LOUISVILLE, Ky.--(BUSINESS WIRE)-- Brown-Forman Corporation (NYSE: BFA) (NYSE: BFB) today reported financial results for its first quarter of fiscal 2014. The company grew reported net sales by 2% to $896 million in the quarter1, an increase of 5% on an underlying basis2. As expected, both reported and underlying net sales growth was negatively impacted by the difficult comparison with the prior year period when sales growth benefited from significant distributor and retail buy-ins related to price increases. Net sales growth was also negatively impacted by adverse foreign exchange. Reported operating income decreased 2% to $217 million, but increased 4% on an underlying basis. Diluted earnings per share in the first quarter decreased 3% to $0.66 compared to $0.69 in the prior year period.
The company's underlying sales growth of 5% was driven by solid underlying brand performance offset by the previously mentioned difficult comparison to last year's buy-ins. The company estimates that last year's buy-ins contributed two points of incremental growth to the 10% underlying sales increase registered during the year ago period. On a two-year basis, first quarter underlying sales have grown 16%, or almost 8% per year. Price/mix contributed approximately four points to sales growth in the quarter, and helped drive 40bps of gross margin expansion and a 6% increase in underlying gross profits.
The company's North American whiskey portfolio continued to grow globally, led by 7% underlying sales growth for the Jack Daniel's trademark. The Jack Daniel's family of brands continued to enjoy strong underlying demand across price points and brand extensions. Jack Daniel's Tennessee Honey also showed strong underlying sales growth in the quarter, up 26%, as United States takeaway trends for Tennessee Honey remain robust and the company believes that the international rollout of the brand is progressing well.
Woodford Reserve's family of brands grew underlying sales by 25% globally. Brown-Forman's super- and ultra-premium whiskey brands, including Gentleman Jack, Woodford Reserve, Jack Daniel's Single Barrel, and Collingwood, grew underlying sales 20%. Canadian Mist's family grew underlying sales 5%, and new flavors such as Maple, Cinnamon, Vanilla and Peach were launched in a few select markets.
Finlandia's underlying sales increased by 1% in the quarter, negatively impacted by trade inventories related to the fourth quarter price increase in Poland. El Jimador's underlying sales grew 2% as the Mexican marketplace for mainstream tequilas remained competitive. Herradura and New Mix RTDs' underlying sales declined 5% and 38%, respectively, and were negatively impacted by the inventory adjustments following fourth quarter price increases in Mexico.
Southern Comfort's family of brands' underlying sales declined 2%. Sales growth outside of the United States was driven by the launch of the new communications program in a few select markets, including the United Kingdom and Germany. These gains were offset by sales declines in the United States due largely to increased competition in on-premise occasions.
Sonoma-Cutrer grew underlying sales by 3% as demand for the brand remains solid in both the on- and off-premise channels. Korbel's 27% underlying sales growth was powered by buy-ins in advance of a recent price increase.
Geographically, underlying net sales in the United States grew 5%. Underlying sales in developed markets outside of the United States grew by 4%, and were up double-digits excluding Australia, where challenging market and economic conditions drove an underlying sales decline of 5%. Underlying sales growth was particularly strong in the United Kingdom, Germany and France, with each country delivering double-digit growth. In Western Europe, the spirits market appears to be slowly stabilizing from a depressed base, and the company continues to drive its growth through market share gains. Emerging markets underlying growth rate of 5% was negatively impacted by inventory shifts related to the previously mentioned price increases in Mexico and Poland. Emerging markets excluding these two countries grew underlying sales by 13%.
Global A&P spend increased 12% as the company continued to invest behind its brands in the quarter. This included media spend on Southern Comfort, supporting the launch of Jack Daniel's Tennessee Honey in several new markets outside of the U.S., and launching Gentleman Jack's 'Order of the Gentleman' campaign in the United States. SG&A spend increased 5%, and the company remains focused on leveraging the route to market and personnel investments made over the last few years. Underlying operating income grew 4% in the first quarter.
During the quarter, Brown-Forman declared a regular quarterly cash dividend of $0.255 per share on Class A and Class B common stock. The cash dividend is payable on October 1, 2013 to stockholders of record on September 5, 2013. Brown-Forman has paid regular cash dividends for 68 consecutive years and increased the regular cash dividend for 29 consecutive years.
The company is reaffirming its outlook for fiscal 2014. While results in the first quarter were negatively impacted by last year's buy-in, the company expects more favorable comparisons in the second quarter. For the full year, the company anticipates high-single digit growth in underlying sales and a 9-11% increase in underlying operating income, which would result in diluted earnings per share of $2.80-3.00. The EPS outlook includes anticipated negative impacts from foreign exchange of $0.03 per share as well as the negative impact of $0.06 per share related primarily to the buyback of inventory in France as the company transitions to an owned distribution model on January 1, 2014.
Brown-Forman will host a conference call to discuss the results at 10:00 a.m. (EDT) this morning. All interested parties in the U.S. are invited to join the conference call by dialing 888-624-9285 and asking for the Brown-Forman call. International callers should dial 706-679-3410. The company suggests that participants dial in approximately ten minutes in advance of the 10:00 a.m. start of the conference call.
A live audio broadcast of the conference call will also be available via Brown-Forman's Internet website, http://www.brown-forman.com/, through a link to "Investor Relations." For those unable to participate in the live call, a replay will be available by calling 855-859-2056 (U.S.) or 404-537-3406 (international). The identification code is 28122685. A digital audio recording of the conference call will also be available on the website approximately one hour after the conclusion of the conference call. The replay will be available for at least 30 days following the conference call.
For more than 140 years, Brown-Forman Corporation has enriched the experience of life by responsibly building fine quality beverage alcohol brands, including Jack Daniel's Tennessee Whiskey, Southern Comfort, Finlandia, Jack Daniel's & Cola, Canadian Mist, Korbel, Gentleman Jack, el Jimador, Herradura, Sonoma-Cutrer, Chambord, New Mix, Tuaca, and Woodford Reserve. Brown-Forman's brands are supported by nearly 4,000 employees and sold in approximately 160 countries worldwide. For more information about the company, please visit http://www.brown-forman.com/.
2 Underlying change represents the percentage increase or decrease in reported financial results in accordance with generally accepted accounting principles (GAAP) in the United States, adjusted for certain items. A reconciliation from reported to underlying net sales, gross profit, advertising expense, SG&A, and operating income (non-GAAP measures) increases or decreases for the first quarter of fiscal 2014, and the reasons why management believes these adjustments to be useful to the reader, are included in Schedule A in this press release. Underlying sales references are on a constant currency basis and adjusted for estimated changes in distributor inventories. First quarter reported, constant currency, and underlying sales growth rates for our brand families are included in Schedule B to this press release.
Use of Non-GAAP Financial Information This press release includes measures not derived in accordance with generally accepted accounting principles ("GAAP"), including constant currency net sales, underlying net sales and underlying operating income. These measures should not be considered in isolation or as a substitute for any measure derived in accordance with GAAP, and also may be inconsistent with similar measures presented by other companies. Reconciliations of these measures to the most closely comparable GAAP measures, and reasons for the company's use of these measures, are presented on Schedule A attached hereto.
Impact of foreign currencies – Refers to net gains and losses incurred by the company relating to sales and purchases in currencies other than the U.S. Dollar. Brown-Forman uses the measure to understand the growth of the business on a constant dollar basis as fluctuations in exchange rates can distort the underlying growth of the business (both positively and negatively). To neutralize the effect of foreign exchange fluctuations, the Company has translated current year results at prior year rates. While Brown-Forman recognizes that foreign exchange volatility is a reality for a global company, it routinely reviews its performance on a constant dollar basis. The company believes this allows both management and investors to understand better Brown-Forman's growth trends.
Hopland-based wine business sale – Refers to the company's April 2011 sale of its Hopland, California-based wine business to Viña Concha y Toro S.A., which remained as agency brands through December 31, 2011. Included in this sale were the Fetzer winery, bottling facility, and vineyards, as well as the Fetzer brand and other Hopland, California-based wines, including Bonterra, Little Black Dress, Jekel, Five Rivers, Bel Arbor, Coldwater Creek, and Sanctuary. Also included in the sale was a facility in Paso Robles, California.
"Estimated net change in trade inventories" refers to the estimated financial impact of changes in distributor inventories for our brands. We calculate this impact using depletion information provided to us by our distributors to estimate the effect of distributor inventory changes on changes in our key measures. We believe that separately identifying the impact of this item presents a more accurate picture of underlying demand for our business.
Dispute settlement – Refers to the favorable resolution of a dispute in an international market relating to the importation of our products. Management believes that excluding this benefit provides helpful information in forecasting and planning the growth expectations of the company.


Like to build things with you hands? This is the camp for you! We'll be making both relief and sculpture in the round. Bring your art to the 3rd dimension!
Please register at least 24 hours in advance to reserve your seat.


This simple grain-free shortbread is made with almond flour and flavored with maple syrup. The cookies come together with just 3 simple ingredients and are naturally gluten-free.
Shortbread cookies are often made with just three ingredients, flour, butter and sugar. These days, cooks often mix in a bit of rice flour to get a crumbly consistency and lower the gluten content. With less gluten, the cookies are tender and the buttery goodness comes through.
Since the best shortbread is naturally low gluten, why not just go ahead and make gluten-free shortbread instead? And if you're going to go gluten-free, might as well go all the way and make them grain free too. And once you're grain free, how about using an all natural sweetener to top them off and add amazing flavor.
With just three ingredients, this maple shortbread is gluten free, grain free and totally paleo too. Substituting coconut oil in place of the butter is a great vegan option, and instead of a buttery flavor, the cookies will have very slight hints of coconut. Either way, they're delicious.
Since these almond flour shortbread cookies are high in protein and healthy fats, I don't feel bad when my little ones ask for a cookie for breakfast. They're wonderfully filling, and just sweet enough to fill you up and satisfy your sweet tooth at the same time.
If you want these cookies to have a strong maple flavor, rather than just the natural sweetness, it's important to use a dark grade of maple. The grading system for maple syrup in Vermont recently changed, largely to make all grades of syrup more attractive to tourists. Before the change, the good maple syrup was called 'grade B' so Vermonters could keep it to themselves, but it's now labeled 'Grade A Dark Amber' so that it sells better to tourists.
The darker the color of the maple, the more maple flavor it has. With more flavor in every bit of sweetness, darker maple grades are much better for flavoring baked goods.
These simple three-ingredient maple shortbread cookies are grain free, gluten free and paleo. Substitute coconut oil for the butter and they're vegan too.
Preheat oven to 350 degrees and line a baking sheet with parchment.
Starting with softened (room temperature) butter and place it in a medium sized mixing bowl.
Add almond flour into the butter combine using a rubber spatula (or hand mixer).
Once the almond flour and butter are thoroughly combined, add in maple syrup. The dough will be very soft.
Spoon the cookie dough onto a sheet of wax paper and roll the wax paper into a tube, roughly 2 inches in diameter.
Place the shaped cookie dough into the refrigerator for 4-6 hours, or the freezer for 1-2 hours.
Use a sharp knife to cut the dough into disks (about 12 cookies).
Bake until golden brown on the bottom, about 15 to 18 minutes.
For Gluten free vegan shortbread cookies, simply substitute softened coconut oil in place of butter.
Cooking up the world from my tiny Vermont kitchen. Follow along for traditional recipes from around the globe, as well as some of my own special creations.


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Whether you are starting out in your career as a family lawyer, working your way up the career ladder or an experienced family lawyer, Family Law Section membership has much to offer. Through the FLS, you can become part of a community working to ensure family lawyers gain both the support and recognition they deserve.
Read about some of the many benefits that FLS membership gives you.
Joining the FLS is quick and easy and costs less than $5.00 a week – the price of a cup of coffee! There is a special rate for community law centre employees and junior practitioners (those who have held a practising certificate for less than two years).
Membership or associate membership of the New Zealand Law Society is a prerequisite for Family Law Section membership.
Full membership is available to those who hold a current practising certificate and are members of the NZLS.
Family Law Section Associate membership is available to associate members of the NZLS who do not hold a current practising certificate but have a significant interest in family law. Examples of associate members would be retired lawyers; overseas lawyers; present and former members of the judiciary in New Zealand or elsewhere; and legal academics.
Australian Family Law Section membership is available to current members of the New Zealand Family Law Section. We have negotiated a reduced membership rate for members which is half of the full Australian membership fee. The membership year runs from 1 July to 30 June. Visit the Australian Family Law Section website to find out more about them.
Select the appropriate application form.
If you are not already an NZLS associate member you will need to apply by completing the application and payment forms below.
You must complete both the NZLS & FLS application forms.


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Jonathan Kellerman's Gone
Jonathan's Kellerman's 26 Alex Delaware books can be read as police procedurals, amateur detective novels, or psychological thrillers. This unique series of books began in 1985 with When the Bough Breaks, a novel that won both the Edgar Allen Poe and Anthony Boucher awards for best first mystery. Having worked his way through UCLA as an editorial cartoonist, columnist, and editor, Kellerman won the Samuel Goldwyn Writing Award for fiction while still a university student. Married to mystery writer Faye Kellerman, he has collaborated with her on two bestsellers, Double Homicide and Capital Crimes. Kellerman has also written essays, short stories, poetry, and nonfiction.
Like his protagonist Alex Delaware, Kellerman is a clinical psychologist who brings his expertise in child psychology to crime investigations. He is not the only psychiatrist or psychologist to write a mystery story; see for example, the novels of Laura Munder, Leonard Simon, Samuel Shem, Benjamin Schutz, James Howard, and Bruce Forester (Krasner 1991).
The psychological expert is a familiar role in crime fiction. Margaret Truman, P.D. James, Ellery Queen, Rex Stout, Thomas Harris, and Robert Parker have all created memorable psychiatrists/psychologists in their novels (Krasner 1991).
Gone – Kellerman's 20th Alex Delaware novel – captures our interest on the first page. The novel opens with a local rancher driving down a canyon, through "mile after mile of neck-wrenching hairpin twists" when suddenly a naked, terrified girl jumps out in front of his truck. He is perilously close to falling into "a thousand foot of nothing" (3, 4). The story the girl tells of abduction, assault, and starvation turns out to be hoax. Yet shortly after this incident, she is found dead. Other bodies are discovered and the mystery deepens. The end of the novel is as unexpected as the beginning.
Kellerman has created a dynamic pair of detectives in psychologist Alex Delaware and homicide detective Milo Sturgis. Their snappy tough-guy dialogue will remind you of the witty repartee found in a Raymond Chandler or Ross Macdonald novel. (See my posts on The Long Goodbye, The Big Sleep, and The Goodbye Look). Milo brings the vast resources of the police force to the case while Alex provides insight into the inner workings of the criminal mind. By creating this amateur detective/homicide policeman duo, Kellerman adds both realism and psychological suspense to these mysteries.
Alex is interested in the psyche of the murderers, tracing the roots of their psychopathic behaviour to earlier childhood experiences. As a psychological mystery, Gone is intense and captivating. Kellerman manages to successfully combine the fast-paced action of the "whodunit" with the slower-paced psychological exploration of the "why-done-it."
Janet Maslin points out that Kellerman "can always be counted on to lead the reader on an intriguing runaround." Gone, like the other novels in the series, is a true page turner. Kellerman acknowledges that he is far more interested in extraordinary and extreme events than in ordinary and commonplace ones:
All good fiction involves an element of mystery – ideally, the reader should be compelled to turn the page in order to find out what happens next. Crime novels use extreme events – matters of life and death – to catalyze the story. That kind of intensity appeals to me. Trying to squeeze profundity out of banal events doesn't.
The central motif and subtext of Gone is acting. Los Angles is depicted as a Mecca and a mirage for would-be actors and actresses. The perpetrator of the crimes grew up in a household where "performance was all" (361). Described as "the ultimate actor," he has a Hollywood mindset that fosters social disintegration (362). Elsie tells Alex that in L. A. "showbiz trumps everything. You ask people in this city if they'd give up a vital organ for a walk-on in a movie, I guarantee you most would ask where's the scalpel" (355).
Los Angeles is a dominating presence and controlling force in the novel. "Back when I treated children," says Alex, "I routinely took histories from parents and learned what family life could be like in L.A. People packing up and moving every year or two, the surrender to impulse, the death of domestic ritual" (6). In a company town whose product is "fantasy" and whose motto could be "no forwarding address," it is not surprising that glamour is only surface deep (7).
Zvirin describes Gone as a "fast, clever thriller [that] proves again why Kellerman's books reside on best-seller lists" (2006, 44). If you like mysteries with a psychological focus, you will certainly enjoy Gone.
Kellerman, Jonathan. Gone. New York: Ballantine Books, 2006.
Krasner, Leonard. "Shrinks and Murder: The Psychologist/Psychiatrist in the Mystery Novel." Clues 12, no. 2 (1991): 51-65.
Zvirin, Stephanie. "Gone." Booklist 102, no. 13 (March 1, 2006): 44.
Labels: amateur detective, hard-boiled, male detective, police detective, psychological focus, rich/famous characters, series characters, urban setting

redpajama_set_name: RedPajamaCommonCrawl


text:
Q: How can I preview a excel file from server in webpage? I'm writing a website that allow user upload excel file, if it pass the validation, user can convert the content into database, otherwise the website will tell user where is the problem, which cells of excel file is wrong.
So I'd like to make the webpage is available to display/preview the excel file after user upload it.
In my website, after user upload the file, back-end will do the validation, and generate a new excel file out (using aspose-cell), if there are any mistake, the back-end will change the font or cells color of the mistake parts.
So I suppose the website will open the new excel file, and allow user to see the real-content of the excel file, including the font & cells color.

A: You can work with Aspose.Cells for GridWeb to work with Worksheets. You may please visit following link for more details. Let us know if you face any problem.
https://docs.aspose.com/display/cellsnet/Aspose.Cells.GridWeb
Note: I am working as Support developer/ Evangelist at Aspose.

redpajama_set_name: RedPajamaStackExchange


The youth director for bowling at Boardwalk Bowl in East Orlando has a homeschool league starting next week. Today is the registration day. Those that come in get 2 free games!
Enlighten Montessori is moving to Misty Forest in down town Orlando on April 1st. They will be offering a homeschool enrichment program for K-2. For more information, go to the Enlighten Montessori website and download this flyer.
HENCF's 2015 Spring Formal is April 18th at Longwood Elementary. For more information and to buy tickets, please go to the HENCF website.
Throughout 2015, St. Augustine, FL will celebrate its 450 year history. During Black History month (February), St. Augustine's African America heritage will be commemorated through tours, ceremony, dedications and historic re-enactment.
On Saturday, February 14, from 10 a.m. to 3 p.m., Fort Mose Historic Sate Park will host the annual Flight to Freedom reenactment. Visitors to the historic site can experience the freedom trail as they encounter a freedom seeker, a Yamasee in search of freedom, a trapper turned bounty hunter, a Franciscan friar and other historic characters as they find their way to Spanish Florida and freedom.
Can't make it to St. Augustine but you're still interested in the city's unique African history? Simply go online to the Civil Rights Library of St. Augustine www.civilrightslibrary.com. The Civil Rights Library of St. Augustine preserves, and makes available to the public, historical material documenting St. Augustine's local race relations during the 1960s. In a collaboration between Flagler College faculty and students, the Andrew Young Foundation, and members of the community, the library features collected oral histories, interviews, documents, and photographs. Begun in 2012, the project continues to collect and interpret these materials.
Black History Month originally began in 1926 as a week-long observance during the second week in February. This week was selected because it is the birthday week of both Frederick Douglass and Abraham Lincoln. Douglass, an advocate for the African-American community and friend of Lincoln, had a main role in the passage of the Emancipation Proclamation of 1863. Douglass visited St. Augustine for one day and spoke about the continued struggles of African-Americans. A marker on St. George Street honors his visit to St. Augustine.
St. Augustine is America's first city, established in 1565. It is a city built on discovery, courage and enduring spirit; it is a city built by pioneers, soldiers, artisans and entrepreneurs. Four and a half centuries later, the city and its people continue to symbolize the rich history and cultural diversity that makes St. Augustine unique. In 2014 the City of St. Augustine commemorated the 50th anniversary of the Civil Rights Act and the area's lengthy African-American history. More information can be found at: www.facebook.com/450th, www.twitter.com/StAugustine450 or www.staugustine-450.com.
Dramatic Education is offering a homeschool Drama program. In these classes, students will learn an original Dramatic Education musical from start to finish, featuring songs from hit Broadway musicals, while seamlessly integrating the theatre basics curriculum. Through theatre games and exercises, they will master techniques that will enhance their understanding of "show" and help them grow as performers in their craft. At the end of the course, they will present their work through a dramatic preview.
Orlando Homeschool Enrichment is a blog devoted to promoting local homeschool events and resources in the Central Florida area. Please contact us at gretchen underscore goel at yahoo dot com.


The most distinctive aspect of working at United Mechanical is our vibrant culture and spirit of innovation. We work hard, we play hard, and we support each other in our mission to build lasting client relationships. With a senior crew of seasoned experts, we are well positioned to take on jobs large and small, while mentoring fresh talent in our growing workforce. Join us and experience a modern workplace that stands apart from the rest of the service industry.
United Mechanical is committed to hiring and developing the best supervisors and workers in our industry. We are dedicated to providing a work environment which allows each and every employee to have job satisfaction, at the same time meeting the desires of the company to provide the best quality products and services available on a profitable basis. We wish to develop employees known for their character, commitment, and confidence, and we recognize the importance of each and every individual in the success of the entire company. United Mechanical maintains an open-door policy at all times; encouraging the flow of communication, the exchange of ideas, creativity and self-esteem in the work place.


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SOME ENCHANTED EVENING SPECIAL 2016
'Some Enchanted Evening' is Lee's long awaited MGM-led fourth album. We've had a gap of 4 years but it was well worth the wait! Inspired by his love as a boy of Sunday afternoon musical films on the tele, Lee has put together songs that he identifies with and he's done a fair bit of promotion to support the album release in February 2016.
We've put together a selection to give you a flavour of the album and Lee's love for it....
Lee took to the Welsh Brecon Beacons
(between storms, it was February!) and
the gorgeous Craig-Y-Nos Castle to put together some sample videos... and he's toe-tapping good!
The Singing
Singing live on the Gaby Roslin show on BBC Radio London the weekend of release would be a daunting prospect but Lee rose to the challenge and magic happened! In the studio along with Gaby was Marti Webb and 80s heart throb Nick Heyward as well as a chef, a producer, Nick's Fiancee and a pianist! Listen here to the edited highlights:
2016-02-21 BBC Radio London Gaby Roslin - Lee Mead
Photo Credit: BBC Radio London-Gaby Roslin Show
All the music of life seems to be
Like a bell that is ringing for me!
'Almost LIke Being in Love'
We all know the inspiration for Lee's album 'Some Enchanted Evening' from watching those old MGM musical films; but where were all the tracks taken from? Mason Neely (the album producer) and Lee researched hundreds of songs and reduced them to those that Lee related to, a true labour of love, but well worth the effort. These inspirational lyrics and tunes are taken from the following films....
Damsel in Distress 1937
'A Foggy Day in London Town' was sung by Fred Astaire
I Could Go On Singing 1963
'By Myself' was originally sung by Judy Garland!
Kitty Foyle 1939
'I'll See You in My Dreams' was originally sung by Isham Jones in 1924, but later made better known in the film with Ginger Rogers
The Roar of the Greasepaint 1964
Starting out as a stage show, 'Feeling Good' sung by Cy Grant
Babes in Arms 1937
'Where or When' was originally sung by Ray Heatherton on stage, before later becoming a Mickey Rooney film
Singing in the Rain 1952
The iconic Gene Kelly!
Brigadoon 1954
'Almost Like Being in Love' was first performed by David Brooks in the stage version, later made popular by Gene Kelly in the 1954 film version
Anchors Aweigh 1944
'I Fall in Love Too Easliy' sung by Frank Sinatra, though nominated for an Oscar, it missed out!
South Pacific 1959
This was dubbed in the film, but on stage was sung by Metropolitan Opera bass Ezio Pinza. Safe to say Lee doesn't sing it as a bass!
Guys and Dolls 1950
'Luck Be a Lady' was first sung by Robert Alda in 1950, but later 'sung' by Marlon Brandon in the film!
Very Warm For May 1939
'All The Things You Are' originally sung by Hiram Sherman, the show closed after 59 virtually empty performances, but the beautiful song endured and is considered:
"…the most perfectly constructed of all popular standards...."
October 2016 Tour
See how Lee interprets all of these beautiful songs live on tour - October 2016
'Some Enchanted Evening'
Fools give you reasons, Wise men never try
The Song Stylist!
To finish, an interview that allowed Lee to express thoughts in his own words, so we end this album special with the man himself...
Click Here to for a readable PDF
Time and again I 've longed for adventure
Something to make my heart beat the faster...
The Album
A special mention must go to Musical Director Mason Neely who produced 'Some Enchanted Evening'. Searching through such a catalogue of songs, styling them for a modern age and producing this superb sounding album; along with a pretty good vocalist!
If you haven't done so already check out Lee Mead's 'Some Enchanted Evening' on Spotify or available at Amazon, iTunes and HMV; we hope you enjoy this musical journey as much as we do.
Lee takes this album on tour in October 2016 after his run in Chitty Chitty Bang Bang, so check out the concerts page for all the venues and dates.
'All The Things You Are'


As a popular over-the-counter painkillers, Aleve is the brand name of naproxen and is used for headache, body ache, common cold, cramps, fever, sprains, etc. However, if you have Nephrotic Syndrome, you'd better not use Aleve.
Most of the medicines will also produce some wastes. These waste products are filtered through kidneys or the liver. Long term and overuse of Aleve will cause kidney damage. Consult your doctor about the dosage of Aleve for headache.
You should not depend on this medicine for headache. For Nephrotic Syndrome patients, headache has its underlying causes. Find the real cause, and then take corresponding treatment is the right way.
Nephrotic Syndrome patients are always experience proteinuria (protein leaks out with urine). Large amounts of protein pass through glomeruli, leading a reduced colloid osmotic pressure. This condition will cause elevated blood pressure and water retention.
The kidneys work to participate in the production of EPO which is necessary for the formation of red blood cells. If the kidneys are impaired, less EPO will be made, resulting in less production of RBCs (Renal Anemia). In this case, a specific kind of headache - "anemic headache"can be caused.
Nephrotic Syndrome patients' GFR has reduced, leading to wastes and toxins build up in the body. This can cause nerve damage, and you have headache.
Steroids and immunosuppressants are used to control symptoms. However, long term used of these medicines will do more harm than good. I recommend you to take Micro-Chinese Medicine Osmotherapy, which is an innovation of Traditional Chinese Medicine (TCM) and is used externally.
Near 30 years of clinic practices prove Chinese herbs are the natural and effective medicines for treating kidney disease. If you are interested in this therapy, you are welcomed to leave a message below. We will reply you ASAP.


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Traybakes: 40 Brilliant One-Tin Bakes For Enjoying, Giving And Selling
By Hannah Miles
Lorenz Books, March 2017
I found this book in my local library and simply had to check it out and bring it home!
My daughter very kindly offered to do a test bake of one of the recipes, so she made the Apple Shortcake bars, which were absolutely delicious.
The only downside was that these really are large traybakes, and we ended up eating the bars quite literally for days.
An absolutely wonderful book if you need to cater on a large scale for school/parish events, bake sales, parties etc, but otherwise the recipes really do need to be scaled down dramatically for normal domestic use which I did not feel confident doing.
Recipes were varied and fun, including Brownies, Blondies, a variety of Flapjacks, some appropriately Healthy Eating recipes and some gluten-free recipes too.
Silent Weapon
By Andy McNab
Published by Doubleday, August 2017
This is the second in the "Street Soldier" Young Adult series about Sean Harker, former gang lad and petty criminal, who gets recruited into the Army in the first book.
Sean has made good, turned his life around and created a whole new life for himself in the Army, after an admittedly pretty rocky start. Fresh from a tour of duty abroad, he is expecting to arrive safely back in Britain and then prepare for some holiday leave in sunny Tenerife, but things do not go according to plan. Their civilian plane is diverted and then the airport is attacked by terrorists.
Caught right in the middle of it all, Sean and his companions fight back....but this is not the end of the problem, in fact it is just the very beginning of a desperate search against time to track down the terrorists and disable their deadly biological weapon hidden on Sean's own home turf by people he knows from his past.
This made utterly compelling and eye-opening reading; I found I was rapidly sharing Harker's concern, anger, disbelief and fear that radicalisation and terrorism could take place on his estate in London, among the people he knows and has grown up with. Everything he has believed about terrorism until now is turned on its head and he has very limited time to use his local knowledge of places and people to find those responsible and discover exactly what the weapon is before it is too late and a pandemic is unleashed.
An excellent story, which I ended up reading in one sitting and couldn't put it down. How on earth he is going to top this particular book, I have no idea, but I am equally sure that he will manage it.


Martinez Moore Engineers, LLC is a Texas-based multi-discipline engineering firm with offices in Austin, Houston, and Dallas, and is certified by the State of Texas as a Historically Underutilized Business (HUB). We are an affiliate firm of Martinez Engineering, LLC and Walter P. Moore and Associates, Inc.
Through our partnership with Walter P Moore, we bring together an unparalleled team of experienced engineers in structural and civil engineering. We engineer cost- and resource-efficient, forward-thinking solutions, which help support and shape our communities.
Martinez Engineering is an Austin, Texas-based full-service structural engineering firm focused on achieving our clients' vision. We thrive on unique and challenging projects that allow us to be creative, collaborative, and innovative with our partners to align the design, cost, and quality expectations of our clients. Our goal is to engineer practical and efficient solutions delivered through a trust-based service approach.
Walter P Moore is an international company of engineers, innovators, and creative people who solve some of the world's most complex structural and infrastructural challenges. Founded in 1931, Walter P Moore has more than 500 professionals working across 15 U.S. offices and 5 international locations.


text:
Q: How to group multiple columns into a single array or similar? I would like my query to return a result structured like this, where tags is an array of arrays or similar:
id | name | tags
1    a      [[1, "name1", "color1"], [2, "name2", color2"]]
2    b      [[1, "name1", "color1"), (3, "name3", color3"]]

I expected this query to work, but it gives me an error:
SELECT  i.id, i.name, array_agg(t.tag_ids, t.tag_names, t.tag_colors) as tags
FROM    ITEMS
LEFT OUTER JOIN (
  SELECT      trm.target_record_id
            , array_agg(tag_id) as tag_ids
            , array_agg(t.tag_name) as tag_names
            , array_agg(t.tag_color) as tag_colors
  FROM        tags_record_maps trm
  INNER JOIN  tags t on t.id = trm.tag_id
  GROUP BY    trm.target_record_id
) t on t.target_record_id = i.id;

Error:

PG::UndefinedFunction: ERROR:  function array_agg(integer[], character varying[], character varying[]) does not exist
LINE 1: ..., action_c2, action_c3, action_name, action_desc, array_agg(...
HINT:  No function matches the given name and argument types. You might need to add explicit type casts.

This query works and produces similar results (but not quite what I want):
SELECT  i.id, i.name, t.tag_ids, t.tag_names, t.tag_colors as tags  as tags
FROM    ITEMS
LEFT OUTER JOIN (
  SELECT      trm.target_record_id, array_agg(tag_id) as tag_ids, array_agg(t.tag_name) as tag_names, array_agg(t.tag_color) as tag_colors
  FROM        tags_record_maps trm
  INNER JOIN  tags t on t.id = trm.tag_id
  GROUP BY    trm.target_record_id
) t on t.target_record_id = i.id;

Result:
id | name | tag_ids | tag_names         | tag_colors
1    a      [1, 2]    ["name1, "name2"]   ["color1", "color2"]
1    a      [1, 3]    ["name1, "name3"]   ["color1", "color3"]

Edit:
This query almost produces what I'm looking for, except it names the json keys f1, f2, f3. It would be perfect if I could name them id, name, color:
  SELECT        trm.target_record_id, json_agg( (t.id, t.tag_name, t.tag_color) )
  FROM          tags_record_maps trm
  INNER JOIN    tags t on t.site_id = trm.site_id and t.id = trm.tag_id
  GROUP BY      trm.target_record_id
  having count(*) > 1;

Result:
[{"f1":1,"f2":"name1","f3":"color1"},{"f1":2,"f2":"name2","f3":"color2"}]

A: (t.id, t.tag_name, t.tag_color) is short syntax for ROW(t.id, t.tag_name, t.tag_color) - and a ROW constructor does not preserve nested attribute names. The manual:

By default, the value created by a ROW expression is of an anonymous record type. If necessary, it can be cast to a named composite type —
either the row type of a table, or a composite type created with
CREATE TYPE AS.

Bold emphasis mine. To also get proper key names in the result, cast to a registered composite type as advised in the quote, use a nested subselect, or simply use json_build_object() in Postgres 9.4 or newer (effectively avoiding the ROW constructor a priori):
SELECT trm.target_record_id
     , json_agg(json_build_object('id', t.id
                                , 'tag_name', t.tag_name
                                , 'tag_color', t.tag_color)) AS tags
FROM   tags_record_maps trm
JOIN   tags             t USING (site_id)
WHERE  t.id = trm.tag_id
GROUP  BY trm.target_record_id
HAVING count(*) > 1;
I use original column names, but you can chose your key names freely. In your case:
       json_agg(json_build_object('id', t.id
                                , 'name', t.tag_name
                                , 'color', t.tag_color)) AS tags

Detailed explanation:

*

*Return multiple columns of the same row as JSON array of objects

A: array_agg() puts one argument into an array.  You could try to concatenate the values together:
array_agg(t.tag_ids || ':' || t.tag_names || ':' || t.tag_colors)

Or perhaps use a row constructor:
array_agg( (t.tag_ids, t.tag_names, t.tag_colors) )

A: Why not try a Json_Agg()?
SELECT
     json_agg(tag_ids, tag_names, tag_colors)
FROM items

Etc...

A: DB fiddle
let's play with composite type.
create type tags as(tag_id bigint, tag_name text,tag_color text);
using array_agg:
select item_id,name,  array_agg(row(trm.tag_id, tag_name, tag_color)::tags) as tags
from items i join tags_record_maps trm on i.item_id = trm.target_record_id
group by 1,2;

to json.
select item_id,name, to_json( array_agg(row(trm.tag_id, tag_name, tag_color)::tags)) as tags
from items i join tags_record_maps trm on i.item_id = trm.target_record_id
group by 1,2;

access individual/base element of composite type:
with a as(
select item_id,name,  array_agg(row(trm.tag_id, tag_name, tag_color)::tags) as tags
from items i join tags_record_maps trm on i.item_id = trm.target_record_id
group by 1,2)
select a.item_id, a.tags[2].tag_id from a;


text:
Mink living in the wild near Utah fur farm tests positive for coronavirus, increasing urgency to end fur farming
By Kitty Block and Sara Amundson
By	Blog Editor	on	December 14, 2020	with	3 Comments
The Swedish National Veterinary Institute says that wild mink infected with the virus do not pose an additional risk to humans beyond the ongoing, pervasive threat of person-to-person infection. Photo by Dreamstime
A mink living in the wild near an infected Utah fur farm has tested positive for the coronavirus, providing yet another pressing reason why the United States needs to end all mink fur farming without further delay.
While it is not clear if the infected animal had any contact with the mink on the fur farm, investigators found the exact virus sequence as that observed in infected mink on the farm. This is the first report of a wild mink testing positive for the virus anywhere in the world, and it signals the disturbing likelihood that intensive confinement farms where minks suffer and die for their pelts are now the source of potential harm to mink in the wild.
The U.S. Department of Agriculture's National Veterinary Services Laboratories says that there is currently no evidence that the virus is circulating or has been established in wild populations surrounding the infected mink farms. Several animals from different wildlife species were also sampled, but they all tested negative.
Mink in the wild are solitary animals and are not likely to spread the virus to each other, according to veterinary experts. The Swedish National Veterinary Institute says that wild mink and escaped mink from fur farms infected with the virus do not pose an additional risk to humans beyond the ongoing, pervasive threat of person-to-person infection.
But this does not absolve U.S. authorities from quick action to ensure there is no further spread of the virus among mink, both on fur farms and in the wild. And the best—and only—way to do that would be to stop fur farming in its tracks.
We have been making the case since the beginning of the pandemic for ending cruel confinement practices like fur farming because animals held in cramped, crowded spaces are far more likely to contract and spread dangerous diseases that can jump to humans. As the pandemic has progressed, we have seen these fears turn to reality.
So far, around the world, 11 countries have reported positive mink on fur farms, as have four U.S. states—Wisconsin, Oregon, Utah and Michigan. In the Netherlands and Denmark, cases of the virus jumping from mink to humans have been reported.
While there is no good ending for a mink on a fur farm, the pandemic has magnified the cruelty and suffering for the animals. In an effort to control the spread of the virus, tens of millions of mink have been slaughtered on fur farms globally, usually by gassing. Mink are semi-aquatic and can hold their breath for extended periods of time, which means that they can suffer significantly during gassing.
The crisis has prompted the Netherlands to move up its deadline for ending all mink fur production from 2024 to the end of this year, and France has also announced a ban on mink fur production. Humane Society International is now pressuring Denmark and other countries, where mink have tested positive, to close down their fur farms. Recently the world's largest fur auction house, based in Denmark, announced it will close next year.
We need similar action from the federal government here in the United States because states with infected mink fur farms have been doing very little to address the problem. As we have reported, the inaction has continued despite news that a mutation of the coronavirus has been found on mink fur farms in Utah—a mutation some fear could interfere with progress on a vaccine. With the pandemic bringing nothing but bad news from fur farms—and with the fur industry already in sharp decline around the world due to disappearing consumer demand—there is not one good reason to keep the business of fur alive, at such great cost to public health and animal welfare.
Sara Amundson is president of the Humane Society Legislative Fund.
Public Policy (Legal/Legislative), Wildlife/Marine Mammals
Alan Alejandro Maldonado Ortiz says:
Esto tiene que acabar ya no podemos permitir mas violencia y mas crueldad en las fabricas de pieles ni de nadie mas por favor
Susan Greene says:
Just one mink? Out of how many tested?
Mariela G. says:
Hoy ya no sólo es crueldad comerciar y usar pieles, sino que es peligroso para la vida la humana. La ONU debería exigir su prohibición en la aldea global. Podrían promover una declaración mundial?


WASHINGTON – Russian national Maria Butina — who once spoke with Donald Trump Jr. in Louisville — pleaded guilty Thursday to conspiring to act as an agent for the Kremlin without registering in the U.S.
Under the plea agreement, Butina, who spoke at an event in Louisville in 2016, said she would cooperate with federal prosecutors. She reached the deal after U.S. District Judge Tanya Chutkan added a public defender to her legal team Friday.
Butina, 30, was charged in a years-long effort to infiltrate political groups on behalf of the Kremlin, including the National Rifle Association. The plea agreement stated that Butina "agreed and conspired, with a Russian government official and at least one other person... to act in the United States under the direction of (the) official" without notifying the Justice Department as the law requires.
Butina came on as a last-minute speaker at the 2016 Heroes for Freedom and Liberty Dinner in Louisville, an event held the week of the NRA's convention in the city. Butina was identified as the chairwoman of the "Russian NRA" at the event and met briefly with Donald Trump Jr. while in Louisville. Kentucky Gov. Matt Bevin was one of several high-profile attendees at the dinner.
The case was brought by the U.S. Attorney's Office in the District of Columbia, not by Justice Department special counsel Robert Mueller, who is investigating Russian interference with the 2016 election.
Butina has been in jail in northern Virginia since she was charged in July. Prosecutors accused her of interacting with groups such as the NRA, and exploiting those connections to try to advance Russian interests.
Wearing a dark green short-sleeved smock over torn white long-sleeved shirt and green pants, Butina faces up to five years in prison and a $250,000 fine. Defense lawyers said guidelines call for up to six months. She has been jailed about five months.
Butina's Russian gun rights group called "Right to Bear Arms" hosted a delegation of former NRA presidents, board members and major donors in Moscow in 2015, where she appeared to arrange a meeting between NRA insiders and Russian Foreign Minister Sergey Lavrov.


Events - All things Art and Dreams that Artist Kim Vergil participates in.
"Trouver Sens dans le chaos"
"Day Residue…. Is based on the collection of images from our daily lives that are stored and retrieved, repurposed and become mixed media dreamscape paintings that take on their own story and meaning for each viewer. Abstract mixed media paintings with content: portals into the imagination.
Artist Kim Vergil talks about how we are all creative in our Night Dreams... and what we can do with it.


text:
Fleets >
Aug 8, 2021 - 03:38 pm
India: CESL opens tender for 100,000 light electric vehicles
BEVCESLEESLelectric three-wheelerFAMEFame IIIndiatender
India´s state-run Convergence Energy Services Limited (CESL) is calling bids to procure 100,000 electric two- and three-wheelers. The tender is part of what may indeed be "the largest such global tender" as CESL's head organisation EESL aims to have half a million light electric vehicles across India.
The state-owned utility Energy Efficiency Services Ltd (EESL) owns CESL and has charged the subsidiary to push for electric vehicles following the Indian government allotting the demand aggregation of electric three-wheeler and electric bus components to EESL as part of the 'Faster Adoption and Manufacturing of Hybrid and Electric Vehicles' (Fame) scheme.
The Ministry of Heavy Industries had contracted EESL already in June this year to procure 300,000 electric three-wheelers for use in various government agencies when extending the FAME II scheme. FAME 2 was originally scheduled to run until the end of 2022 and has been extended until 31 May 2024. FAME 2 provides for subsidies with a total value of the equivalent of $1.4 billion.
For the now announced tender of 100,000 electric trikes and two-wheelers, CESL is not disclosing many details. Costs are, however, estimated at Rs3000 crore. The company also states it has issued a request for proposals "inviting original equipment manufacturers to provide quotations for E3W under different use-cases – including, garbage disposal, freight loaders, food and vaccine transport and passenger autos."
CESL further expects OEMs to include "designing, engineering, manufacturing, testing, inspection, supply, transportation, complete system warranty & transit insurance, delivery to the end-consumer and providing after-sales support" in their bid, the statement said.
In addition to supplying electric two-wheelers to states such as Andhra Pradesh, Kerala and Goa, CESL has also been leasing and operating three-wheeled EVs for the garbage collection fleet of municipalities across the country, including for Pune Municipal Corporation.
"With this level of demand witnessed from cities, fleet operators, and financing entities, it is clear that the market is ready for electric vehicles. Therefore, we expect to develop a significant leasing business and are already in touch with third party investors," CESL managing director and chief executive officer Mahua Acharya told Mint.
So far, Kinetic Green Energy and Power Solutions and Mahindra Electric Mobility are reported to have shown interest in making a bid to supply electric three-wheelers as part of CESL's scheme. CESL was also discussing with Swachh Andhra for an additional 15,000 garbage tippers for Andhra Pradesh, Mint reported.
livemint.com, eqmagpro.com (tender)
Lyreco receives Renault electric vans in the UK
Aiways to be offered by Finn.Auto in Germany
https://www.electrive.com/2021/08/08/india-cesl-opens-tender-for-100000-light-electric-vehicles/


• Defining the category strategy for Mom Baby & Toys products in terms of P&L, assortment growth.
• Driving the category pricing and marketing strategy, running the analysis to understand the impact of category decisions on the sales and profits and refining the strategy.
• Developing existing relationship with Brands/Distributors.
• Supporting the team members and act responsibly for the success of the company.
• Bachelor Degree is required, MBA is preferred.
• Preferably 3 years of proven career track as a Category Manager/Key Account Manager/ Sale Manager, specializing in Mom Baby & Toys products for an established retailer/distributor.
• Proven track record of successful negotiations and relationship management (both internal and external), thorough understanding of the market, and strong relationship with main players.
• Strong analytical acumen and comfort of generating and evaluating various forecasts, metrics, and analyses using advanced Excel and other Microsoft suite.
• Ability to dissect and determine root causes of problems and implement solutions.


The technology-rich environment for students on NIT Uttarakhand campus includes, high-speed, high-capacity gigabit Ethernet fiber optic data network infrastructure. All labs are connected for high-speed Internet. All the hostels class rooms are facilitate with wireless access points. Student can also download important software, lectures from institute FTP server from anywhere in campus.


text:
een groot aantal gemeenten in Tsjechië:
 Nová Ves (okres Brno-venkov), gemeente in okres Brno-venkov
 Nová Ves (okres Domažlice), gemeente in okres Domažlice
 Nová Ves (okres Liberec), gemeente in okres Liberec
 Nová Ves (okres Louny), gemeente in okres Louny
 Nová Ves (okres Mělník), gemeente in okres Mělník
 Nová Ves (okres Plzeň-jih), gemeente in okres Plzeň-jih
 Nová Ves (okres Praha-východ), gemeente in okres Praha-východ
 Nová Ves (okres Rychnov nad Kněžnou), gemeente in okres Rychnov nad Kněžnou
 Nová Ves (okres Sokolov), gemeente in okres Sokolov
 Nová Ves (okres Strakonice), gemeente in okres Strakonice
 Nová Ves (okres Třebíč), gemeente in okres Třebíč
 Nová Ves (okres Žďár nad Sázavou), gemeente in okres Žďár nad Sázavou
 Nová Ves (okres České Budějovice), gemeente in okres České Budějovice
 Nová Ves (okres Český Krumlov), gemeente in okres Český Krumlov
 Nová Ves I, gemeente in okres Kolín
 Nová Ves u Bakova, gemeente in okres Mladá Boleslav
 Nová Ves (Litovel), een dorp en stadsdeel van de Litovel
 Nová Ves (Slowakije), een gemeente in Slowakije

redpajama_set_name: RedPajamaWikipedia


Ok, I was in the middle of making my post last night when WHAMMO, lights out everybody. Yup, here it is in 10″ weather and there was ice on the road, the Electrician and I were sitting here in the comfy warmth of our house. Ok, so we may have been gone in some uhm 80′ weather and coming home to this well…it leaves A LOT to be desired.
Apparently, someone slid on the ice and hit a power line so my small town, and surrounding area was without power for uhm…about 6-8 hours last night. Us? Well we lit some candles downstairs and shut all the doorways, except we forgot Ms. Baby who was lounging in the garage. She promptly made her presence known on the other side of the door. We let her in and she ran straight to the bedroom and cuddled on the covers.
The Electrician and I sat here in the dark, and just talked. We talked about the Cruise, we talked about our adventures, and then…it got cold. I heard a noise, and started laughing. The Electrician heard it to and he started laughing to. You see, this past summer, my neighbor decided that since last winter was so rough and they had enough, they bought a generator and had it hooked up. So, while we were freezing in our house, my neighbor had his generator hooked up and was the only one within a 15 mile radius that had power AND heat.
The Electrician and I decided to heck with it and we went and cuddled up in the bed with Ms. Baby warming our feet because she was at the foot of the bed and WOULD not move.
So, when the phone rang this morning at uhm….7am (DAMN don't our kids EVER sleep?) We both sat up in bed and said what the Heck? It was the Nursing Student, she was bringing both boys over at 8:30 so we could watch them this morning while they went to a seminar.
Don't get me wrong, we all had a blast…uhm..let me back up a bit….The boys arrived, and Papa (AKA the Electrician), took off to go Grocery shopping leaving ME with 2 little people under the age of 3….OK…the last time I did this I was uhm…age 20, hey 30 years isn't that bad right? There is a lot to be said with having kids early. Being a Granny at age 50 is ok too, I did fine. I may be pretty damn tired right now, but we made memories.
The boys and I made cookies, and my hope is that someday they remember that. We had fun and ate some pretty damn good cookies too. Plus, the look on Brayden's face when he told his Daddy and the Nursing Student that "Him and Cam-man" had made the cookies with Granma's help was Priceless.
The Nursing Student and Fisher dude took home a BIG bag of cookies, – hey I kept some too, and the Electrician said they were pretty good.
So all in all it was a really good day with the Granbabies. But I forgot to tell you what I did when the Babies left. I went to see Momma.
Momma was laying down in bed when I got there. The Farmer was sitting by her side, and they were "sharing" a moment. There was a concert going on in the Rec room, there was a lady in their playing the accordion and playing some good music. I brought in Momma's laundry that I had taken home and washed and brought back, hung it all up. And then the Magic started.
There were songs being played by Elvis, Frank Sinatra, Dean Martin and the likes. Momma and I started singing full hilt. I grabbed her hands and we "Bed danced" Momma smiled and giggled, so did I and I think the Farmer enjoyed it too, although he kept talking about "The Ring" (it's an Opera). I asked Momma about the Opera and found out something new about her and the Farmer, I've never seen an Opera and I'm not quite sure about it, but they both have attended and enjoyed it.
I hung out for a bit and then it was time for me to go. I made sure Momma had exercised her vocal cords, (which she did) her voice is getting stronger and that makes all of us happy.
Tomorrow, is Movie with the family and the Farmer is going to take Momma to the Movies to watch "Dolphin". I think both of them are excited about it. The Electrician and I are going to visit Momma in the morning and leave the afternoon for their time.
Me? I will probably be taking a nap to recover from today with the Granbabies, and catch up on some sleep. Hope ya'll have a good night!!!


text:
Home Books Patient Management in the Telemetry/Cardiac Step-Down Unit: A Case-Based Approach
Chapter 8: 10 Real Cases on Peripheral Artery Disease and Carotid Artery Disease: Diagnosis, Management, and Follow-Up
Niel Shah; Muhammad Ameen; Muhammad Saad
Shah N, Ameen M, Saad M. Shah N, & Ameen M, & Saad M Shah, Niel, et al.10 Real Cases on Peripheral Artery Disease and Carotid Artery Disease: Diagnosis, Management, and Follow-Up. In: Saad M, Bhandari M, Vittorio TJ. Saad M, & Bhandari M, & Vittorio T.J.(Eds.),Eds. Muhammad Saad, et al.eds. Patient Management in the Telemetry/Cardiac Step-Down Unit: A Case-Based Approach. McGraw-Hill; Accessed January 27, 2021. https://accessmedicine.mhmedical.com/content.aspx?bookid=2725&sectionid=225760105
Shah N, Ameen M, Saad M. Shah N, & Ameen M, & Saad M Shah, Niel, et al. (2020). 10 real cases on peripheral artery disease and carotid artery disease: diagnosis, management, and follow-up. Saad M, Bhandari M, Vittorio TJ. Saad M, & Bhandari M, & Vittorio T.J.(Eds.),Eds. Muhammad Saad, et al. Patient Management in the Telemetry/Cardiac Step-Down Unit: A Case-Based Approach. McGraw-Hill. https://accessmedicine.mhmedical.com/content.aspx?bookid=2725&sectionid=225760105
Shah N, Ameen M, Saad M. Shah N, & Ameen M, & Saad M Shah, Niel, et al. "10 Real Cases on Peripheral Artery Disease and Carotid Artery Disease: Diagnosis, Management, and Follow-Up." Patient Management in the Telemetry/Cardiac Step-Down Unit: A Case-Based Approach Saad M, Bhandari M, Vittorio TJ. Saad M, & Bhandari M, & Vittorio T.J.(Eds.),Eds. Muhammad Saad, et al. McGraw-Hill, 2020, https://accessmedicine.mhmedical.com/content.aspx?bookid=2725&sectionid=225760105.
Case 1: Management of Progressive Peripheral Arterial Disease Despite Initial Medical Management
Clinical Symptoms
Case 2: Management of Pseudoclaudication
Case 3: Management of Upper Extremity Peripheral Arterial Disease (Subclavian Steal Syndrome)
Case 4: Management of Acute Limb Ischemia
Case 5: Management of Critical Limb Ischemia
Case 6: Management of Symptomatic Carotid Artery Disease
Case 7: Management of Carotid Artery Dissection
Case 8: Management of Giant Cell Arteritis
Case 9: Management of Asymptomatic Carotid Artery Stenosis
Case 10: Management of Carotid Artery Disease Risk Factors
A 65-year-old man was sent from the clinic for worsening of left calf severe pain and decrease in exercise tolerance due to left calf pain. The patient had a 3-month history of intermittent left calf pain and denied trauma, back pain, fever, and leg weakness. Otherwise, the medical history was significant for hyperlipidemia. He was a former smoker and stopped smoking 6 months ago; however, he smoked 1 pack of cigarettes per day for the past 40 years before quitting. The patient denied use of alcohol or recreational drugs. His medications were low-dose aspirin and high-intensity atorvastatin. On physical examination, vital signs were normal. Body mass index was 28 kg/m2. Femoral pulses were diminished bilaterally. Popliteal, right dorsalis pedis, and right posterior tibialis pulses were faint. The left dorsalis pedis and posterior tibialis pulses were not palpable. Cardiac examination was normal. Otherwise, the physical examination was unremarkable. The ankle-brachial index was 0.67 on the left and 0.91 on the right. He was enrolled in a supervised exercise program 3 months ago, but the patient reported no improvement despite adherence to the exercise program, and his symptoms progressed. How would you manage this case?
This scenario represents a patient with progressive peripheral arterial disease (PAD) despite being on initial medical management. The signs of progressive PAD include progressive decrease in exercise tolerance due to worsening left leg pain and physical examination findings of nonpalpable dorsalis pedis and posterior tibialis pulse on the left side. The patient is already on initial medical management of PAD, including smoking cessation, aspirin, high-intensity statins, and a supervised exercise program.
PAD is most commonly characterized by narrowing of the aortic bifurcation and arteries of the lower extremities, including the iliac, femoral, popliteal, and tibial arteries. Atherosclerosis is the most common cause. Risk factors for PAD include smoking (current or past), diabetes mellitus, and increasing age. Patients with PAD are at increased risk for ischemic events, including myocardial infarction, stroke, and cardiovascular death. Patients with atherosclerotic risk factors (smoking, diabetes, hypertension, dyslipidemia, and advanced age) who have atypical limb symptoms (eg, leg weakness, paresthesia), exertional leg discomfort, and/or nonhealing ulcers should undergo initial testing with ankle-brachial index (ABI) measurement.
There is a wide spectrum of clinical manifestations because lower extremity PAD is defined by an abnormal ABI value rather than by symptoms. Patients may present with exertional leg pain relieved by rest (intermittent claudication), atypical exertional leg pain, rest pain, nonhealing wounds, ischemic ulcers, or gangrene.
ABI interpretation is as follows:
ABI 0.00 to 0.40: Severe PAD
ABI 0.41 to 0.90: Mild to moderate PAD
ABI 0.91 to 0.99: Borderline PAD
ABI 1.00 to 1.40: Normal
ABI >1.40: Noncompressible ...


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