Eat as much as you like and STILL drop the pounds on the Harcombe diet — sounds good right?
Do you dream of a weight loss plan that doesn't involve calorie counting and allows you to eat the foods you love?
The premise of the Harcombe diet is that you really can enjoy as much food as you want without having to tot up the calories: salmon, chicken stir-fries, eggs... and then later even pasta, cheese, fruit, dark chocolate and red wine!
These factors in your diet and nutritional intake lead directly to Candida albicans, food intolerance and hypoglycaemia.
So by starting a low-calorie diet, Zoë believes you could actually end up a food addict!
● Unless specified, eat as much as you like so that you don't start to feel hungry.
● You're allowed to eat unlimited unprocessed meat, fish, eggs, salads and vegetables, apart from potatoes and mushrooms. Mushrooms feed Candida albicans, while potatoes are very high in carbohydrate so they encourage Candida albicans and hypoglycaemia. Olives and tomatoes are also allowed, as is olive oil for cooking and dressings.
● You can have 50g brown rice or rice pasta per day or 75g porridge oats.
● No caffeine is allowed. But you should drink about 1.5 litres of water, herbal tea, decaffeinated tea or coffee (without milk) a day.
● And no sweeteners or sugar-free drinks - they can stimulate the insulin mechanism in a similar way to sugar and just perpetuate your desire for sweet things.
● Unless specified, all foods can be cooked in any way - roasted, fried, grilled, baked, poached etc.
● You can snack between meals on vegetable crudités or natural live yoghurt, but try and get used to eating just three big main meals a day so your body has time to digest them properly. Make meals as regular as possible so your body feels no need to store food.
● If you're following the fixed plan, you can switch around any of the meals - as long as you're only having one meal a day with rice, rice pasta or porridge oats.
● You can continue on Phase 1 for as long as you wish, but after five days you can switch to Phase 2, which is a little less restrictive.
● Don't eat processed foods - only eat real food. For example, oranges grow on trees; cartons of orange juice don't. Fish swim in the sea; fish fingers don't - you get the idea!
● Don't mix fats and carbs in the same meal - a principle introduced in Phase 1. In the simplest terms possible, your body will use any carbs eaten for energy and will store fat for later. Fat storage requires insulin and insulin is only released if you have eaten a carbohydrate.
● Don't eat the foods that cause your cravings. Rule one, above, will remove 90 per cent of the most commonly craved foods from your diet (biscuits, cakes, sweets, sugary cereals etc).
● To keep Candida albicans at bay, stay off vinegary/pickled foods, mushrooms and blue cheese for another few weeks in Phase 2 and limit fruit to no more than two pieces day. The most common food intolerance in the UK is wheat, so you are well advised to stay off wheat and have brown rice, baked potatoes, rice pasta, quinoa and couscous as your staple carbohydrates in Phase 2. For hypoglycaemia, watch your carbohydrate intake generally - the more 'fat' meals you have, the better.
● The best way to remember the difference between fats and carbs is that fats come from things with faces (bacon = pig; butter = cow, eggs = chicken etc) and carbs come from the trees and the ground (fruit, wholegrains, baked potatoes etc).
● In Phase 2 you can have the occasional glass of (ideally) red wine with a main meal.
● In Phase 2 you can have a square or two of dark chocolate (at least 70% cocoa solids, ideally 85%) as a snack, if needed, or at the end of a 'fat' meal.


L'Oreal has announced Grainne Barron, CEO and Founder of Viddyad as the winner of The L'Oreal Women in Digital Award 2016. Grainne pioneered technology in automated video ad creation and real time distribution. She is recognised with the Women in Digital Award for her technological innovation and vision.
The Irish woman joins the ranks of past Women in Digital Winners such as Victoria Eisner, Co-Founder of Glamsquad and Kelsey Falter, Former Founder and CEO of Poptip, which was acquired by Palantir in 2014 and who themselves have raised US$2 billion. Past Women in Digital winners have raised over US$300 million in funding.
Barron was one of three finalists invited to present at L'Oreal's Inspiration Day on September 16th in front of more than 500 L'Oreal Senior Marketing Executives. Judges included Arianna Huffington, Founder of The Huffington Post and Frédéric Rozé, L'Oreal USA CEO. Other finalists were Morgan DeBaun, founder of Blavity; and Grace Woo, founder of Pixels.IO.
Barron, who previously won the WEB Summit Spark of Genius Award and the PwC Most Innovative Startup award, is ready to collaborate with the L'Oreal brand on a global scale. "This is a great opportunity for Viddyad. We are honored to be welcomed into the L'Oreal family and look forward to a close partnership with them," said Barron.


St. Petersburg is over 300 years Young!
Today we visited the original city of St. Petersburg – founded by Peter the Great is 1703. The site of the original city is an island of great military importance located in the middle of the Neva river. The fortress is the traditional star fort – that means that the walls zig zag out and in – and cover each other from all sides.
But sometimes the best adventure comes on the way to your destination!
We started the day on the metro – getting off at the stop nearest the Fort. Our original plan was to first see the Museum of Political Life – but it was closed. What is it about this trip that things are closed or otherwise unavailable. Did we not do enough research. Really! Anyway – this actually turns out to be a good thing because when we do get to visit the Museum – it's a full day adventure in and of itself! Russians seems to do museums on a truly grand scale – but more about the Museum of Political Life later.
Moving on – we pass a lovely pond, kids feeding ducks – people drinking coffee. In mugs. Wait a minute – those are not take-away paper cups – those are mugs. Where's the restaurant?
It's actually hidden inside an artifical cave dug into the park. On one side is a set of steps on a grassy knoll – no hint that a restaurant exists. On the side near the duck pond (well – more of a dove pond actually – based on the number of birds of each type) is the door to the restaurant. I do a dead stop, hard right into the restaurant. I'm dying for lack of coffee at the Suricata – and here's the perfect antidote! And it's very reasonably priced. I'm in heaven.
IT gets tea, MP gets 2 latte's, and I get a latte and a pastry. Latte is fab – pastry contains goat cheese. So I eat the top and bottom – IT gets to enjoy the center portion!
Suitably refreshed – we head on to the fort.
Having never suffered from battle – the fort is entirely original. There's a rather lovely cathedral inside that contains the tombs of most of the Romanof rulers – even Nicholas II is interned here – his remains and those of his family recovered and moved here in 1998.
The very best part of the fort is the Commandant's House. The begining rooms which cover in way too much detail the founding of the island and the building of the fort – are fairly dull – but once you get up stairs – the museum really picks up the pace. My absolute favorite parts were the section on the house styles of St. Petersburg – and an absolutely hilarious silent movie section featuring a couple having an arguement. The wife throws the husband's brandy, newspaper and pipe out the window – the husband responds by throwing the wife's latest purchases – and the delivery boy out the same window! I laughed so hard – I embarassed IT!
The section on house styles in St. Petersburg – at least in the historic heart – was very interesting. We'd recognized that the Suricata Hostel was rather uniquely designed with a central courtyard – but it wasn't until we saw this exhibit that we realized that all the houses that haven't been heavily renovated are of this design. The entrances from the street are ALL for businesses on the first floor, or in the case of the most fashionable apartments or small 'palaces' – entrances to grand staircases.
The normal residents all enter via the courtyard – and from there into the houses. Cool.
Naturally – the most elegant homes would have 2 staircases – one for the owners – and one for the servants.
I couldn't resist taking pictures of the doll house they had built to show how the houses are laid out on the inside – this despite actually living in one!
Other exhibits I found interesting talked about how indoor plumbing arrived in the city – including fixtures like necklace showers – an obvious pre-cursor to the rain shower.
I totally enjoyed this museum – and I really liked their toilets. They were the only free toilets we saw on the island!
Another highlight of the Fort was the quick view of the beaches we had. St. Petersburg is dark for a lot of the year – and this time of year – when days are really long, and night lasts only 4 hours – are highly valued. So if the sun is out – out come the sun bathers! IT, MP and I are wearing our long sleeved shirts and long pants – these folks are lying on cobblestone walkways in their bathing suits!
We naturally saw the requisite bride and groom – Peter and Paul Fortress is a well known spot for taking wedding pictures, and we sat in the giant metal chairs that form a piece of abstract art in a different part of the Fort.
Doll house view of old St. Petersburg house.
Instead of taking the metro home – we opt to walk across the Neva on the suitably named Troitsky Most. A lot colder and windier then we'd thought – we are well chilled by the time we reach the summer garden – and gleefully opt for a quick dinner out.
Our unfortunate choice was the Barcelona – I know – why Spanish in Russia – but hindsight is always better. Good news – the Sangria was delicious.
← Is there no end to the Hermitage?


text:
Veterans' fundraiser to go virtual, with a prince and a Boss
by: MARK KENNEDY, Associated Press
This combination photo shows Brad Paisley, from left, Bruce Springsteen and Sheryl Crow who will participate in this year's Stand Up for Heroes fundraiser on Nov. 18. The fundraiser, which benefits injured veterans and their families, will also feature comedians including Nate Bargatze, Ronny Chieng, Tiffany Haddish, Iliza Shlesinger and Ray Romano. Jon Stewart will again be host. (AP Photo)
NEW YORK (AP) — This year's Stand Up for Heroes fundraiser is going virtual for the first time and The Boss will once again be there. But so will a real prince.
Bruce Springsteen, Sheryl Crow, Tiffany Haddish and Brad Paisley have all signed up to participate — as well as Prince Harry, the Duke of Sussex, for the first time.
The fundraiser, which benefits injured veterans and their families, will also feature comedians and musicians including Nate Bargatze, Ronny Chieng, Mickey Guyton, Patti Scialfa, Iliza Shlesinger, Jeannie Gaffigan and Ray Romano.
It will air on ABC News Live, TikTok, Facebook Watch, Cheddar, Twitch and Armed Forces Network on Nov. 18. Jon Stewart will again be host. Steward and Springsteen have been longtime backers of the annual effort.
Stand Up for Heroes was first held in 2007 and is produced by the New York Comedy Festival and the Bob Woodruff Foundation. Woodruff was nearly killed during a 2006 attack in Iraq while embedded with U.S. troops for ABC News.
"For the last 14 years, the Stand Up for Heroes event has continued to inspire our nation and serves as a reminder of all of the brave individuals that have defended our country selflessly in our military," Woodruff said in a statement. "This year, it is especially important that we unite to show support for their sacrifices as we come together virtually to stand up for our heroes."
Mark Kennedy is at http://twitter.com/KennedyTwits
by DANICA KIRKA, Associated Press / Jan 16, 2021
LONDON (AP) — Prince William says he is concerned about the mental health of U.K. ambulance drivers, police officers and other first responders who are being exposed to extraordinary levels of trauma and death as coronavirus cases soar.
William, a former search and rescue helicopter pilot, told emergency workers on a video call that they must not be afraid to ask for help despite their inclination to help others first.
Snow Showers Late Precip: 34%

redpajama_set_name: RedPajamaCommonCrawl


Broken tooth repair, what can I expect?
I'm in need of broken tooth repair, what's next?
If you are in need of broken tooth repair your next move should be calling one of Dr. Thomas L. Anderson and Associates three convenient locations for a same day dental emergency appointment. Once you arrive to our office and we find the source of your tooth pain, it's time to make a decision together on how to resolve the problem. There are different ways to repair a broken tooth, and we always want our patients to know all of their options so they can make an informed decision on how to deal with this type of dental treatment.
If the tooth is broken into the nerve chamber of the tooth, saving the tooth with a root canal and crown is the best treatment whenever possible. A lot of patients will ask, "Why can't we just pull the tooth?" While having the tooth removed will clean up the infection and pain, it will start to cause more problems down the road. When a tooth is removed we lose bone supporting the adjacent teeth, the teeth start drifting in to fill spaces leading to malocclusion problems, and super eruption of opposing teeth. If a tooth must be removed, it is always advised to replace the missing tooth in one of the following ways.
Dental implants are the best treatment to fill a gap caused by a missing tooth because they look, function, and feel like a natural tooth. The downside to having an implant placed is the time it takes for healing. It can take over a year and many trips to your dentist to have an implant placed.
Another option is to place a non-removable bridge. A bridge is made up of two or more crowns "bridging" the gap with a false tooth. These are often great for filling in the space, but they have downsides too. Bridges need crowns to support them, so often times the teeth supporting the bridge did not need to be reduced. By choosing an implant, surrounding healthy teeth do not need to be damaged.
Lastly, spaces can be filled with a removable partial denture. This is an appliance that consists of replacement teeth attached to a gum-colored base. There are also downsides to choosing this alternative. Partial dentures clasp on to the other healthy teeth, and put strain on them. This strain often causes problems to the teeth supporting the partial denture. Not to mention how much patients dislike having a foreign appliance in their mouth that they have to take in and out.
This is why when patient come in and tell us, "My tooth hurts; I just want you to pull it out!" We will always go over other treatment options as well, because there is no adequate replacement for a natural tooth! Whenever you are in need of broken tooth repair, but the tooth is not hurting please don't wait to make an appointment with your dentist. Prolonging your visit to fix your broken tooth can make the symptoms get worse, causing more difficult treatment.
Related Article: Are You Suffering from a Broken Tooth?
Often times when teeth are chipped and broken tooth repair is sought out quickly, a simple tooth-colored filling can fix the problem. So don't delay, call one of our three offices and make your appointment. Our expert team is always here when you need us.


text:
Increase in foreign body and harmful substance ingestion and associated complications in children: a retrospective study of 1199 cases from 2005 to 2017
Arne Jorma Speidel, Lena Woelfle, Benjamin Mayer, Carsten Posovszky
posted 15 Oct, 2020
Background: Children with a history of caustic or foreign body ingestion (FBI) seem to be presenting more frequently to emergency departments. This study aims to elucidate the clinical presentation, diagnostic procedures, and complications associated with the ingestion of on different object categories over a 13-year time period.
Methods: A structured retrospective data analysis of patients who presented in between January 2005 and December 2017 to the University Medical Centre Ulm was performed. Patients up to 17 years of age with food impaction or foreign body or harmful substance ingestion were included by selection of the corresponding International Statistical Classification of Diseases and Related Health Problems (ICD10-GM) codes. Descriptive statistics, parametric or non-parametric tests, and linear regression analysis were performed.
Result: In total, 1199 patients were analysed; the mean age was 3.3 years (SD 3.12; range 7 days to 16 years), the male to female ratio was 1.15:1, and 194 (16.2%) were hospitalized. The number of patients seen annually increased from 66 in 2005 to 119 in 2017, with a rise in percentage of all emergency patients from 0.82% in 2010 to 1.34% in 2017. The majority of patients (n=619) had no symptoms, and 244 out of 580 symptomatic patients complained of retching or vomiting. Most frequently, ingested objects were coins (18.8%). Radiopaque objects accounted for 47.6%, and sharp objects accounted for 10.5% of the ingested foreign bodies, both of which were significantly more often ingested by girls (p<0.001 for both). Button battery ingestion was recorded for 63 patients with a significant annual increase (R2=0.57; β=0.753; p=0.003). The annual rate of complications also increased significantly (R2=0.42; β=0.647; p=0.017).
Conclusion: We found an alarming increase in the number of children who presented to our emergency department with FBI and associated complications. A standardized diagnostic and therapeutic approach may reduce and prevent serious complications. Further preventive measures within the home environment are needed to stop this trend.
Accidental caustic and foreign body ingestions (FBI) are frequently reported in children world-wide and affect up to 75% of children under six years of age, since infants evaluate objects by tasting and swallowing [1-7]. A variety of objects and toxic bodies are ingested, among which coins appear to be the most commonly ingested world-wide, followed by fish bones, toys, jewellery, button batteries, magnets, household items, household cleaning substances, caustic sodas, and many others, and food impaction is also reported frequently in this cohort [1, 2, 5, 8-12]. The initial assessment includes a careful history-taking of symptoms, timing of the presentation, the type of foreign body or chemical agent, and associated conditions. This assessment is complemented by a physical examination assessing patient status, vital signs, and airway evaluation and emergency conditions. Management depends on the individual presentation of the patient, his or her underlying oesophageal pathology, the ingested object or liquid and its localization as well as on the physician's clinical experience [7, 9]. Most objects will pass through the gastrointestinal tract (GIT) spontaneously, especially if they have already reached the small intestine and even up to 50% of large foreign bodies (FBs) with a diameter over 30 mm may pass the GIT without intervention [13, 14]. In contrast, FBs lodged in the oesophagus or sharp and relatively large FBs will require an intervention. In such cases, rigid or flexible endoscopy are typically used, where Foley catheter extraction, oesophageal bougienage, McGill forceps and magnetic catheters are less frequently implemented [5, 6, 15, 16]. Button batteries, multiple magnets and sharp objects need to be removed immediately to avoid serious complications [5, 7, 17-22]. Caustic agent ingestion is associated with high morbidity depending on the extent of injury on initial endoscopic evaluation [3, 9]. Food bolus impaction in children and adolescents may be a clinical feature of an underlying eosinophilic oesophagitis and not only requires a therapeutic but also a diagnostic endoscopy [23]. Depending on the objects and agents involved, a variety of associated complications are possible, ranging from mucosal abrasions, lacerations, perforations, mediastinitis, peritonitis, and strictures to death [5, 24, 25]. Complications are more likely if the FB remains impacted for an extended period of time [5, 26]. In addition, unobserved ingestion of objects or chemical substances may delay and complicate diagnosis and treatment, as infants may not inform their parents that they have ingested something [26]. This study aims to elucidate the clinical presentation, diagnostic procedures, and complications associated with the ingestion of different object categories over a 13-year time period. In particular, we evaluated the effect of implementing a diagnostic and therapeutic standard algorithm on the percentage of hospitalizations and complications.
We performed a structured retrospective review of medical records collected over 13 years (from January 2005 to December 2017) from paediatric patients who presented with food bolus impaction and ingestion of foreign objects or chemical substances, at the Department of Paediatric and Adolescent Medicine, University Medical Centre Ulm, Germany. It is the only paediatric hospital of a catchment area in Germany that counts approximately 108,000 children. This study adheres to the ethical principles of the Declaration of Helsinki. It was approved by the institutional review board of Ulm (No.399/17). For the presented data, the requirement to obtain informed consent was waived.
In total, 2427 records of patients aged 0 to 17 years were extracted from the hospital database using codes corresponding to FBI, chemical agents and food impaction from the International Statistical Classification of Diseases and Related Health Problems (ICD10-GM) codes including K22.1-3, T18.0-5, T28.5-9, T30.4, T52.0, T55, T60.8, T62.1-2, and T65.8-9 (Fig. 1). Episodes not corresponding to an accidental ingestion, e.g., alcoholic intoxication, iatrogenic injuries, and erroneous coding, were excluded and multiple presentations for the same event were merged.
Demographic patient information, associate conditions, type of foreign body or chemical substance, clinical symptoms, diagnostic and therapeutic management, and complications were collected from the electronic patient file and electronic database. The miscellaneous ingested foreign bodies, food boli and chemical substances were classified into 30 categories according to their characteristics (object type (solid, liquid and others), object form and size (below or over 2cm*3cm for infants, and below or over 3cm*5cm for children >1 year of age , and sharp)[27], organic or inorganic, radiopacity, and object class (metal, plastic, wood, glass, food, drug, button battery, other batteries, coins, magnet, caustic solution, acid solution, oil, paper, plants, body parts, surfactant/cleanser, stone, and cigarette).
All data were entered and arranged in a single database spreadsheet (Excel XP, Microsoft Corporation, USA). Categorical data are reported as counts and percentages. Continuous data are reported as the mean and standard deviation or the median and minimum and maximum or range, according to data distribution. Further statistical analysis was performed using commercial statistical software (Statistical Package for Social Science (SPSS), version 26, IBM, Germany). To evaluate parametric data with independent samples, Student's t-test was used. An inductive statistical evaluation of the nominal data was carried out using the chi-square test. This enabled the odds ratio to be calculated in suitable cases. Linear relationships between observed data over time were analysed by a linear regression model, and the percentage of variance in the dependent variable was expressed by the R-squared value. An explorative p-value <0.05 was considered statistically significant.
Demographic data and longitudinal trends
In total, 1199 patients were evaluated. Most (n=1102; 91.9 %) presented to the hospital within the first 24 hours after FB ingestion. The mean age was 3.3 years (median=2.23, SD=3.12; range=16.97), with no significant variation in time (Supplemental Fig. 1). Among the patients, 641 (53,3%) were male and 558 (46.5%) were female, with a ratio of 1.15:1 and a similar age distribution (mean age 3.17 and 3.45 years, respectively).
Annually, 41 to 137 patients were assessed, with a significant increase over time (R2=0.79; β=0,886; p<0.001) (Fig. 2). The annual rate increased by 80% from 6.1 in 2005 to 11.1 per 10,000 children in 2017 in the catchment area. This was also reflected by a rise in the percentage of all emergency cases from 0.82% in 2010 to 1.34% in 2017 (Supplemental Fig. 2). We noticed an annual increase in dangerous ingestions (e.g., sharp objects, magnets, batteries, caustic agents) during the observation period, which was accompanied by an absolute rise in FBI and thus did not affect the proportion (R2=0.11;β=-0,336; p=0.262). Dangerous objects were more often ingested by girls (52.5%).
Comorbidities were documented in 127 patients (10.6%). Psychiatric disorders (n=16), intellectual disability (n=13), postsurgical oesophageal atresia (n=7), eosinophilic oesophagitis (n=2) or other conditions (n=101) were registered. Among the psychiatric disorders, five were diagnosed with emotional unstable personality disorders (F60.3), four with attention-deficit/hyperactivity disorders (F90.1), two with posttraumatic stress disorders (F43.1), two with atypical anorexia nervosa (F50.1), two with moderate and severe depressive episodes (F32.1/.2), and one with tabacco-induced mental health problems (F17.1). Most of them were already under psychiatric treatment at the time of ingestion. Food bolus impaction was associated with a higher rate of comorbidities (21.1%).
Type of ingested objects/liquids and symptoms
Solid foreign bodies were specified in 921 patients, soft or flexible bodies in 67 patients (e.g. sponge, leaf), and liquids in 151 patients. For the remaining 60 (5%) patients, the ingested object was not specified. The majority of swallowed objects were inorganic objects (1018; 84.9%). Many objects were referred to as radiopaque FBs (n=571; 47.6%), which were predominantly ingested by girls (n=305; p<0.001). Similarly, sharp objects (n=126; 10.5%) were frequently swallowed by girls (n=81; p<0.001). Coins (n=226), metallic objects (n=197) and cleaning agents (n=148) were the most common types of accidentally swallowed objects and liquids (table 1). Button battery ingestion was recorded for 63 patients, presented with a significant annual increase (R2=0.57; β=0,753; p=0.003) and affected mostly toddlers, who were significantly younger (mean age 2.79 years; median 1.87; SD 2.40; range 11.64) than those who ingested coins (p<0.05; effect size 0.214) (Table 3). Children who swallowed cleansers were significantly younger (mean age 2.5 years) than those who ingested coins, metals, plastics or drugs (p<0.05).
Table 1: Patient characteristics, interventions, and distribution patterns of ingested objects, chemical substances and food
Symptoms were documented in 619 patients (51.6%), mostly retching and vomiting (n=244), followed by coughing fits (n=152), pain (n=133), hypersalivation (n=44), dysphagia (n=30) and miscellaneous complaints (e.g., abnormalities of behaviour, respiratory problems, globus sensation, minor bleeding) (Table 2). Medical complaints were significantly less frequent if the FB was localized distal to the flexura duodenojejunalis (odds ratio 0.44; 95% CI 0.29-0.68, p<0.05) (Table 2).
Table 2: Distribution pattern of all registered symptoms according to the localization of the FB
Medical imaging was performed for 50.3% of the patients (n=603) to localize the FB, and a significant rise in the annual examination rate was observed (R2= 0.79; β=0,886; p<0.001). For girls, imaging was performed significantly more often (n=313; p<0.001). The main methods used were X-ray examination of the chest (n=452; girls n= 243) and abdomen (n=186; girls n=90), followed by oesophagus contrast roentgenoscopy for 29 patients and other modalities (n=33), including magnet resonance imaging (MRI), computer tomography (CT), or ultrasound. For 393 patients, the FBs could be clearly determined, 260 were located proximal (thereof 12 without symptoms) and 133 distal of the flexura duodenojejunalis (thereof 65 without symptoms). FBs were typically localized by X-ray (n=350; 86.6%).
An oesophageal position for the FB was frequently associated with symptoms (83.9%). Most patients with food bolus impaction presented with symptoms (93%). The object-associated symptoms and complications are summarized in table 3.
Table 3: Object-associated symptoms and complications
Management, complications and hospitalization
The primary management for the most FBIs was awaiting spontaneous passage, reassurance to the parents and guidance to perform faecal follow-up observations. Depending on the patient status, symptoms, and localization of the FB and suspicion of its fixedness, sharpness or harmfulness, FB therapeutic interventions were required. Interventional removal was performed for 126 patients, including rigid oesophagoscopy (n=59) and flexible oesophagogastroduodenoscopy (n=54), others tools (e.g. colonoscopy, McGill forceps) (n=9) or surgery (n=4) (Table 1). Successful recovery of the FB was documented in 128 patients, including 49 by flexible upper endoscopy (90.7%), 48 by rigid oesophagoscopy (81.3%), 4 by surgery, and 27 miscellaneous retrievals (e.g. colonoscopy, manual oral or rectal recovery, vomiting). The surgeries were performed due to oesophageal impaction of a button battery with fistulation, multiple magnets leading to bowel perforation and fever, bowel obstruction by a chestnut with obstructive ileus, and a pistachio shell that migrated through the wall of the oesophagus into the mediastinum causing stridor.
Complications were retrieved for 65 patients (5.4%), and a significant rise in the annual rate was observed (R2=0.42; β=0,647; p=0.001). Most patients had mucosal injuries of various degrees, frequently superficial (n=56), followed by deeper caustic tissue damage (n=11), necrosis (n=10), and perforations (n=5) but no fistulations. Fever (n=10) and other complications (n=12) were observed, but no deaths occurred. The percentage of complications with respect to all registered patients dropped by 2 points or 29% from 6.8% in the years 2005-2010 to 4.8% in the years 2011-2017 after implementation of a diagnostic and therapeutic algorithm at our hospital.
Simultaneously, the percentage of hospitalized patients dropped by 4.7 points or 23% from 20.6% in the years before to 15.9% after application of this algorithm, while the length of the hospital stay was equivalent (mean 2.98/SD 4.0 versus 3.01 SD 2.9).
Admission to the hospital was necessary for 194 (16.2%) patients, ranging from 7 to 22 per year (mean=14.9) (Fig. 2), with a mean duration of hospitalization of 2.99 days (median=2.0; SD=3.41; range 1-27 days). Hospital admission was relatively more frequent after food bolus impaction (42.1%) and button battery ingestion (38.1%), with 24 patients each (Table 1).
The analysis of 1199 accidental paediatric foreign body and chemical substance ingestions over thirteen years (2005-2017) at a German University Medical Centre revealed a significant annual increase of 80% from 6.1 in 2005 to approximately 11 per 10,000 children in 2017 in the catchment area.
Overall, the annual rate of complications also significantly increased, which was probably restricted by the implementation of a diagnostic and therapeutic algorithm at the end of 2010.
Ingestion of foreign bodies or chemical substances is frequent among children below six years of age around the world [1-5]. The majority of patients who presented to our hospital were toddlers (median 2.2 years) and predominantly male (53.3%). In addition, we registered comorbidities such as psychiatric disorders, intellectual disability, postsurgical oesophageal atresia and eosinophilic oesophagitis which may also predispose patients to FBI or food bolus impaction [28, 29].
A variety of foreign bodies were ingested, of which coins were the most common in our cohort, as in many other studies [1, 5, 8, 11, 12]. However, the proportion was lower in our study (18%) than that reported by others (49 to 88 %), which may reflect changes over time or differences in patient referral, selection and inclusion, in object classification and localization, or in the diets and habits of the patient populations [4, 5, 12, 30, 31] (supplemental Table). The ingestion patterns also differed by sex, age and season (e.g., Christmas decorations) [8, 32]. We found, that girls were at risk for harmful ingestion of sharp objects in our population. Another study showed that it is 2.5 times more likely that girls rather than boys ingest jewellery or hair products compared to boys [8]. We also found relevant liquid ingestions of potentially harmful cleansers (12.3%), acids (2.7%) or bases (0.6%). Caustic ingestions in children are mostly accidental, and the severity depends on the type and quantity of the ingested substance [33].
We observed an alarming trend concerning the number of accidental ingestions in our population. This has also been reported in the United States, with an annual increase of 91.5%, from 9.5 in 1995 to 18 per 10,000 children with FBI in 2015 [8]. In contrast, considerably fewer FBIs have been reported at Chiang Mai University in Thailand (only 194 cases from 2006 to 2017), with a population comparable to Ulm. This cannot be explained by different age limits (<15 versus <18 years) and the inclusion of ingestion of chemical substances in our study. Thus, other factors, e.g., difficult access to medical care or fewer harmful items in the household, may influence the observed lower frequency of FBIs. The increase in our study affected all categories of objects and substances, many of which are increasingly used in German households. In particular, we observed an alarming increase in lithium button battery ingestions in infants, which was associated with hospitalisation and major complications. This trend had also been previously reported in comparable studies from the U.S. [34, 35].
In our cohort, the presenting symptoms varied depending on the type and localization of the ingested FB; e.g., gagging, pain and coughing were frequently observed after coin ingestion. In contrast, a primary association with vomiting and drooling had been reported in other studies after coin ingestion [5]. Patients with oesophageal FB mainly present with drooling, vomiting and dysphagia, especially if the FB was located in the first narrowing of the oesophagus [36]. Nevertheless, most patients had a normal physical examination [31]. In children, the diagnosis of FB ingestion may be complicated if the ingestion is not observed or the child is asymptomatic. As in other studies, approximately half of the patients were asymptomatic [2].
A carefully obtained history, the type of ingestion and the level of suspicion will determine the course of action to avoid severe and life-threatening complications. In this study, approximately 16% of all patients required hospitalization, which is slightly more than in similar studies that have reporting approximately 10% [8]. Twenty-two percent of patients who ingested coins and more girls than boys were hospitalized. In fact, the hospitalization rate for coin ingestions was considerably lower in our cohort than the 55% reported in a European study [4]. The highest rate of complications was observed for button battery, glass and food ingestions. Others have reported an increased prevalence of complications after sharp FB ingestion and a 4- to 8-fold increase in complications if the endoscopic retrieval of the oesophageal FB was performed beyond 24 to 48 hours after ingestion [37]. Serious complications and fatal outcomes have been reported for button battery ingestions [18, 19, 25]. Although we observed an annual increase in total patients and harmful ingestions, the number of patients admitted to the hospital remained constant.
In 2010, we implemented an algorithm for the diagnostic and therapeutic management of FBI at our hospital that takes into account the age of the patient, symptoms, and the size, type and location of the radiopaque and radiolucent FB based on an interdisciplinary consensus from the departments of radiology, paediatric and adolescent medicine (including paediatric intensive care and paediatric gastroenterology), and ENT [27]. This may potentially influence the practice of admissions at our hospital and partially explain the constant number of hospitalized patients. In addition, the complication rate was reduced by 29%.
The European Society of Paediatric Gastroenterology and Nutrition (ESPGHAN) and European Society of Gastrointestinal Endoscopy (ESGE) recommend X-ray examination for all patients with suspected FB ingestion even without symptoms [22]. In our study, medical imaging was performed for half of the patients, as nearly half of the objects were radiopaque. Imaging is important to confirm the presence, type, number and localization of FBs as well as to detect complications and guide further management and follow-up if indicated [38]. X-ray of the chest and abdomen was frequently performed and detected and localized the FB in 86% of the patients. In fact, we observed an annual increase in the number of detected FBs, particularly through X-ray investigations. Although hand-held metal detectors (HHMD) have been shown to detect and localize the majority of metallic FBs, we did not use them in our department at that time [39]. It has been shown that HHMDs have a high sensitivity in the detection of coins and seems to be a good early screening tool for faster triage in the emergency room setting, potentially reducing radiation exposure [40, 41].
The primary management was awaiting spontaneous passage for most FBIs, and interventional removal was performed for 126 patients. The indication and timing of medical intervention to remove a foreign body was based on the location, size and type of the FB, the duration of impaction, and patient symptoms according to our in-house standard with special attention towards button battery and magnet ingestions [27]. The initial localization and size of the FB are determining factors of the likelihood of spontaneous passage [5, 13].
Removal of the FB was mainly performed by rigid or flexible endoscopy according to the localization of the FB and symptoms of the patient and was successful in 81% of rigid and 90% of flexible endoscopy. High success rates for rigid and flexible endoscopy have been reported in retrospective studies on oesophageal FBs among children and adults with low rates of complications [15, 36, 42, 43]. The management of foreign body, food and toxic substance ingestions needs to be adapted for infants, e.g., smaller endoscopes in children below ten kilos, and paediatric-trained endoscopists are required [22, 44]. Oesophageal food impaction is a frequent finding and requires special attention [45]. Removal is performed either en bloc or by a piecemeal approach using various grasping devices and after examining the oesophagus distal to the bolus; the push technique is also sometimes used [20]. Food impaction is frequently associated with oesophageal pathology, e.g., postsurgical oesophageal atresia and eosinophilic oesophagitis [28, 46, 47]. Magnet ingestion is rarely registered but frequently requires surgery, especially for children with neurological or psychiatric diseases who have an increased risk of ingesting multiple magnets [48, 49]. There has been an alarming increase in magnet ingestions in emergency departments according to data from the National Electronic Injury Surveillance System (NEISS) [21].
We found a very low need to perform surgical interventions (0.3% of all, 2% of hospitalized cases, 3% of removed FB) in our cohort, unlike the 18% reported by others for hospitalized patients, despite providing paediatric surgery twenty-four-seven [50]. Cohorts that once required surgical interventions could be treated by experienced endoscopic removal today [26]. In children, mild oesophageal lesions (88%) have been predominantly identified following caustic ingestions, and severe oesophageal lesions have been associated with the presence of signs and symptoms (e.g., oral lesions, vomiting, dyspnoea, drooling, dysphagia, and haematemesis) [51]. Thus, endoscopy could be avoided in the absence of signs and symptoms [51], as in our study cohort.
In our study, 9% of the children presented to our hospital more than 24 hours after ingestion versus the 22% reported in a study from Pittsburgh on children who underwent oesophagoscopy for suspected FB [31]. The lack of awareness of harmful situations requiring emergency care and prompt intervention may lead to serious complications, e.g., as observed with button batteries, pins and magnets [4]. Preventive measures, e.g., pressure on manufacturers to package items appropriately for children below three years of age, effectively reduced toy ingestions in the U.S. in 2011 [8]. Furthermore, food and toys should not be marketed together to prevent children from ingesting toys. Legal measures to protect children from the growing problem of unintentional button battery ingestion are required and should include child-resistant packaging for batteries, child-resistant closures for all consumer products that use button batteries, and warnings regarding the potential danger of ingestion [52, 53].
Finally, few limitations of this study should be underlined. First, as we incorporated a retrospective study design, the conditions may not be ideal and lack some relevant information not available from the electronic patient file. In addition, we only captured information from patients who presented to our hospital, which, as in many other studies, underestimates the real frequency of accidental ingestions among children. Additionally, comparability among related studies is limited, as patient selection and categorization of objects may differ, and age groups may vary [5].
This study shows a significant increase in ingested household items and liquids associated with complications over 13 years in the studied population.
Appropriate care for children with FBI requires proper management, skilled physicians, adequate equipment and, if necessary, inpatient admission. The implementation of clear diagnostic and therapeutic algorithms in paediatric emergency departments may lower the progression of injuries and complications prospectively.
Additional preventive measures, including public health interventions and superior consumer safety standards, are necessary to stop the observed trend and should particularly focus on the preschool toddler group.
This study adheres to the ethical principles of the Declaration of Helsinki. It was approved by the institutional review board of Ulm (No.399/17). For the presented data, the requirement to obtain informed consent was waived.
Availability of data and material
C.P. is acting as the submission's guarantor and takes responsibility for the integrity of the work. A.J.S., and C.P. substantially contributed to the conception and design of the study; A.S., and C.P. were involved in the acquisition of data; A.J.S., and C.P. performed the analysis and interpretation of the data; B.M., A.J.S. and C. P. performed the statistical analysis; C. P. wrote the first draft of the paper; A.J.S., B.M., and L.W. revised it critically for important intellectual content. All authors have read and approved the manuscript.
We wish to thank Mr. Plundrich for extraction of the cases from the hospital database on the basis of ICD-10 codes.
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Lee JH, Lee JS, Kim MJ, Choe YH: Initial location determines spontaneous passage of foreign bodies from the gastrointestinal tract in children. Pediatric emergency care 2011, 27(4):284-289.
Yeh HY, Chao HC, Chen SY, Chen CC, Lai MW: Analysis of Radiopaque Gastrointestinal Foreign Bodies Expelled by Spontaneous Passage in Children: A 15-Year Single-Center Study. Frontiers in pediatrics 2018, 6:172.
Russell R, Lucas A, Johnson J, Yannam G, Griffin R, Beierle E, Anderson S, Chen M, Harmon C: Extraction of esophageal foreign bodies in children: rigid versus flexible endoscopy. Pediatric surgery international 2014, 30(4):417-422.
Choe JY, Choe BH: Foreign Body Removal in Children Using Foley Catheter or Magnet Tube from Gastrointestinal Tract. Pediatr Gastroenterol Hepatol Nutr 2019, 22(2):132-141.
Jatana KR, Litovitz T, Reilly JS, Koltai PJ, Rider G, Jacobs IN: Pediatric button battery injuries: 2013 task force update. International journal of pediatric otorhinolaryngology 2013, 77(9):1392-1399.
Varga A, Kovacs T, Saxena AK: Analysis of Complications After Button Battery Ingestion in Children. Pediatric emergency care 2018, 34(6):443-446.
Krom H, Visser M, Hulst JM, Wolters VM, Van den Neucker AM, de Meij T, van der Doef HPJ, Norbruis OF, Benninga MA, Smit MJM et al: Serious complications after button battery ingestion in children. European journal of pediatrics 2018, 177(7):1063-1070.
Committee ASoP, Ikenberry SO, Jue TL, Anderson MA, Appalaneni V, Banerjee S, Ben-Menachem T, Decker GA, Fanelli RD, Fisher LR et al: Management of ingested foreign bodies and food impactions. Gastrointestinal endoscopy 2011, 73(6):1085-1091.
Abbas MI, Oliva-Hemker M, Choi J, Lustik M, Gilger MA, Noel RA, Schwarz K, Nylund CM: Magnet ingestions in children presenting to US emergency departments, 2002-2011. Journal of pediatric gastroenterology and nutrition 2013, 57(1):18-22.
Tringali A, Thomson M, Dumonceau JM, Tavares M, Tabbers MM, Furlano R, Spaander M, Hassan C, Tzvinikos C, Ijsselstijn H et al: Pediatric gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) Guideline Executive summary. Endoscopy 2017, 49(1):83-91.
De Matteis A, Pagliaro G, Corleto VD, Pacchiarotti C, Di Giulio E, Villa MP, Parisi P, Vassallo F, Ziparo C, Di Nardo G: Eosinophilic Esophagitis in Children: Clinical Findings and Diagnostic Approach. Curr Pediatr Rev 2019.
Geng LL, Liang CP, Chen PY, Wu Q, Yang M, Li HW, Xu ZH, Ren L, Wang HL, Cheng S et al: Long-Term Outcomes of Caustic Esophageal Stricture with Endoscopic Balloon Dilatation in Chinese Children. Gastroenterology research and practice 2018, 2018:8352756.
Gerner P, Pallacks F, Laschat M, Hermanns-Clausen M: [Health damages after ingestion of button batteries in childhood]. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz 2019, 62(11):1354-1361.
Witzleben AV, Reiter R, Hoffmann T, Posovszky C: Buried Foreign Body in the Esophagus - Unusual Cause of Dysphagia in a 2-Year-Old Child. Klinische Padiatrie 2019, 231(4):214-216.
Schmid MB, Posovszky C, Neuwirth F, Galm C, Keck T: [Foreign body ingestion in children: recommendation for the diagnostic and therapeutic procedure]. Laryngo- rhino- otologie 2010, 89(2):73-76.
Hiremath GS, Hameed F, Pacheco A, Olive A, Davis CM, Shulman RJ: Esophageal Food Impaction and Eosinophilic Esophagitis: A Retrospective Study, Systematic Review, and Meta-Analysis. Digestive diseases and sciences 2015, 60(11):3181-3193.
Sahn B, Mamula P, Ford CA: Review of foreign body ingestion and esophageal food impaction management in adolescents. The Journal of adolescent health : official publication of the Society for Adolescent Medicine 2014, 55(2):260-266.
Chinski A, Foltran F, Gregori D, Ballali S, Passali D, Bellussi L: Foreign bodies in children: a comparison between Argentina and Europe. International journal of pediatric otorhinolaryngology 2012, 76 Suppl 1:S76-79.
Sink JR, Kitsko DJ, Mehta DK, Georg MW, Simons JP: Diagnosis of Pediatric Foreign Body Ingestion: Clinical Presentation, Physical Examination, and Radiologic Findings. The Annals of otology, rhinology, and laryngology 2016, 125(4):342-350.
Trout AT, Towbin AJ: Seasonal foreign bodies: the dangers of winter holiday ornamentation. Pediatric radiology 2014, 44(12):1610-1616.
Arevalo-Silva C, Eliashar R, Wohlgelernter J, Elidan J, Gross M: Ingestion of caustic substances: a 15-year experience. The Laryngoscope 2006, 116(8):1422-1426.
Litovitz T, Whitaker N, Clark L, White NC, Marsolek M: Emerging battery-ingestion hazard: clinical implications. Pediatrics 2010, 125(6):1168-1177.
Sharpe SJ, Rochette LM, Smith GA: Pediatric battery-related emergency department visits in the United States, 1990-2009. Pediatrics 2012, 129(6):1111-1117.
Rybojad B, Niedzielska G, Niedzielski A, Rudnicka-Drozak E, Rybojad P: Esophageal foreign bodies in pediatric patients: a thirteen-year retrospective study. ScientificWorldJournal 2012, 2012:102642.
Yuan J, Ma M, Guo Y, He B, Cai Z, Ye B, Xu L, Liu J, Ding J, Zheng Z et al: Delayed endoscopic removal of sharp foreign body in the esophagus increased clinical complications: An experience from multiple centers in China. Medicine 2019, 98(26):e16146.
Laya BF, Restrepo R, Lee EY: Practical Imaging Evaluation of Foreign Bodies in Children: An Update. Radiol Clin North Am 2017, 55(4):845-867.
Nation J, Jiang W: The utility of a handheld metal detector in detection and localization of pediatric metallic foreign body ingestion. International journal of pediatric otorhinolaryngology 2017, 92:1-6.
Ramlakhan SL, Burke DP, Gilchrist J: Things that go beep: experience with an ED guideline for use of a handheld metal detector in the management of ingested non-hazardous metallic foreign bodies. Emergency medicine journal : EMJ 2006, 23(6):456-460.
Lee JB, Ahmad S, Gale CP: Detection of coins ingested by children using a handheld metal detector: a systematic review. Emergency medicine journal : EMJ 2005, 22(12):839-844.
Tseng CC, Hsiao TY, Hsu WC: Comparison of rigid and flexible endoscopy for removing esophageal foreign bodies in an emergency. Journal of the Formosan Medical Association = Taiwan yi zhi 2016, 115(8):639-644.
Shinhar SY, Strabbing RJ, Madgy DN: Esophagoscopy for removal of foreign bodies in the pediatric population. International journal of pediatric otorhinolaryngology 2003, 67(9):977-979.
Committee ASoP, Lightdale JR, Acosta R, Shergill AK, Chandrasekhara V, Chathadi K, Early D, Evans JA, Fanelli RD, Fisher DA et al: Modifications in endoscopic practice for pediatric patients. Gastrointestinal endoscopy 2014, 79(5):699-710.
Sebastian van As AB, Yusof AM, Millar AJ, Susy Safe Working G: Food foreign body injuries. International journal of pediatric otorhinolaryngology 2012, 76 Suppl 1:S20-25.
Krishnan U: Eosinophilic Esophagitis in Children with Esophageal Atresia. Eur J Pediatr Surg 2015, 25(4):336-344.
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De Roo AC, Thompson MC, Chounthirath T, Xiang H, Cowles NA, Shmuylovskaya L, Smith GA: Rare-earth magnet ingestion-related injuries among children, 2000-2012. Clinical pediatrics 2013, 52(11):1006-1013.
Liu S, Li J, Lv Y: Gastrointestinal damage caused by swallowing multiple magnets. Front Med 2012, 6(3):280-287.
Yalcin S, Karnak I, Ciftci AO, Senocak ME, Tanyel FC, Buyukpamukcu N: Foreign body ingestion in children: an analysis of pediatric surgical practice. Pediatric surgery international 2007, 23(8):755-761.
Betalli P, Falchetti D, Giuliani S, Pane A, Dall'Oglio L, de Angelis GL, Caldore M, Romano C, Gamba P, Baldo V et al: Caustic ingestion in children: is endoscopy always indicated? The results of an Italian multicenter observational study. Gastrointestinal endoscopy 2008, 68(3):434-439.
Prevention CfDCa: Injuries from Batteries Among Children Aged <13 Years — United States, 1995–2010. MMWR Morbidity and mortality weekly report 2012, 61(34).
Litovitz T, Whitaker N, Clark L: Preventing battery ingestions: an analysis of 8648 cases. Pediatrics 2010, 125(6):1178-1183.
Supplemental Figure 1: Annual age distribution from 2005 to 2017 of the 1199 children presenting with food bolus impaction or ingestion of foreign bodies or chemical substances to the Department of Paediatrics and adolescent Medicine, University Medical Centre Ulm, Germany. Annual mean age (black line) and minimal (dashed black line) and maximum age (dashed grey line) are indicated.
Supplemental figure 2: Annual percentage of patients (black line) presenting with food bolus impaction or ingestion of foreign bodies or chemical substances out of all patients presented to the Emergency Department from 2009 to 2017. Linear regression analysis (grey dotted line) revealed a significant increase in this percentage over time (R2=0.83; b=0.912; p=0.001).
Supplemental table: Worldwide distribution pattern of ingested foreign bodies and their management
Editorial decision: Minor revision


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Hit-Girl Season Two #1
Hit-Girl Season Two
"THE SILENT ERA," Part One Join film, podcast, and comics legend KEVIN SMITH (Green Arrow, Daredevil) and animation/illustration virtuoso PERNILLE ØRUM (DC Superhero Girls, Blush, Coral) for the glitz and gore of this all-new chapter of HIT-GIRL!Our favorite adolescent assassin tears Tinsel Town a new one when she realises her life's being dramatized for the silver screen. Hit-Girl storms sets, wages war on fat-cat movie bosses, and lures old enemies out of hiding in this Californian bloodbath.
Art by:
Pernille Orum
Cover by:
Amanda Conner Francesco Francavilla
Superhero Action/Adventure Leading Ladies
Vol. 4: In Hollywood
HIT-GIRL IS BACK! The pint-sized Punisher-meets-Polly-Pocket has left America behind and set off to serve justice around the world. First stop: Colombia. A mother seeking vengeance for the murder of her child enlists Hit-Girl to destroy his killer, but Mindy has bigger plans for Colombia's most feared hitman. MARK MILLAR and RICARDO LOPEZ ORTIZ join forces for the first chapter of Hit-Girl's wor
KICK-ASS IS BACK—ready to wipe out the city's criminal lowlives, destroy its gangs, and save its communities from decay. But there's a new face beneath the old mask, a new figure wearing that famous green and yellow spandex. Who is this new vigilante superhero? Who can fill Dave Lizewski's shoes? WHO IS THE NEW KICK-ASS? Find out in the first issue of this new, ongoing monthly series. Comic book
Prodigy.
Edison Crane's not content being the world's smartest man and most successful businessman—his brilliant mind needs to be constantly challenged. He's a Nobel Prize-winning scientist, genius composer, Olympic athlete, an expert in the occult, and now international governments are calling on him to fix problems they just can't handle.
Sharkey The Bounty Hunter
Set in a brilliant new sci-fi universe, Sharkey is a blue-collar bounty hunter who tracks criminals across the galaxy in his converted, rocket-powered ice-cream truck. Aided and abetted by his ten-year-old partner, he's out for the biggest bounty of his career. HOLLYWOOD NEWS! Netflix's latest live-action project from Mark Millar. Read the comic before you see the movie!
The Magic Order
We live in a world where we've never seen a monster, and The Magic Order is the reason we sleep safely in our beds. Magic meets the mob in THE MAGIC ORDER, as five families of magicians—sworn to protect our world for generations—must battle an enemy who's picking them off one by one. By day, they live among us as our neighbors, friends, and co-workers, but by night, they are the sorcerers, mag


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BrightRidge completes phase one of expanded services
BrightRidge completes phase one of expan...
BrightRidge celebrated its expanded broadband services in downtown Jonesborough last Thursday.
By ALLEN RAU
arau@heraldandtribune.com
BrightRidge announced the completion of Phase One of its $64 million investment in broadband services around the region last Thursday at Main Street Café in downtown Jonesborough.
"Here today, in the oldest town in the state of Tennessee, we're launching the opportunity for a 10 Gb service," BrightRidge CEO Jeff Dykes said, "The fastest speeds known out there on broadband, for this area and this town.
"I want to thank Zac (Jenkins) from Main Street Café for being that first business customer to really step forward and say, 'Hey, I want to have BrightRidge broadband. I want to be the first person to launch this out and to use it."
According to a BrightRidge press release, "Jonesborough becomes only the sixth area in the country with 10 Gigabit residential internet services" as well as being the first provider to "launch with 10 Gb service available to all fiber customers in its service area".
Jenkins, owner of the Main Street Café, said he was "tickled to death to be the first (customer) for the service, and it's been a great service … We're just thrilled that this little town is getting the fastest internet that's known in the world. And that's really cool. We're up there with places like Los Angeles, Dallas, all those big cities. And then there's little old Jonesborough and I think that's a really awesome thing we're doing."
As the first customer of BrightRidge, Main Street Café has had the new fiber internet since the March and April time period.
"We were one of their beta testers, their first testers, and there was only one time where it went out for maybe 10 minutes, and then, boom, it was back up again and we haven't had any more problems. And that was the first couple of days. It's been great."
Jenkins added that because of the age of the building that holds his business, they had been unable to fully utilize their internet capabilities.
"It's helped because it's reliable. We're not using a cash register … we're using a Point of Sale, and it's connected to the internet. So my business relies on having internet capability to be able to take credit cards. It's just a lot better and faster."
Jenkins also was one of the first to subscribe to the residential services, and said that it has also been reliable and he has been pleased with it.
Jonesborough Mayor Chuck Vest spoke at the ribbon cutting and told those gathered that BrightRidge's broadband investment could yield positive results for many others.
"It gives Jonesborough an opportunity to attract residents who might want to work from home. Having this type of service is not going to just benefit business like Zac here at Main Street Café.
"It's going to benefit others, we should have people searching for office spaces here. We're excited about what high-speed internet can do for us here."


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Street Food Tapas for Brady Street
And a new pie place for 55th and North. Both places sound yummy.
By Jack Fennimore	- Dec 23rd, 2015 12:30 pm
1230 E. Brady St. Photo from Facebook.
It was back in August that we reported that Easy Tyger would be opening at 1230 E. Brady St. as early as September. But construction delays occurred, the grand opening was delayed and now the restaurant's owners are talking about opening early next year, as the Milwaukee Journal Sentinel has reported.
The menu, as we reported, will feature international small plates, New American style cuisine with influences from the Latin American Mediterranean and Asian food stylings. They are now calling it "street-food tapas," as the JS story notes.
The chef is Evan Greenhalgh, who has a long background with Bartolotta restaurants; he was a sous chef at Lake Park Bistro and worked at Bacchus and the Rumpus Room. Easy Tyger's owners are Nini Buranabunyut and Dear Panyasopa; they're partners in Thai-namite, the popular restaurant also on Brady.
Their bar will have eight to ten taps with craft beers and international wines available by the glass or bottle, and a liquor selection that includes at least 10 different vermouths.
The restaurant will be showcasing art by area artists, as its Facebook page notes.
Greenhalgh told the JS he has been immersing himself in the street food of other cultures to create his menu, which may feature dishes like ramen or bibimbap rotate but also suppli, a Roman dish of fried rice balls that will be served with grated Parmesan cheese and pomodoro sauce. Other dishes could include "lángos, Hungarian fried flatbread topped with sour cream, dill, Gruyere, bacon and red onion, and Jamaican jerk pork loin, served with coconut rice, curried plantain and apple slaw," he told the newspaper.
Prices for the small plates will range from about $7 to $16.
The restaurant will serve until midnight on Fridays and Saturdays and until 11 p.m. other days. It will be closed on Tuesdays.
Mr. Dye's Pies
The last time I saw Mr. Dye's Pies, they were in a small tent at the first day of The Spot 4MKE in late July. But now, according to OnMilwaukee, this purveyor of sweet potato, pecan and key lime pies is now located in a building at 5513 W. North Ave.
For the past four years, owner Johnathan Dye has been sharing kitchen space with the Jackson Grill at 3736 W. Mitchell St. But as his customers grew, he began working with Alderman Russell Stamper II to secure a space to call his own. He also received a Kiva Zip loan, which helped him purchase a commercial convection oven for more pie production. And after accepting a proposal to create a shared-use kitchen and retail space at the North Avenue location, he moved in the week before Thanksgiving. He's also currently sharing the space with Fathead Jerky, a business owned by McBob's Pub & Grill proprietor Christine McRoberts.
"It's a work in progress," Dye told the publication. "But, I think it's working well. People might think jerky and pie is an odd combination. But I know people looking for jerky, and now I have a place to sell my pies."
The pies he's selling include classic sweet potato ($18), Pecan Delight ($22), Purple Monster ($26) and Nawlin's Pecan ($22). Sugar-free versions of the pies priced at $20 to $28 are also on the list. Dye also plans to release a Door County cherry pie in 2016. Pies are available for purchase daily at the retail shop, but Dye encourages customers to order ahead to beat the demand.
Mr. Dye's Pies is keeping extended hours this week today from 9 a.m. to 6 p.m., Thursday from 9 a.m. to 7 p.m. and Saturday from 10 a.m. to 6 p.m. After that, regular hours will be Thursdays from 9 a.m. to 4 p.m. and Fridays and Saturdays from 10 a.m. to 6 p.m. You can order ahead by calling (414) 759-4992.
"I'm excited about the opening on North Avenue" Dye said in a press release. "We have a growing customer base and this will make it easier for our customers to get their pies. As a Washington Heights resident I know first hand that North avenue is an up-and-coming part of the city. It is an honor to become part of this story."
According to the Mr. Dye's Pies Facebook page, you can also buy whole pies at Sendik's Fine Foods at 18985 W. Capitol Dr. in Brookfield. Locations selling just slices include Camino Restaurant (which opened back in late October) at 434 S. 2nd St., Ashley's BBQ at 1501 W. Center St., Sven's Café at 2699 S. Kinnickinnic Ave. and many more. We can also see from the Facebook page that the pie purveyor is proud to have served such local luminaries as County exec Chris Abele, Milwaukee Police Chief Edward Flynn and Mayor Tom Barrett.
Village Pub
The former Village Pub at 4488 N. Oakland Ave. in Shorewood will soon be transformed into a new concept, according to OMC. Lis Duggan and Rebecca Goldberger – former owner of Roots Restaurant and current manager of The Irish Pub – bought the building and plan to open the new concept in spring of 2016.
"It will be a completely new concept. I will say we won't be re-opening The Village Pub, but we hope it will be a positive place for everyone in the neighborhood and beyond," Goldberger told the publication. "We are just so excited to add something positive and unique to the community. This is our new passion project."
The Iron Horse Hotel
The Iron Horse Hotel, located at 500 W. Florida St., is offering not one, not two, but three holiday events for the end of the year, the hotel told us via email. So grab your extra-large pair of pants and your family for three days of holiday cheer.
Their high class restaurant, Smyth, is open for dinner on Christmas Eve from 5 to 9 p.m. serving the regular menu. And on Christmas Day, they'll be offering their holiday brunch from 9 a.m. to 2 p.m. On the a la carte menu, you can enjoy fish tacos with bluegill, kohlrabi slaw, and sriracha; eggs benedict with choice of ham, lox or spinach; and malted-brioche French toast with bing cherries, Nutella and real maple syrup. The buffet offers hot options like cheddar-leek scalloped potatoes, Bernie's Bacon and Lobster & Mussel trivelli as well as cold options like sweet pepper escabeche, house-smoked salmon, and Christmas cookies. There will of course be a carving station with ham and leg of lamb as well as an omelet station. The brunch is $49 for adults (which includes three mimosas) and $16 for kids.
Celebrate the new year right with a New Year's Eve party from 7 p.m. to 2 a.m. Dance along to DJ Fred X from 9:30 p.m. to 1 a.m. and prepare for a festive balloon drop at midnight. The hotel is also offering a Sweet NYE Package for those staying the night, which includes accommodations for two in a Custom Deluxe room, two entries for the NYE party, complimentary sparkling wine, mimosa brunch for two at Smyth, and late check-out (based on availability).
Agave Southwest Bar & Grill
Agave Southwest Bar & Grill opened last June at 800 N. Plankinton Ave., filling the void left by Espana Tapas House as we reported. Last Friday, the restaurant rolled out their new menu.
According to the restaurant's Facebook page, the new dinner menu includes Seafood Pasta ala Agave with scallops, salmon, mussels, shrimp, mahi mahi and linguini in a light tomato sauce ($28); ancho chile salmon with garlic mashed potatoes and sautéed spinach ($22), braised short ribs with portabello, crimini, demi glaze, green beans, celery root, mashed potatoes and white truffle oil ($22); and enchiladas suizas with chicken, poblano cream sauce and Swiss cheese served with Spanish rice and guacamole ($16).
As for lunch, options include Penne with Chicken seasoned with agave spice and served with Romesco sauce ($12), tacos ($12) or quesadillas ($11) with a choice of chicken, steak, mahi mahi and bay shrimp; Agave Southwest Burger with an angus burger seasoned with agave spice blend and served on a brioche bun with sharp cheddar and fresh jalapeno ($10), a portabella mushroom sandwich with roasted red peppers, onion, spinach and chipotle mayo served on a brioche bun ($10) and a variety of soups and salads.
Agave is also hosting a four-course dinner on New Years Eve featuring items from the new menu. It's $45 per person and includes drinks. Call (414) 249-5973 to make reservations.
Dock18 Cocktail Lab
Come up to the lab and see what's on the slab when Twisted Path Distiller, a Milwaukee-based grain-to-glass micro-distillery, launches regular hours at its tasting room, known as the Dock18 Cocktail Lab, starting Jan. 7th. According to OMC, Dock18 is located at 2018 S. 1st St. just past loading dock 17 on the first floor of the warehouse.
Bittercube, a nationally renowned, Milwaukee-based cocktail consulting and bitters company, is partnering with Twisted Path to provide a weekly menu with both classic and experimental cocktails with Twisted Path spirits, Bittercube bitters and house-made syrups and liqueurs.
Tentative items include the Dock18 Old Fashioned with Twisted Path dark rum, vanilla-turbinado syrup and orange oil; The Tropical Void #18 with vodka, lime, pineapple, allspice dram and seltzer; the Cyclopia Sour with gin, lemon, Biered orange liqueur and Bittercube Bolivar bitters; and Punch in the Heart with white rum, fresh citrus, cocoa-chili liqueur and Bittercube Corazon bitters. Cocktails are $7-9 each.
Mark your calendars for the grand opening celebration on Jan. 2nd from 5 p.m. to midnight. In addition to meeting Bittercube co-founder Nick Kosevich, you can also shake your stuff to the tunes of DJs Chris Rosneau (Volcano Choir, Collections of Colonies of Bees) Jon Mueller (Volcano Choir, Rhythmplex) and musician Hal Rammel. The event is open to the public but you are encouraged to RSVP via the Eventbrite page.
Regular hours for Dock18 are Thursdays and Fridays from 5 p.m. to midnight, Saturdays from 1 p.m. to midnight and Sundays from 1 to 5 p.m. Tours during tasting room hours are also available by appointment.
Safe House Creator Dave Baldwin Dies
Dave Baldwin, creator of the secretive Milwaukee gem known as the Safe House, died at 85 last Sunday, as reported by the Milwaukee Journal Sentinel.
Baldwin worked as a ballroom dancing instructor in college and later worked as a model and even practiced law before realizing that his true passion was in night life. He started Whiskey A-go-go with a few partners in the early 1960s as well as Gatsby's Steak House. Then with the popularity of the James Bond movies in 1966, he decided to create a 007-themed tavern.
Shauna Singh Baldwin, his wife, told the newspaper that Dave built the Safe House from materials salvaged in Milwaukee, and added that he was always able to find the hidden beauty in things and people.
The Safe House, tucked in an alleyway behind The Newsroom Pub at 137 E. Wells St., was designed in homage to classic 60s Hollywood spy movies with its secret revolving door entrance, spy memorabilia, secret doorways and passwords. It also served many famous cocktails such as Spy's Demise and Hail to the Chief.
As Michael Horne wrote last year, Dave Baldwin figured the bar "might run its course in seven years or so" but "it's been seven cycles of seven years, and the Safe House is still riding strong…. Some six million customers have walked through the door since 1966." One of the bar's many amusements, he noted, is "a closed circuit television monitor that records the antics of those who come to the bar without knowing the password. Folks in that state of affairs, and they are numerous, are required to perform some stunts that inevitably make them look foolish, before being admitted through a secret passage. As soon as they enter, they are already well-known to the customers who have been enjoying the free show."
Baldwin worked on the Safe House for nearly 50 years before selling it to Milwaukee-based Marcus Corp. and retiring in June. "David lived and breathed the Safe House," said Peggy Williams-Smith, senior vice president of Safe House Restaurants. She says they have special plans to honor Baldwin during the Safe House's 50th anniversary celebration.
Was Baldwin himself ever a spy? Williams-Smith told the newspaper that she asked him at least 25 times but never got an answer. "He would always just give you that look with a twinkle in his eye and continue on with the conversation," she said. "A true spy would never identify himself," Singh Baldwin added.
Categories: Arts & Entertainment, Food & Drink, Now Serving, Screaming Tuna
One thought on "Now Serving: Street Food Tapas for Brady Street"
Christina Zawadiwsky says:
Can't wait to try Easy Tyger!


Orrick is again one of the Fortune 100 Best Companies to Work For, the annual list that recognizes companies with extraordinary workplace cultures. Selected among hundreds of companies that Fortune considered this year, Orrick is one of only five law firms to make the 2017 list.
Orrick is a leading global law firm with a particular focus on serving companies in the technology, energy and financial sectors. We are recognized worldwide for delivering the highest-quality legal advice and for our culture of innovation and collaboration.
We Are Dedicated to Our People Our people are truly exceptional. Not only are they among the most skilled and dedicated lawyers and staff in the world, but they embrace a unique set of Core Values which shape the way they serve our clients and interact with each other. We maintain a professional environment which fosters teamwork and a seamless dedication of resources to client service, while providing each individual the opportunity to develop a career to the full extent of his or her talent and ambition.


text:
Notorious B.I.G.'s Childhood Home In Brooklyn Now Available For Rent
(Photo by Getty Images)
The home that Notorious B.I.G. once referred to as a "one-room shack" is now available for rent.
Biggie described his childhood home in his song "Juicy," and now the abode, at 226 St. James Place in Brooklyn, could be yours for the cool price of just $4,000 a month.
Living in the bedroom The Notorious B.I.G. once called home — on the block that has been named for the rap icon — will only cost you about $4,000 a month. https://t.co/VLi0MvGkMv
— Patch (@PatchTweet) June 22, 2019
The home has been updated since Biggie resided there. The "one-room shack" is now a three-bedroom "in the desired neighborhood of Clinton Hill historic district."
You can check out the full listing here!
Via Patch


text:
Q: JPA Criteria api function with double parameters I'm stuck with this problem and after searching through the web for 2 days you are my last hope :p
I'm using JPA criteria api to construct my query. Everything works fine except when I want to add some sql function to the mix.
This is what I do to use sql function :

Expression makePoint = criteriaBuilder.function("ST_MakePoint", Geometry.class, criteriaBuilder.parameter(double.class, "lat"), criteriaBuilder.parameter(double.class, "lng"));
Expression distanceSphere = criteriaBuilder.function("ST_Distance_Sphere", double.class, place.get("coordinates"), makePoint);
expression = criteriaBuilder.and(expression, criteriaBuilder.lessThanOrEqualTo(distanceSphere, radius));
criteriaQuery.select(root).where(expression);

the declaration works fine, but when I set the parameters :

session.createQuery(criteriaQuery).setParameter("lat",lat)

I have this error :
java.lang.IllegalArgumentException: Named parameter [lat] type mismatch; expecting [double] but found [Double]
at org.hibernate.query.criteria.internal.compile.ExplicitParameterInfo.validateBindValue(ExplicitParameterInfo.java:70)
at org.hibernate.query.criteria.internal.compile.CriteriaQueryTypeQueryAdapter.setParameter(CriteriaQueryTypeQueryAdapter.java:467)
at org.hibernate.query.criteria.internal.compile.CriteriaQueryTypeQueryAdapter.setParameter(CriteriaQueryTypeQueryAdapter.java:57)
at co.sumwhere.api.communities.communitiesToPlaces.CommunitiesToPlaces.researchMultiple(CommunitiesToPlaces.java:207)
at co.sumwhere.api.places.PlacesController.getPlaces(PlacesController.java:356)
at sun.reflect.NativeMethodAccessorImpl.invoke0(Native Method)
at sun.reflect.NativeMethodAccessorImpl.invoke(NativeMethodAccessorImpl.java:62)
at sun.reflect.DelegatingMethodAccessorImpl.invoke(DelegatingMethodAccessorImpl.java:43)
at java.lang.reflect.Method.invoke(Method.java:498)
at org.glassfish.jersey.server.model.internal.ResourceMethodInvocationHandlerFactory$1.invoke(ResourceMethodInvocationHandlerFactory.java:81)
at org.glassfish.jersey.server.model.internal.AbstractJavaResourceMethodDispatcher$1.run(AbstractJavaResourceMethodDispatcher.java:144)
at org.glassfish.jersey.server.model.internal.AbstractJavaResourceMethodDispatcher.invoke(AbstractJavaResourceMethodDispatcher.java:161)
at org.glassfish.jersey.server.model.internal.JavaResourceMethodDispatcherProvider$ResponseOutInvoker.doDispatch(JavaResourceMethodDispatcherProvider.java:160)
at org.glassfish.jersey.server.model.internal.AbstractJavaResourceMethodDispatcher.dispatch(AbstractJavaResourceMethodDispatcher.java:99)
at org.glassfish.jersey.server.model.ResourceMethodInvoker.invoke(ResourceMethodInvoker.java:389)
at org.glassfish.jersey.server.model.ResourceMethodInvoker.apply(ResourceMethodInvoker.java:347)
at org.glassfish.jersey.server.model.ResourceMethodInvoker.apply(ResourceMethodInvoker.java:102)
at org.glassfish.jersey.server.ServerRuntime$2.run(ServerRuntime.java:326)
at org.glassfish.jersey.internal.Errors$1.call(Errors.java:271)
at org.glassfish.jersey.internal.Errors$1.call(Errors.java:267)
at org.glassfish.jersey.internal.Errors.process(Errors.java:315)
at org.glassfish.jersey.internal.Errors.process(Errors.java:297)
at org.glassfish.jersey.internal.Errors.process(Errors.java:267)
at org.glassfish.jersey.process.internal.RequestScope.runInScope(RequestScope.java:317)
at org.glassfish.jersey.server.ServerRuntime.process(ServerRuntime.java:305)
at org.glassfish.jersey.server.ApplicationHandler.handle(ApplicationHandler.java:1154)
at org.glassfish.jersey.servlet.WebComponent.serviceImpl(WebComponent.java:473)
at org.glassfish.jersey.servlet.WebComponent.service(WebComponent.java:427)
at org.glassfish.jersey.servlet.ServletContainer.service(ServletContainer.java:388)
at org.glassfish.jersey.servlet.ServletContainer.service(ServletContainer.java:341)
at org.glassfish.jersey.servlet.ServletContainer.service(ServletContainer.java:228)
at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:230)
at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:165)
at org.apache.tomcat.websocket.server.WsFilter.doFilter(WsFilter.java:53)
at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:192)
at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:165)
at org.apache.catalina.core.StandardWrapperValve.invoke(StandardWrapperValve.java:199)
at org.apache.catalina.core.StandardContextValve.invoke(StandardContextValve.java:96)
at org.apache.catalina.authenticator.AuthenticatorBase.invoke(AuthenticatorBase.java:475)
at org.apache.catalina.core.StandardHostValve.invoke(StandardHostValve.java:140)
at org.apache.catalina.valves.ErrorReportValve.invoke(ErrorReportValve.java:80)
at org.apache.catalina.valves.AbstractAccessLogValve.invoke(AbstractAccessLogValve.java:624)
at org.apache.catalina.core.StandardEngineValve.invoke(StandardEngineValve.java:87)
at org.apache.catalina.connector.CoyoteAdapter.service(CoyoteAdapter.java:341)
at org.apache.coyote.http11.Http11Processor.service(Http11Processor.java:498)
at org.apache.coyote.AbstractProcessorLight.process(AbstractProcessorLight.java:66)
at org.apache.coyote.AbstractProtocol$ConnectionHandler.process(AbstractProtocol.java:796)
at org.apache.tomcat.util.net.NioEndpoint$SocketProcessor.doRun(NioEndpoint.java:1368)
at org.apache.tomcat.util.net.SocketProcessorBase.run(SocketProcessorBase.java:49)
at java.util.concurrent.ThreadPoolExecutor.runWorker(ThreadPoolExecutor.java:1142)
at java.util.concurrent.ThreadPoolExecutor$Worker.run(ThreadPoolExecutor.java:617)
at org.apache.tomcat.util.threads.TaskThread$WrappingRunnable.run(TaskThread.java:61)
at java.lang.Thread.run(Thread.java:745)

I even try to set the parameter with :

double lat = 12.56;
double lat = Double.parseDouble("12.552");

Nothing is working :(

A: Changing the type from

criteriaBuilder.parameter(double.class, "lat"),

to

criteriaBuilder.parameter(Double.class, "lat"),

should work for you. For further reading refer.
Also run the following sample for understanding the exception you see.
import java.util.ArrayList;
import java.util.List;

    public class Main {

      public static  void main(String args[]) {
        List<Double> list = new ArrayList<>();
        double var = 1022.222;
        list.add(var);
        // Notice that the double is autoboxed to Double type.
        System.out.println(list.get(0).getClass());
        System.out.println(double.class);
        // System.out.println(list.get(0).getClass().equals(double.class));
      }
    }

redpajama_set_name: RedPajamaStackExchange


text:
using SGH_Khronos.Data;
using SGH_Khronos.Logging;
using System;

namespace SGH_Khronos.Services
{
    public abstract class BaseService : IDisposable
    {
        protected readonly AppContext _context;
        protected readonly ILogger _logger;

        protected BaseService(ILogger logger)
        {
            this._context = new AppContext();
            this._logger = logger;
        }

        #region Disposable

        private bool _disposed;

        public void Dispose()
        {
            this.Dispose(true);
            GC.SuppressFinalize(this);
        }

        protected void Dispose(bool disposing)
        {
            if (this._disposed)
            {
                return;
            }

            if (disposing)
            {
                this._context.Dispose();
            }

            this._disposed = true;
        }

        #endregion
    }
}

redpajama_set_name: RedPajamaGithub


text:
Essex TV
Benny's World
Essex Magazine
Home Business Be part of your community's future by working on Census 2021
Be part of your community's future by working on Census 2021
Essex Mag
Census 2021 is fast approaching and the Office for National Statistics is now hiring thousands of staff across every region of England and Wales to encourage people to take part in the decennial event.
The census is a once-in-a-decade survey that gives us the most accurate estimate of the population and households. Census day is March 21.
It informs decisions nationally and locally on vital services and ultimately it ensures millions of pounds are invested in emergency services, mental health care, school places, hospital beds, houses, roads, GP's and dentist's services based on the information people give.
"The ONS is hiring thousands of people in a range of exciting temporary roles to make Census 2021 a success," Pete Benton, census director of operations, said.
"I would love the census field force to include people from every community across England and Wales.
"Around 300 community engagement staff have already been employed and next week recruitment will begin for a whole range of field staff which will peak at over 30,000 jobs at the height of the census operation in the spring of 2021.
"These roles will be perfect for those who enjoy talking to people and working in the community, and every post filled will help ensure communities across the length and breadth of England and Wales are represented.
"It is crucial everyone – from people living in London's commuter-belt to all inner city communities; from those living in the countryside to student populations; all generations and ethnic minorities – takes part to give the best picture of the needs of us all."
Understanding the needs of the nation helps everyone from central government to organisations such as councils and health authorities, plan and fund public services.
Information from the census is also important in helping lots of other people and organisations do their work. Charities and voluntary organisations often use it as evidence to get funding. It also helps businesses to understand their customers and decide where to open new services.
Operating in line with the Government's latest Covid-19 guidance, census officers will be deployed across the country next spring to contact those who have not responded. They will offer help and advice to those who need it. They will also remind people that their census response is required by law. Flexible hours are available, although some evening and weekend work will be expected.
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Discussion in 'Other Pets & Livestock' started by Butterscotchbitesfinger, Dec 1, 2018.
But nothing like: I am a stupid dumb animal (PLEASE DO NOT SAY ANYTHING ALONG THESE LINES).
Yorkshire Coop, sassysarah123, JaeG and 2 others like this.
Thank for the tag! Looking for a photo!
chickens really and sassysarah123 like this.
Training a human sure can make a young horse tired!
TropicalBabies, Yorkshire Coop, Keeperofmunchkins and 2 others like this.
Hello, I'm a professional human trainer.
Yorkshire Coop, Keeperofmunchkins, chickens really and 2 others like this.
Keeperofmunchkins, drumstick diva and sassysarah123 like this.
drumstick diva and Butterscotchbitesfinger like this.


>> Uber has been stripped of its license in London. In a huge blow for the taxi app, the city's transport regulator on Friday, banned the company from operating after the end of September. The decision is likely to affect over 40,000 drivers. Transport for London criticized Uber for a lack of corporate responsibility, saying their behavior posed potential safety and security implications.
The city's mayor, Sadiq Khan, backs the decision. While the company's license in London was due to end on September 30th, TFL failing to renew it could in part be bowing to political pressure. As Reuters' Alistair Smout explains.>> There's been mounting political pressure from the opposition in the Labour Party.
Several high-profile members of that party have said that Uber cuts corners, and undercuts rivals unfairly. And with that party conference happening this weekend, again, that was another forum in which some of these grievances could be aired.>> The company says they'll appeal the decision within the required 21 days.
And can continue to operate, until the process has finished. Uber has previously faced criticism in London from unions over working conditions, as well as from lawmakers and traditional black cab drivers. They'll now be hoping to win back the city's trust, and avoid too much time in the appeals court.
>> Any timeline which is given now, we anticipate there's gonna be a long legal battle. It could be months or even years. And perhaps the more likely outcome isn't necessarily that that is seen through to the bitter end. But there might be some concessions from Uber. They'll agree to enforce standards, which they've been criticized for not enforcing in the past.
And maybe from that way they can be in agreement with Transport for London, without the whole torturous legal process playing out.>> The London ban is not the first scandal to hit Uber. Globally, they've endured a tumultuous few months, after a string of scandals involving allegations of sexism and bullying.
It led to investor pressure, which forced out the former CEO and co-founder. The app has also been forced to quit several countries, including Denmark and Hungary. And face regulatory battles in multiple US states, and countries around the world.


Inflammation doesn't have to be such a sensitive subject with the help of these soothing products.
While numerous treatment modalities rely on inflammation to minimize the signs of aging, one size definitely doesn't fit all.
Our experts outline their go-to methods and ingredients for calming things down.
When we hear the term "inflammation," negative connotations like irritation and itchiness are the first to come to mind. But there's more to this protective mechanism than meets the eye.


text:
Home › 2009-10 England Home Shirt Size 36
2009-10 England Home Shirt Size 36
Team: England
Brand: Umbro
Era: 2009-10 (Used throughout the 2010 FIFA World Cup qualifying campaign, and the 2010 FIFA World Cup)
Name/Number: Gerrard #4
I would say that the shirt is in good condition, however upon seeing the shirt you can see that it has been worn a few times. Nevertheless, it would make the perfect foil to play in or to keep as a collector's item, if you're a fan of the 3 Lions.
Pit to Pit Measurement: 20.5 inches
This shirt is made in the 'Tailored in England' style of Umbro shirt which began from around 2010 and was designed to have a minimalist design and to even be an auxiliary polo shirt. You will find that these shirts are quite baggy and would be most suited for a size Medium or Large.
The World Cup 2010 jersey was one of the classier shirts that Umbro had designed for England, much like their Euro 2012 & World Cup 2014 ensemble; they played the competition in all white home strip. This was also the first home shirt made in the 'Tailored in England' range.
Emile Heskey, Wayne Rooney, Jermain Defoe, Peter Crouch, Aaron Lennon, Joe Cole, Shaun Wright-Phillips, Michael Carrick, Frank Lampard, Steven Gerrard, Gareth Barry, David Beckham, James Milner, Ashley Cole, Jamie Carragher, John Terry, Rio Ferdinand, Glen Johnson, David James, Joe Hart
2004-06 England Away Shirt Size Medium
2004-06 England Away Shirt Size Large
2011-12 England Away Shirt Size 40
2005-06 England Home Shirt Size Medium - Rooney #9


text:
Photos of Acapulco
Map of restaurants
Home » Discos
Pop, Rock, Salsa
For fans of retro music and for those recapturing days of youth, B & B is the place to go. They specialize in music from the 60's, 70's and 80's. The environment is inviting, with a huge dance floor, which is usually filled. For those wanting smoother sounds and slow... more»
Baby'O
Cumbia, Mergenue, Pop, Reggaetón, Rock, Salsa, Techno
Baby'O, a relatively small club, with room for about 250 guests has been around for more than thirty years, and bears the stamp of the classic and classy discotheque of the 1980's. Baby'O is perhaps Acapulco's most exclusive and most famous discotheque. Here the guest can rub elbows with many... more»
Circulos
One of the liveliest and most festive clubs in Acapulco's nocturnal scene is Club Circulos. The place is very modern, with minimalist décor and comfortable surroundings, with dim light and sofas and day beds that create the atmosphere of a modern lounge. The music -- often from a live cover... more»
Classico del Mar
Pop, Reggaetón, Rock, Techno
Classico del Mar refers to itself as a "deck and disco boutique." Fair enough. Deck, because of the large rooftop deck where patrons can lounge about while admiring the spectacular panorama of Acapulco bay over a bottle of Dom Perignon. Boutique, because Classico del Mar goes above and beyond with... more»
Disco Beach
Pop, Reggaetón, Rock, Salsa, Techno
Located right in the middle of Condesa Beach on the Costera, Disco Beach is a Spring Break tradition. It's the bar where you're most likely to witness a spontaneous wet t-shirt contest or some triple-kissing. Friday gets super rowdy because Friday is none other than foam night. The best choice... more»
Dubai Acapulco
Banda, Cumbia, Mergenue, Pop, Reggaetón, Rock, Salsa, Techno
Club Dubai is a group of upscale nightclubs, with branches in Cancún, Playa de Carmen, Mexico City and Acapulco. The Acapulco club opened in 2009 in the space formerly used by Salon Q, on the Costera Alemán in Costa Azul, just steps away from Oceanic 2000 and Starbucks. Though the... more»
El Alebrije
An "alebrije" is a small animal figure made in the tradition of the indigenous people of Mexico, usually out of clay, and brightly painted. In 1998, after a great success in Mexico City, the nightclub named "El Alebrije" came to being in Acapulco. It has become an icon of the... more»
Pop, Retro, Rock
Fever tells you to "relive the fever of the 1970's, 1980's and 1990's" with them. The club was started as a concept that Acapulco lacked: a place where notalgia was permitted, and young and not-so-young could enjoy nightlife under the same roof. Fever adds in a mix of current popular... more»
Ka'os
An after hours club located one door down from Acapulco's favorite strip club, Tabares. A short walk for the strippers getting off work a 5 am. Indeed, Ka'os has a reputation for being the club where the straight-laced can see the seamier side of Acapulco up close. At Ka'os you... more»
Mandara
Cumbia, Reggaetón, Rock, Salsa, Techno
Mandara, formerly Enigma, is Palladium only less so. It's also a bit smaller, but the rest is basically the same. Steep cover, open bar, nice view of the bay, techno and house, young trendy crowd. It's located almost next door to Palladium. One advantage is that one of Acapulco's main... more»
Nisha Acapulco
Pop, House
Like its Mexico City precursor, Nisha Acapulco is an architectural wonder as well as a beautiful space in which to relax and have cocktails. It is a fitting addition to La Isla, Acapulco's most elegant shopping and dining area. The atmosphere is elegant and in excellent taste. The lounge is... more»
Pop, Rock, Techno, House
Cover ♂/♀:
Palladium is without a doubt the most famous club in Acapulco. This is the place if you like your discos big, loud, and lively. Perched on a mountainside in Las Brisas, Palladium has an intense view of the Golden Zone and Acapulco Bay which is nothing short of spectacular at... more»
Electronic, House, Pop, Rock, Techno
$300 MXN / $0
Premiering in 2008, "Pure Aca Diamante" (officially it's "Pure Night" or just "Pure") is a very upscale discotheque on the main road through the Diamond Zone of Acapulco, across from the Fairmont Acapulco Princess Hotel. Officially, its capacity is 2,500, but in a short time it has proved capable of... more»
Salsa Clubs
Cumbia, Mergenue, Pop, Rock, Salsa
$10 USD / $20 USD
Zucca is an Acapulco disco located on the Las Brisas hillside overlooking the bay, roughly across Scenic Highway from Palladium. Zucca is a smallish disco that plays retro music and caters to crowd that's a little older, a little less fast, and maybe a little better off then the Palladium... more»
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