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Find a Doctor/Internal Medicine/TX/Belton
Dr. Glen Smith, MD
Healthcare International Services804 Butterfield CtBelton, TX 76513
Dr. Smith's Background
Dr. Smith, MD is a practicing Internist in Belton, TX. Dr. Smith graduated from University of Texas Medical Branch School of Medicine in 1985 and has been in practice for 33 years.
Dr. Smith, MD is a practicing Internist in Belton, TX. Dr. Smith graduated from University of Texas Medical Branch School of Medicine in 1985 and has been in practice for 33 years. ...Dr. Smith, MD is a practicing Internist in Belton, TX. Dr. Smith graduated from University of Texas Medical Branch School of Medicine in 1985 and has been in practice for 33 years. More...Less
University of Texas Medical Branch School of Medicine
Learn More About Internal Medicine
Women and Heart Disease: 3 Days Can Change Your Life!
It's never too late to make that big change and win the battle against heart disease. Ada was in her eighties and had received eight stents and two pacemakers when she joined the Ornish Lifestyl......Read More
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804 Butterfield CtBelton, TX 76513
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Force India's Adrian Sutil is to face criminal charges over an incident following the Chinese Grand Prix. Sutil is accused of causing physical and grievous bodily harm to Eric Lux, a boss at Renault F1 owners Genii Capital.
'In the view of the recent events which occurred in Shanghai on 17 April, Mr Eric Lux has decided to file a criminal complaint against Mr Adrian Sutil for physical assault and grievous bodily harm,' Lux's lawyers said in a statement yesterday.
Facts are short on the incident, though it is known that Lux was left needing stitches following a confrontation with Sutil, who is accused of striking him with a champagne glass.
The incident does not appear to place Sutil's position at the team in any doubt, though that could well change were he to be found guility of the charges. The team has fellow German Nico Hulkenberg waiting on the sidelines should Sutil be forced to give up the seat.
How much does is cost to build an F1 car?


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Credit: Gilad Rom/Shutterstock
Satellites reveal rapid acceleration of Antarctic glacier ice loss
Robert McSweeney
GlaciersSatellites reveal rapid acceleration of Antarctic glacier ice loss
Thinning of glaciers in one of the most vulnerable parts of Antarctica has accelerated at a "remarkable rate" since 2009, a new study finds.
Stable through the 2000s, the glaciers began losing large quantities of ice within just a year or two, the lead author tells Carbon Brief.
The study shows the surprising speed with which Antarctica's glaciers can react to rising ocean temperatures, and without warning, he says.
Remarkable acceleration
Glaciers are huge rivers of ice that ooze their way over land, powered by gravity and their own sheer weight. They accumulate ice from snowfall and lose it through melting.
In the new study, published today in Science, researchers analysed changes to glaciers on the Southern Antarctic Peninsula in the last decade and a half.
For most of the 2000s, satellite data shows the glaciers lost about as much ice as they gained, meaning they stayed roughly stable. But around 2009 there was "a remarkable rate of acceleration" in ice loss, the study says.
The red and orange areas in the figure below show thinning of glaciers along the Bellinghausen Sea coast. You can see the melting is much more rapid between 2010 and 2014 (right-hand image) than between 2003 and 2009 (left-hand image).
Change in glacier thickness between A) 2003 and 2009 and B) 2010 and 2014 in the Southern Antarctic Peninsula. Oranges and reds show areas of greatest thinning. Source: Wouters et al. ( 2015)
This is a very important finding, says Dr Hilmar Gudmundsson from the British Antarctic Survey, who was not involved in the study:
"What this paper is telling us is there is a sharp increase in mass loss along the Southern Antarctic Peninsula. And that is new. We haven't really seen this before."
Warming ocean
The glaciers are being melted from underneath by a warming ocean, lead author Dr Bert Wouters, a research fellow from the University of Bristol, tells Carbon Brief. And stronger wind patterns around Antarctica are dragging more of this warm water towards the glaciers, he says.
Wouters produced an animation to illustrate what's happening.
Animation of the ice loss of the Southern Antarctic Peninsula. Credit: Bert Wouters
A warming ocean is having a similar effect on glaciers in other parts of the Peninsula as well, Gudmundsson says:
"This fits to a picture which we are seeing, generally speaking, along the Antarctic Peninsula, which is that the ocean is causing an increase in melt and an increase in mass loss."
The likely causes of these changing wind patterns are the combined impacts of climate change and the hole in the ozone layer above Antarctica, Wouters says.
Distant view of an Antarctic glacier system. Credit: Alba Martin-Español
Ice shelves
So, what caused the sudden acceleration in glacier ice loss around 2009? Thinning ice shelves are a likely candidate, thinks Wouters.
An ice shelf forms when a glacier reaches the coast and flows into the ocean. If the ocean is cold enough, the ice doesn't melt. Instead, it forms a permanently floating sheet of ice.
The ice shelves in front of the Southern Antarctic Peninsula glaciers have been thinning in recent decades, Wouters says:
"These ice shelves hold back the ice on land, but as they thin, the force they exert on the glaciers weakens. [This] will result in a speed-up of the glaciers, which are now shedding more ice into the ocean."
Just last week, a separate study found that thinning of the Larsen-C ice shelf on the tip of the Antarctic Peninsula put it at risk of collapse. But an ice shelf doesn't have to collapse to allow glaciers to flow more quickly, Wouters says. The propping-up effect of the ice shelves can diminish long before they disappear completely.
Floating ice shelf where Antarctic glacier meets the ocean. Credit: Alba Martin-Español
The shape of the Southern Antarctic Peninsula makes glaciers particularly vulnerable to the warming ocean, the paper says.
As glaciers flow towards the water, they are typically helped along by gravity as the land slopes down towards the coast. But the Southern Antarctic Peninsula is unusual as the much of the land actually rises towards the coast.
So if a glacier melts, it doesn't retreat upwards and out of the reach of the warm ocean. Instead, the water follows the retreating glacier, continuing to melt it.
You can see this in the animation below.
Thinning at the front edge of glaciers has more than doubled in recent years, the paper says. And it's happening 100km further inland, which is another sign of warm ocean water pushing glaciers into retreat.
Since 2009, glacier melt along the Bellinghausen Sea coast has added 300 trillion litres of water to the ocean, the researchers say. This translates into an increase in global sea levels of about 0.16mm a year, the study says. That's about 5% of the total contribution from Antarctica as a whole, adds Wouters.
There's enough ice in the Southern Antarctic Peninsula to raise sea levels by 35cm, Wouters says, but it would likely take centuries for this to happen.
But that doesn't mean we shouldn't worry, he says:
"Our study shows that the ice sheet responds very rapidly to changes in its environment and that rapid ice loss can start within a couple of years, without any warning signs beforehand."
And if this can happen somewhere scientists had previously seen little change, we could begin to see similar acceleration in other regions, Wouters warns.
Main image: A glacier wall.
Wouters, B. et al (2015) Dynamic thinning of glaciers on the Southern Antarctic Peninsula, Science, doi:10.1126/science.aaa5727
Glaciers | June 6. 2019.
Video: Glacier collapse would trigger eventual loss of West Antarctic Ice Sheet
Glaciers | November 11. 2015.
Ice sheet melt is driving acceleration in sea level rise, study suggests
Glaciers | May 5. 2015.
Captain Scott's expedition logs reveal Antarctic sea ice history
Guest post: Using satellites to track the retreat of Antarctica's glaciers
Glaciers | April 4. 2018.

redpajama_set_name: RedPajamaCommonCrawl


Circa 1980 Kenneth Jay Lane for Avon necklace featuring a double rams head clasp. The clasp is made from cast gold-tone metal with green glittering diamante eyes. The beads are black glass with gold-tone beads at intervals. The necklace measures approx. 84cm. on the longest side. The clasp is stamped on the inside "KJL for Avon". Very good vintage condition.


Shanghai Shibang company annual work review meeting was held in group headquarters' multi-function hall on January 29th 2010. Group company chairman, company management committee members, departments' managers, each industrial zone leadership, office represents, installation engineers and group headquarters staff attended the meeting.
Firstly, the group company chairman reported SBM annual operating of 2010. The year 2010 is a year of leaps and bounds in development for SBM. In the past year, SBM not only got great breakthrough in production and research, but also maintained a great profit growth.
The company's rapid development is due to every employee's efforts. At the following meeting, the group commended individual employees and teams who had made outstanding contributions to the company. International travel worth 80 thousands Yuan and other interesting awards caused the audience's intermittently cheer! But that is not all.
On October 27th 2010, SBM launched sales sprint race by the end of year. All finalists' team and individuals would have awards, and employees who got top three personal total sales would receive a latest Chevrolet car! Such a blockbuster award make the sales competition more exciting. R&D department and production department offered more cost-effective products. Sales personnel provided our customers with more professional solutions and high quality services. In the sales GongBang list, sales elite ranking and sales were constantly refreshed.
The group chairman said that this year SBM sales elite performance was the sign of steady realization of company globalization strategy, that next year the company would continue to uphold the impetuous, harmonious enterprise culture and concept, walking towards greater success the enterprise and individual.


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Tephritis azari is a species of tephritic or fruit flies in the genus Tephritis of the family Tephritidae.

Distribution
Azerbaijan, Iran.

References

Tephritinae
Insects described in 2012
Diptera of Asia

redpajama_set_name: RedPajamaWikipedia


Janell seems like the weed smoking type. Always so chill lol. Do you think Jesss does it too?
spillingthetea wrote: Janell seems like the weed smoking type. Always so chill lol. Do you think Jesss does it too?
No, I reallllllllly doubt it.
That's why she's always so obnoxiously hyper & annoying.
My friend's husband has his done in the doctor's office in a regular exam room with a local and talked with the doctor through it.
Ya I wasn't sure it sounds pretty painful.
We'll never know if he truly had it done or not. Of the guys I know who have none of them found it all that bad probably compared to what they'd hyped it up in their heads to be before the procedure and then what it actually ended up being.
If Jess is smoking weed but denying her kids medical care under the "I don't like medication" I hope she's one day trapped in a tent with a persistent mosquito.
Didn't she post a video about his vasectomy?
britt1995 wrote: Didn't she post a video about his vasectomy?
Most of its Chris high on valium. Turn up the valium Chris says.
keep your opinion to yourself ... none of your business!!! Forget about old news now!!!
Ladies come on lets not get this thread shut down.
Mommyof6 wrote: Ladies come on lets not get this thread shut down.
please I don't want to start anything!!
I really hope Janell doesn't do it at home, if she does it. Or drink too much at home, for that matter. She's a single parent. Alynna's safety is completely dependent on her. What happens if there's a fire in her apartment and she must evacuate quickly but she's stoned!?
So what do you guys think the family drama could be?
Last edited by daisy1000 on Fri Apr 20, 2018 3:41 pm, edited 1 time in total.
Alicia30 wrote: sorry if I annoyed you... you ignorant c*nt!!!!! I wasn't talking to you in anyway!!!!
This is ridiculous lol. I agree she shouldn't be smoking around Alyna. But, I've smoked a lot of weed in my past and it doesn't effect your ability to evacuate in an emergency whatsoever.
Family drama probably means they are down to diddling each other's meat flaps 3 times a week instead of 6.
smom12 wrote: Family drama probably means they are down to diddling each other's meat flaps 3 times a week instead of 6.
Why does she feel like she needs something on every inch of wall space my god.
We will be able to note the passage of time by the dust collected on all the stuff on the walls.
Jeeze lady calm down I'd hate to see you inconvienced in your personal life.
I've smoked less than a dozen times. I only take 1 hit cause I'm such a light weight & I can't finish a sentence because I forget what I already said I'll start talking about something and forget what I was talking about but keep going based on my last few words. I used to hate the feeling but the last couple times I did it I enjoyed it.


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Trump's revised refugee order should withstand court challenge
Published on March 9th, 2017
Joe Guzzardi
Harrison Daily
The fine print in President Donald Trump's revised executive order does more than pause travel from Muslim-majority Middle Eastern nations. The order includes an effort to raise public awareness about the potential danger inadequately vetted refugees pose, an important threat to the homeland that the media often downplays or ignores.
As has been widely anticipated, on Monday President Trump signed a more conservative version of his original executive order. The new order, which supersedes the first, removes Iraq from the pause list, and bars the remaining six countries, all terrorism hotspots — Sudan, Syria, Iran, Libya, Somalia and Yemen — from entering the U.S. for 90 days, effective midnight March 16. Four of the six — Iran, Libya, Somalia and Sudan — refuse to repatriate their criminal aliens. Syrian resettlement is no longer permanently banned, but refugee resettlement will be delayed for 120 days, and capped at 50,000 for FY, 2017. Naturalized citizens and green card holders are allowed to travel freely into the U.S.
From the first order, improvements that remain in the second include the long overdue completion of the biometric entry-exit system to track foreign visitors and reduce visa overstays. Illogically, the Bush and Obama administrations have blocked biometric entry-exit since 9/11. The risky Visa Waiver Program will now require foreign nationals hoping to obtain a nonimmigrant visa to participate in face-to-face interviews instead of applying online.
During the 90-day pause, the Department of Homeland Security will perform an extensive, country-by-country review of the information provided to the U.S. during refugee screenings. The six countries will have 50 days to comply with federal government requests for better or more detailed information.
Department of Homeland Security Secretary John Kelly summed up the executive order: "This is a temporary suspension of nationals from six countries that are either failed states at this point or state sponsors of terror." Secretary of State Rex Tillerson added that the new order, while not infallible, will improve vetting and contribute to keeping terrorists out of the U.S. The executive order was drafted with input from DHS, State and the Justice departments.
Mostly unnoticed in the Executive Order is a section which will require the federal government to publicly release information on refugee or visa holder terrorism-related crimes. DHS Secretary Kelly will publish his first report 180 days after the executive order goes into effect, and it will include honor killing statistics. In September 2016, then-Alabama Senator Jeff Sessions, now Attorney General, referred to a Justice Department report which found that each year between 23 and 27 horrific honor killings occur in the U.S., 91 percent of them because the family considered the victim "too westernized."
With many of the controversial portions of the original removed or softened, the legal case for preventing President Trump's order to take effect is diminished. Nevertheless, a court challenge is certain, and refugee advocates may find a single judge to object. President Trump's critics point to the 120-day refugee resettlement ban as the most vulnerable provision. But Temple University law professor Peter Spiro offered an encouraging analysis. In the immigration system, said Spiro, the president has broad authority, and his "authority is at its broadest with respect to noncitizens who have never entered the U.S."
Another intense immigration battle is underway, and this time legal experts predict that President Trump will prevail.
Joe Guzzardi is a syndicated columnist. Contact him at [email protected] .
Behind the Jeff Sessions Witch Hunt
Khizr Khan Claims his 'Travel Privileges are being Reviewed.'


What's better than victory? Better than achieving a goal? We all love victory. We love to win. Whether it's a sport, a board game or a personal goal, we love accomplishment. Bookstores and social media sites are full of advice on how to win or how to achieve our goals. Why shouldn't we seek to win?
In our Christian life we are often discouraged by the lack of progress we make. So often we don't feel like we are living victoriously. We struggle with a variety of sins. We wrestle with our attitudes and desires. When we realize how we fall short we feel defeated.
We aren't helpless in our daily struggle to live a holy life. God's Holy Spirit was given to help in moments of weakness. Too often we just decide not to obey what we know to be God's will. It's a simple choice we make over and over again.
God is concerned about our personal growth and development as a believer. He desires that we live holy lives. But we also have a responsibility. We don't simply overcome because we are now Christians. We face a daily choice of obedience or disobedience. We are told to "put to death" the sin in our life and to stop walking in the way we used to go. (Colossians 3:5-8) Now that we have new life in Christ we are expected to act like it. We are required to do something about holy living.
Obedience to the things of God is valued more than victories and accomplishments. God said he desires obedience even over sacrifice. (1 Samuel 15:22) If we are obedient in the things that God calls us to, then we will have victories. But if we simply try to be victorious we'll keep on failing. Work at obedience and these other things will be added.


Recording screen activity sometimes is quite necessary when you want to make a video tutorial, record the gameplay videos, or capture online streaming videos. To help you narrow down the selection, here we have listed the top 10 ones according to our research. You can click the button below to get one of the best screen recorders – Screen Grabber Pro.
Fancy revealing to others how big name games are played on YouTube? Do you desire to create demos to display your applications, or to let others know how to utilize the specific software? Nevertheless, you ought to be very careful – many screen recording programs are going to add ugly watermarks into your videos or allow you to record few videos only before requiring cash, so it's important to choose the correct screen recorder first to prevent unexpected outcomes.
Below is our selection of the top screen recorders for Windows and Mac, including both the free ones and paid ones. All of them will assist you in recording or streaming expert-quality video through your webcam or desktop.
In case you need to take a record of a tutorial, presentation, software demonstration, you can try using the Acethinker Free Online Screen Recorder. It is built to be used on browsers, which implies it's not proper for games. However, it's perfect for other tasks. The moment you finished, the recording can be saved as a GIF file or video, directly upload it to Vimeo or YouTube, or transfer it to Dropbox or Google Drive. Check the steps below to use the application.
Launch your web browser and go to Acethinker Online Screen Recorder , click "Start Recording" to run the app. You need to install a launcher the first time you use this recording app.
One the application is launched on your computer, you can now customize the size of the capture area. Drag a region on your screen and adjust each vertex to suit the size that you want. Press "Rec" to start the recording.
Make a real-time editor while recording with the use of the "Pen" icon on the recording toolbar under the capture frame. Drag down the "Pen" icon to see the editing tools like arrows, shapes, text and more.
When you want to end the recording, just press the "Stop" button. The file will be saved on your computer's local disk.
Preview the recorded video with the built-in media player, select any video clip that you want to save by dragging the timeline bar. And then click the "Save" button, Acethinker will ask you where to save the recorded video. You can save the file either as a video or GIF file. You can also upload the video to hosting websites directly.
It does not have watermarks or time limits.
It provides you many options for export.
It does not work without Internet.
It does not have built in editor.
Open Broadcaster Software is an open and entirely free software for video recording and live streaming. It is a powerful video and audio recorder that can give you the professional results you want to achieve. Due to OBS Studio's ability to record from your graphics memory card straight, it's capable of capturing games operating in full-screen form (lots of different screen recorders only this capacity of recording when windowed the game), with hotkeys that are customizable to manage the recording. Setting it up to suit your taste might delay a bit, but the OBS studio remains as one of the best as well as the most robust screen recorder gamers should use. However, the interface of OBS is kind of hard to operate and it might give you a hard time to familiarize yourself with its functions.
Flashback Express is designed with tools and features that match lots of premium software. It has a less intimidating interface, unlike OBS Studio. With the use of this tool, you can carry out a recording from your entire screen, a selected area, a webcam, or a window. The moment you are done, you will see your recording appear in an easy editor, here you can then trim and crop it to match what you desire, and proceed to export it to an FTP server, YouTube, or even your PC.
A lot of control over video and audio settings.
You can capture web cam images and integrate with the screen session.
You can also hide desktop icons automatically during recording.
It allows you to save the outputs to AVI, or SWF or FLV Flash files.
It has built-in YouTube and Blip.tv uploaders.
The built-in Editor Timeline is a tease because there's nothing you can edit with it unless you purchase a Standard or Pro version.
There is no panning to follow the cursor.
This is an open screen recorder created to take desktop and webcam footage – usually non-in-game activity. The moment you are done recording, you can proceed to preview your video and then export it to your storage disk (hard drive), to the cloud service of TinyTake that allows you to use 2GB for storing clips, or to YouTube. You can also find tools like annotations which is only available to the TinyTake's pro versions.
It has a bonus 2GB cloud storage.
There is no watermark in the recordings done with this app.
This tool limits you up to five minutes of clips per time.
There are two qualities of Xsplit's recording and streaming software such as Gamecaster and Broadcaster. The first one is designed mainly for gamers. Another is a more traditional software for screen recording. This screen recorder has three tiers: personal (for strostreamers), free, and then premium (for business use). Nevertheless, the simple interface of Xsplit may make that bargain useful if you just plan to post to YouTube at the conventional definition.
It can take input from whatever source, including a webcam, video card, media file, your screen, or a particular application.
the outcome can be shown as video file or can be streamed directly via Twitch, Facebook Live and YouTube Live.
The open/free version adds a watermark to recordings above 60fps or over 720p resolutions.
Record with frame rates that are higher.
HD videos are recorded, and disk space is enhanced.
What is on your webcam and monitor can be recorded at the same time on the picture -in-picture mode.
Clipping, merging, adding subtitles and dubbing are part of the post-editing functions.
With ScreenFlow, all the things on your computer can be captured at the same time, including your whole monitor area, webcam, microphone, and computer audio. Screenflow also allows you to record and edit your Video and share it on various social media platforms.
Editing can be done after the recording.
Free version has no time restriction.
It is only suitable on Mac.
Videos made in free version are watermarked.
To upgrade from past versions, you must pay.
This is a great screen recording tool that enables you to record any area of your computer screen. You can either capture the screen as a video or screenshot. By following the intuitive interface, you will be able to create high-quality videos with annotations. Games, webinars, video chats, mouse activities, online videos and more can be recorded with this program.
Click on the "Record" button and select the recording mode according to your need. Select whether you will capture a region or full-screen. If you want to add webcam on your recording, click the "Webcam" icon. Then click the "Record" button again to start recording.
While recording you can add annotations to your recording with the use of the "Pen" icon in the floating toolbar under the capture frame. You can insert circles, arrows, texts, and more to annotate the video.
Click the "Stop" button to end it. The video recording will then be stopped and the file will be saved onto your local drive.
The free trial version has limitations on the recording time.
Any area of your screen can be captured either as a screenshot a video or graphic recording if you with the use of this Screen Recorder. The Screen Recorder claims a spontaneous interface which is very easy to use with a range of opinions and tools. Screen Recorder creates videos of games, webinars, as well as Skype discussion in a way that it looks professional.
You can annotate while recording by adding outline, arrows,text, and more.
Screen recording can be done with webcam.
With the free version, only 10 minutes of recording time is allowed.
Like the other program, Camtasia is also good for the screen and video recording. If you want to record with no limitation, pay for the Pro version of this tool. This program is also suitable for editing, adding annotation and animations to the recording.
Camtasia is also capable of recording powerpoint presentations and do tutorials.
Multiple audio and video tracks can be recorded.
Camtasia has built-in editor for trimming videos.
You have got the options of both free and paid top screen recording software on the market. When capturing your computer desktop screen activities, it's important to select a good tool so that the final recorded video is in high quality. A video that is looking professional when added to your tutorial, blog post, or review will certainly increase your viewer's engagement. Now you don't need to search for the best screen recorders as the 10 best ones have been highlighted here. No matter you are an educator, teacher, blogger, game player, etc., you can just select one from the list and start the screencast recording.


Dec 30, 2012 I recently tried Lyle McDonalds Rfl weight loss Fat Loss diet. Week 9.
In this article, I give rfl weight loss full review of Lyle McDonalds Rapid Fatloss Handbook (RFL). Mar safety of using garcinia cambogia, 2016. With that, I bring you The Weight loss ward Fat Loss Diet Handbook by Lyle. Sep 1, 2014. Week 9. The answer was The Rapid Fat Weight loss detox diet drink Diet and Ive used it both myself and safety of using garcinia cambogia clients. Week 11.
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So I'm still trying to figure out why we created a special day with cards, flowers and chocolates to honor something as grisly as the St. Valentine's Day Massacre.
By the way, did you know there is a Mob Museum in Las Vegas? Just found that out.
Not to be confused with the Museum of Death in San Diego, which was moved to Hollywood in 1999 after the curators attempted to buy enough memorabilia to re-create the entire Heaven's Gate mass suicide scene. That generated so much bad publicity that the landlord tossed them out.
Because the new Hollywood Boulevard location could hold only a third of the collection, a branch was opened in 2014 in New Orleans.
Your favorite columnist made the mistake of entering the San Diego version many, many moons ago when he succumbed to peer-group pressure. If you ever have a chance — don't. Just don't.
Cleveland Hopkins airport has finally regained its senses. But only part of them, and only temporarily.
Thanks to a directive from Mayor Frank Jackson, the airport reversed its policy on drop-off and pickup procedures for taxis, limos, Ubers and Lyfts. Starting Monday, those companies will again be allowed to drop their passengers right in front of the main terminal.
That had been the practice from the dawn of aviation until last year, when the airport's director decided the best way to thin out traffic on the entry road to the airport was to divert those kinds of vehicles to a spot far, far away.
The same reason was offered in 2016 when he decided to move shuttle buses from off-site parking lots and hotels away from the main terminal to a location euphemistically referred to as the "Ground Transportation Center," which in reality is a flimsy, unheated, plastic-and-canvas-covered walkway that eventually leads to an actual building that eventually leads to the check-in area.
After leaving the narrow walkway, you have to schlep your luggage down an escalator or elevator to another level, walk about 75 yards to another escalator or elevator and go back up two levels to the check-in level.
Total distance: more than 200 yards — dragging along both carry-on and checked luggage. Particularly nice if you are elderly or handicapped.
At some yet-to-be-announced date, the shuttle buses from off-site lots and hotels also will be returning to main terminal — but only temporarily.
That switch will last just long enough for the airport to dump more money into the Ground Transportation Center. Heaters and canopies will help somewhat, but the entire arrangement will still be third rate, an embarrassment for a city the size of Cleveland.
As I've noted before, a permanent fix will not be forthcoming — if at all — until at least a couple of years after the new airport master plan is finished in 2021.
Airport Director Robert Kennedy told me last year that the change was made because, ever since Cleveland lost its United Airlines hub, the vast majority of passengers are starting and ending their trips at Hopkins, rather than just passing through, adding significantly more ground traffic. But when that change was made three years ago, total passenger traffic was massively lower — 37 percent — than it was in 2000, when Hopkins was still a hub.
I'm still not convinced the Ground Transportation Center wasn't created to frustrate local travelers enough that they would patronize the airport's own on-site parking lots.
That excuse might have gained a little traction, but things went awry for the husband when police discovered that Jackson Township had a warrant out for his arrest.
Hey, with hubby out of the way, might as well spend the whole night, eh?


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Expert Perspectives: Perspectives on the Multidisciplinary Approach to Diagnosing IPF
Perspectives on the Multidisciplinary Approach to Diagnosing Idiopathic Pulmonary Fibrosis
An Interview with Justin Oldham, MD, MS
An interview was conducted with Justin Oldham, MD, MS, on the topic of multidisciplinary discussions in the diagnosis of idiopathic pulmonary fibrosis (IPF). Dr Oldham is currently the director of the Interstitial Lung Disease program at the University of California – Davis Medical Center. He also manages the UC-Davis ILD patient registry and supervises the clinical and translational ILD research program, which includes overseeing ongoing ILD clinical trials at the institution. His research interests include translating ILD genetics research into clinical application and identifying genetic subgroups within various ILDs that would benefit from currently available therapies. Below are the highlights from the interview, which reflect Dr Oldham's experience and opinions.
General Information about Multidisciplinary Discussion in IPF
What is a multidisciplinary discussion in the context of IPF?
Dr. Oldham: A multidisciplinary discussion, we call it an MDD, is an interaction between a pulmonologist, chest radiologist, pulmonary pathologist (when necessary), and preferably a rheumatologist when one is available, all of whom have expertise in interstitial lung diseases (ILDs).
How commonly is MDD used in diagnosing ILDs?
Dr. Oldham: The use of MDD is a hallmark for ILD centers throughout the country. It is also a recommended component of evaluating ILDs per the American Thoracic Society and European Respiratory Society Joint Consensus Guidelines.1
How does using MDD improve diagnosis for patients with IPF?
Dr. Oldham: MDD is critical for diagnosing cases of IPF and other ILDs where the high-resolution computed tomography, or HRCT scans and clinical workup do not provide a clear diagnosis. It is recommended by the American Thoracic Society and European Respiratory Society Joint Consensus Statements1, and it has been shown to increase the diagnostic confidence in ILD. A group at University of Michigan, led by Kevin Flaherty and Fernando Martinez, have done great work in this area. They showed that using an MDD increases confidence in the ultimate ILD diagnosis.2,3 They also showed that there is a fair amount of disagreement, even between specialists with ILD expertise, prior to instituting an MDD.
Does MDD speed up the diagnostic process or is it primarily used to increase diagnostic accuracy?
Dr. Oldham: It depends on when the MDD is being done. Unfortunately, an MDD is not done until a patient is referred for ILD evaluation, so whoever is referring the patient needs to have ILD on their radar before an MDD can occur. A study published by Drs. Collard and Schwartz showed that a large percentage of patients experienced long delays and were evaluated by three or more physicians before receiving the correct ILD diagnosis.4 As such, it is difficult to say that MDD changes the time it takes to make a specific ILD diagnosis because ILD needs to be suspected first. That said—after the diagnosis is suspected and the patient has been referred, MDD does help speed up the specific diagnosis in cases where the clinical and radiologic findings do not indicate a clear-cut etiology. MDD gets all the relevant parties together in one room (or on one conference call) to nail down what the highest confident diagnosis would be.
Is MDD also used to monitor disease progression?
Dr. Oldham: We do not use MDD to monitor disease progression. However, we will revisit individual cases who have unexpected disease trajectories to ensure that we are still confident in our MDD diagnosis and that it does not change based on any new information.
Please describe the protocol for conducting an MDD.
Dr. Oldham: MDDs can take several different forms. Some centers perform MDDs weekly and use them to assess the majority of the cases at their center. I have heard of others holding them monthly and focusing the discussion on only the most difficult cases. At UC-Davis, we hold a monthly comprehensive MDD for all patients who underwent surgical lung biopsy, which has all the pertinent specialists there. One of our three ILD pulmonologists will briefly present the case, including pertinent clinical history, serologic data, and pulmonary function testing. Then our chest radiologist will review the HRCT, and the pulmonary pathologist will review the lung biopsy slides. The group will then assign a diagnosis based on the discussion that takes places among these specialists. This diagnosis will guide subsequent interventions when the patient returns to clinic a few weeks later.
We also perform a more limited MDD on a weekly basis between myself and our thoracic radiologist, Dr. Michael Kadoch, for cases where the patient did not undergo a lung biopsy. In those situations, the diagnosis tends to be more straightforward or the resultant diagnosis is unclassifiable, at which time a surgical lung biopsy is recommended for patients who can safely undergo this intervention. I also like to incorporate rheumatologists on a case-by-case basis for patients for whom a diagnosis of connective tissue disease-related ILD has been made or for whom the diagnosis is suspected.
Personally, I think that all cases of ILD should undergo an MDD when possible. A possible exception is for those with an established connective tissue disease (CTD), as various CTDs are strongly associated with ILD. However, MDD should certainly be considered for patients with presumed CTD-associated ILD that continue to progress despite optimal CTD therapy, as several therapies used to treat CTD can independently cause ILD.
In an MDD, who drives the discussion?
Dr. Oldham: At my institution, I lead the MDDs. Generally, it tends to be the pulmonologist or a group of pulmonologists who lead the MDD.
Is the MDD team predesignated or is it ad hoc?
Dr. Oldham: It tends to be a predesignated team. There are a handful of pulmonologists with ILD expertise at the various institutions. Some institutions have more experts than others. And then typically there are one or two chest radiologists and one pulmonary pathologist.
Are the MDDs universally conducted like a Grand Rounds or are some of them conducted in a closed session?
Dr. Oldham: All of the MDDs I have sat in on - at three different institutions - are run similarly, in that they are well attended by the relevant ILD experts but are open to trainees, nurses, respiratory therapists, and anybody who has an interest in ILD, such as research coordinators. Because of sensitive information regarding the patient's case, only hospital employees can attend at my institution given HIPAA rules.
Does having open meetings improve knowledge and awareness about the disease among the population of people working in pulmonology?
Dr. Oldham: Absolutely. The pulmonologists in my group who attend seem to come out of it with a better understanding of the individual ILDs themselves. Another advantage of open MDDs is that they help increase awareness of new or updated data that we bring up during our discussions. General pulmonologists who do not necessarily have ILD expertise certainly gain some educational value from these MDDs.
When these cases are reviewed at the meetings, are other advanced care professionals (eg, occupational therapists, specialist nurses, anyone involved in rehabilitation or direct care of the patient) included in the discussion?
Dr. Oldham: At times, yes. Our clinical coordinator, who is a respiratory therapist, is there for every MDD, as are our research assistants, who know the patients quite well. These individuals will join the discussion on occasion to provide important information or context. Additionally, our MDD is announced throughout the division, so other pulmonologists and trainees often attend.
Are there some case characteristics, signs, or symptoms that would negate the need for an MDD?
Dr. Oldham: I think that all patients referred to an ILD center should have their cases reviewed by MDD. This again stems from work by the Michigan group showing that diagnostic disagreements exist even among ILD specialists.2,3 MDD is our chance to put our heads together and offer the highest confidence diagnosis possible, particularly for patients without characteristic features of a particular ILD. For example, I often see patients who are not referred for ILD evaluation because they have relatively preserved lung volumes despite clear-cut basilar crackles and honeycombing on HRCT. MDD is important for these types of individuals because many will have combined pulmonary fibrosis and emphysema, which may have been overlooked without the MDD process.
Do the pulmonologists have final say if there are conflicting viewpoints among the radiologists, pathologists, or any other specialists?
Dr. Oldham: I do not like to think that any one person has final say. The pulmonologist's job is to consider the information provided by the radiologist and pathologist, taking into account the clinical history as well. More often than not, all relevant parties agree on the final diagnosis.
Once a consensus has been reached in the MDD, does the group discuss treatment options?
Dr. Oldham: After we have an agreement in the room on the diagnosis, we will discuss treatment options as well. This part of the conversation usually starts with, "This patient has been diagnosed with IPF. Next visit, we need to discuss antifibrotic therapy with them." If it is a connective tissue disease-related ILD, "Next visit, we need to discuss immunosuppression." For hypersensitivity pneumonitis (HP), "Let's discuss prednisone and antigen removal," that sort of thing. So, it is not necessarily a specific treatment or recommendation, but it provides a plan that the pulmonologist can take with them to the next ILD clinic visit.
Do you also discuss symptom management for these patients?
Dr. Oldham: We generally address symptom management on a case-by-case basis. Some patients have a serious treatment-refractory cough, so if that is one of the defining features of their disease and it significantly interferes with their life, we do discuss this during MDD. Other issues, such as oxygen therapy and pulmonary rehab are discussed with the patients in clinic, not necessarily during an MDD.
Impact of MDD on Diagnosing IPF
Once the patient is referred to an ILD center and is suspected of having an ILD, does MDD help create a more straightforward path to a diagnosis of IPF (or other ILD)?
Dr. Oldham: After ILD is suspected and the patient is referred appropriately, I do think that MDD improves diagnostic confidence. Although there is no gold standard for diagnosis, data show that MDD improves diagnostic confidence, which means that the closest thing we have to a gold standard is a group of medical experts sitting in a room and ultimately agreeing on a diagnosis.3
What diseases are patients most often misdiagnosed with before reaching a consensus on a diagnosis of IPF?
Dr. Oldham: Prior to being diagnosed with an ILD, most patients generally present with nonspecific symptoms: dyspnea on exertion, dry cough. A lot of them are diagnosed with asthma or bronchitis, emphysema, COPD, heart disease, that sort of thing. Once ILD is suspected, the substantial overlap in presentation of various ILDs opens up a whole new set of possible diagnoses. Personally, I find that the highest misdiagnosis rate within ILD occurs among patients with HP. A lot of them are initially diagnosed as IPF, but when you perform a careful exposure history, and surgical lung biopsy when possible, a fair number of patients have their diagnosis changed from IPF to HP.
Do you think that the use of MDD has lowered the rate of misdiagnosis?
Dr. Oldham: MDD does not really lower the rate of misdiagnosis, only because MDDs are only conducted once you suspect ILD in the first place and refer the patient to an ILD center for evaluation. A better way to reduce the rate of misdiagnosis would be to implement an effective early ILD detection program among patients being followed by primary care. To my knowledge, such a program does not currently exist, unfortunately.
Are there any drawbacks to using a multidisciplinary approach?
Dr. Oldham: No. If anything, I think MDD helps to resolve conflicting diagnoses and recommendations among specialists. As mentioned earlier, the Michigan group showed that there is a fair amount of disagreement in diagnosis between the specialists, even among ILD specialists, when cases are reviewed in isolation.2,3 Putting these specialists in a room together leads to ultimate agreement among these various perspectives, resulting in improved diagnostic confidence.
Does MDD place any additional burden on the patient?
Dr. Oldham: Patients may wait for an MDD for a week or two, sometimes even a month, which could be frustrating. But, in my experience, the peace of mind that an MDD diagnosis brings for patients greatly outweighs the inconvenience of the short wait time. I think patients sleep a little easier when I tell them that we discussed their case in front of all of the ILD experts in my institution to come up with this diagnosis. Knowing that the best minds were put to the case can be reassuring.
Is there anything that could be done to make the process even more accurate or complete?
Dr. Oldham: Having internationally agreed-upon consensus statements for all ILDs would help because it would remove some of the subjectivity in ILD diagnosis, especially with regard to HP. If we were able to standardize things on a global scale, that would certainly help.
Expanding the Use of MDD
How often is MDD used in the community?
Dr. Oldham: I cannot speak for institutions outside my own, but among the community doctors that I have met with and talked to, it seems that MDD is not very common in the community, though through no fault of their own, as many do not have on-site chest radiologists or pulmonary pathologists. I know a lot of community doctors would love to have MDDs if they had access to the appropriate resources.
Do you think community healthcare professionals want to start MDDs at their own centers or otherwise get access to this tool?
Dr. Oldham: I think a fair number of community HCPs are interested in having access to those of us with ILD expertise, whether that is through a formal program or informal relationships. Several community institutions near my center here in California have sought to establish ties with our radiology department so that they can have access to a thoracic radiologist for their ILD cases.
Are there guidelines or recommendations to help institutions that want to start an MDD?
Dr. Oldham: The key components are a pulmonologist, a thoracic radiologist, and a pulmonary pathologist. If you have those components at your institution, the pulmonologist just needs to spearhead the project and recruit the appropriate personnel. If those resources are not available at an institution, it will be difficult to have an in-person MDD at that institution. However, based on my experience with community physicians in our area, I strongly suggest that ILD centers foster strong ties to community medical centers because that relationship gives community pulmonologists access to resources they may not otherwise have.
Is there anything else you would like to add to this discussion of MDD?
Dr. Oldham: The MDD is the cornerstone of proper ILD evaluation and a hallmark of ILD centers throughout the country. It is important for as many patients to be referred to an ILD center as possible. This recommendation stems from the improved diagnostic confidence that MDD provides, along with improved outcomes that are associated with ILD center referral.5 While the reasons that ILD center referral is associated with better outcomes have not yet been delineated, we spend a lot of time focusing on implementing MDD for patients, along with focusing on comorbidity management, assessing for supplemental oxygen needs, prescribing pulmonary rehabilitation, and providing access to clinical trials - all these things play a role in improving outcomes for patients who are treated at ILD centers. I recognize that not all patients can be referred due to logistics, which leads back to why I advocate for strong ties between academic institutions and the community. These relationships can provide some of the resources that we have at ILD centers for those community physicians.
Raghu G, Collard HR, Egan JJ, et al. An official ATS/ERS/JRS/ALAT statement: idiopathic pulmonary fibrosis: evidence-based guidelines for diagnosis and management. Am J Respir Crit Care Med. 2011;183(6):788-824.
Martinez FJ, Chisholm A, Collard HR, et al. The diagnosis of idiopathic pulmonary fibrosis: current and future approaches. Lancet Respir Med. 2017;5(1):61-71.
Flaherty KR, King TE, Jr., Raghu G, et al. Idiopathic interstitial pneumonia: what is the effect of a multidisciplinary approach to diagnosis? American journal of respiratory and critical care medicine. 2004;170(8):904-910.
Collard HR, Tino G, Noble PW, et al. Patient experiences with pulmonary fibrosis. Respiratory medicine. 2007;101(6):1350-1354.
Lamas DJ, Kawut SM, Bagiella E, Philip N, Arcasoy SM, Lederer DJ. Delayed access and survival in idiopathic pulmonary fibrosis: a cohort study. American journal of respiratory and critical care medicine. 2011;184(7):842-847.
Justin Michael Oldham, M.D., M.S.
Director, Interstitial Lung Disease Program
University of California-Davis
Justin Oldham, MD, MS, is on faculty at the University of California-Davis in the department of Pulmonary and Critical Care Medicine, where he serves as the director of the Interstitial Lung Disease program. He also oversees the ILD patient registry and supervises the conduct of ILD clinical trials at his institution. Dr Oldham received his MD from University of Colorado School of Medicine in 2006, which he followed with a residency in Internal Medicine at UC Davis School of Medicine. He pursued a fellowship in Pulmonary and Critical Care Medicine at the University of Chicago, during which he also found time to do a Master's in Biostatistics and Epidemiology. He is board certified in Internal Medicine as well as in the sub-specialty of Pulmonary and Critical Care Medicine.
Dr Oldham is interested in translating ILD genetics research into clinical application, with a focus on using pharmacogenetics to identify subgroups of patients that are most likely to benefit from particular ILD therapies. Some of his recent publications includes one that identified IPF subgroups genetically predisposed to a favorable response to anti-oxidant therapy, as well as a number of papers that describe characteristics of patients with IPF and their implications on survival and/or prognosis.


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Dodgers starter Randy Wolf got his first victory since May 28.
NEW YORK – Randy Wolf was looking for a lucky number. All he really needed was Manny Ramirez's bat.
Ramirez hit two RBI singles to key an early outburst against struggling starter Livan Hernandez, and Wolf pitched the Dodgers past the New York Mets 11-2 Thursday night for his first win in eight outings.
Hoping to change his fortunes and avoid yet another no-decision, Wolf (4-3) switched Wednesday from jersey number 21 to 43 – the digits he used to wear with Philadelphia. One night later, he received a sudden surge of run support from Ramirez & Co.
Dropped to seventh in the batting order, slumping All-Star Orlando Hudson responded with a three-run double that capped a four-run first inning. Leadoff man Rafael Furcal had three hits and scored three times, and the Dodgers cruised to an easy victory that boosted baseball's best record to 54-31.
Los Angeles took two of three in its first trip to Citi Field and won the season series 5-1 against the injury-ravaged Mets, who have lost five of six and 10 of 13.
The only downer for the Dodgers: Hudson came out in the seventh after being hit above the left knee by Brian Stokes' pitch. But the second baseman said he was fine and expects to play today in Milwaukee.
Russell Martin added a two-run single and Ramirez had a perfect night at the plate, going 2 for 2 with two walks before taking a seat in the seventh. He is 6 for 18 (.333) with two homers and seven RBIs in six games since returning from a 50-game drug suspension.
"I'm getting there. I haven't played in two months. Got to go baby steps," Ramirez said.
The Dodgers, who had 17 hits, drew 25 walks in the series.
Wolf's new uniform number brought a win, but perhaps most important was his matchup with the fourth-place Mets (40-44).
The left-hander improved to 12-5 with a 3.29 ERA in 30 starts against New York, his most wins against any team. He is 6-0 in his past nine outings vs. the Mets since losing on May 4, 2005, with the Phillies.
Wolf labored through 6<MD+,%30,%55,%70>1/<MD-,%0,%55,%70>3 gritty innings, giving up seven hits and throwing a season-high 118 pitches. He entered 0-2 in seven starts since beating the Chicago Cubs 2-1 on May 28.
Hernandez (5-5) allowed hits to his first three batters and was hammered for four innings while dropping his fourth straight start. Serving up his usual array of soft stuff, the right-hander yielded eight runs and 11 hits – both season highs – while walking four.
Three of the 12 outs made by the Dodgers while he was on the mound came when runners were thrown out on the bases, including a pickoff play. Another out came on a sacrifice bunt.
After three solid months in the rotation, Hernandez has been terrible in July. He has given up 15 earned runs, 21 hits and eight walks over seven innings in two starts against first-place teams: Philadelphia and Los Angeles.
Mets manager Jerry Manuel wouldn't rule out removing Hernandez from the rotation after the All-Star break.
Batting seventh for the first time this season, Hudson snapped a 2-for-32 slide with a first-inning double that made it 4-0.
"It's a good lineup. I don't think when we rearrange the pieces that you can really go wrong," Torre said.
The last time Hernandez lost four consecutive starts in one season was 2002. … Torre said he might give Ramirez a rest this weekend in Milwaukee. … Ramirez is 7 for 10 with a homer and seven RBIs against Hernandez. … Wolf was 6-1 with a 2.85 ERA in 14 starts at the Mets' previous home, Shea Stadium. … The Dodgers won the season series for the first time since going 4-2 in 2002. … Mets cleanup hitter Gary Sheffield was ejected by plate umpire Marty Foster after getting called out on strikes to end the seventh.


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US Olympic men's basketball team tops Nigeria in last tuneup (Yahoo Sports)
August 1, 2016 By FreeWinningPicks
US Olympic men's basketball team tops Nigeria in last tuneup (Yahoo Sports) Carmelo Anthony scored 19 points and the U.S. Olympic basketball team wrapped up its unbeaten exhibition tour with a 110-66 victory over Nigeria on Monday night. Klay Thompson had 17 points and Kevin Durant added 14 for the U.S., which went 5-0 and wasn't tested during its easy pre-Olympic schedule. The U.S. men … [Read more...]
Carmelo, U.S. drub Nigeria by 44 in final tuneup
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Celtic mindful of past Champions League history as Astana await
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P.K. Subban roasts Canadiens at charity comedy event (Video)
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MLB trade-deadline day: Here's every trade that happened
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Watch live: The Blue Jays face the Astros in the Free Game of the Day
Watch live: The Blue Jays face the Astros in the Free Game of the Day The Toronto Blue Jays fell to the Baltimore Orioles in extra innings on Sunday, which meant they missed out on sweeping their AL East rival and gave them back first place. The Blue Jays have been hovering near the top of the AL East for most of the season, but no team has been able to create and hang on to a convincing l … [Read more...]
Pocono race postponed to Monday (again) because of rain
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FanDuel MLB: Picks and Pivots for August 1 – Fantasy CPR – Fantasy CPR
FanDuel MLB: Picks and Pivots for August 1 - Fantasy CPR - Fantasy CPR Fantasy Football Draft: The Zero Running Back Strategy by Bruce Lamb Indians Pick Up Andrew Miller: What Is The Fantasy Impact? by Mike Marteny Jul 30, 2016; New York City, NY, USA; New York Mets former catcher and Hall of Fame member Mike Piazza reacts to the crowd during the ceremony retiring his number (31) prior … [Read more...]
The Latest: Jays acquire Scott Feldman from Astros – Washington Post
The Latest: Jays acquire Scott Feldman from Astros - Washington Post By Associated Press, NEW YORK — The Latest on Major League Baseball's deadline Monday for trades where players do not first have to pass through waivers (all times EDT): ___ 5:40 p.m. The Toronto Blue Jays have acquired right-hander Mike Bolsinger from the Los Angeles Dodgers for right-hander Jesse Chavez and cash. The 28- … [Read more...]
KHL player throws stick like javelin for breakaway goal (Video)
KHL player throws stick like javelin for breakaway goal (Video) Ak Bars Kazan forward Vladimir Tkachyov got into the Olympic spirit during a recent skills competition breakaway contest. Tkachyov decided to attempt a javelin type throw with the puck attached to his stick at the net for the goal. The goaltender seemed to half-heartedly try to catch the stick with his glove, but was unable to … [Read more...]


text:
New Processor For iMac
By Mike Wheeler
In Cybershack News
Features quad-core Intel i5 processors
70 percent faster
Offers FaceTime HD camera
Apple has updated its all-in-one iMac with next generation quad-core processors, new graphics, high-speed Thunderbolt I/O technology and a new FaceTime HD camera.
The new iMac is claimed to be up to 70 percent faster, and new graphics deliver up to three times the performance of the previous generation.
The new iMac features quad-core Intel Core i5 processors with an option for customers to choose Core i7 processors up to 3.4 GHz. These next generation processors feature an integrated memory controller and a new media engine for high-performance video encoding and decoding.
The 21.5-inch iMac has a single Thunderbolt port while the 27-inch model features two ports for greater expansion. Featuring two bi-directional channels with transfer speeds up to a 10Gbps each, Thunderbolt delivers PCI Express directly to external high-performance peripherals such as RAID arrays, and can support FireWire and USB consumer devices, and Gigabit Ethernet networks via adapters. Thunderbolt also supports DisplayPort for high-resolution displays and works with existing adapters for HDMI, DVI and VGA displays. Freely available for implementation on systems, cables and devices, Thunderbolt technology is expected to be widely adopted as a new standard for high performance I/O.
iMac includes a built-in FaceTime HD camera and Apple's FaceTime software for widescreen video calling. The new camera supports high-definition video calls between all FaceTime HD-enabled Macs and standard resolution calls with iPad 2, iPhone 4, the current generation iPod touch and other Intel-based Macs. The iMac feature its signature aluminium and glass design, IPS LED-backlit high-resolution display, SD card slot and comes with Apple's Magic Mouse or Magic Trackpad.
The unit is said to meet Energy Star 5.2 requirements and achieves EPEAT Gold rating. iMac features LED-backlit displays that are mercury-free and made with arsenic-free glass. It uses PVC-free components and cables, contains no brominated flame retardants, uses highly recyclable materials and features material-efficient system and packaging designs.
Every Mac comes with Mac OS X Snow Leopard, and iLife, Apple's suite of applications for creating and sharing great photos, movies and music.
From 1,399 to $2,299 depending on configuration
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Annie Weston is a saint. Even when pregnant she is the most understanding of friends and the most forgiving person I've ever known. No matter how much disappointment she is forced to put up with. And even when pregnant she has an elegance and effortless beauty that is unparalleled. Since the baby shower we threw for her was early enough she could still avoid the maternity clothes and opt for this loose and flowing, black and floral, silky shift dress. The short, leg showcasing skirt is so distracting you'd never notice she was pregnant. Plus the sharp contrast between colorful flowers and plain black in the center creates the impression of a waistline where there is none. A day-to-night look that is complimented by her neutral heels, simple black wallet clutch, and this decorative yet streamlined necklace with a tightly packed row of mint colored stones. No matter what Annie has a grace and poise that I truly envy and admire, and will spend my whole life trying to achieve. No matter how often I fail to live up to it.
This entry was posted in Annie Taylor, Looks, News and tagged Annie Taylor, annie weston, baby shower look, emma approved, fashion on July 17, 2014 by Emma Woodhouse.
Episode 62 with Jane Fairfax, Alex Knightley, Frank Churchill, and Annie Taylor.
This entry was posted in News, Videos and tagged Alex Knightley, Annie Taylor, emma approved, Emma Woodhouse, frank churchill, Jane Fairfax on July 17, 2014 by Emma Woodhouse.
The other day my best friend Annie, soon-to-be greatest mother in the world, stopped by the office to discuss plans for her baby shower. She keeps insisting that it's too early for a shower, but I know better! She already has that gleam in her eye, and I know for a fact that she's started picking out things for the baby's room. Her nesting instinct is already taking over and she could not look more cozy and content in her outfits lately. Her light and draping blouse is the ultimate in hippie-chic, perfect for early morning baking, then taking a break to play with the baby in a garden of sunflowers which perfectly match the floral details along the neckline. And if that wasn't a celebration of nature, her adorable gold ring in the shape of a beetle certainly does the trick. Paired with comfy, well worn, fitted jeans and neutral heels she makes the whole look simple but flattering and sophisticated. Last, a basic, tan, vegan leather, structured bag with indispensable, easily accessible side pockets. Perfect for a woman who has her hands full, or is about to!
This entry was posted in Annie Taylor, Looks, News and tagged Annie Taylor, emma approved, fashion, modcloth on July 5, 2014 by Emma Woodhouse.
Episode 58 with Jane Fairfax, Annie Taylor, and Harriet Smith.
This entry was posted in News, Videos and tagged Annie Taylor, emma approved, Emma Woodhouse, Harriet Smith, Jane Fairfax on July 3, 2014 by Emma Woodhouse.
Annie is so good at choosing the right fashion and accessories to suit her personality, look, and body type. She always has been. So it's no wonder I never noticed that she had a secret! All month she's been wearing loose and flowing shift dresses that show of her mile long legs but hides her waistline. Not that she's showing yet, but it's all in the mind. Once again she picked a winner with this elegant, flowing, dark blue sundress covered in contrasting white and pink flowers. Paired with a simple, white, vegan leather tote that she borrowed from me last week and she looks so stunning that it can distract even the keenest eye from anything she might be hiding.
This entry was posted in Annie Taylor, Looks, News and tagged Annie Taylor, cotton candy, emma approved, fashion, lulu's on June 27, 2014 by Christina Cooper.
Episode 56 with Frank Churchill and Annie Taylor.
Emma Approved is hosting a benefit to support human rights with 27 Million – and you can help here.
This entry was posted in News, Videos and tagged Annie Taylor, emma approved, Emma Woodhouse, frank churchill on June 26, 2014 by Emma Woodhouse.
Welcome back to the fashion blog Mrs Annie Weston! My-oh-so lovely, oh-so-charming, and oh-so-glowing with newly wedded bliss best friend has graced us with her fabulous presence once again. Stunning as always in this silky, bright pink, long sleeved, shift dress that loosely skims her figure in the most flattering of ways and stops short to show off her mile long legs. But that's not all! This is a summer dress that helps you stay cool with an open back and flirtatious criss crossing straps. More summery touches include strappy sandals with wooden heels and laser cut, brown faux leather that looks almost woven; and a western style, brown suede drawstring purse with fringe accents. Finally a simple, subtle, double looped necklace made of gold chains and bars. I am so so happy that Annie stopped by! Even though getting married has clearly given her rose colored glasses, wanting to see couples everywhere she looks. Although… rose colored glasses WOULD go with this outfit.
This entry was posted in Annie Taylor, Looks, News and tagged Annie Taylor, emma approved, fashion, lulu's, modcloth on June 19, 2014 by Emma Woodhouse.


Mechanical Engineering finds many applications in all fields of technology. Mechanical Engineers could work in government departments, private or public sector industries of various types. Strategic organizations could also hire Mechanical Engineers for their design and development projects in which candidates are trained according to their needs.
Mechanical Engineers are required in oil exploration & refining, steel plants, electronics & robotics, space research organizations, technical wings of armed forces and many more. Aeronautical, agricultural, chemical, railways, bio-medical, textile, automobile and power plants require mechanical engineers to design and maintain their machinery. Mechanical Engineers play a significant role in agricultural sector such as maintenance of tractors, oil engines, pump sets, electric motors and other agricultural equipment. In addition, Mechanical Engineers have numerous job placements in marine engineering as cadets, marine engineers or navigating officers. Candidates with higher degree or an additional degree in management could find work in managerial & administration positions in public and private sector industries or government departments or could do research plus teaching in research and teaching organizations or could work as independent consultant.


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Green light given to unique care service at Charlie Ratchford Court
A new and innovative care model is set to be delivered by Camden Council following approval at last night's Cabinet meeting.
Charlie Ratchford Court in Chalk Farm will provide care to residents with a range of needs while creating a community intended to reduce loneliness and isolation among tenants through regular wellbeing and social support.
Helping to build the community at the service will be up to four support tenants who will live on site providing 10 hours of informal support per week in exchange for affordable rent. The support tenants will help to make the service more reflective of the wider community by facilitating social events with tenants and neighbouring residents. This approach is designed to help tenants make meaningful connections with each other and the wider community while living active and fulfilling lives.
Full-time staff will work with residents in a 'strength-based' way, planning and adapting their support, and focusing on building their strengths, independence and resilience.
Due for completion later this year, the service will provide 36 purpose-built extra care flats for people who may need support to maintain their independence. The ground floor space will include a café-style dining area where residents and families can come together, and a programme of activities can be enjoyed in the flexible indoor and outdoor spaces by residents and the wider community.
Charlie Ratchford Court has been paid for by Camden's Community Investment Programme, Camden's plan for investing over £1 billion in building schools, homes and community facilities in Camden.
Councillor Callaghan, Deputy Leader and Cabinet Member for Healthy and Caring Camden said: "In Camden, we want to support people to live healthy, active and independent lives for longer. The plans for Charlie Ratchford Court supports this vision.
"Our residents will be supported to remain active within the scheme and the local community through a range of activities, helping to tackle loneliness and isolation, which impacts so many older people's lives."
Councillor Beales, Cabinet Member for Investing in Communities and Inclusive Economy said: "This is another great example of how the Community Investment Programme makes best use of council resources to benefit our community. This in-house model has been shaped with residents and carers to make sure it meets the needs of our residents and once complete will benefit our community for years to come."


The territorial scope of the insurance protection covers the Member States of the European Union and is in line with the regulations of the Public Accountants Act (WPO).
Information concerning professional regulations may be found on the following site: http://www.wpk.de.
I-ADVISE AG Wirtschaftsprüfungsgesellschaft is neither willing nor obliged to participate in dispute settlement proceedings before a consumer arbitration body ("Verbraucherschlichtungsstelle").


Multi-Nutrients 4 (citrate/malate formula with copper & iron) is a high potency multi-vitamin/mineral and trace element formula that provides the highest nutritional value for all systems of the body.* It is a bioavailable, gentle formula that is well tolerated by most individuals.* Multi-Nutrients 4 contains minerals in citrate/malate form for better absorption.* This formula contains copper and iron.


Let's be honest, in at this time's superficial world, looks matter. Wanting higher can dramatically enhance your self-esteem, and improve the best way you are feeling about yourself. Thanks to beauty surgery, there is no such thing as a purpose to be sad with your physical appearance. The beauty surgical procedure advice in this text, will assist to insure that you are completely satisfied along with your surgical procedure.
Analysis the plastic surgeon. Look for recommendations and evaluations from other people that have already had surgery performed by the physician. It is best to test this out before getting the surgery carried out. You would not need to get a surgical procedure carried out by a doctor, who has less than excellent opinions.
Surgical procedure may be very expensive and it makes docs some huge cash, which is why you need to be extraordinarily careful about the place your cash goes. Test your physician's background and skim some opinions. Don't get lured into utilizing a surgeon simply because they've a brochure that makes issues look excellent.
Forestall Quality Advice To assist You thru Beauty Surgery from beauty surgical procedure by consuming a nutritious weight loss plan and utilizing vitamin supplements when you possibly can. Surgery is always one thing that takes time to get over, however you want to organize your self to get better by making sure your body can do the work it needs to do. Correct nutrition will help.
If your physician has solely been talking up the advantages of your surgical procedure, you could need to rethink your surgeon. A top quality surgeon will speak to you about not only benefits but also the risks and dangers associated with your surgical procedure. If your doctor is nothing greater than a salesman, you need to keep trying.
You could check out other information about that see go .
Before you see a doctor, determine what precisely you want performed. Never go right into a consultation with out understanding exactly what you want done, as a result of a physician could try to convince you that you just want one other work done. Have see more about page in your head of what you expect, and share that with the physician throughout your consultation.
For any beauty surgery, just remember to choose a reputable cosmetic surgeon, who has the experience to do your procedure. A fantastic surgeon will take the time to sit down down with you, and aid you understand the risks concerned prior to having the surgery. They'll also be prepared to point out their credentials, and another information that you simply ask for.
Earlier than you may have surgical procedure, validate the credentials of the surgeon. Make Cosmetic Surgery Suggestions And Methods You can use 've the education, and expertise to carry out the procedure. This simple step helps to make sure a constructive final result from the surgery. You also needs to be sure that their license, and insurance coverage is present, and valid in your state.
When considering beauty surgical procedure, it is important that you just learn opinions about potential surgeons that you will go to. That is essential in making sure that your total expertise goes well. Talking to, and studying reviews from former patients is among the finest methods to get real world advice.
Schedule an honest amount of recovery time following any cosmetic surgical procedure. Healing plastic surgeons aurora is needed to your body after any surgical procedure. So clear your schedule, and give your physique the correct time to heal. Do not be tempted to return to work too early. You could also be feeling better now, but after strenuous activity, you might understand your physique will not be but able to take on the work day.
In Great Beauty Surgery Advice For someone In search of Information will want to see photographs of the surgeon's work, but bear in mind that they'll probably only characterize one of the best outcomes. Any surgeon you can trust might give you revision photos as effectively. Nonetheless, if the surgeon's photographs don't meet your requirements, this isn't the doctor for you.
You wish to do your best to find a surgeon that will likely be truthful and trustworthy with you always. Make sure that to ask concerning the dangers involved along with your process. If the surgeon acts like there is no such thing as a attainable threat and discounts your fears, you shouldn't enable him to do your surgical procedure.
Keep an open mind if you discuss any kind of cosmetic surgical procedure along with your doctor. It is important to maximize your choices when you are getting beauty surgical procedure. Collaborate with the surgeon and achieve skilled opinions prior to creating any selections.
Keep the world of your incision clean after your beauty procedure. Identical to with another surgery you could have, cleaning the incision site is important, because it prevents infection. Once the location has healed, you could even need to consider using cocoa butter on it to assist fade the looks of a scar.
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New preview stills for the much anticipated drama "Producers" show Cha Tae Hyun (playing Ra Joon Mo) and Gong Hyo Jin (playing Tak Ye Jin) having a talk inside a bar.
The portrayed characters have been best friends for 20 years and also got hired at KBS at the same time. Joon Mo is the head-producer for the representative KBS shows "1 Night 2 Days" and "Music Bank," and will play a big part in the drama with his hilarious story line.
In the revealed photos, Joon Mo (Cha Tae Hyun) and Ye Jin (Gong Hyo Jin) are each seen concentrating on different things. Ye Jin is in the middle of a serious rant, while Joon Mo is seen wearing lipstick, which he probably stole from Ye Jin.
What could have led Cha Tae Hyun to wear lipstick?
Stay tuned for the first episode airing May 15 at 9:15 p.m. KST to find out why!


Registration deadline for new voters, and for those voters who wish to make a political party affiliation change, to vote in the Special Primary Election for the Florida House of Representatives District 7, is Monday, March 11, 2019.
Register to vote online here www.LeonVotes.org or in person. Call (850) 606-8683 Monday - Friday 8:30 a.m. - 5 p.m. for more info.
Click here www.LeonVotes.org to verify your eligibility to vote in the the Special Election.


text:
Football >
Players >
Spencer Bassett
The Encylopedia of British Football
Spencer Bassett was born in Blackheath in 1885. A right-half he played for Maidstone United before joining Woolwich Arsenal in May 1907.
Bassett made his league debut against Notts County on 7th October 1909. Unfortunately, he was not selected again and in 1910 he moved to Exeter City. He also played for Swansea City.
On the outbreak of the First World War he joined the Royal Garrison Artillery. He was sent to the Western Front and was killed on 11th April 1917. He is buried at the PozieresWar Cemetery.
By John Simkin (john@spartacus-educational.com) © September 1997 (updated January 2020).
Official Illustrated History of Arsenal
The Official Arsenal Annual 2008


"Nationalnyckeln" (NN) is a Swedish biological encyclopedia. Originally, over 100 volumes were projected, but at the time of writing, it's unclear how many will really be published. Since 2005, 17 volumes have seen the light of day. Or at least been rushed to the printers! This one (code DE 1-13) covers the first 13 families of Lepidoptera, considered to be more "primitive" than other butterflies and moths. 12 of the families covered are "micro-moths", while one (Hepialidae, which includes the Ghost Moth) has traditionally been classified as "macro-moths". Today, these terms are generally considered somewhat unscientific.
The volume describes all 256 Nordic species of the relevant families, and is one of the largest NN volumes, being 645 pages long. It's also one of the more boring. Let's face it, micro-moths aren't *that* interesting, unless you're a super-nerd extraordinaire. But if you are (provided you also understand Swedish), you'll gonna love this one, since most covered species are illustrated in color (if you can call micro-moths colorful), with additional black-and-white drawings of their genitalia. The keys to identification are bilingual (Swedish-English), and very short English summaries of the species presentations have been appended to the main entries.
But that's me. I will nevertheless award this volume of Nationalnyckeln five stars!


text:
Paul Kandel (born February 15, 1951) is an American musical theatre actor and tenor singer best known for his film role in Disney's The Hunchback of Notre Dame (1996) as the voice of the Roma leader Clopin Trouillefou. He also has appeared on Broadway a number of times, having appeared in Jesus Christ Superstar as King Herod, Titanic, The Who's Tommy, and The Visit. Kandel received a nomination for the 1993 Tony Award for Best Performance by a Featured Actor in a Musical for his portrayal of Uncle Ernie in The Who's Tommy.

Filmography

External links

Living people
American male film actors
American male musical theatre actors
American male stage actors
American male television actors
American male voice actors
American operatic tenors
1951 births
20th-century American male actors
20th-century American male singers
20th-century American singers
21st-century American male actors
21st-century American male singers
21st-century American singers


Heading to the cinema this weekend? Well let me take you through the weeks new releases. Theses are the cinema releases January 6 2017 for the UK, US, Australia and New Zealand.
This week sees the release of A Monster Calls starring Felicity Jones, Sigourney Weaver and Liam Neeson in both the UK & US.
2016 saw the passing of several well known actors with Carrie Fisher bringing the year to a truly sad end.
Here are just a few of the others lost in 2016, Alan Rickman, Burt Kwouk, Anton Yelchin, Gene Wilder, George Kennedy, Kenny Baker, Zsa Gabor and Debbie Reynolds (Carrie Fishers mother).
A 12 year-old boy named Conor attempts to deal with the bullying of his classmates and the illness his mother suffers from by escaping into a into the fantastical world of monsters and fairy tales.


gg7xplug Great buyer to deal with! Punctual! Pleasant transaction!
jeffchoi03 Great seller to deal with! Speedy replies. Thank you!
@elvin.ng.121 is on Carousell - Follow to stay updated!
12gb ram, 256gb storage. Playstore and Google apps installed. Tempered glass protected applied on.. Chat more to find out..
A 360 armour protection for Samsung note 9.
Bought on 22nd Sept 18. Did not use much since purchase, it is a spare phone. Condition 10/10, no damages nor scratches. Have 3 hp covers to give (2 bumpers and 1 leather flipcase). Full accessories, inclusive of original box.
Razer phone in good condition (8/10), with dskin protection. Can PM to find out more. All accessories and box available. Price able to negotiate a bit.
Jacs military style carrier. Open to check but did not use it as baby prefers his old carrier.
BNIB, bought last Saturday 26/05/18. Open up to test, not used to the phone. No damages no scratches at all. 10/10 condition. 1 year local warranty still from 26/05/18 onwards. Place tempered glass protector too. 128gb, 8gb ram, mirror black edition.
Lightly use speedway 4, use for grocery shopping only. Tyres as good as new, batt when fully charge can go up to 50km distance. Did little bit changes on handle bar and upgrade rear brakes to BB5. With ignition key lock too. Well maintained with minor scratches at side only. Price negotiable..
Condition: 8.5/10 Nvr drop phone before, no physical damages less some minor scratches while changing cover. Earphones not yet being used, still in packaging.
Condition 9/10. Many games loaded inside, bought online previously from a local seller. Seldom play it.
3 mths old phone, hardly touches it. Bought to try out only. Handphone cover inclusive.
New! Never use before. Extreme protection for iphone 6s plus!
White in colour, condition 5/10 with e side paint work chipping off. No dents.. Price negotiable..