In my kitchen is this fancy schmancy bowl which was a gift from my sister-in-law, Cathy. It's really beautiful and I can't decide what to put in there first.
Some of you are wondering if I fell off the planet for a few days and frankly, I think I did. Since John's heart attack I've felt a bit rudderless and it's probably not 'strong woman' to admit that but there you go. When faced with the possibility that your best friend might not walk around any more, the thought of creating exciting food diminishes in importance. Even the view from the kitchen is depressing.
Then, just when he was feeling better, his computer died. It's several years old and he works it hard. In addition to the computer he programs on and does all the things you and I do, part of his computer is an internet server where he can test his software. There's something else on there too but by the time he got to explaining that, I'd switched off. He'll read this and slap his forehead, I'm sure. I'm not a geek. I know enough to know that things should work but not enough to know how to make anything happen. Beyond HTML and I'm a goner.
The new computer has been ordered and all the parts were available except the 36 gigs of memory. We've got our fingers crossed that the memory arrives today because honestly, one more day of a grumpy, depressed man with a computer that is too weak to do anything is going to drive me up the wall.
We went to Deception Bay for a funeral the other day when it was over, John realized that we were only 5 minutes from Costco. They had breakfast sausage links! I thought since it was Costco maybe they'd be American breakfast sausages so I bought them. I cooked two sausages this morning and an egg and there's so little spice that I was bored after two bites. Charlie liked them. I have about 10 ziplock bags of frozen sausage links to eat. I wonder if I could add spice to the pan? Probably not.
It's still mango season and I also bought a couple of pomegranates and I could eat nothing but one of these for a meal.
I love limes and I bought a big bag of them. I'm going to make a lime pie, squeeze lime juice over anything that makes sense and I love a wedge of lime in a glass of sparkling or soda water.
I've been playing with Celia's sourdough starter that she gave me that I've renamed Esmerelda Pissemeyer. This is the liveliest, bounciest starter you can imagine. Even when neglected, it comes back in a day to look like this. I'm thrilled that I was able to get some of this. I'm going to dry some of this for my friends and pass on the sourdough love.
In My Kitchen is an initiative of Celia from Fig Jam and Lime Cordial. Visit her site to find heaps of other bloggers who've shared what's going on in their kitchens this month. If you'd like to join in, there's no registration or approval, just make an In My Kitchen post on your blog and link it to Celia and then let her know. You'll get lots of new visitors.
Finally, no In My Kitchen is complete without a photo of the family. This is the dirtiest dog you'll ever see. We're on our way to the tub right now. Charlie went under the fence and had the best time playing in the canal this morning and then rolled in something I don't want to discuss. Be glad this isn't smellavision.
Hey honey… let me know if there is anything I can do to cheer you or brighten your day… love the bits and pieces in your kitchen… especially the bowl and Charlie. Hugs to John!
What a small world Maureen.. I have recently made a trip to Costco (out of curiosity) at North lakes too!
lovin had dining at home with a fancy restaurant platter….
I can't believe there is now Costco in Australia, but it sounds like the sausages were a fizzer- at least Charlie is happy! Hope John continues to recover.
There is nothing like the disappointment of a bad sausage.
I love yours " in my kitchen posts" Maureen and your pictures always are stunning!
Love the mangoes and pomegranates ! Beautiful!
I will visit others and maybe the next time I can participate!
Charlie is adorable – what's with dogs and smelly stuff? They love it! I hate to mention but cannot quite resist, that Oscar likes to eat dog poop, preferably fresh from production. I' ve witnessed a few episodes that made me gag.
Say hello to John. The sight from your kitchen is stunning, though I know what you mean. The bowl is beautiful. Love the colors you put out there and love that furry friend.
Nothing like eau de chien!
Why is it that the most disgusting smelling deteriorating pile of "something" smells like perfume to our dogs? They invariably want to roll in it and then proudly prance in the house with the smell firmly embedded in their fur, mostly around their neck area.
Dirty or not, Charlie is ADORABLE!!
After my uncle's heart attack, his wife was so scared too, but, more than 12 years later, he is still kicking – and working in his yard, though he refuses to work on the computer leaving all the geeky stuff to his wife! I hope John is and stays well from here on – and y'all two lovebirds have many, many wonderful years together!
Love that bowl! Bummer about John's computer — we always have at least one backup on hand, but of course it's an old computer and probably too flabby to do anything we need done in a hurry. Interesting idea of spicing the pan — that might actually work. You might try adding a tablespoon or two of olive oil and some cayenne pepper and slowly heat it (and maybe let it slow simmer for 5 minutes or so, to infuse the oil with the cayenne?). Then fry the sausages. It might work — at least the surface of the sausages might get a bit spicy. Otherwise you could just chop them up, add spices, and cook them that way. Kind of hash-like.
Your sausages strip the skins off, crumble the meat, make a spicy tomato sauce, add the sausage meat – should give you the spice you want and hide the tasteless snag – use as a pasta sauce or even a topping for baked spuds. Good luck – I hate having something in the freezer I don't like, ends up sitting there for ages!
This would take a bit of time, but take the casings off and put all the sausage in a bowl and add your own seasonings. You could then make sausage patties or place back in new casings.
At least it would be tasty and since you have so many of the little doggies may be worth it to get some taste.
I'm glad you have a fix for John's computer coming – I have to admit I get grumpy too when my computer is acting up.
Shame about the sausages, when my bro gets a bad one, the disappointment is really evident!
Maureen, I love reading your posts! I did not think you "fell off the face of the earth." I totally understood why you haven't been as available online. And I hope you know you don't need our (your readers') permission to pause as you need to. I have had to do the same the past week. Because life happens. Hugs.
Take the sausage back to Costco- they will take them back!!!
You've had such a time recently, that I'm not surprised that you're a bit uninspired in the kitchen. I'm yet you go to costco, but more and more I'm getting convinced that I should make the trip. All your fruit looks so lovely! I'd also use lime on EVERYTHING.
I would try to marinate the sausage in a strong garlic and lemon marinade. It's worth a try! Love to all three of you.
Thanks for sharing your realness Maureen, you are awesome!
I'm a bit down in the dumps as well. After the record snow on Sunday, we had/are having more snow today, then it's going to be cold with snow on Saturday and even more on Sunday. I blame my gloomy feelings on SADS.
I'm sorry you've been feeling down Maureen, and I'm REALLY sorry to hear about John's computer!!! I hope things are a bit brighter in the coming weeks. You bring a lot of joy to all of your followers, myself included, and you are due for some yourself. I'm sending good thoughts your way.
The best thing in the kitchen is Charlie! And that white bowl Love the simplicity of white. Some days are no fun, but the best part is that tomorrow is another day. You know that Costco takes anything back, even if it is opened. A hassle I know, but sometimes it just needs to be done!
Charlie looks so clean though – my dog used to roll in dead birds that was pretty grim let me tell you. I'm not surprised you've been knocked about a bit it's probably delayed shock isn't it. I could eat a plate of mangoes & pomegranate too – summer on a plate.
Yep, lovely bowl! Maybe add the snags to some smoky home made baked beans?
Hi Maureen, be cheery. It has all turned out well. All the best to you and your family.
Wishing you and John good health and that John's computer is up and running smoothly now.
May be you could slice the sausages and use them in a stew (alone or combined with a bit of beef or pork) with lots of veggies.
Hellooo Charlie, you mucky but cute dog! I'm with you on the mango and pomegranate, but also love papaya – and you can squeeeeze lime juice over it for a delicious breakfast 🙂 Happy February!
Charlie looks like a teddy bear, a very happy teddy bear I might add.
I'm happy to hear John is doing better and so are you, take care of yourself!
Oh Honey Bunny—good for you that you are not pressing yourself to get into the kitchen and Do Do Do.
It's good to just process. The world tilted on its axis. Time to readjust and be ever so gentle with yourself.
Taking a look at your priorities in your life needs contemplation time for sure.
As to the sausages—-I am sorry. I know what you mean about that American flavor. I am shocked when I am in Canada or New Zealand, because I forget they are NOT the same.
Oh Honey Bunny—good for you that you taking a time out to process. Your world tilted on its axis. Taking stock in regard to priorities takes contemplation time. Good for you that you didn't let the Do Do Do over take you.
Sorry about the sausages. American sausage is definitely what my taste buds prefer.
I always fear buying a large quantity of something at Costco and then not liking it. Maybe you could cook the sausages with some sliced chiles? Can't wait to see the lime pie!
I want Charlie!! You showed him last and he's all I can think about. Okay I went back and looked again. Your kitchen looks fresh and delicious. I'd love to see a bowl of mango and pomegranate seeds – how pretty would that be?
Photo of the family? There seems to be 2 members missing?
I think that's the best photo of Charlie I've seen. Looking so handsome! Perfectly acceptable for you to take a little time out. That reminds me I need to get out to Costco soon.
Sourdough always intrigued me and intimidated me. I'm curious to see what comes out of that starter!
It's a tough gig being the strong one and I hope you've perked up a bit now, Maureen.
Aww, Charlie is too cute and I'm envious of your gorgeous mangoes! I appreciate your honesty too – it's ok to admit feeling weak because we've all been there at some point or another!
May be you could squeeze the sausage meat out of the casings and spice them up then make meatballs or add to pasta sauces or meatloaf – just some suggestions.
Hope John is recovering quickly. No wonder you felt a bit lost after such a scare. I'd be a mess.
Maureen, I can't even imagine the aftermath of emotions following your hubby/very best friend's heart attack. 'Rudderless' was an excellent description, but probably only a hint of what you've been feeling. I'm glad John's home, but I'm sure it'll take awhile for daily life to stop feeling tenuous. Hugs and more hugs.
P.S. Charlie manages to look completely innocent and adorable at all times, even when he's been naughty. Good dog.
Glad to hear that John is doing better and up and about. Bobby and I do understand the emotions you are experiencing and am sending big hugs your way. Oh…don't you just love Costco! 🙂 Can't beat those big flats and bags of fruit. Another lovely visit to your kitchen Maureen.
I love your new bowl Maureen and also the purple one, especially with the limes in it. I think you need a spicy tomato sauce with those sausages. I'm sure I have some things in the freezer that I no longer want to eat! I love hearing the tales of Charlie, he brings a smile to your face.


text:
Tips To Prevent Caries
IL21/ISTOCK/GETTY IMAGES PLUS
Latest FeaturesCariesFluoride
Caries management by risk assessment is key to reducing the prevalence of this ubiquitous—and preventable—oral disease.
By Steven P. Hackmyer, DDS and Orpheus L. Triplett, DDS	 On Jun 7, 2019 1
Dental caries is a transmissible bacterial disease that is frequently spread from mother to child—a process called vertical transmission.1 According to the United States Centers for Disease Control and Prevention (CDC), caries is the most common chronic disease of children ages 6 to 11 and adolescents ages 12 to 19.2 And while the prevalence of caries has been decreasing among older children, growing numbers of toddlers are presenting with decay.3 Oral health professionals are key players in the fight against caries in pediatric patients—and winning this fight hinges upon the successful implementation of an effective caries prevention strategy.
Caries management by risk assessment (CAMBRA) is an evidence-based protocol designed to prevent, reverse, and/or treat caries before the disease process causes irreversible damage to tooth structure.4,5 CAMBRA is unique because it considers the entire caries disease process, instead of just progression of the lesion itself. This protocol treats caries as a highly infectious and transmissible bacterial disease that can be effectively treated and/or reversed.1 While traditional therapy has emphasized restorative care, CAMBRA focuses on prevention and early intervention by identifying at-risk patients and implementing strategies to prevent or reduce caries development.
Since its introduction, CAMBRA has contributed to a new paradigm in caries treatment and management. Rather than isolating a single factor or condition, CAMBRA evaluates the presence of disease indicators and assesses the patient's risk based on biological, behavioral, and medical history factors. As a result, patient care is enhanced through use of a comprehensive, long-term customized approach.5,6
CARIES RISK ASSESSMENT
Today, caries risk assessment forms are easily accessed via the American Academy of Pediatric Dentistry (AAPD), American Dental Association (ADA), and California Dental Association (Table 1). These tools provide a standardized format for assessing and documenting caries risk. Divided by age, each patient's risk factors are noted on the form. The results are tallied, and the patient is categorized as low, moderate, or high risk. Prevention and treatment plans are implemented based on designated risk. As a result of CAMBRA's impact, in 2014 the ADA added three distinct Current Dental Terminology diagnostic codes—D0601, D0602 and D0603, representing low, moderate, and high risk—for caries risk assessment reporting.
An important indicator of future caries risk is previous caries experience; and while this is key when treating children and adolescents, it has limitations when treating infants and toddlers.7 Caries risk factors are identified as biological (eg, susceptible host, diet, microflora levels, and socioeconomic status), and clinical (eg, plaque accumulation, white spot lesions, precavitated lesions, and caries).8–13 Additional factors include the presence of orthodontic appliances, xerostomia (disease-related or medication induced), special health care needs, bottle or nursing habits, incipient lesions (both radiographic and clinical), and caries within the first 3 years of life.14–16
The evaluation of the bacterial levels present in saliva is an important factor in caries risk assessment.9 Saliva serves many functions, including lubrication of the mucosa and helping in mastication, swallowing and speech. Saliva also protects teeth by acting as a buffer and neutralizing acids produced during the intake of foods and beverages, thus aiding in the remineralization of the tooth surface.17 The presence of Streptococcus mutans in saliva and plaque—regardless of whether caries is present—is an indicator of risk.18 A number of commercially available kits are available to help clinicians analyze the microflora present in a patient's saliva.
The frequency of food and liquid intake, especially snacks and sugary drinks, must be evaluated, as the consumption of fermentable carbohydrates significantly contributes to the caries process. Bacteria produce acids that feed on fermentable carbohydrates, leading to enamel breakdown.14 In order to promote better oral health, oral hygiene and self-care must be assessed and appropriate instruction provided. The type of toothbrush, amount of fluoride-containing toothpaste used, frequency of brushing and flossing—as well as the use of irrigation devices and fluoride supplements and rinses—should be evaluated for each patient. Previous caries experience of patients, siblings, and their caregivers (mainly mothers) must also be considered.14
PREVENTIVE TOOLS AND TREATMENT
An aggressive preventive approach should be part of routine recare visits for all children—regardless of caries risk status—and may include salivary analysis, diet assessment, and patient/parent education.19–21 Dietary analysis and recommendation tools are available through the US Department of Agriculture's website—choosemyplate.gov—which provides information aimed at health care professionals and consumers.22
Prevention-based office visits include professional prophylaxis, topical fluoride treatment, or application of fluoride varnish.23–25 The use of pit and fissure sealants is also an effective approach.26 Sealants can be placed on noncavitated primary and permanent posterior teeth, or early noncavitated lesions on permanent posterior teeth.26 Detecting early minimal caries and placing a sealant over the lesion can inhibit pathogens and arrest lesion progression. This is key in the quest to avoid restorative care.27,28 Research into the use of silver diamine fluoride has shown it to be an effective management tool in arresting certain active caries.29 Resin-infiltration technology is another minimally invasive approach that fills and reinforces demineralized enamel in incipient lesions without the need to reduce tooth structure or provide anesthesia.30 In respect to overall caries management, CAMBRA has been embraced as a key component of minimally invasive dentistry.31
The AAPD and International Caries Detection and Assessment System (ICDAS) Foundation have published caries management protocols that embrace CAMBRA.14,32 The AAPD protocols were introduced in 2006 and the ICDAS Foundation's system was released in 2014. Both encourage treatment to be customized for each patient. The AAPD system is divided in three distinct protocols: patients age 1 to 2, 3 to 5, and 6 and older. The ICDAS Foundation system is known as the International Caries Classification and Management System (ICCMS) and has separate protocols for primary and permanent teeth.
The AAPD system considers patient risk as low, moderate, or high; in addition, moderate and high classifications are subdivided depending on whether a parent/caregiver is involved in supporting oral hygiene. Recommendations are based according to risk factors. The ICCMS classification is based on preservation of tooth structure and uses four components: history, classification, decision-making, and management. Management divides lesions into initial, moderate, or extensive categories. Lesions in each category are further subdivided as inactive or active. Recommended treatment protocols are determined according to the size and activity level of lesions. In addition to supporting minimally invasive dentistry, the significance of each of these systems is that they are evidence-based and incorporate multiple factors in establishing an individualized treatment plan.
Preventive therapy for patients outside of professional settings includes the recommendation of gum, hard candies, or lozenges containing polyols (such as xylitol or sorbitol) for children older than 5 years. The gum should be chewed for at least 10 minutes following meals. To maximize benefits, a dose of 5 g to 8 g per day divided over two doses or three doses must be ingested.28 Patients at low to moderate risk of caries should use over-the-counter fluoride rinses at 0.05% concentrations.
Although research shows that use of chlorhexidine-containing products is effective in preventing root caries, they may not significantly reduce coronal caries; consequently, their implementation should be on a case-by-case basis.33 Fluoride supplementation in areas without community water fluoridation should be considered.34 For individuals at high risk of caries, high-dose-fluoride prescription topical pastes or dentifrices may be helpful during self-care routines.34 Adding products that contain calcium and phosphate technologies to the self-care routine may also help support caries prevention.1,21
Substantial evidence-based data demonstrate the efficacy and usefulness of CAMBRA and other caries risk and management protocols in dental practice, yet many clinicians have yet to implement these strategies.14,35 Studies support evidence that CAMBRA is beneficial in shifting the balance of protective and pathological factors that affect caries risk and thus contributes to optimal oral health.
Successful intervention results from clinical consideration of multiple factors and preventive components, rather than implementing any single approach. Rather than simply treating conditions, the multifactorial evidence provided under CAMBRA facilitates the effective management of patients' oral health. This demonstrates how significantly dentistry has progressed from the "cutting into the tooth for the prevention of disease" philosophy introduced by Hyatt36 nearly 100 years ago.
Undoubtedly, implementation of CAMBRA by more dental practices will lead to significant improvements in the oral health of patients—and thus contribute to positive changes in not only oral health, but quality of life, as well.
Featherstone JD. Dental caries: a dynamic disease process. Aust Dent J. 2008;53:286–291.
U.S. Centers for Disease Control and Prevention. Hygiene-related Diseases: Dental Caries (Tooth Decay). Available at: cdc.gov/healthywater/hygiene/disease/dental_caries.html. Accessed May 31, 2017.
U.S. Centers for Disease Control and Prevention. Oral Health Improving for Most Americans, But Tooth Decay Among Preschool Children on the Rise: Trends in Oral Health Status: United States, 1988–1994 and 1999–2004. Available at: cdc.gov/nchs/data/series/sr_11/sr11_248.pdf. Accessed May 31, 2017.
Young DA, Buchanan PM, Lubman RG, Badway NN. New directions in interorganizational collaboration in dentistry: the CAMBRA Coalition model. J Dent Educ. 2007;71:595–600.
Featherstone JD. The science and practice of caries prevention. J Am Dent Assoc. 2000;131:887–899.
Cheng J, Chaffee BW, Cheng NF, Featherstone JD. Understanding treatment effect mechanisms of the CAMBRA randomized trial in reducing caries increment. J Dent Res. 2015;94:44–51.
Zero D, Fontana M, Lennon AM. Clinical applications and outcomes of using indicators of risk in caries management. J Dent Educ. 2001;65:1126–1132.
Litt MD, Reisine S, Tinanoff N. Multidimensional causal model of dental caries development in low-income preschool children. Public Health Rep. 1995;110:607–617.
Nicolau B, Marcenes W, Bartley M, Sheiham A. A life course approach to assessing causes of dental caries experience: the relationship between biological, behavioural, socio-economic and psychological conditions and caries in adolescents. Caries Res. 2003;37:319–326.
Featherstone JD. The caries balance: The basis for caries management by risk assessment. Oral Health Prev Dent. 2004;2(Suppl 1):259–264.
Vargas CM, Crall JJ, Schneider DA. Sociodemographic distribution of pediatric dental caries: NHANES III, 1988–1994. J Am Dent Assoc. 1998;129:1229–1238.
Vadiakas G. Case definition, aetiology and risk assessment of early childhood caries (ECC): a revisited review. Eur Arch Paediatr Dent. 2008;9:114–125.
Alaluusua S, Malmivirta R. Early plaque accumulation — a sign for caries risk in young children. Community Dent Oral Epidemiol. 1994;22:273–276.
American Academy of Pediatric Dentistry. Guideline on Caries-risk Assessment and Management for Infants, Children, and Adolescents. Available at: aapd.org/media/Policies_Guidelines/G_CariesRiskAssessment.pdf. Accessed May 31, 2017.
American Dental Association. Caries Risk Assessment Forms. Available at: http://www.ada.org/~/media/ADA/Science%20and%20Research/Files/topic_caries_over6.ashx. Accessed May 31, 2017.
California Dental Association. Caries Risk Assessment Form. Available at: cda.org/Portals/0/journal/journal_102007.pdf. Accessed May 31,2017.
Pedersen AM, Bardow A, Jensen SB, Nauntofte B. Saliva and gastrointestinal functions of taste, mastication, swallowing and digestion. Oral Dis. 2002,8:117–129.
Thenisch NL, Bachmann LM, Imfeld T, Leisebach TM, Steurer J. Are mutans streptococci detected in preschool children a reliable predictive factor for dental caries risk? A systematic review. Caries Res. 2006;40:366–374.
Jenson L, Budenz AW, Featherstone JD, Ramos-Gomez FJ, Spolsky VW, Young DA. Clinical protocols for caries management by risk assessment. J Calif Dent Assoc. 2007;35:714–723.
Francisco E, Azevedo S, Young DA. Caries management for the whole family. Dimensions of Dental Hygiene. 2009;7(2):34–37.
Ramos-Gomez F, Crystal YO, Ng MW, Tinanoff N, Featherstone JD. Caries risk assessment, prevention, and management in pediatric dental care. Gen Dent. 2010;58:505–517.
U.S. Department of Agriculture. SuperTracker and Other Tools. Available at: choosemyplate.gov/supertracker-tools.html. Accessed May 31, 2017.
American Dental Association Council on Scientific Affairs. Professionally applied topical fluoride: evidence-based clinical recommendations. J Am Dent Assoc. 2006;137:1151–1159.
Rozier RG, Adair S, Graham F, et al. Evidence–based clinical recommendations on the prescription of dietary fluoride supplements for caries prevention: a report of the American Dental Association Council on Scientific Affairs. J Am Dent Assoc. 2010;141:1480–1489.
Weyant RJ, Tracy SL, Anselmo TT, et al. Topical fluoride for caries prevention: executive summary of the updated clinical recommendations and supporting systematic review. J Am Dent Assoc. 2013;144:1279–1291.
Wright JT, Tampi MP, Graham L, et al. Sealants for preventing and arresting pit-and-fissure occlusal caries in primary and permanent molars: A systematic review of randomized controlled trials-a report of the American Dental Association and the American Academy of Pediatric Dentistry. J Am Dent Assoc. 2016;147:631–645.e18.
Griffin SO, Oong E, Kohn W, et al. The effectiveness of sealants in managing caries lesions. J Dent Res. 2008;87:169–174.
Oong EM, Griffin SO, Kohn WG, Gooch BF, Caufield PW. The effect of dental sealants on bacteria levels in caries lesions: a review of the evidence. J Am Dent Assoc. 2008;139:271–278.
Milgrom P. Management of patients with active caries. J Calif Dent Assoc. 2014;42:449–453.
Meyer-Lueckel H, Paris S. Improved resin infiltration of natural caries lesions. J Dent Res. 2008;87:1112–1116.
ICCMS Guide for Practitioners and Educators. Available at: icdas.org/uploads/ICCMS-Guide_Full_Guide _US.pdf. Accessed May 31, 2017.
Rethman MP, Beltrán-Aguilar ED, Billings RJ, et al. Nonfluoride caries–preventive agents: executive summary of evidence–based clinical recommendations. J Am Dent Assoc. 2011;142:1065–1071.
American Academy of Pediatric Dentistry. Guideline on Fluoride Therapy. Available at: aapd.org/media/Policies_Guidelines/G_FluorideTherapy.pdf. Accessed May 31, 2017.
Ismail AI, Tellez M, Pitts NB, et al. Caries management pathways preserve dental tissues and promote oral health. Community Dent Oral Epidemiol. 2013;41:e12–e40.
Hyatt TP. Prophylactic odontology — The cutting into the tooth for the preventional of disease. Dent Cosmos. 1922;66:234–241.
From Dimensions of Dental Hygiene. June 2019;17(6):14,16,18.
Steven P. Hackmyer, DDS
Steven P. Hackmyer, DDS, practices pediatric dentistry in Tucson, Arizona. He previously held academic positions, including chairing the Department of Pediatric Dentistry and Community Oral Health at the University of Tennessee Health Science Center in Memphis. Hackmyer is a diplomate of the American Board of Pediatric Dentistry and a fellow of the American College of Dentists and International College of Dentists.
Orpheus L. Triplett, DDS
Orpheus L. Triplett, DDS, is an associate professor in the Department of Pediatric Dentistry and Community Oral Health at the University of Tennessee Health Science Center's College of Dentistry, where he serves as director of Community Relations and Outreach. Triplett has more than 20 years of experience in private practice and has also served as dental director for Christ Community Health Services, a multisite federally qualified health center in Memphis.
GINGICaine® Oral Anesthetic Gel in Syringe by Gingi-Pak
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Amanda Hill says 3 weeks ago
Great evidence based article on caries and CAMBRA

redpajama_set_name: RedPajamaCommonCrawl


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Come and stay and see the garden in spring time.
Book on www.rangersruncottages.com.au and receive a free bottle of wine on arrival.


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David was one of the most respected kings of all time. He was also a great psalmist and prophet. Above all, he was a man after God's own heart. Surely, that is a description of success. I believe that David achieved great success in his lifetime. You can read the Scriptures for yourself. And he died .
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Welcome to Dag Heward-Mills Podcast. Here you can watch messages preached by Evangelist Dag Heward-Mills. These valuable teachings will .
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Dag Heward-Mills a man who has been singularly forged by the fire of the Word of God, which cause his eyes to burn with a vision for the Body of Christ that shall impact the entire world. He is a dynamic apostle, evangelist, pastor, teacher, and prophet. His teachings and books show God's power and truth working in his life and the lives of .
Download 8 Classic Bishop Dag Heward-Mills Messages .
Dec 23, 2013 · As mentioned on the latest episode of the Richie Rich Show, I want to offer you 8 of my favourite sermons by Bishop Dag Heward-Mills! Just scroll down, and click the links below these paragraphs to download these messages. Bishop Dag is the presiding bishop of Lighthouse Chapel International, and my favourite preacher. You will.


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Home » Publications » The Cambridge Companion to the Age of Constantine (Cambridge Companions to the Ancient World)
The Cambridge Companion to the Age of Constantine (Cambridge Companions to the Ancient World)
Noel Lenski (Editor)
Publisher Site/Purchasing Link:
Author (Faculty Member):
Noel Lenski
The Cambridge Companion to the Age of Constantine offers students a comprehensive one-volume survey of this pivotal emperor and his times. Richly illustrated and designed as a readable survey accessible to all audiences, it also achieves a level of scholarly sophistication and a freshness of interpretation that will be welcomed by the experts. The volume is divided into five sections that examine political history, religion, social and economic history, art, and foreign relations during the reign of Constantine, who steered the Roman Empire on a course parallel with his own personal development. Each chapter examines the intimate interplay between emperor and empire, and between a powerful personality and his world. Collectively, they show how both were mutually affected in ways that shaped the world of Late Antiquity and even affect our own world today. This edition has been revised, the notes and bibliography have been updated, and a new preface has been added.


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Road 91 is a road in eastern and southern Iran. This road connects Razavi Khorasan to Kerman, Bandarabbas and Jask.

References

External links

 Iran road map on Young Journalists Club

Roads in Iran

redpajama_set_name: RedPajamaWikipedia


Hot off the presses and written by former Motorcyclist magazine editor Aaron Frank (who's lived in Milwaukee the last 14 years), this is the story of H-D told in a different way, through 45 objects from the H-D Museum's collection. Sounds intriguing, especially if you plan to visit the museum anytime soon or already have, and one reviewer has already described Aaron's prose as "above average." High praise indeed for a Motorcyclist guy!
Guy Martin, most famous for being an Isle of Man racer, has in fact written several books, none of which I've read, but I think I will start. For one thing, I'll finally be able to understand most of what he's saying, and he seems like a really interesting human with stories to tell – beginning with the scatological derivation of the title of his latest book, which you can sample on the Amazon link.
Joe Berk has been riding to Baja for decades, as well as China and God knows where else. Moto Baja is his fourth travel book, and it claims to contain everything you need to know to have a fun- and fact-filled tour of our favorite Californian appendix. Berk is besties with Joe Gresh; how could this book not be good?
And speaking of Guy Martin and Isle of Man TTs and all that, Guy's written the foreword for John McGuinness's new autobiography. McGuiness, of course, is Mr. TT and possibly still on pace to beat Joey Dunlop's all-time win record at the ripe old age of 46. As our British friends would say, top geezer.
By the famed TT racer and with a foreword by MO's own Andrew Capone, this one covers two world wars, two world motorcycle championships, two world land speed records, and scores of business successes and lessons along the way. All threaded through the life and times of the true 'most interesting man in the world', the still-sprightly at 93 years of age Motorcycle Grand Prix Champion, Stan Dibben, and his son, the brilliant academic Mark Dibben. Capone says it's "a unique motorcycle racing potboiler, history lesson, entrepreneurial how-to, and business academic tome. All in one." Where do we sign up? Here.
This one's five years old now, but still full of classic rants Mark's penned over the last 20 years – and now appearing monthly in Classic Bike magazine. What? Buy something anyway, MG needs a hand operation so he can get back on the horse that bit him.
Former Editor-in-Chief turned PR mogul Kevin Duke, just like Ali G, wants to know why, if it's so good, there's not a children's version of Sesame Street? At the same time, he urges us not to forget the kids at Christmastime. MotoMice "is a children's picture book about a diverse group of riders joining up on their way to a rally that promotes acceptance of the positive aspects of motorcycling and harmoniously bringing together disparate groups of riders," said Kev in his review of the book earlier this year.
Get out there and read like your brains depend upon it, people.


For long-time space enthusiasts like myself, the US Army's Redstone missile figures prominently in the early history of the Space Age (see "Redstone: The Missile That Launched America into Space"). In addition to serving as a battlefield weapon system deployed in Europe after being declared operational on June 1, 1958, the Redstone also served as the basis of the Jupiter-C/Juno I launch vehicle which launched America's first satellite, Explorer 1, on January 31, 1958. Even after it was retired from its role as a satellite launch vehicle in favor of more capable rockets, in 1959 the Redstone was selected by NASA to launch the Mercury spacecraft on suborbital test flights. In this role it launched the first two Americans into space – Alan Shepard on May 5, 1961 and Virgil Grissom on July 21 (see "A History of Suborbital Crewed Spaceflights").


Welcome to our base located in the PRIVLACA in the northern part of Croatia.
The base is located in the campground Camp Dalmacija about 20 minutes from the center of Zadar - the fifth largest city in Croatia. In Croatia guidebooks Zadar is as popular as Dubrownik.
All seeking an active holidays in a perfect place and weather condition should come and visit Privlaka.


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July 2019 – August 2021 Jul 2019 – Aug 2021
Weekly Bingo @ Senior Center of West Seattle
Bingo at the Senior Center! Fridays from 11 am to 2:30 pm. Check-in at 10:45 am. (Come at 10:30 am if it's your first time.) $6 buy-in. Break for lunch. Must be 18+ to play.
Categories: Games Seniors
Trivia Night @ Parliament Tavern
Monday Night Trivia at the Parliament Tavern. $2 per player. 8 pm.
Categories: Competitions (non-sports) Games
Drop in chess for kids and teens @ High Point Library
Come play a game of chess! Children and teens are invited to drop by the High Point Library for fun and casual games of chess. All skill levels are welcome. Chess sets and guidance by an adult chess coach will be available.
Contact Info: High Point Branch 206-684-7454 or Ask a Librarian
Categories: Games Kid Stuff Teen Stuff
Dec 13 @ 11:00 am – 2:30 pm
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Apr 13 @ 7:30 pm – 10:30 pm
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package co.cask.mmds.data;

/**
 * Defines sorting type
 */
public enum SortType {
  ASC("asc"),
  DESC("desc");

  private final String sortType;

  SortType(String sortType) {
    this.sortType = sortType;
  }

  @Override
  public String toString() {
    return sortType;
  }
}

redpajama_set_name: RedPajamaGithub


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Review: Ticket to Earth
Posted on March 29, 2019 by Audish	Leave a comment
This game was selected as our March 2019 Reader's Choice Review. Learn more on our Patreon page.
It's not common, but it is possible for mobile games to spawn some pretty clever gameplay conventions that you might not otherwise see on PC. I'm not talking about AR or motion controls, but rather designs that work particularly well for short sessions on touchscreens, designs that many PC developers need not consider. Ticket to Earth takes two gameplay styles I'm a huge fan of, turn-based tactics and puzzles, and merges them into a battle system the likes of which I've never seen before. There's a lot of story and character progression built around it too, and while none of it goes particularly deep or varied it does offer some challenging battles in bite-sized portions.
The colony world of New Providence has outlived its usefulness, and public order is breaking down as poor settlers scramble to get off-world. Tickets to Earth (see what they did there?) are unattainable by all but the richest inhabitants, sparking protests and unrest. In the distant settlement of Land's End this unrest is about to take on a whole new dimension, as hardened criminals stage a massive breakout from the penitentiary and set their sights on upending the planetary government. In the midst of this chaos, several heroes will be called into action from their diverse walks of life, including a gardener named Rose, a hardened bounty hunter known as Wolf, a doctor, a test subject, and more.
I will warn you up front that Ticket to Earth is episodic, and currently contains three of its four planned episodes. There's no reason to believe the fourth won't make it in, but if you're anything like me having an incomplete game can be a bit of a buzzkill. What is already present will last you awhile, though, with three to four hours of main quests and side missions to work through per episode. Battles themselves don't take too long, averaging maybe five minutes each, but there are loads of them and loads of dialog and upgrades to explore between each. I will also say that the story is quite good, told in still comic panels with bold, colorful art and charming character designs. It's not going to break any expectations, but there's enough going on to keep you invested in the lives of Rose and her allies.
It all revolves around the battle system though, and as interesting as it is, it comes with a few drawbacks. Combat takes place on a small-ish grid of colored tiles, four basic types and a few special ones later in the game. Your characters get two actions per turn, and moving along a single color of tile uses one of those actions. You can move as far as you want on that one action, as long as you stick to the color you first stepped on. Attacking or using most powers consumes another point, so you're generally going to be moving and attacking once each or moving across two colors of tile if needed. Each tile you step on boosts your attack, with a more pronounced effect after crossing five in a single move. This is key because it can push your base attack from 2 or 3 up to 20 or 30 for a single attack. Landing an attack resets your attack power, so running circuits around the grid between attacks is the name of the game, especially because that also charges your four color-matched powers.
I like this system, and it's good for staging fast-paced tactical fights that don't require particularly rigorous thinking. It has its drawbacks, though, and chief among them is that it's heavily randomized. The tile layout for every battle is randomized, from the initial arrangement to what replaces crossed tiles. Most of the time you'll be able to get into position or charge up your attacks no problem, but there will be instances where you can't move more than two or three spaces because of a bad mix. It's worse when you have characters like Wolf, who gets important bonuses from one type of tile, or battles with lots of enemies because they use the same rules to move and will eat favorable tile layouts on their turns. There's also not much variety with the way this system is used, because almost every battle takes place on the same single-screen grid, and challenges you to defeat X enemies. After a few hours of those fights it can get a little old, especially if you repeat some due to bad tile luck or just to clear bonus objectives.
You'll have plenty to do outside of battles, though, thanks to a wealth of progression systems. Your characters have four special powers, each tied to a specific grid color. There's a whole library of unique powers for individual characters that can be unlocked with cash earned from battles, allowing you to customize the capabilities of each. Cash can also unlock new weapons with different base and max damage stats. Missions and their bonus objectives also award tokens which are used on a passive skill tree to unlock stat boosts and handy new effects like damage boosts off specific tiles or remote collection of item drops. There are new dialog scenes between characters after every mission as well, so you can get as close to the cast as you want through some solid writing and plot twists.
Ticket to Earth takes a great concept and makes a decent game out of it, one hampered only by the flaws of its ambition. As much as I enjoy the battle system it could have stood to be refined a bit further, mitigating the effects of bad RNG and adding a little more variety to the many fights you'll face. But everything else surrounding this system is great, and it's still a unique form of combat that you can get a lot of mileage out of. Bold, colorful graphics in both 2D and 3D and a surprisingly memorable soundtrack round out this unexpected gem. Definitely check it out if you're looking for something lighter or just different in the turn-based tactics field, and don't let the mutants, robots, or random chance get you down.
tagged with Puzzle, Reader's Choice, RPG, Turn-based Strategy


My first holiday season minus my old buddies at Visa and MasterCard.
The only "splurge" gift was a new laptop for my parents, but even that was cash and carry- I went with a Toshiba Chromebook to minimize future software and antivirus needs. My son got his Star Wars fix, my sister a new pair of heels. It was a hard fight not to justify using my points rewards cards, or even my cash back one- but I can't trust myself to pay it off at the end of the month, so I battled thru the temptation and made it to the other side of the holidays free of Christmas debt.
I hope everyone liked the gifts I got them. I enjoy knowing that their gifts belong to them, and are not on loan from a credit card company. I spent a great deal of time meditating on God's gifts to me, and the fact that my son has a home full of love (and toys) means I can get away with Santa not bringing Xbox or PlayStation now, and save for rainy days when we may need it.
I didn't plan out shopping, and I didn't lay a way or save a Christmas account. I did start in early November, and I spent within my budget. I got a little close to comfort to the stretching of a paycheck, but I brought my lunch more, drank less coffee out, and cut back on my hair expenses (for those that know I love to have highlights and lowlights done). So I did what you are supposed to do, which is to sacrifice your own wants for others. And it made the gift giving much more meaningful to me, at least, to know the gifts were truly gifts given with my love, not a swipe of a card.
Forgive me if I sound like I am bragging, but this little victory was hard won. I barely knew there could be a life without debt.
I miss playing Solitare at my Grandparent's house, while Grandma and Grandpa watched Jeopardy. I played with real cards, and watched real antenna TV on the only 3 or 4 stations we had. Grandpa would give me tips on which card to move when I got stuck, and I would shout answers to Alex Trebeck to see if I could beat the contestants.
I remember the quiet- there were no notifications beeping for attention. No status updates, blogs to read, or pins to repost. My son will never know a world like that. At three, he is already playing Star Wars on my phone, and talking about lasers and Angry Birds. His attention span would never be satisfied with a card game, it doesn't have lights or bells to attract him.
I remember hunting without a phone to call home on. Grandpa would tell Mom and Grandma where we planned to hunt that day, and they knew not to expect us before dark. We had no gps, we gave vague directions to where we may be. More often than not, we ended up somewhere else.
Someday I want to turn it all off. I haven't had cable in nearly 2 years. I rarely watch a movie on Netflix. But my phone I can't put down. Facebook wall scrolling consumes me. Pinterest is next if I run out of posts to view. Baby steps, though, I have unfollowed many so my news feed is truly information I need to see. I try to scale back my posts to things that are useful only.
Maybe I can find a deck of cards somewhere and try to play. I miss sitting at my Grandpa's feet, with him helping me to pick cards, and watching a tv station that is more static than picture. I am thankful for the simplicity of those days.
I have not used a credit card in four months. Since I have had a credit card (somewhere around age 19) I have always carried a balance, consolidated and paid toward, or transferred money from one to another. Four months off the sauce doesn't seem like much, but for those of you who have gone without a credit card, you know the withdrawal I am going thru.
The look on the sales clerks face when you tell her "No" to her generous instant discount and cash back offer. I have made up every excuse in the book "No, my husband won't let me open anymore"; "No, I Am am trying to get a mortgage and my broker says not to open more credit". It's easer to say that then to tell the truth, "No thank you, I have paid more interest in my life than I ever want to know about. And I don't trust myself to pay the balance off at the end of the month." We have trained ourselves to think that people who don't use credit are somehow not normal- I have had sales reps laugh at me when I refused to get a card, as if I was a circus side show act. They couldn't believe I wouldn't accept whatever generous offer they had.
Then when I can't have the item that I want because the funds in my account won't cover it– I feel like a child who can't have candy in the checkout aisle. Every emotion from disappointment, to jealousy, to defeat as I walk away, sullen. More often than not, the day after, I barely remember what it was I wanted in the first place, the item had such little value.
The anger over not having the "It" item of the day is slowly being replaced by a calm that I am in control of my finances. Four months is a long time, and my budget has not been perfect. I have gone on mini spending sprees and gotten a little too close for comfort to the end of a paycheck. But so far, no new debt. And less "stuff" cluttering my counters and shelves, taking up both physical space and mental space in the form of buyers remorse.
Don't give up. If you are paying off those balances, keep at it. Leave the cards home a few days a week to get used to it. Carry a bit of cash instead, it will help with the feelings of panic of not carrying credit. I worried that if I left home without a credit card, something bad would happen that I would need immediate access to my line of credit. Thus far, my fears have proved to be unfounded.
If you are just getting started, the first step is that you acknowledge there may be a problem with your spending. Don't listen to me, I didn't listen to others. It only worked when I made the decision on my own. Good luck on the first steps of your journey.
In art school, I was not a fan of minimalistic art- I didn't "get" it. Give me the grandeur of the Hudson River School or the Baroque masterpieces. Don't strip down a painting to a field of blue and tell me it's art. Life imitated my tastes in art. After graduation, I had a succession of well paying jobs that let me feed my need for the latest in fashion and technology. Latest smartphone? Had it at launch. Newest Xbox? Pre ordered for the hubs. New car. New apartment, big screen tv, video games, Blue ray, MP3 players, iPods, computers, laptops, Bluetooth gadgets. I had it. Cosmetics? I could have opened my own store with the amount of fragrances and makeup I owned.
There was no end to buying. Money was of little concern. I had it and more than I needed. I did listen to the voice in my head telling me to save, and I paid attention. I had a savings account and 401k.
Then a layoff. Then separation. There was still a mortgage to pay, a car loan to make, a baby to be fed, an attorney who needed cash upfront. I was fortunate for the blessings of a severance package and my savings to tide me through 9 months of a $10 an hour job, which while not paying well, allowed me plenty of time off to cry and adjust to life as a single Mom.
I felt an incredible urge to purge everything in my sight. Boxes of electronics, clothes I couldn't wear post baby. Photos of my life before. I ripped up flooring and walked on sub floor for weeks just to forget what life looked like a few months ago. I couldn't figure out what had happened to me that the joy this stuff used to give me was now gone.
One sleepless night I found a website on Minimilism. Thinking back to art school, and large canavases filled with a single shade, I read up on it all. It wasn't about art, but about how to fill a hole in myself by emptying out what I didn't need.
Sometimes it's physical things. Bags of makeup I never use. Sometimes it's emotions I drag along, songs on repeat in my head that don't let me forget.
My house is less full than before, but I still have more than I could ever need. It's a journey, not necessarily an end I have found. If you want to learn more I highly suggest visiting The Minimilists and taking a look for yourselves. I relate to these guys because they came from a sales background (as do I) and found a peace that no gadget was able to bring them.
I have a long ways to go. For instance I find my medicine cabinet too cluttered. There are several tubes of toothpaste. Why? And that question can help you clear out so many things in your life too- why is "it" there? Does it help you or bring you down? Why do you keep it?
It's Midnight. Shopping for tanks.
Just finished up the last report for work. All the technology in the world, and I am still manually entering in sales numbers to an excel spreadsheet–when, if only the powers that be were patient, the system generates sales totals the next day. Madness.
I had a coffee at 10 to stay awake till now. To burn off the caffeine high, I will troll Facebook every five minutes to see if I missed anything, then off to Pinterest to see what the good Moms of the world do in their free time.
A sad day, my son informed me that his once favorite toys are now only "for babies", and I can get rid of them. Is 3 too young to watch Clone Wars animations on Netflix? He can build star fighters out of mega blocks now and zoom them after the cat, so I figure, what's the harm. But I feel a little pain when I look down the infant toy aisle at things he will never want again. Instead of binkys, I Shop for tanks.
If you came here looking for the latest in vino trends, quirky memes about women and red wine, my apologies. I don't have time for a drink. I am a full time market manager, a Mommy of a three year old son, and am lost somewhere in the middle of a divorce. I should be drinking.
Alas, I can only carve out a few minutes each day to daydream about what it would be like to get white girl wasted. I don't even have time to pop the cork and sniff the bottle. Unfortunately the time I need to devote to a proper hangover I use to make sure my sales reports are run, the stores open and staffed, my son fed, clean, clothed and happy. Oh, and remember to feed the cat.
I will not waste more of your time complaining- I have some friends who are home making, Pinterest pinning, organic, vegan superstars and I will be posting links to their great ideas and photos. I am a Minimilist in training, and will document my struggles to unload a house full of stuff, real and imagined. I will probably rant about the weather, or traffic, or how my coffee got cold.
So thanks for stopping by, hope you are enjoying a smooth glass of Pinot noir (my wine of choice once a year that I get it). I have some Mommy stuff to do now and can't stay to chat.


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Lucas Herbert sinks key putts, earns first PGA Tour win at Bermuda
Lucas Herbert of Australia went birdie-bogey-birdie during a crucial stretch on the back nine and held on to win his first PGA Tour title at the Butterfield Bermuda Championship in Southampton, Bermuda.
Herbert's 2-under 69 lifted him to 15-under 269 for the event at Port Royal Golf Course, one stroke better than Patrick Reed and New Zealand's Danny Lee.
Herbert made a lengthy birdie putt at No. 12 to take the lead for the first time, but he gave it right back with a bogey at the par-3 13th. At No. 14, his putt from across the green broke left to right and caught the right lip of the cup, propelling him back into the lead.
"We've holed an obscene amount of putts from outside 25 feet this week and got over that one on 14, just went like, 'This is my range, I've holed so many, this is my range,'" Herbert said. "The whole way, it's just like, that's not missing. Yeah, obviously caught the ledge and got in there, but I felt confident before I even hit the putt."
After that putt dropped, Herbert finished with four pars to stay a nose above the pack.
"It's really tough to keep your mind from jumping too far ahead and thinking, you know, what are you going to say in the winner's speech or what's the photo going to look like with the trophy?" Herbert said. "I had to make sure that I kept myself in check, there's still a tournament to be played."
Herbert entered the week as the No. 57-ranked player in the world and already had two European Tour wins to his name.
Lee held the lead at 15 under as he made the turn, but at No. 12 a series of misplayed shots led to a double bogey. He went on to bogey the next two holes and seemingly drop out of contention, but Lee followed with three straight birdies at No. 15-17 to give Herbert a scare.
Lee's hectic round went down as an even-par 71.
"A lot of good and a lot of bad," Lee said of his day. "I fought really hard for it, just 12 through 14 was a very, very tough stretch for me. I hit a really, really good shot on 12, just went over the green by I don't know how much, but it was kind of a tough shot from back there. Made a silly double there. I was just kind of a little confused with my putting."
Earlier in the day, Reed shot a 6-under 65 to reach 14 under, establishing the number to beat. Reed, the highest-ranked player in the field, made seven birdies and one bogey and posted his best finish since an ankle injury and a bout of pneumonia in August.
"I think it gives me a lot of confidence," Reed said. "Ever since I got back from being sick, it just seemed like the offense wasn't quite there. I wasn't making enough birdies and when that happens, one loose swing here or there, it turns around, try to salvage a mediocre round. This week I definitely produced enough offense, but I need to take away some of the careless errors."
Patrick Rodgers (70) placed fourth at 13 under. Scott Stallings shot the round of the day, a bogey-free 9-under 62, to jump up to 12 under.
Canada's Taylor Pendrith, who shot a 61 Friday and held the 54-hole lead by three strokes, scored a 5-over 76 Sunday without a birdie or better on the card. He tied Stallings for fifth at 12 under.
1st November 2021, 08:05 GMT+11
TSMC to spend $44 billion for 2022 chip manufacturing expansion


Halong Tourism Festival 2008, with the theme "Halong - Towards a world natural wonder", the Halong Tourism Festival 2008 will be organized as an undersea and roadshow carnival, from April 26 to May 1.
Vice Chairman of the People's Committee of Quang Ninh province Vietnam, Nhu Thi Hong Lien, revealed that the opening ceremony of the Halong Tourism Festival 2008 is arranged meticulously, with a floating stage on the sea and a procession of ship and barge models.
Major activities will take place at the Bai Chay bridge, Cua Luc bay and support events will be held at the Tra Co tourism centre, Van Don, Halong and Uong Bi Vietnam.
Many shows by domestic and international art troupes will be organised during the festival, including an art - fashion festival of northern provinces, unicorn-dragon dance show, a classical concert on Dau Go cave, a flag hoisting ceremony on Halong Bay Vietnam, Miss Halong pageant contest, an international beach volleyball contest, a bicycle procession, an international trade fair and a food festival.
Lien said Quang Ninh invests tens of billions VND in this events and the province is now ready for the festival.
Quang Ninh currently has 13,000 rooms, including 6,000 rooms of three star standard and up and 100 ships totalling 5,000 rooms of three star standards for tourists. The province expects to welcome 15,000 visitors to the Halong Tourism Festival 2008.
"All activities are to call for visitors to vote for Halong Bay as a world natural wonder. Visitors will be exempted 50% of sightseeing fees to the bay during the festival and up to 100% on the opening day of the festival," Lien said.
The organizing board will place computers at hotels, tourist sites, wharves, etc. to serve tourists' vote for Halong Bay Vietnam.
The bay is now in the top ten ranking of the selection of seven world natural wonders on website www.new7wonders.com of NewOpenWorld organization. On December 31, 2008, the top 21 sites will be chosen for the next round of selection.


Drug advertising, then (top image) and now (lower image), often exploits a woman's insecurities as a mom, wife or friend.
Hormone replacement therapy (HRT) became big business in 1942 with the introduction of Premarin, an estrogen supplement made from pregnant mares that was supposed to help women suffering the negative effects of menopause. Advertising at the time promised husbands that Premarin would make their wives "pleasant to live with once again" after coming home from a hard day at the office.
By 1975, estrogen therapy was linked to cancer of the uterus, and, in 1989, breast cancer. But that didn't slow down other pharmaceutical manufacturers, including Wyeth, which introduced a combination of estrogen and progestin in 1996 called Prempro. Court documents later showed that the company paid ghostwriters to publish scientific papers de-emphasizing the risks of taking hormones. Profits at Wyeth soared to $2 billion in 2001 as nearly 70 million prescriptions were written for its hormone therapies.
The tide started to turn in 2002 when a huge federal study on hormone therapy was stopped after researchers linked the drugs to an increased risk of invasive breast cancer, heart disease and stroke. HRT sales dropped dramatically but continued on and today are enjoying a global resurgence pushed by the pharmaceutical industry despite renewed warnings by researchers. Meanwhile, Pfizer, now the owner of Wyeth, announced in a 2012 security filing that it will pay up to $1.2 billion to settle 10,000 Prempro patient lawsuits.
Erin Brockovich has joined other women to highlight reports of serious injury associated with the birth control implant Essure.
Be skeptical: There's risk in taking any prescription drug, especially long-term. But we often put too much faith in science and see every drug as a silver bullet. When fully considered, the potential benefits may not be worth the risk.
Be more skeptical of new drugs: We know a lot about the various side effects caused by drugs that have been on the market for years and have been used by millions of people. New drugs and medical devices may have only been tested in limited clinical trials that frequently are sponsored by the company manufacturing the drug. Also note that women have traditionally been underrepresented in these tests.
Be REALLY skeptical of any drug that is heavily advertised: Drug companies are spending billions on advertising to both doctors and the public – advertising that is often cited as manipulative or misleading, especially ads targeting women.


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ColumnsPostsFeatured
Dear John Kasich: You, Sir, Are an Insufferable Fraud...
Brodigan
Dear John 'Nice Guy' Kasich,
You are one giant, dishonest, poorly coiffed, insufferably smug phony. You unabashedly fancy yourself as the "friendly guy." The "reasonable guy." The likeable bloke. Or perhaps you prefer being called "The Prince of Light and Hope" as you so humbly referred to yourself. Several times. On record. May I remind you that you did so unironically, while also naming your competition "Disciples of Darkness." Sure, you give out free hugs. But behind that self-satisfied, tight-lipped smile of yours...? You're a pompous ass who cares more about your own faulty ideals than the will of the people. Also, fire your barber. The "baby bird hatchling" look is flattering to precisely zero percent of population earth. Yourself included.
Here's the thing, Johnykins, you know the adage the "elephant in the room"? It's you. You're the giant, trifling elephant in the room. Allow me to explain. Nobody is faulting you for giving the presidency the old college try. We get it. Most powerful job in the world? Sounds pretty swell for the son of a mailman. Yeah, I'm bringing that up before you have the chance. It's not that you ran, it's not that you're wrong about so many of the issues, it's not even that you're a monstrosity of an ass sometimes. Heck, it's not even your baby-chick hair. It's that you're still in the race. You are vying for a brokered convention. Which would, conveniently for you, totally undermine the voters' decisions. And that's your only chance. But hey, who needs us voters?
See, for someone who claims to care about the people so much, you certainly don't seem to care about what they want. The people have decided, John. They don't want you. You have won just one state - your home state. Which was more than Rubio could do, sure, but there's no mathematical possibility of you winning the race. Legitimately. The tribe has spoken, it's time to turn in your torch. The island has tossed you. No more confetti.
Yet here you are (watch Ted Cruz: 'There's no good reason for Kasich to stay in the race'). And the douche-cherry on top? You keep saying, "I'm not going to take the low road to the highest office in the land." You declare this whilst fully recognizing the only way for you to secure the presidential spot is by systematically screwing the American voters.
You're a selfish ninnymuggin. Not in the healthy way, mind you, because it's okay to be a little selfish here and there. Like if you ever decided to splurge on a new hair cut. Treat yourself. No, your greed is seeping out. It's oozing out of every orifice. It's spilling onto the country. That's going to leave a stain. The worst part is that you're willing to drown the people with it. And for what? Well, so you can call yourself king of mailman mountain. Alas, you continue to maintain the illusion you're just a nice guy who had a mailman for a dad. After all, you imply, anyone who had a mailman for a dad must be a down-to-earth, all around amicable fellow. We'll not make obvious references to postal workers losing their crap. Well... not after that one.
Except "he's just a swell guy" is not what your colleagues have to say about you. John McCain said "he has a hair-trigger temper." Even your buddy Newt Gingrich muses that you bulldoze your way through others.
"I talked to him a lot about unlocking people rather than running them over," Mr. Gingrich recalled, adding of his counsel, "I think some of that actually stuck."
Nice guys don't feel the need to threaten lobbyists.
[W]e need you on the bus, and if you're not on the bus, we will run you over with the bus. And I'm not kidding.
...Or be demeaning to police officers.
"Have you ever been stopped by a police officer that's an idiot," Kasich asked the seated audience... "I had this idiot pull me over on 315. Listen to this story. He says to me, he says, uh, he says you passed this emergency vehicle on the side of the road and you didn't yield. He goes back to the car, comes back, gives me a ticket and says you must report to court..." Then Kasich stills himself and bellows, "He's an idiot!"
You are the idiot, John. Those emergency vehicles are typically on the way to SAVE PEOPLE, you jackass. Perhaps you were confusing the siren of an ambulance with an ice cream truck. For future reference, those sounds are not "Twinkle, Twinkle Little Star." They're sirens. Pull over. Dumbass.
You have no business being in the race. You're akin to the weird dad who inserts himself into his teenage daughter's conversation with her friends. To talk about kissing boys. With braces. And you offer the advice. Your presence is like your wispy hairstyle. Unwanted.
John-John, if you keep going with this limp-wristed race, you deserve to be the butt of all the jokes to come in your lifetime. Be real here, man, we've been kind to you. Dad jokes included. Even the one about going postal. It was a cheap shot, sure, but an easy one. It had to be done, and I'll make no apologies for it.
There you are, claiming to be the anti-Trump candidate, citing the Bible as a means to justify the likes of Medicaid (read Dear Liberal 'Christians': No, it's Not 'Christian' for the Government to Redistribute My Money). Which is ironic, not because you both have bad hair, but because you're splitting the anti-Trump vote. Maybe no one told you. More likely? You don't care.
I don't know if you're conniving or just plain moronic. Perhaps several layers of both. You claim the moral high ground by chastising your competitors for arguing with each other. Yet it's you who's sounding off with "screw you, America" with this presidential run. You're the one who desires to sidestep the systems of checks and balances and the entire history of our electoral process. Also, you look like a baby seagull caught in the BP oil spill. Only soap doesn't cure you.
Sure, people can change. But you aren't changing, and you aren't being transparent about your intentions. If you want to screw the American people, fine. At least say so. Buy us some dinner first, at least. Don't do it under the ruse of claiming to be "the Uniter." Though if you look at the polls, in the most divided Republican primary in modern history, people unilaterally agree that you're a douche of disproportionate magnitude.
Republicans nation-wide and formed a line to vote you off the island. Trump supporters, Cruz supporters, we all despise you. So thank you, John Kasich. In an ironic twist of fate, you have fulfilled your destiny as the great "Uniter."
With your douchiness.
Why do South Koreans despise China? Let them speak for themselves...
"I'm Literally a Liar": Big pharma director goes bananas, attacks journalist and smashes his computer


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Rebecca Bretherton suggests using Remembrance Sunday as the chance to invite someone to church.
100 years ago the First World War ended, and a new world began. The example and experience of those who died and of those who lived through the war shaped the world we live in today.
In November each year there are magazine articles and television programmes giving us the testimony of those who fought in World War I and in the wars which followed throughout this century. The marking of the centenary this year will allow many people to reflect on the sacrifices of previous generations and of those still living with the consequences of war.
On November 11, Remembrance Sunday, there will be civic parades and events in our cities, our towns and smallest villages to commemorate those involved in the conflict. People will also come to church. Many churches are decorated with poppies and our hymns and prayers mark the day. We pray for all those who have died through war or acts of violence in defence of our country: that they will rest in peace with God and that may we never forget their sacrifice. It is a chance to pray together for peace throughout the world.
Why not invite someone to church this Remembrance Sunday: to share our faith that death is not the end and that love survives even the grave.
We often look for an opportunity to talk about our faith or invite someone to church. Sometimes people are not ready to join our prayers but may be open to another chance to be involved in our Christian life.
Wisbech Ladies Guild plan to make 100 hand-made poppies to display in church this Remembrance Sunday and are inviting people to help with these.
Often a chat about what is happening in the news can give an opening for an invitation. Maybe exploring family history or talking about the local parades may give you the opportunity to say: The way I will be marking Remembrance Sunday is by going to church. Would you like to join me?