sunday 20 points shy of 2,500 for his career and given his 26 points in the first meeting between the two teams without Sarnor and Wheeler, 20 points on Sunday would be a put Ranney in a good position to win.
Klatsky has also found ways to impact the game without his shots falling. He attempted a combined three shots against Roselle Catholic and Moorestown but made two of them and has been more involved on the defensive end and on the glass while finding open teammates on offense. A winning Ranney formula has usually included Klatsky hitting at least two three-pointers and given Bergen Catholic's torrid stretch on offense recently, he will probably have a hit a couple more on Sunday.
This shapes up to be a classic offense-vs.-defense battle and if you would have presented that back in January, most people might have assumed Ranney was "offense" and Bergen Catholic "defense". The roles are reversed, however, and Ranney will try to turn in one more lockdown defensive effort against perhaps its toughest opponent to secure the Shore Conference's first T of C championship.
The Pick: Ranney 62, Bergen Catholic 58
Filed Under: Ahmadu Sarnor, Alex Klatsky, Bergen Catholic, boys basketball, Bryan Antoine, Doug Edert, Elijah Perkins, Matt Zona, NJSIAA Tournament, Phillip Wheeler, Ranney, Scottie Lewis, Tournament of Champions, Zach Freemantle
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Thoracic Trauma: Esophageal Injury
The esophagus can be injured by blunt or penetrating traumatic injuries. These type of injuries are rare, but they still life-threatening conditions. Most causes of esophageal injuries are considered iatrogenic, but may be spontaneous or traumatic. Rapid diagnosis and management provides the best chance for the patient to live without disabilities. However, delayed diagnosis is common, leading to increasing morbidity and mortality. In this article, we will discuss the pathophysiology, etiology, investigations, and management for this potentially fatal gastrointestinal condition.
Pathophysiology of Esophageal Injury
Causes of Esophageal Injuries and Perforations
Clinical Presentation of Esophageal Injury
Complications and Prognosis of Esophageal Injury
Investigations and Diagnostic Tools for Esophageal Injury
Management of Esophageal Injury
Image: "Swallowed coin stuck in esophagus." by Hellerhoff – Own work. License: CC BY-SA 3.0
The esophagus is more important than the rest of the GI tract for the risk of trauma because it is devoid of a serosal layer (contains elastic and collagen fibers) that provides the required stability against trauma.
Most of the esophageal injuries involve the thoracic esophagus, followed by the cervical and the intra-abdominal esophagus. The most common site of the perforation by penetrating and iatrogenic traumas is the cervical esophagus, while the most spontaneous trauma occurs in the intra-abdominal esophagus.
Latrogenic causes represent most of the injuries, followed by external trauma (penetrating and blunt), barogenic rupture and ingested foreign bodies.
Several mechanisms involved in esophageal trauma
Instrumental injuries of the esophagus (Iatrogenic injury) are considered the most common causes of perforation by the shearing forces. Also, it can be caused by different GIT integrated procedures, such as upper GIT endoscopy and strictures dilatation.
Direct piercing or shearing forces along the longitudinal axis of the esophagus, especially if associated with atrophy of the esophageal wall from necrosis may be the cause.
Boerhaave syndrome, which is defined as the spontaneous rupture of the esophagus, may occur as a result to a sudden rise in the intraluminal pressures, usually because of vigorous vomiting or retching, and that often occurs after heavy meals and alcohol consumption.
Latrogenic causes
Represents the main cause of esophageal perforation. It accounts for about 755 of cases.
Occur during diagnostic and therapeutic procedures like endoscopy, stricture dilatation, esophageal varices ligation and endotracheal intubation.
Intraoperative esophageal perforation occurs during gastrointestinal and cardiothoracic operations. It accounts for about 2% of esophageal perforation.
Boerhaave syndrome
It accounts for around 13% of esophageal perforation.
It occurs due to an increase in intraluminal pressure against the closed lower esophageal sphincter. This is mainly caused by violent vomiting and retching. It often follows ingestion of heavy meals and alcohol intake.
Foreign body ingestion
Ingestion of caustic chemicals (corrosives) may cause direct inflammation of the wall and persistent damage, e.g. hydrochloric acid, sulfuric acid, hydroxide, potassium hydroxide (caustic potash) and sodium hydroxide (caustic soda).
Swallowing of foreign bodies, like pills and coins, can cause esophageal perforation directly by piercing, or indirectly by increasing intraluminal pressure.
Penetrating trauma is more common than blunt trauma. Penetrating trauma is usually associated with damage to surrounding cervical structures. It often occurs due to gunshots and stab injuries.
Blunt trauma can affect any part of the esophagus. Sometimes, the diagnosis is delayed secondary to other traumatic injuries.
Esophageal perforation is a serious life-threatening disease which must be diagnosed very rapidly to avoid fatal complications following it. This depends on accurate history taking, observation and clinical examination of the patient.
Chest pain: Severe pain at the site of perforation. It is considered a cardinal symptom for esophageal perforation. It usually has acute and sudden onset and radiated to the back or the left shoulder.
Classic presentation of Boerhaave syndrome is severe and vigorous vomiting or retching followed by severe chest pain or epigastric pain. It may be presented with chest or abdominal pain that occurs after straining, child birth, seizures, hiccup, severe cough or even blunt trauma.
As regards, iatrogenic causes, foreign body ingestion, and caustic material ingestion, the presence of fever and pain in the abdomen, neck, upper back and chest; dysphagia; dyspnea; odynophagia or dysphonia following esophageal instrumentation should increase the suspicion for esophageal injury.
If the patient has a history of pre-existing upper gastrointestinal pathology (GERD, Barrett esophagus, hiatal hernia, achalasia, esophageal carcinoma, strictures, radiation therapy, varices, infection), this raises the risk of traumatic perforation of the patient.
Old age (> 65 years) is a significant risk factor for perforation during esophageal instrumentation.
Hematemesis may be present, but it is normally not an obvious symptom.
Physical examination is usually non-specific, but certain clinical findings would be very helpful, including fever, tachycardia, tachypnea and hypotension.
Mediastinal emphysema appears as crepitus at the base of the neck, later on subcutaneous emphysema appears over the neck and the chest wall
The Mackler triad, consisting of chest pain, vomiting and subcutaneous emphysema, is classically and usually associated with spontaneous esophageal rupture and it is present only in about 50% of cases.
Auscultation of the chest can be very important. It may show the Hamman sign, which is a crunching sound that can be heard over precordium with each heartbeat, and caused by mediastinal emphysema. It often occurs with thoracic or abdominal perforations.
If the perforation reaches the pleural cavity, it may lead to pneumothorax and pleural effusion and that may cause respiratory distress.
Permanent damage to the esophageal wall causing narrowing or stricture
Formation of abscess in and around the esophagus
Pneumonitis and lung abscess formation
An inflammatory response usually occurs rapidly after perforation and the condition can progress to shock – even death – if untreated
Overwhelming bacterial mediastinitis that may cause multiple organ failure with a high mortality rate in a very short time
Pneumothorax and pleural effusion that may cause respiratory distress
Outlook is good if the problem is found within 24 hours of its occurrence. Most people survive if surgery is performed within 24 hours. Survival rate goes down when treatment is delayed.
The differential diagnosis involves a wide variety of causes of chest pain; each has a characteristic presentation and should be differentiated from esophageal injuries.
Acute aortic dissection
Aspiration pneumonitis and pneumonia
Bacterial Pneumonia
Acute pericarditis
Empyema and Abscess Pneumonia
Mallory Weiss syndrome
Peptic ulcer disease
Esophageal trauma diagnosis depends mainly on radiographic evidence that appear plain X-ray of the chest and Esophagogram. Specifically, posteroanterior and lateral plain chest X-rays can show signs indicative of esophageal injury.
It may show subcutaneous and mediastinal emphysema. Pleural effusion, pneumothorax and hydropneumothorax may occur after traumatic injury of the esophagus, and are highly suggestive of traumatic esophageal perforation. Also, mediastinal air fluid level, free air under the diaphragm may be present.
The V sign can be seen in esophageal perforation, and it might indicate pneumomediastinum. There might be an air the outlines the left lower mediastinal border and medial left hemidiaphragm, taking the shape of the "V" letter.
Esophagography (Gastrografin Sallow)
It is the best investigation for diagnosis that can reveal the site and extent of perforation. Gastrografin is used in this study, and not Barium, because it is very serious and can cause severe inflammation of the tissue and mediastinitis.
The patient lies on the right lateral decubitus position. A Barium study can be done immediately if Gastrografin study comes negative. That is because the sensitivity of Barium is higher than gastrografin.
Computer tomography (CT scanning)
CT with the contrast of the chest and upper abdomen might reveal a presence of a leak, suggestive of esophageal perforation. A CT scan can confirm the above findings that may be present in a chest X-ray and esophagogram; also, it is better in the diagnosis site of traumatic perforation than the plain X-ray.
Upper endoscopy can be used in the early diagnosis of patients with suspected traumatic esophageal injury. It can be used when there is a high suspicion of perforation without radiographic findings. Flexible endoscopy allows the visualization of the esophagus and stomach in order to detect whether there is esophageal injury or not, especially if there is no previous history of esophageal instrumentation.
Laboratory studies has little value in confirming the diagnosis of esophageal trauma, but the routine lab must be done like CBC, ABG, electrolytes, coagulation profile, liver function tests and kidney function tests.
Emergency treatment
Suspicion of esophageal perforation as a diagnosis is considered the first most important step in its treatment. Once esophageal perforation is suspected, confirm it and assess the severity of the condition and hemodynamic stability of the patient then start emergency treatment.
2 large IV lines, nothing per mouth, oxygen supply and cardiopulmonary monitoring.
Administration of IV broad spectrum antibiotic, analgesics and total parenteral nutrition.
Gastric tube and endotracheal tube may be used according to the patient status.
Tube thoracostomy may be urgently used to decompress the chest. Fluid removed is often gastric contents, sometimes pus, which is often formed after a significant delay in diagnosis and treatment.
Conservative treatment
Conservative management can be considered in patients with a contained perforation and limited leakage. It is also suitable for many patients with iatrogenic perforation and patients with inoperable malignant perforation.
Conservative treatment includes continuous nasogastric suction and the administration of an intravenous analgesic, broad-spectrum antibiotics, antiemetic, PPI, and parenteral nutrition.
Drainage of the pleural and mediastinal contamination, effusion and abscess using percutaneous drainage tube.
Esophageal defects are closed with endoclips, metal stents or fibrin glue.
The outcome of patients depends mainly on proper treatment and appropriate drainage of any contamination in the pleural space or the mediastinum.
Surgery should be performed in patients with a free perforation, in the absence of comorbidities that would prevent surgery and in patients free of underlying esophageal pathology (e.g., esophageal cancer). Surgery should generally be performed within 24 hours if possible to avoid any complications that may happen due to delayed intervention.
The used surgical approach depends on the state of the esophagus (healthy or diseased by malignancy or stricture) and the site and degree of perforation.
The most successful surgical approach
Primary repair, with or without debridement of the mediastinal, and pleural drainage of the ruptured esophagus, mediastinal debridement, and pleural drainage. This is done by transabdominal or transthoracic approach depending on the site of perforation.
In iatrogenic cases, especially if there is a stricture distal to the site of perforation
Myotomy is needed and the defect is closed by fundoplication.
If the esophagus is apparently damaged or diseased, primary repair could not be done but resection of the diseased part and fundoplication is done.
Repair over a T-tube
It is an alternative approach that may allow for a controlled esophagi-cutaneous fistula to be done, which allows the healing to occur without contamination. The T-tube is usually removed after 4-6 weeks in most patients, and then the fistula eventually closes.
Diversion and exclusion of the esophageal secretions must be done to allow healing and prevent further contamination and infection.
Minimal invasive techniques
Minimal invasive techniques have been described to treat this condition, but they are used only if there are no significant signs of contamination and sepsis, no major risk factors that could prevent the procedures and no contraindication for laparoscopy and thoracoscopy.
Endoscopic stent placement is done only in highly specialized centers with specialized expertise. It is used for patients with underlying diseases that preclude surgical intervention, but there must be no any underlying esophageal pathology.
Self-expandable metal stents (SEMS) and self-expandable plastic stents (SEPS) have been used to treat esophageal perforations.
Esophageal Rupture and Tears in Emergency Medicine via medscape.com
Esophageal perforation: diagnostic work-up and clinical decision-making in the first 24 hours via nih.gov
Overview of esophageal perforation due to blunt or penetrating trauma via uptodate.com
Boerhaave syndrome: Effort rupture of the esophagus via uptodate.com
Esophageal perforation: diagnostic work-up and clinical decision-making in the first 24 hours via sjtrem.biomedcentral.com


(Reuters) - Uber's head of corporate development, Cameron Poetzscher, was disciplined last year after a probe found he had a pattern of making sexually suggestive comments about other co-workers, the Wall Street Journal reported on Wednesday, citing people familiar with the investigation.
"We take all employee complaints seriously, as we did in this matter from 2017. It was fully investigated by outside counsel, and the appropriate actions were taken as a result," an Uber spokesman said in a statement.
"After some concerns were raised in 2017, an outside law firm conducted a confidential review and I was rightfully disciplined," Poetzscher said in a statement.


text:
Pedro Leite Osório (Cuiabá, 22 de novembro de 1852 - Rio de Janeiro, 7 de dezembro de 1907) foi um político brasileiro.

Biografia
Filho do brigadeiro Alexandre José Leite e de Augusta Olímpia de Sousa Osório, foi eleito deputado estadual do Mato Grosso de 1903 a 1906. Exerceu a presidência do estado após o assassinato do presidente Antônio Pais de Barros, assumindo em 08 de julho de 1906 até 15 de agosto de 1907.

Governadores de Mato Grosso
Naturais de Cuiabá

redpajama_set_name: RedPajamaWikipedia


I admit, I'm addicted to hiking. Tod's schedule has made it difficult to hike together so on Sunday I ventured out by myself to Scott's Run Nature Preserve in northern Virginia. Scott's run is a hidden oasis in Fairfax County. Nestled between housing developments and the beltway, it is amazing that it has been preserved for nature lovers.
I began my hike off of Georgetown Pike at the entrance near Scott's Run. The trail was a blanket of leaves. In fact, along some sections it was really hard to tell where the trail was! The hike was mostly level and would be a great alternative for those with young kids.
Before long, I came to the Potomac River. According to my guidebook, the shoals are known as Stubblefield Falls. There are plenty of places to sit and enjoy the view. I walked along the river for a while before meeting up with another part of the trail, higher up.
Although some parts of the trails are well marked, it wasn't always easy to find my way. I'm pretty sure I took a "road less traveled" and ended up on an unofficial trail. I'm glad I finally met up with a major trail and made my way to the area near Scott's Run. This time of year is so peaceful in the forests. Without the leaves I could see well into the woods. Even though it was cold out, a brisk pace helped me to stay toasty warm! Overall, it was an easy 3-4 mile loop. Well worth the trip!
This entry was posted in Maple's Jots on Jaunts, Virginia Hikes and tagged virginia hikes by Maple. Bookmark the permalink.


text:
New Hyundai i10 facelift to arrive in 2023
This is our first look at the facelifted, third-generation i10 and despite the camouflage we can already see some significant changes to Hyundai's city car. The current i10 has been out since 2019 and while it received a light update in 2020, we expect this facelift will be more extensive.
The city car segment has been under threat for a while with brands struggling to make money out of smaller, cheaper vehicles in general. The Hyundai i10's roster of rivals has dwindled somewhat in recent years, with the Peugeot 108 and its Citroen C1 sibling dying out along with the Vauxhall Viva, Renault Twingo and Skoda Citigo.
Despite the issues in the wider sector, Hyundai is pressing ahead with the i10 and, as we can see from these spy shots, it's set to receive a new exterior look. The front appears as if it'll get a reshaped bumper and new daylight running lights. The headlights and foglights also look to have been mildly tweaked compared to the current i10's.
There's further camouflage on the side but we don't expect any major changes there. At the rear we can see a new design of rear light, plus a new fog light position. We can't see if there are any changes to the bumper, but judging by previous i10 facelifts Hyundai will probably give the new car a restyle there too.
Inside, the i10 shouldn't change too much. Higher-spec models will still receive an eight-inch infotainment touchscreen, a rear-view parking camera and smartphone connectivity. The sportier N-Line model should remain as the range-topper with unique 16-inch alloy wheels, a new grille and red stitching on the upholstery.
The powertrain lineup is also unlikely to be messed around with. Under the bonnet we expect to see a 66bhp 1.0-litre three-cylinder, an 83bhp 1.2-litre MPi four-cylinder and a 99bhp turbocharged three-cylinder.
This is the first time we've seen the facelifted i10 testing so a full release isn't likely until the latter stages of 2023.
Now check out the cheapest cars you can buy right now…
1 min ago admin


text:
February 27, 19:00
Krasnoyarsk | Krasnoyarsk Philharmonic
Tchaikovsky: Francesca da Rimini, Capriccio Italien, Romeo and Juliet
Pyotr Tchaikovsky (1840–1893)
Francesca da Rimini,
Symphonic Fantasy after Dante, Op. 32 (1876)
Capriccio Italien
on folk tunes for orchestra, Op. 45 (1880)
Romeo and Juliet,
Overture-Fantasy after Shakespeare, TH 42 (1869–1880)
musicAeterna Orchestra
Conductor — Teodor Currentzis
The musicAeterna orchestra's new symphonic programme is dedicated to the image of Italy in Pyotr Ilyich Tchaikovsky's work.
Impressions of the Eternal City and the Roman carnival took shape of the Capriccio Italien — a brilliant orchestral piece, which the composer himself predicted a bright future: '…I already have an Italian fantasy on folk themes ready in the first edition, which, it seems to me, can expect a rosy future. It will produce an impact due to some charming themes that I partly selected from anthologies, and partly heard on the streets with my own ears.'
The works surrounding the Capriccio Italien in musicAeterna's concert are connected with Italy less directly — and thus more subtly. Back in 1869, Mily Balakirev suggested that Tchaikovsky should compose an orchestral fantasy based on Shakespeare's Romeo and Juliet. Over the next ten years, the composer made three revisions of this programmatic work, and at the end of his life he set out to write an opera on the eternal plot about the tragic love of the two Veronese. The sketch of the Romeo and Juliet duet (finished by Sergei Taneyev) has been preserved, which is based on the memorable theme of love from the overture-fantasy.
In 1876 Tchaikovsky turned to another classic plot drawn from Dante's Divine Comedy: Francesca da Rimini was conceived as an opera, but turned into a program symphonic fantasy. The orchestral depiction of infernal whirlwinds and groans of sinners is crowned with another hymn of sublime love – in Francesca's Tale, the central section of fantasy. Thus, turning to Italian literary plots (let us recall that Shakespeare's story of Romeo and Juliet is rooted in Ovid's Metamorphoses), Tchaikovsky singles out what constitutes the core of the romantic myth of Italy. In his music, this country appears not only as an existing territory on the world map, but also as a space of fantasy and feelings set free, where neither age-old human enmity nor the forces of hell have power over true love.
musicAeterna Orchestra, Teodor Currentzis, musicAeterna
#Pyotr Tchaikovsky
Dmitry Sinkovsky and musicAeterna: Bach, Mozart
January 31, 20:00
St. Petersburg | State Academic Capella
A brief digression into the history of modern dance of the XX century
February 1, 19:00
St. Petersburg | Dom Radio
The musicAeterna Orchestra Soloists. Chamber Concert. Mozart, Beethoven
February 1, 20:00—21:00
Mediated Tours at Dom Radio
Moscow | Great Hall of the Conservatory
Yury Martynov, hammerklavier. Recital, Bach, Haydn
Plyas: dance workshop
Choral Meetings at Dom Radio
Psychoanalysis in the Space of Sounds
A series of films about alternative music. Post-Soviet music videos and experimental culture
The musicAeterna orchestra soloists. The Music of the Future 100 Years Ago
Moscow | Zotov Centre
February 10, 19:00—21:00
How to watch modern dance
Yiorgos Kaloudis (Greece). A Cycle of Concerts. Multi-Pass
February 16 — February 25
Films of the festival of experimental and amateur cinema «INSIDE». The program «Inside. Siberia»
Meet-and-greet: Yiorgos Kaloudis (Greece, Cretan lyra)
The club meetings «Emile Berliner»
Yiorgos Kaloudis (Greece). LA RÊVEUSE: music of the Middle Ages and the Baroque era
Choral concert: Rachmaninoff, Retinsky
Moscow | Zaryadye Hall
Yiorgos Kaloudis (Greece). Bach Suites, Part I
The Teachings of the Church Fathers: a lecture cycle on patristics with Vadim Lurie
Yiorgos Kaloudis (Greece). Bach Suites, Part II
Sochi | Zimniy Theatre
Shostakovich | musicAeterna Soloists Concert
Sochi | Organ and Chamber Music Hall
Films of the festival of experimental and amateur cinema «INSIDE». The program «Inside. Moscow, Saint-Petersburg»
Krasnoyarsk | Krasnoyarsk Philarmonic Organ Hall
Yiorgos Kaloudis (Greece). APTERA: author's compositions for lyra, cello, voice and electronics
The Book of the Month. David Keenan «England Hidden Reverse»
Wagner: Ouvertures
Сoncert of musicAeterna: Tchaikovsky, Pärt, Shostakovich, Kancheli
March 1, 19:00
Norilsk | Norilsk Polar Drama Theater
Richard Strauss: Metamorphosen Tchaikovsky: Symphony No. 6
May 14, 20:00
Barcelona | Palau de la Música
Mahler: Symphony No. 9
Barcelona | L'Auditori
Madrid | Auditorio Nacional de Música
Tchaikovsky and Contemporary Composers
"Pathos" and "Pathetic". Lecture by Mikhail Pozdnev
Tchaikovsky's Violin Concerto: History of Performance from the Premiere to the Present Day (Russian)
Lecture "Geography of Tchaikovsky's Life and Work. Selected Pages"
Valentin Silvestrov. October 25, 1893 (In memory of P.I. Tchaikovsky)


text:
package ru.otus.kushchenko.patterns.atm.model;

import lombok.AllArgsConstructor;
import lombok.Getter;
import lombok.ToString;

import java.util.Objects;
import java.util.Optional;
import java.util.stream.Stream;

/**
 * Номинал банкноты.
 */
@Getter
@AllArgsConstructor
@ToString
public enum Nominal {

    TEN(10),
    FIFTY(50),
    ONE_HUNDRED(100),
    FIVE_HUNDRED(500),
    ONE_THOUSAND(1000),
    FIVE_THOUSAND(5000);

    /**
     * Целочисленное значение номинала.
     */
    private final int value;

    /**
     * Получить номинал по численному значению.
     *
     * @param nominal целочисленное значение номинала
     * @return номинал или null, если соответствующего
     */
    public static Optional<Nominal> valueOf(int nominal) {
        return Optional.ofNullable(
                Stream.of(values())
                        .filter(e -> Objects.equals(e.value, nominal))
                        .findFirst()
                        .orElse(null)
        );
    }

}


where V1,V2,…Vn represent the rms value of the fundamental, second … and nth harmonics.
With a 10% fifth harmonic only, the current is 11.2% higher, and hence the error is 11.2% in the voltage measurement.
This method is not recommended when a.c. voltages are not pure sinusoidal waves but contain considerable harmonics.
Series capacitance voltmeters were used with cascade transformers for measuring rms values up to 1000 kV. The series capacitance was formed as a parallel plate capacitor between the high voltage terminal of the transformer and a ground plate suspended above it. A rectifier ammeter was used as an indicating instrument and was directly calibrated in high voltage rms value. The meter was usually a 0-100 μA moving coil meter and the over-all error was about 2%.


text:
STATISTICS > LIFTER
LIFTER PROFILE
SHANNON SALISBURY
Club Saints Weightlifting Club Gender F
Age Group Junior Weightlifting Age 20 (Born 2000)
Coach Sonia Stenhouse
State QLD
CHART FILTER
ALL TIME - LAST 5 YEARS - LAST 2 YEARS
F63 40 46 84
Competition History
JME Qld Club Challenge Round 4 – Toowoomba 64.10 25 30 55 31/10/2015 72.261 UNGRADED
Qld All Schools Championships 63.90 (+2) 27 (+4) 34 (+6) 61 7/11/2015 80.308 UNGRADED
Qld Club Challenge Round 1 – Toowoomba 64.40 (+1) 28 (+4) 38 (+5) 66 6/02/2016 86.451 UNGRADED
Qld U15 & Youth Championships 60.70 (+2) 30 (+2) 40 (+4) 70 30/04/2016 95.408 UNGRADED
Qld Club Challenge Round 2 & Eleiko Club Challenge Qualifying Round – Toowoomba 62.00 30 42 (+2) 72 14/05/2016 96.716 UNGRADED
Qld Club Challenge Round 3 – Toowoomba 61.30 (+4) 34 (+1) 43 (+5) 77 13/08/2016 104.238 UNGRADED
Qld All Schools Championships 62.35 (+2) 38 (+3) 46 (+5) 84 12/11/2016 112.407 UNGRADED
Qld U15 & Youth Championships 62.10 (+1) 39 (+-2) 44 83 13/05/2017 109.741 UNGRADED
JME Qld Club Challenge Round 2 – Saints 62.70 (+1) 40 (+-5) 41 81 17/06/2017 106.467 UNGRADED
Uesaka QLD Club Challenge and League Round 2 68.40 36 44 80 23/06/2018 99.974 UNGRADED
Competition Attempts
SNATCHES
CLEAN & JERKS
JME Qld Club Challenge Round 4 – Toowoomba 64.10 21 23 25 30 33 33 25 30 55 31/10/2015
Qld All Schools Championships 63.90 25 27 29 28 31 34 27 34 61 7/11/2015
Qld Club Challenge Round 1 – Toowoomba 64.40 23 26 28 35 38 40 28 38 66 6/02/2016
Qld U15 & Youth Championships 60.70 24 28 30 35 38 40 30 40 70 30/04/2016
Qld Club Challenge Round 2 & Eleiko Club Challenge Qualifying Round – Toowoomba 62.00 27 30 32 37 40 42 30 42 72 14/05/2016
Qld Club Challenge Round 3 – Toowoomba 61.30 30 34 37 40 43 45 34 43 77 13/08/2016
Qld All Schools Championships 62.35 33 36 38 40 43 46 38 46 84 12/11/2016
JME Qld Club Challenge Round 2 – Saints 62.70 33 36 40 38 41 45 40 41 81 17/06/2017
Uesaka QLD Club Challenge and League Round 2 68.40 30 34 36 37 41 44 36 44 80 23/06/2018
Percent Successful Lifts
Number Events
State Events 13 87% 78% 83%
Higher Events (National/International) 0 - - -
All Events (Overall) 13 85% 82% 83%
Average First Attempts Compared to PB
When Successful -4kg - 12 events -4kg - 12 events
When missed N/A N/A
History of Records Broken


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