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Sleep apnea and surgical complications
Sleep disorders, including obstructive sleep apnea (OSA), have become a significant health issue in the United States. When left untreated, OSA can lead to high blood pressure, chronic heart failure, atrial fibrillation, stroke, and other cardiovascular problems. OSA is associated with type 2 diabetes and depression, and it is a factor in many traffic accidents.
OSA has also been associated with increased perioperative risk and postoperative complications. (1)
This article will provide a brief overview of sleep apnea, describe two closed claim studies that feature sleep apnea, and discuss ways to reduce liability when treating sleep apnea patients.
OSA is the most common sleep disorder in the U.S. An estimated 26 percent of U.S. adults are at high risk for OSA. "The prevalence of OSA in the general population is approximately 20 percent if defined as an apnea hypopnea index (AHI) greater than five events per hour (the AHI is the number of apneas and hypopneas per hour of sleep). In contrast, it is 2 to 9 percent if defined as an AHI greater than five events per hour, accompanied by at least one symptom that is known to respond to treatment (eg, daytime sleepiness)." (2)
It has been estimated that more than 80% of men and 90% of women with OSA do not have a documented diagnosis. (1)
The main symptoms of OSA are loud snoring, fatigue, and daytime sleepiness. Other symptoms include:
restless sleep;
awakening with choking, gasping, or smothering;
morning headaches, dry mouth, or sore throat;
waking frequently to urinate;
awakening unrested, groggy; and
memory impairment, difficulty concentrating, low energy. (2)
Risk factors for OSA include:
increasing age — OSA is more common in middle-age and older adults;
male sex;
increased neck circumference (greater than 17 inches in men or 16 inches in women); and
abnormality of the airway (2)
TYPES OF APNEA
"Obstructive sleep apnea is caused by a blockage of the airway, usually when the tongue collapses against the soft palate and the soft palate collapses against the back of the throat during sleep, and the airway is closed. In central sleep apnea, the airway is not blocked, but the brain fails to signal the muscles to breathe. Complex sleep apnea, as the name implies, is a combination of the two conditions." (3)
Patients are classified as having mild, moderate, or severe disease based on the following AHI:
Mild — an AHI between 5 and 15 respiratory events per hour of sleep.
Moderate — an AHI between 15 and 30 respiratory events per hour of sleep.
Severe — an AHI greater than 30 respiratory events per hour of sleep and/or an oxyhemoglobin saturation below 90 percent for more than 20 percent of the total sleep time. (2)
The diagnosis of sleep apnea begins with taking a careful history about symptoms of snoring or daytime sleepiness and an evaluation for the presence of other risk factors for OSA (obesity, increased neck circumference, abnormality of the airway). (4) Positive screening results should lead to a more comprehensive sleep history and examination.
"Those patients deemed high risk should have the diagnosis confirmed and severity determined with objective testing in an expedited manner in order to initiate treatment. For other patients, the time of further testing is determined by the risk of OSA and the presence of daytime impairment or associated morbidity." (4)
Polysomnography (PSG) is the definitive tool for diagnosing sleep apnea. "PSG is considered the gold standard diagnostic test when it is performed overnight in a sleep laboratory with a technologist in attendance. In some patients, the diagnostic evaluation may be performed at home without a technician in attendance." (2)
"OSA should be approached as a chronic disease requiring long-term, multidisciplinary management. There are medical, behavioral, and surgical options for the treatment of OSA." (2) These include behavioral modifications, weight loss, and OSA-specific therapies, such as positive airway pressure, oral appliances, and surgery.
Patients with OSA are at a greater risk for complications during the perioperative period, including difficult airways, sensitivity to anesthetic agents, and postoperative adverse events, as the following closed claim studies illustrate.
Following a sleep study that confirmed she had sleep apnea, a 41-year-old woman was referred to an otorhinolaryngologist (ENT). The patient weighed 200 pounds and was 5'2". She had 3+ enlarged tonsils, bilateral inferior turbinate hypertrophy, 90% bilateral nasal obstruction, and an S-shaped deviation of her nasal septum.
The ENT discussed treatment options, including continuing CPAP or surgery. The patient opted for surgery.
Several weeks later, the ENT performed a uvulopalatopharyngoplasty (UPPP); tonsillectomy; a nasal septoplasty; and a bilateral partial inferior turbinectomy. The procedures were performed in an outpatient surgery center.
The patient did well postoperatively. In the PACU, her initial O2 saturation was 96%. It went up to 100% after an oxygen tent was placed. The patient was given promethazine and 12.5 mg of meperidine. The anesthesiologist ordered labetalol for increased blood pressure. A second 12.5 mg dose of meperidine was administered.
After 90 minutes in the PACU, the patient was discharged home. Her vital signs at discharge were documented as blood pressure 153/99 mm Hg; pulse 78; respirations 16; and O2 saturations of 91% on room air. Her post-anesthesia recovery score was 10/10.
Two hours after her discharge, the patient's brother called a nurse at the surgery center asking if the patient should use her continuous positive airway pressure (CPAP) machine. The nurse re-emphasized that the patient should use the CPAP machine and told the patient's brother to contact the ENT with any further questions.
Later that evening, the patient's mother checked on her. The patient was snoring and not using her CPAP. Her mother checked her once again in the early morning and found that the patient was unresponsive and was not breathing. EMS was called and the patient was taken to a local hospital. She was pronounced dead at the hospital.
An autopsy listed the cause of death as cardiomegaly associated with hypertensive cardiovascular disease, obesity, and sleep apnea, recent surgical treatment with multiple sedative medications. The medications listed in the pathology report were hydrocodone, venlafaxine, and meperidine.
Lawsuits were filed against the ENT and the anesthesiologist, alleging that the surgery should not have been performed in the outpatient setting and that the patient was not properly managed after the surgery.
The defense had a difficult time finding expert support for the ENT's decision to perform surgery in the outpatient setting. One ENT who reviewed the case stated that the outpatient setting was reasonable, but the patient required more extensive postoperative monitoring. The patient's discharge with a 91% O2 saturation was inappropriate.
An anesthesiologist who reviewed this case indicated that the surgery should have been performed in a hospital due to the patient's ASA 3 classification. He agreed the discharge was inappropriate and stated the patient required 23- to 24-hour observation at the surgery center or transfer to a hospital.
The defendant stated he would not have discharged the patient if he had been aware of the 91% O2 saturation. A nurse testified that the O2 saturations were fluctuating between 91% and 94%, but only the 91% was documented.
This case was settled on behalf of the anesthesiologist and the ENT.
A 37-year-old man was referred to a pulmonologist for a polysomnogram. He was found to have an AHI of 129.5 and was diagnosed with severe sleep apnea. The patient reported that he used tobacco products and drank beer daily. He also reported using a CPAP machine during sleep. The pulmonologist referred the patient to an ENT.
The ENT examined the patient and performed a laryngoscopy that showed floppy, redundant tissue in the arytenoid cartilage and medial aryepiglottic fold that collapsed with inspiration.
He diagnosed the patient with severe obstructive sleep apnea and adult laryngomalacia. The ENT recommended UPP and laryngoplasty.
On October 1, the patient was admitted to a local hospital. The procedures were performed without complication. The patient was taken to the ICU where he was kept intubated due to airway edema. He was extubated on October 2, and his vital signs were stable. He was placed on BiPAP for respiratory support.
The pulmonologist saw the patient on October 2. A chest x-ray showed a left lobe infiltrate concerning for pneumonia, and the pulmonologist prescribed an antibiotic.
Throughout the early morning hours of October 3, the nurses documented that the patient continued to have a productive cough and thick, blood-tinged secretions.
At 5:40 a.m., the nurse contacted the ENT to report the bleeding. No respiratory distress was noted until 7 a.m. when it was documented that the patient had coarse crackles and rhonchi in the lungs.
The ENT saw the patient at 8:30 a.m. and noted that he was hypertensive and slightly tachycardic. The physician noted some mild bleeding from trauma to the palate as a result of suctioning. The patient was told to gently suction his mouth.
The ENT gave an order to start the patient on lorazepem for his history of alcohol use. The first dose of lorazepem was given at 10 a.m.
At 10 a.m. the patient's blood pressure increased to 168/122 mm Hg. The pulmonologist was paged and he ordered labetalol. At 10:06 a.m., the patient received 1 mg of morphine and at
10:15 he received labetalol. His oxygen saturations dropped to 82% on 4L NC. A respiratory therapist was called. The ENT was paged and while the nurse was speaking to him on the phone, the patient stopped breathing and went into cardiac arrest. A code was called. Initially an ambubag was used until the patient was intubated, approximately seven minutes after the code was called.
The patient suffered an anoxic brain injury as a result of the cardiac arrest. He underwent a tracheostomy on October 6 and a PEG tube placement on October 17. He was transferred to a nursing home for further custodial care in November.
A lawsuit was filed against the ENT, alleging:
failure to properly determine whether the patient was a proper surgical candidate;
failure to consider non-operative treatment methods; and
failure to educate the patient about the risks associated with the procedure.
The pulmonologist was also sued. The allegations included failure to monitor the patient and failure to order appropriate medication during the postoperative period.
The plaintiff's expert criticized the pulmonologist for not recognizing the potential side effects the prescribed drugs would have on the patient's respiratory status. He stated the administration of morphine shortly after the lorazepam was a "critical" mistake and caused the patient's respiratory distress.
Regarding the actions of the ENT, the plaintiff's expert believed the UPP was overly aggressive. He stated that UPP is only used when a patient declines oral airway pressure or an oral appliance, or the therapy has been ineffective for three months. He was also critical of the ENT for not investigating and repairing the opened suture line in the patient's pharynx. This expert believed the patient aspirated blood from the open suture contributing to the acute respiratory failure.
Defense experts reviewing this case had concerns about sedatives given to the patient. When the patient developed postoperative delirium, the assumption was made that it was due to his alcohol withdrawal. This led to the administration of sedatives that exacerbated his condition. The combination of sedatives in a compromised patient soon after extubation can cause respiratory distress and may have been a factor in the patient's cardiopulmonary arrest.
Regarding the decision to proceed with the UPP rather than treat the patient with CPAP or bi-level positive airway pressure (BiPAP), the ENT testified that he discussed the options of CPAP and BiPAP and surgery with the patient. The patient wanted surgery so he would not have to be on CPAP for the rest of his life.
During the investigation of this claim, it was discovered that a nurse used her judgment in giving the patient lorazepam and 8 mg of morphine at the same time. In light of this information, the cases against the ENT and the pulmonologist were dismissed.
Physicians can consider the following guidelines to help reduce liability when treating patients with sleep apnea.
SCREENING FOR SLEEP APNEA
Patients with OSA may present significant problems in the perioperative and postoperative period. Because a significant proportion of OSA patients remain undiagnosed when they present for surgery, proposed guidelines from the American Academy of Sleep Medicine suggest that questions regarding OSA should be included in routine health screenings. If OSA is suspected, the patient should undergo a comprehensive sleep evaluation. (1)
If a patient is found to have OSA, ensure that everyone involved in the patient's treatment is aware of the diagnosis of OSA.
PREOPERATIVE
According to the American Society of Anesthesiologists, "Patients with known or suspected OSA may have difficult airways and therefore should be managed according to the 'Practice Guidelines for Management of the Difficult Airway.' In patients at risk for perioperative complications from OSA, a preoperative determination must be made regarding whether surgery should be performed on an inpatient or outpatient basis." (5)
POSTOPERATIVE
Because episodes of critical obstruction may occur unpredictably — only minutes after a normal respiratory rate has been observed — the Anesthesia Patient Safety Foundation urges health care professionals to "give consideration to the potential safety value of continuous monitoring of oxygenation (pulse oximetry) and ventilation in patients receiving PCA or neuraxial opioids in the postoperative periods." (5)
Patients who use CPAP devices at home should be advised to bring the mask to the hospital and to use it while in the hospital. Postoperative instructions should clearly indicate whether or not the patient should continue use of CPAP once discharged from the hospital.
Narcotics may profoundly impair respiration in the postoperative period in patients with OSA.1 Therefore, the administration of narcotic pain medication in patients with OSA should be closely monitored, according to recommendations from the American Society of Anesthesiologists. (5)
One issue is that multiple physicians may write pain medication orders for a single patient and they may not be aware of the diagnosis of OSA. One suggestion is to flag the records of these patients to warn of the risks of narcotics usage.
"While there may not be a consensus regarding the best and most cost effective methods to ensuring fewer perioperative complications from OSA, there continues to be a need for informed clinicians, as patients are typically presenting with undiagnosed or misdiagnosed cases." (1) Awareness of the risk factors and complications associated with OSA, along with adherence to applicable guidelines, can help enhance patient safety when treating patients with OSA.
UC San Diego School of Medicine, University of Toronto. Perioperative management of OSA Patients. April 2011. Available at http://cme.ucsd.edu/OSAonline. Accessed January 18, 2013.
Kingman PS. Overview of obstructive sleep apnea in adults. UptoDate. July 3, 2012. Available at http://www.uptodate.com/contents/overview-of-obstructive-sleep-apnea-in-adults?source=search_result&search=sleep+apnea&selectedTitle=1~150. Accessed January 18, 2013.
American Sleep Apnea Association. A very short course on sleep apnea. Available at http://sleepapnea.org/i-am-a-health-care-professional.html. Accessed January 18, 2013.
Adult Obstructive Sleep Apnea Task Force of the American Academy of Sleep Medicine. Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. Journal of Clinical Sleep Medicine. 2009; 5(3): 263-276.
American Society of Anesthesiologists Task Force on Perioperative Management of Patients with Obstructive Sleep Apnea. Practice guidelines for the perioperative management of patients with obstructive sleep apnea.Anesthesiology. 2006;104: 1081-93.
Ten Years of 10-Gallon Tort Reform
A look back to the Texas tort reform: precursors, general overview, and impact.
ADA Implications for the Physician's Office
Overview of the Americans with Disabilities Act and its effect on physician practices.


Platelet-Rich Plasma (PRP) facial rejuvenation is a cutting edge aesthetic procedure. Dr. Chang remains informed and trained in the latest advances in the field of aesthetics, so it was important to her to provide PRP to her clients. This revolutionary anti-aging treatment uses your body's own natural healing power to regenerate tissue for a very natural-looking, anti-aging effect that is exceptionally long-lasting.
Dr. Chang has administered numerous PRP injections with beautiful results. She is well-versed in how this treatment works in the skin and will guide you to get the maximal results.
Dr. Chang will extract a small amount of your own blood and place it into a special centrifuge so that the platelets can be separated from the other blood cells. The separated plasma will then contain a high concentration of platelets, which have growth factors and proteins that provide a natural way for your skin to reverse the signs of aging.
Unlike dermal fillers, PRP is not a "filler." Instead, it is a "bioactive stimulator" because the platelets initiate a biologically sound stem cell response that stimulates your body to produce more collagen. As a result, you will gradually look younger over a period of weeks and months.
PRP injections are very safe and have been used in non-cosmetic medical procedures since 1987 to speed healing.
Who is a candidate for Platelet-Rich Plasma?
Platelet-rich plasma is appropriate for any man or woman who has begun to notice visible signs of aging on the face, neck, and chest.
If Dr. Chang believes that a different procedure or dermal filler (such as Radiesse, Juvederm, or Juvederm Voluma) – or a combination of treatments – is more likely to provide you with the result you want, she will discuss this with you during your consultation.
Please tell Dr. Chang if you take blood thinners or anti-inflammatory medications.
What can I expect from PRP Injections?
Dr. Chang will use a numbing cream to keep your discomfort to a minimum during your injections. The effects of PRP begin to gradually show within about a month. Most people receive three treatments in 4-8-week intervals for optimal results. PRP can also be combined with microneedling or laser procedures to maximize collagen stimulation.
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How long do the results of PRP last?
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On Thursday (November 3), a demo version of the National's "High Beams," which previously appeared on the Music for Robots Vol. 1 compilation in 2005, will be released. But courtesy of Pitchfork, you can currently stream it below.
Not all of the tracks have been announced, but a loose schedule for each artist participating has been revealed. You can see that below, and at the bottom of the page, you can watch a trailer for the anniversary celebrations.
Introduction Week:
11/1 Clogs "Kapsburger" / "Five/Four" medley
11/2 Buke & Gass TBA
11/3 The National "High Beams (Demo)"
11/4 Nico Muhly "Skip Town"
Deep Cuts Week:
11/7 Baby Dayliner TBA
11/8 Pela TBA
11/9 Doveman "...." / "Sunrise" medley
11/10 Erik Friedlander TBA
11/11 Devastations TBA
Rare and Unreleased Week:
11/14 Bryce Dessner "Rose of Lincoln"
11/15 Baby Dayliner "When I Look Into Your Eyes"
11/16 Doveman "Honey"/"Only Love Can Break Your Heart" (Neil Young cover) medley
11/17 Clogs "Elevenses"
11/18 Jujulele (Bryce and Aaron Dessner) "Satie"
Greatest Hits Week:
11/21 The National TBA
11/22 Baby Dayliner TBA
11/23 Devastations "Coal"
11/24 Clogs and Shara Worden TBA
11/25 Doveman and Nico Muhly TBA
New Band Week:
11/28 Jhereck Bischoff "Secret of the Machines (Instrumental)"
11/29 This Is the Kit "Spinney"
11/30 People Get Ready "Uncanny"
The National: "High Beams" by Brassland
Brassland is 10: A Decade of Creative Destruction from Brassland on Vimeo.
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Aug 28 @ 5:30PM - The National Burnaby @ Deer Lake Park
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Always game for collaboration, Bonnie "Prince" Billy has teamed up with the National's Bryce Dessner and modern classical unit Eighth Blackb...
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The National will release their next album, I Am Easy to Find, later this month, and they've teased the forthcoming LP with a new video for...

redpajama_set_name: RedPajamaCommonCrawl


Villa Phiantiana is conveniently located on a small hill in Bukit Jimbaran, on the southern part of the island. Villa Phiantiana is some 15 km away from the airport, Kuta, Uluwatu and Nusa Dua, and offers nice views of the sea, Kuta area, the airport and Benoa. Apart from Kuta and Nusa Dua, quiet beaches can be found nearby. Villa Phiantiana is easily accessible through a short private road from the main road to Uluwatu. The land is approx. 1,300 m2 and the house approx. 500 m2 built area excluding basement. Villa Phiantiana easily accommodates 8 persons in 4 bedrooms, each with its own bathroom.
Number of rooms: 4 Hotel Style: Honeymoon Hotels, Family Hotels, Private Villa.
Air Conditioning, bathub, Television, Balcony/Terrace, DVD/CD Player, In Room Safe, Shower, IDD Telephone, Hot & Cold Water, Living Room, Dining Room, Toiletary.
The service area is located in the basement. Attached to this there is a big covered open space that can be used as a play area, parking,..etc. The overflow pool is more than 14m long, with an attached round bubble bath. There is a Balinese gazebo at the other end of the pool. Villa Phiantiana is furnished and equipped with necessary linen and kitchenware. It has a permanent staff of 3, i.e. a maid for cleaning and washing, a day worker for the garden and the pool and a night watchman.
The living / dining area, the bedrooms and the guestroom are fitted with air conditioners. The electric power available is 16,000 W. In the first floor there are three bedrooms (one with balcony), each with its own en suite bathroom, and a big landing / sitting area. There is a second floor, which is an open terrace / sitting area, with a fixed bar and a toilet, offering superb view of the island.


Gold Plated Pin, Engraved with Initials and Year.
Silver Plated Pin, Engraved with Initials and Year.
Sterling Silver Pin, Engraved with Initials and Year.
Gold Filled Pin, Engraved with Initials and year.
White Gold Filled Pin, Engraved with Initials and Year.


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Maxine Peake and John Simm to star in new BBC One drama 'The Village'
'The Village,' new epic drama series for BBC One from Peter Moffat
BBC One announces new six-part drama 'The Village' starring Maxine Peake and John Simm and written by Bafta-winning writer Peter Moffat (Silk, Criminal Justice), about the life and turbulent times of one English village across the whole of the 20th century.
The series begins in 1914. Young Bert Middleton (introducing Bill Jones) is growing up in extreme poverty on a family farm in Derbyshire. His parents John (John Simm – State of Play, The Devil's Whore) and Grace (Maxine Peake – Silk, Criminal Justice) struggle to provide for Bert and his adored older brother Joe (Nico Mirallegro – Upstairs Downstairs). John is proud, unyielding and haunted by his past. Grace devotes her life to protecting her sons from the violence of his despair. Is her sacrifice sustainable? Is John capable of redemption? Will Bert's funny, gentle ways and rich imagination survive? Joe supplements the family income by working at the Big House, where he comes into contact with the troubled and deeply unstable Caro (Emily Beecham – The Runaway).
The first episode opens with the arrival of the first bus ever to stop in the village. Everyone gathers to see it and off the bus steps the beautiful, headstrong Martha Lane (Charlie Murphy – Misfits).
Jim Cartwright (writer of Road and The Rise and Fall of Little Voice) plays Peter Baslow, the Landlord of the village pub. Other cast includes: Anthony Flanagan (Being Human), Annabelle Apsion (Shameless), Joe Armstrong (Robin Hood), Matt Stokoe (Misfits), Augustus Prew (The Borgias) and Stephen Walters (The 51st State).
John Simm says: "I'm delighted to be working with such a great director (Antonia Bird) and brilliant writer in Peter – I've long been a fan of both, alongside such a great cast".
Maxine Peake says: "Beautiful writing – a period piece when we're not focusing on the decision makers but the working people, it is so great to see the other side – changes within a chain of social and political life, in minutiae. My character, Grace channels all her energy into her family with a focus on ambition and the idea of freedom for her sons. Women moving into the workplace as the men went to fight and finding independence".
Made by Company Pictures (The White Queen, Shameless), 'The Village' is directed by Antonia Bird (A Passionate Woman, Spooks) and Gillies Mackinnon (Inspector George Gently, Hideous Kinky). The series is produced by Ema Burge (Shameless, Painted Lady) Executive Producers are: John Griffin, George Faber, Charles Pattinson for Company Pictures, Polly Hill for the BBC and Peter Moffat.
'The Village' will film on location in the Peak District, and air on BBC One in 2013.
Tags: Annabelle Apsion, Anthony Flanagan, Antonia Bird, Augustus Prew, Bill Jones, Charlie Murphy, Emily Beecham, Jim Cartwright, Joe Armstrong, John Simm, Matt Stokoe, Maxine Peake, Nico Mirallegro, Peter Moffat, Stephen Walters, The Village
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The whole point of a vacation is to step away from your everyday life and do the things you love, or try new things you've always dreamed of. At Karisma Hotels & Resorts, you'll have the opportunity to do both. You'll find a variety of watersports on some of the world's best beaches. Dazzling live entertainment. World-class spas. State-of-the-art fitness centers. Yoga classes. Dance lessons. Interactive cooking and mixology classes. Supervised programs for kids and teens. Language lessons. And an array of available excursions designed to immerse you in local history and culture.
Slip on your dancing shoes and kick up your heels as dancing instructors show you how to salsa and merengue around a room. You'll feel that fiery Latin rhythm in no time.
Don't shoot! Sample an expertly chosen selection of premium handcrafted tequilas, from blanco to anejo, designed for sipping. And be sure to try our very own house-infused tequilas.
If you prefer to spike in the water rather than the sand, move the game from the beach to the pool, and stay cool while serving up points.


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Foreign missions urge citizens to leave Indonesia amid COVID-19 crisis
Washington has already urged its citizens not to travel to the archipelago "due to the Global Health Advisory and Embassy Jakarta's limited capacity to provide support to US citizens," it said in an online travel advisory for Indonesia.It follows a March 14 decision to authorize the departure of US personnel and family members "from any diplomatic […] post in the world who have determined they are at higher risk if exposed to COVID-19 or who have requested departure based on a commensurate justification".The US mission has a track record of taking early precautionary measures for its citizens, sometimes well before a serious incident occurs.In 2016, the US Embassy reportedly sent out warnings to its citizens to avoid the area around Sarinah Plaza and the Sari Pan Pacific Hotel in Central Jakarta, just hours before terrorists launched a shooting spree there. Foreign missions in Indonesia are racing against time to get their citizens home before transport restrictions come into full effect, as the number of COVID-19 cases continues to rise and concerns over the country's healthcare capabilities deepen.The United States Embassy became the first foreign mission to announce that family members of its staff who are under 21 years of age must immediately leave the country."The Department of State made this decision due to evidence of COVID-19 in Indonesia, current Indonesian medical capacity, and current availability of flights out of Indonesia," the embassy said in a statement published on Thursday. In 1998, the embassy moved to evacuate all staffers to Singapore before airlifting them home, days before massive riots broke out all across Jakarta.Meanwhile, Indonesia's closest neighbor Australia also updated its travel advisory with strong wording and advised its citizens to leave the country."If you're an Australian tourist in Bali [or Indonesia more broadly] leave now – don't delay your departure. If you're a long-term Australian resident of Indonesia, consider whether you have the support and access to effective health services you and your family will need in what will be a hugely challenging period for local authorities and service providers. Many services will not be available," Canberra said in its latest travel advisory updated on Thursday.The update follows measures last week to offer non-essential staff and family members from Australian diplomatic posts across the country the opportunity to return to Australia before air travel is completely restricted.Other countries have meanwhile been more reserved in their actions, at a time when COVID-19 has infected more than 1,000 people in Indonesia and killed 87 people as of Friday.European Union Ambassador to Indonesia Vincent Piket said his approach was to "strike a balance between business continuity and the safety of our staff and their dependents".He said the EU delegation was in full teleworking mode and all staff were asked to work from home. Meanwhile, all nonessential staff were authorized to return to Europe with their families."The EU delegation and the embassies of all EU member states work together for the repatriation of EU travelers stranded in Indonesia due to the lack of flights. Our first priority is to bring home the elderly, other vulnerable persons and families with children," Piket said in a statement to The Jakarta Post on Friday.British Ambassador to Indonesia Owen Jenkins said that British nationals staying in Indonesia in the short term should immediately weigh their options as more airports had closed and more airlines had suspended flights."If you can think of any circumstances at all where you would wish to be in the UK over the next few months, we strongly advise you to leave," Jenkins said in a video posted on the embassy's Twitter account on Wednesday.The COVID-19 outbreak has put a massive strain on Indonesia's healthcare system, with reports of inadequate medical supplies and the deaths of hospital workers amid a surge of new cases.A hospital crisis looms as reports indicate inadequate facilities to treat COVID-19 patients, while protective gear is in short supply in both referral and regular hospitals across the country.Foreign missions have identified these shortcomings and communicated them to their citizens. The Australian Embassy, for instance, said that critical care facilities are "significantly below the standards available" at home.While such policies might indicate distrust in the Indonesian healthcare system, it also poses even greater risks for these foreign citizens, said Dewi Fortuna Anwar, an international relations research professor at the Indonesian Institute of Sciences' (LIPI) Center for Political Studies."Sending children back to the US is even riskier – they'd be flying extensively and transiting in hubs that bring together many people from around the world, so the risk of contracting the coronavirus might be even higher," Dewi told the Post, in reference to the US policy.Furthermore, she added, the healthcare systems in the US and in Europe also already faced huge pressures and had not shown any great successes either."Frankly, there is not one country that can give such assurances. What is certain is that long-haul travel – and especially cross-country travel – is reckless. People are asked to stay at home, not to engage in international travel and spread the virus further," she said on Friday.Globally, more than half a million people have been infected and some 24,000 people have died, according to the Johns Hopkins University Center for Systems Science and Engineering. The US currently has the most cases.Topics :
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Chinese students fleeing virus face uneasy reception back home


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Claudette Zepeda's long-awaited VAGA restaurant finally opens in Encinitas
The ocean-facing patio at VAGA restaurant, which opens May 5 at the Alila Marea Beach Resort Encinitas.
(Courtesy photo)
Chula Vista-raised chef says menu at Alila Marea Beach Resort Encinitas reflects the global cuisine she ate growing up around San Diego
May 5, 2021 5:29 AM PT
After nearly two years of soul-seeking, culinary exploration and menu experimentation, chef Claudette Zepeda will open her latest signature restaurant, VAGA, today, May 5, at the Alila Marea Beach Resort Encinitas in Leucadia.
The Chula Vista native said the VAGA menu represents her interpretations of the globally inspired cuisines she grew up eating at restaurants around San Diego — from Asian restaurants on Convoy Street to Ethiopian and Indian eateries to the Mexican food her grandmother made.
"We're not making food that tastes like my grandma made, we're making dishes that taste like everybody's grandma made," she said. "I'm just a 36-year-old, 100-year-old grandma."
Claudette Zapeda is executive chef at Alila Marea Beach Resort Encinitas.
(Courtesy of Alejandro Ibarra)
Zepeda is the executive chef for all culinary operations at Alila Marea, a bluff-top, oceanfront resort that opened in late March on North Coast Highway 101 at La Costa Avenue in Leucadia. The 130-room boutique hotel is part of Hyatt's Alila luxury chain of 17 hotels in Asia, Africa and the U.S. Alila means "surprise" in Sanskrit. Besides VAGA, Zepeda is overseeing banquet cuisine for the hotel's 28,500 square feet of meeting space. She's also creating a menu for The Pocket, the hotel's casual poolside bar and lounge that will open later this spring.
Zepeda is best known for the authentic Mexican cuisine she cooked on Bravo's "Top Chef" season 15 and on "Top Chef Mexico," as well as her work at the former Bracero Cocina de Raiz in Little Italy. Her first signature restaurant venture, with owner Johan Engman, was El Jardin, a Mexican fine-dining restaurant that opened at Liberty Station in 2018.
A 45-day dry-aged rib eye tartare with smoked aioli and Osetra caviar at VAGA restaurant in Leucadia.
During her time at El Jardin, Zepeda collected many honors, including being named a semifinalist for the James Beard Award for Best Chef: West in 2019, a spot on Esquire's 2018 Best New Restaurants list, a rave review in The New York Times and 2018 Chef of the Year honors from The San Diego Union-Tribune. But sales at El Jardin were unsustainable, so Engman closed the restaurant in July 2019.
Zepeda had already started working with the Alila Marea developers as a menu consultant in 2018, so after El Jardin closed, she expanded her role with the hotel. The Alila brand has an eco-tourism, zero-waste ethos with a focus on healthy, plant-based cuisine in their restaurants, she said. As a result, many of the dishes she created for VAGA are vegetable-forward with mostly healthy preparations, though there's definitely room on the menus for splurges like the 28-ounce Snake River Farms tomahawk steak and a burger with harissa bacon jam and Parmesan fondue.
Beef brisket-filled steamed buns with bacon, tomatillo and serrano chilis at VAGA Restaurant, which opened May 5 at Alila Marea Beach Resort Encinitas in Leucadia.
Zepeda said she doesn't have a signature item on the menu, but there are several dishes that have been bestsellers with hotel guests, who have been the restaurant's exclusive diners over the past month. She said hotel guests have had an "overwhelmingly great response" to the food.
The No. 1-seller is the Baja sea bass, with spiced ghee, Basmati rice, Marcona almonds and her own Mexican-inspired take on Green Goddess sauce. The popular scallops dish, with roasted plantain purée, heirloom corn, onions and chili oil, came to her in a dream last summer. And the simple but homey heirloom bean soup with potatoes and Edam cheese can be customized with extra spice to suit a diner's tastes.
The Baja sea bass at VAGA restaurant, which opens May 5 at the Alila Marea Beach Resort Encinitas in Leucadia.
Shared plates, soups and salads range in price from $8 to $28; mid-size plates, including scallops, gnocchi and brisket buns are $18 to $30; and the main entrees, including the Baja sea bass and lamb shank are $26 to $40. The tomahawk steak is $110.
Zapeda oversees a 14-member culinary team at Alila Marea. She said her team has been working hard, from 5 a.m. to 11 p.m. each day to serve customers. To give the team time to find its rhythm, she said reservations are being sharply limited in the first few weeks of service. After the disappointing closure of El Jardin, Zepeda said she's approaching the public debut of VAGA with humility.
"My feet are very much planted on the ground," she said. "I've learned you have a chance of failure every single day, so if you try, that's half the battle. I hope people come with an open mind. Hopefully they'll arrive with no expectations and just be surprised and hopefully leave here with a smile on their face."
VAGA serves a breakfast/lunch menu from 7 a.m. to 3 p.m. Dinner is served from 5 p.m. to close. For details, visit vagarestaurant.com.
— Pam Kragen is a reporter for The San Diego Union-Tribune
The dining room at VAGA Restaurant, which opens May 5 at the Alila Marea Beach Resort Encinitas in Leucadia.
ArtFoodLifestyleEncinitasShareable


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The good ship St. Thomas doesn't need two captains
Posted by Ian: Be it an ego the size of a Sterling truck or an all-pervasive paranoia, Mayor Cliff Barwick says this town ain't big enough for his worship and a CAO. However watch for him to try and back-peddle by attempting to promote Wendell Graves to the position of city manager. Don't be fooled … it's not the same position, nor does it pack the same authority and stature. The mayor's full year-end interview with Times-Journal reporter Eric Bunnell follows …
Cliff Barwick is a mayor with a secret.
With little more than 10 months remaining in his four-year term, Barwick says he decided two weeks ago whether to seek re-election on Oct. 25.
But the 65-year-old head of city council isn't yet saying what that decision is.
"I have made a decision about 2010. I'll announce it at the proper time.
He teases about that.
"According to the press it should be any time. But according to myself, I'll do it when I want to do it!"
Traditionally, St. Thomas municipal politicians have waited until after summer to announce their intentions, although Barwick bucked that tradition when he announced in July, 2006 that he would seek the mayor's office.
If he decides against a bid for re-election as mayor or, even, as an alderman, Barwick still will go down in city history as one of the longest-serving city politicians, whose political career began in the 1970s with his election as an alderman and, then, as mayor.
And, if he decides to retire, he won't be the first mayor to leave office after having been elected in good times, only to see his city plunged into the depths of economic downturn. Most recently, Doug Tarry saw that happen in the early 1980s as St. Thomas was celebrating its 100th anniversary.
This past year was the year Ford confirmed long-standing rumours it would close the St. Thomas Assembly Plant.
It also was a year Sterling Trucks, which once ran around the clock, shut its doors.
Recalling the 1992 words of the Queen in a year in which Windsor Castle was struck by fire and her family by marital discord, Barwick says 2009 was the city's annus horribilis.
But Barwick says the city is laying the groundwork for recovery, starting with a provincially supported study to decide what direction St. Thomas should look for its future, and how it should sell itself.
But he cautions the way back is a long one.
"This is a very slow process."
And it's a journey the city, as a lower-level government, can't complete on its own. The feds and the province have their parts to play.
But the retired high school history teacher finds a parallel in the city's past when dieselization brought an end to the railway era of prosperity. St. Thomas came back as a manufacturing centre — eventually.
"It took us a good decade or more for us to move to a manufacturing base from a railroad base. And we're just barely a year into part of a global hit that's we've taken very, very hard, It's not something you change overnight, that's for sure."
But looking ahead to 2010, comeback is on Barwick's mind.
"I really would like to see us land a significant, job-creating industry," says the mayor, who is to deliver his annual state-of-the-city address Jan. 4 to council.
The city's study suggested promoting the community's potential as a player in agricultural industry. Food processing, possibly. Or bioenergy. Or other greenpower industry.
Barwick says there is hope for the future: he notes the city is responding to inquiries from industry.
"It's not dead. There are all sorts of inquiries coming into us."
Yet, he adds, "But it's very highly competitive."
Indeed, Barwick supplies an illustration which is both positive and negative: The city made a shortlist for a new industry, he says, but lost to another community.
And Barwick repeats a caution he has made in past. The days of the 1,500-job plant are gone, he believes. Future workforces will number 200, 300 or 400 jobs.
Curiously, while St. Thomas is pursuing economic development, the city deferred a request from Elgin county for money to fund county-led tourism marketing.
A former chairman of council's finance committee, Barwick defends the city's response.
"It was timing more than anything else."
The request will be considered as part of the big picture of city budget deliberations in late winter, when council will deal with the city's significant loss of revenue from provincial grants.
"It's the only responsible way to attack a budget," the mayor says.
"You cannot piecemeal yourself to death."
Barwick maintains relations are good between the city and the county.
The Queen's words aside, Barwick can point to highlights last year.
One was the announcement that the historic Wellington Street courthouse would be saved as the province's choice for the city's new consolidated court facility. The province is expected to ante up close to $100 million.
"I think one of the biggest things that we succeeded in doing, which has taken years and years and years, and we finally pulled it off, was we got the province committed not only to the courthouse, we got them committed to the restoration of the site on Wellington Street."
As part of the deal, historic Wellington Street Public School — a symbol of railway-era prosperity — is to be preserved following its closure in December. The schoolyard will become courthouse parking; the building will be mothballed for future use.
"I think that was of tremendous significance, not only for the administration of justice but for the fact we finally did get the province to commit themselves to significant heritage restoration."
Sadly, the loss of Alma College in 2008 to arson may have been part of that cost. Barwick agrees. While the province argued it gave the city the tools to save the derelict property, the city replied the province failed to provide cash.
Another highlight was federal and provincial infrastructure funding to rebuild Wellington Street, itself. The roadway west of Princess Avenue has been described as a cowpath; its condition led to the city being named last year by the Canadian Automobile Association as one of the province's municipalities with worst roads.
The city also closed a deal on the railway lands, preserving the Elgin County Railway Museum.
Looking to the year ahead, Barwick, who gives the current council good marks for its ability to work together, also hopes to see the role of city clerk broadened to reflect the job incumbent Wendell Graves currently performs.
The mayor is not speaking of a chief administrative officer, need for which was hotly debated in the last municipal election, but a city manager who co-ordinates government but who doesn't come between department heads and council.
Barwick, whose council experience includes municipal government both with and without a CAO, is forthright in his assessment of the need for a chief administrator at city hall.
"There's only one captain," he says.
Editor's note: And the corporation awaits the leadership and vision that position of authority demands.
This entry was posted in City of St. Thomas, Municipal Affairs and tagged City of St. Thomas, Mayor Cliff Barwick, Municipal governance. Bookmark the permalink.
← The past year in words and what you won't hear in 2010
Approaching the zenith: Mayor Cliff Barwick to seek re-election in October municipal vote →
4 thoughts on "The good ship St. Thomas doesn't need two captains"
Bill Sandison
NOBODY IS IN CHARGE
The "captain" analogy has resurfaced reminding me of Captain Joseph Hazelwood who was reportedly asleep at the helm on the Exxon Valdez when it struck a reef and spilled 11 million tons of crude oil into the Alaskan waters.
Our disaster was job loss and our "captain" was a nowhere to be found. Barwick's knowledge of the potential for dire job losses dates back to his 2006 run for the Mayor's office. In November 2006, then mayoral candidate Alderman Cliff Barwick and Mayor Jeff Koehler participated in an editorial panel hosted by the Times-Journal to share their views on key issues. "Topics of discussion included the mayor's role on council, the merits of a chief administrative officer, a code of conduct for council, dealing with divisiveness amongst members of council, accessibility issues, and the possibility of significant job losses in St. Thomas and area over the four-year term of council." It appears someone was mindful that staggering employment issues could be on the horizon.
Then-Alderman Barwick responded to the panel, "No, we don't have any plan in place… but you have to take a proactive stance now".
Three years later, and the captain is still "laying the groundwork for recovery."
In February 2009, London Free Press Norman De Bono's article, "Firm hired to help St. Thomas fix its economy" noted that the Bob Wheeler of the St. Thomas Economic Development Corp. had engaged a Hamilton consulting firm, Miller Dickenson Blais for $87,413 to produce a consultant's report – a strategic plan that "Wheeler hopes will be completed before June", so where is it?
As for the highlight claims, it is said that success has many fathers but failure is a bastard. On the courthouse, I know what the late Bob De la Penotiere did with the Save the Courthouse campaign, understand the political weight that the Hon. Steve Peters, Member of Provincial Parliament for Elgin-Middlesex-London brought to the cause, and I suppose Barwick takes credit for what exactly?
In 2009, Barwick the "captain" and his shipmates on council proclaimed that a new police station the #1 priority for St. Thomas. This is not even remotely connected with the priorities of the constituents they were elected to serve.
Council members' individual responsibilities can generally be grouped into three categories; representation and accountability, governance and management. None of these can be described as a current strength and perhaps Alderman Chapman captured the essence of the problem when she informed me that;
"Things are not going to change until there is someone in charge at City Hall"
Advocate for a Better Municipal Government
STR8TALK in St. Thomas
http://bit.ly/t7eHv
Reminds me of Captain Queeg of the U.S.S. Caine.
Interesting parallel David:
"It quickly becomes apparent that Queeg is prone to eccentric behavior. Queeg displays an oppressive command style and is prone to unprovoked angry outbursts. From the first, he begins to make mistakes that endanger his ship. After refusing the assistance of his predecessor in command, he grounds the Caine on a muddy shoal his first time underway. He panics in a fog and nearly collides with a battleship, and passes the blame to his helmsman…
Queeg neglects to order the ship to stop turning while distracted in reprimanding a crew member for having his shirttail out, and so the Caine steams over its own towline, severing it. When called on the carpet by a superior after this incident, he refuses to acknowledge that it even happened, much less admit blame in any way… "
http://bit.ly/76GdzF
http://en.wikipedia.org/wiki/City_manager
I think hizzoner Barwick has it backwards -according to the description of City Manager vs CAO above the City Manager position is "MORE" independant than a CAO.


Kilcher is a celebrity spokesperson for Thursday's Child, a charity for at-risk children. In this capacity she works to address issues concerning children, covering topics such as anorexia, bulimia, teen suicide, cutting, runaways, teen pregnancy and missing and exploited children.
On June 11, 2009, she supported a march in defense of the rights of indigenous peoples in Peru.
Google trends for "Q'orianka Kilcher"


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Easy to show! Adorable house with tons of space! Master down, 3 bedrooms and bonus room up. New condensing units, granite in the kitchen, all new carpet upstairs, refinished hardwood floors down. Super clean and move in ready!
Directions:From Walnut Grove, head south on Sanga Rd. Left on Richards Way, left on Locust Grove. Home is on the left.


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Q: how to retrive record in textbox from mysql table with next and previous button In my html form there are 4 Text box and 2 buttons previous and next
I want to display table record in form.and when user click next button the next record should be fetch in Text box.
please help guys
thanks in advance

A: <?php

    $id = 0;
    if(isset($_POST['next']))
    {

       $id=$id++;
       $que = mysql_query("select * from table where id ='$id'");
       $data = mysql_fetch_array();
       $data1 = $data[1];
       $data1 = $data[2];
       $data1 = $data[3];
       $data1 = $data[4];
    }
    if(isset($_POST['prev']))
    {

       $id=$id--;
       mysql_fetch_array(select * from table where id ='$id')

       $data1 = $data[1];
       $data1 = $data[2];
       $data1 = $data[3];
       $data1 = $data[4];
    }
?>
<form method = "post">
<button name="prev">

<input type="text" value="$data1">
<input type="text" value="$data2">
<input type="text" value="$data3">
<input type="text" value="$data4">
<button name="next">

</form>

redpajama_set_name: RedPajamaStackExchange


text:
Facebook bug exposes six million users' information
Facebook said it makes the issue of privacy an important one and continuously discusses the need for people to stay on top of their privacy settings. That said, the site is once more under scrutiny for a a data leak. Facebook is not new to controversy surrounding issues of privacy with users' personal information and an announcement of a new bug doesn't do much to help ease people's concerns about how well the company is protecting the data people upload.
Unfortunately, Facebook recently released a statement that said even though they strive to avoid issues, they can't ensure 100 percent effectiveness.
Facebook's White Hate Program, which works in collaboration with external researchers to reduce the number of security vulnerabilities on the company's website, received a report of a bug allowing people's contact information, email addresses and phone numbers, to be accessed by either people who were friends with a user or through a shared connection.
Facebook didn't publicly acknowledge the flaw until days after it was brought to the company's attention, and the delay was because of company procedure that said affected users had to be notified because a public announcement was made.
This Facebook bug may have exposed the information of approximately six million users.
What happened with the bug?
Facebook said that the bug happened because when people upload their contact information, the site attempts to match the data with other people to generate friend recommendations. The glitch caused some of the information to be inadvertently stored in association with users' regular account data. Therefore, if people downloaded a Facebook account archive through the Download Your Information (DYI) tool, additional email addresses or phone numbers may have been given out for their contacts or people they have a connection to.
As a result, Facebook temporarily disabled the DYI tool and fixed the problem. The company was able to turn the tool back on once they were satisfied the bug was fixed the company claimed.
The company has no evidence of cyber criminals launching a malicious attack and have not had any user complaints of strange behavior or requiring a system restore software. That said, "it's still something we're upset and embarrassed by, and we'll work doubly hard to make sure nothing like this happens again," Facebook stated.
The bug has been live since last year and was the result of a data mismanagement leak.
A self-proclaimed 'tech geek', Matt has worked in technology for a decade and divides his time between blogging and working in IT. A huge New York Giants fan, expert on Reboot Restore Technology when not watching football Matt gets his game on playing Call of Duty with his friends and other tech bloggers.
Fake security software: How to spot, protect against fraud
Enterprise data breaches helping to fuel increase in e-tax fraud
Easing security concerns about classroom tech with management software
New super sneaky malware highlights enterprise need for layered security
Protect cloud data from employee error
Retailers: Protect against Backoff malware


This matching hat and scarf ensemble in fleece will give you a put-together look. This soft fleece cap will become a staple in your headwear wardrobe. Roll the cuff higher or lower to achieve an ideal fit. It is soft enough to sleep in, yet structured enough to wear out and about. It's warm and cozy fleece fabric is sure to keep you warm all day long. The hat feels soft and smooth on the head, perfect for women with sensitive scalps due to hair loss from cancer, chemotherapy, alopecia, or other types of medical hair loss. It's soft fabric doesn't itch or scratch, nor does it have any harsh seams to irritate the scalp. This set is available in multiple colors, so you're sure to find one to go with just about anything in your closet. Add this comfortable, fashionable set to your wardrobe today!
This hat provides total head coverage, ideal for women with hair loss due to cancer, chemotherapy, alopecia, or other medical hair loss conditions. This cozy style will keep you warm all winter long! Snuggle up to this classic look! Wear this amazing style indoors or out. The hat and scarf in this set is one size fits most. This is a classic look that we just know you're absolutely going to love.
I purchased these items for a friend who is a newly diagnosed cancer patient. She is under going chemo and her greatest fear is loosing her hair. She was very excited about the package that I sent her. She said she was feeling down but, when she saw what was inside it cheered her.
I love this hat and scarf. It is soooo soft.
This is a good basic set for staying warm and keeping my head covered.
I have a very petite head,but find the hat very tight.Hoping it will stretch out as I wear it this winter---otherwise perfect!
I wish there were size options, my head is larger. The material is really soft. Beautifully colored items.


Quickest service in Metro Detroit!
We serve all types of commercial customers; construction, heating and cooling, manufacturing, plumbing, municipalities, and more!
Our recycling facility is open to the public! You're welcome to bring in old appliances, wire, tools, cart parts, or any metals you have lying around.
We'll deliver a scrap metal roll-off dumpster to your location. Our containers come in various sizes. Call us and ask about our roll-off services.
Pro-Green Recycling is a family-owned metal recycling facility. With over 35 years of experience in the scrap metal recycling industry, you can trust us to properly dispose of your metals.
We understand as a business owner or residential customer, you may be looking to make extra cash with recyclables. Come utilize our full-service metal recycling solutions! PGR offers competitive pricing and we pay top dollar in Redford.
We buy everything made of metal! Pro-Green Recycling accepts both ferrous and non-ferrous metals. You can help the environment, contribute metal to new steel product, and make extra money.
It's a quick and easy process. Our average customer spends 15 minutes or less at our establishment.
PGR has the quickest service in Metro Detroit (Average 15 minutes). We will get you in and out in about half the time of our competitors.
With over 35 years of experience in the metal recycling business, you are in the right hands with us.
Every customer has the chance to make extra cash for recycling. Next time you're at Pro-Green Recycling ask about our punch card.
Here are some of the most common questions, along with the complete answers from our recycling experts.
Do you accept plastic, rubber, and paper?
At this time we do not accept any of those materials as recyclables. Contact us and we can connect you to one of our resources.
Will I get paid the same day?
Yes, we pay the same day for certain types of metals while other metals we must comply to Michigan's amended Scrap Metal Regulatory Act – click here. With these specific items and metals, anything over $25 (daily limit) will be sent through the mail.
Mainly copper products and catalytic converters.
Why are scrap prices always changing?
Metal prices change with supply and demand and fluctuate in a similar way that stocks do. Call us to get more information on current pricing.
After you may weigh your metals, and during this process, it's important to separate all metals for best pricing. Each commodity can vary on pricing depending on what it is.
Stay up-to-date with news, pricing, and weather closures.


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BC Politics with Hubert Beyer
Archives of British Columbia's most well read Political Columnist
PSSST! WANNA INVEST IN YOUR JOB?
HUMAN RIGHTS PROTECTION CARRIED TOO FAR
FORESTRY GIANT BOWS TO ENVIRONMENTALISTS
B.C. GETS LARGEST PARK EVER
THE MIRACLE OF A CHRISTMAS LONG AGO
OLSON ENRAGES THE NATION ONCE AGAIN
BLENCOE AND I GO BACK A LONG WAY
LOOKING BACK ON 1988
THANKS GREENPEACE
FLETCHER CHALLENGE DEFENDS ITS TFL APPLICATION
Hubert Beyer, Biography
Hubert Beyer was widely known as one of Canada's most read journalists. His columns were published regularly in most BC Community Newspapers, and his perspective sought on the Federal level as well as by NORAD in the US, Beyer lived up to his reputation as the "Fairest of them All."
Born in a small village in West Germany, Beyer immigrated to Canada in his 20s where he married and had 4 children.
A German Language publication in Winnipeg was Beyer's first foray into writing in Canada, it was soon followed with work at the Winnipeg Free Press as a Reporter covering many different beats. more
Click to read the Eulogy for Hubert Beyer
Top Search: Forestry
Find out what Beyer had to say about Forestry in BC through the years. With the forestry industry supporting a large segment of employment and opportunity in British Columbia, it's no surprise that it's a top search.
Top Search: Elections
Election are always a hot topic. Anytime the faintest hint of a provincial or federal election announcement draws near, the search for quotes and history on past British Columbia elections starts to climb.
Top Search: Budget Release
When is the Budget not a hot search. Provincial Bugets are introduced with fanfare and fraught with talk from pundits, experts and critics. Take a few minutes to see how BC Budgets of the past were often projections of the future.
FROM WAR TO WILDERNESS
VICTORIA – Whenever people say politicians are all alike, can't be trusted and look out only for themselves, I tell them they should meet Cyril Shelford.
Cyril is no longer in politics. Hasn't been for 25 years. But back in the days of W.A.C. Bennett, he was minister of agriculture. He was a true gentleman then and he is now.
His thanks for serving the public faithfully and with dedication was a thwack across the back with a two-by-four, swung by an angry protester during the 1972 election campaign, at the end of which he and the Social Credit Party were defeated.
Cyril comes from true British Columbia pioneer stock. His father, Jack Shelford, settled in central British Columbia, near Bella Coola, during the early part of this century. The Shelford Hills are named after him.
His father's journey to British Columbia, via South Africa, where he served in the Boer War, America, where he earned a living as a carpenter, and Alaska, where he became a proficient trapper and woodsman, are the subject of a book just published by Cyril. I met for coffee with Cyril, and he gave me a copy.
"From War to Wilderness" is a book that should be mandatory reading for every British Columbian, particularly every young British Columbian. It tells a fascinating and inspiring story in letters written home by Jack Shelford of war, adventure and an indomitable will to succeed, no matter what the obstacles.
The trail of letters describes the horrors of the Boer War, where young Jack serves with the British Cavalry. It was the war that changed Jack forever. Emotionally drained, he decides to get as far away from people and socalled civilization as possible.
Leaving England in 1903, Jack makes his way across the United States, stopping and working only long enough to pay for the next leg of his journey. Eventually, he arrives in Vancouver, where he stays in a boarding house at 109 Hastings Street, then a mud road with a sawmill at one end and forestry operations at the other.
He tells of lots being sold on Granville, near False Creek, for $18, less than three days' wages for a carpenter, but decides against buying because he feels that Vancouver will never grow beyond a fishing village.
Jack's letter from Alaska provides an insight into what life on the frontier was like. During winter, he looks after his trap lines, with a dog sled his only transportation and the dogs his only company. In the summer, he cuts wood which he sells to the steamers plying the rivers of the north.
Humorous anecdotes abound, as in the story about a Hudson Bay fur buyer who was trying to get the better of some Indian trappers. With great pomp, they declare him an honorary Indian, giving him the name of Walking Eagle. What did the name imply, he wants to know.
Well, when an eagle eats too much he's so full of excrement that he can't fly. And you, they say, richly deserve that honor.
He tells of an old prospector friend who had lost all his teeth and spends the long winter nights whittling himself a pair of dentures from a piece of hardwood. When they finally fit, he glues bear and wolverine teeth into holes he had drilled into the dentures. "Now I eat you with your own teeth," he says, eating his first bear steak with his new teeth.
When his brother expresses an interest in joining him, but wonders if he's suited for pioneer life, Jack writes back: "Take no notice of what people say about how tough it's going to be. Just go ahead and blaze your own trail."
Eventually, Jack decides it's time to settle down and raise a family. He buys land near Bella Coola, builds a log cabin and starts farming and ranching. Then he asks his sweetheart in England to come over and marry him. He picks up Safie in Montreal where they get married.
When Safie first lays eyes on the 80-acre meadow that stretches below the house, and sees the snow-capped mountains beyond, she says: "This is the most beautiful sight I've ever seen, and when facing difficulties in life ahead, I can always walk up to his spot and remind myself how fortunate we are to live in the most beautiful place in earth."
Cyril's mom and dad are both buried on that most beautiful place on earth. And thanks to his dad's letters, we can now share in the wonder and excitement of its discovery. From War to Wilderness should be in every school library in British Columbia. The book can be ordered through book stores. The price is $19.95 and well worth it.
(c) Pat Lee 2018 | Hosting with the COOLCOM group


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Kings of Leon Show Cut Short After Overheated Frontman Bails
by Brandi Fowler | Sat., Jul. 30, 2011 12:35 PM
Dove Shore/Getty Images
UPDATE: The show must go on! Concert-goers disappointed after Friday's truncated Kings of Leon performance will get another chance to see the band on September 22nd, when they will return to Dallas for a rescheduled show. That is, if some inner-band beef doesn't spark more problems before then.
Jared Followill, guitarist for the brotherly band, took to Twitter, saying, "I love our fans so much. I know you guys aren't stupid. I can't lie. There are problems in our band bigger than not drinking enough Gatorade."
The Kings Of Leon couldn't take the heat at a Dallas concert. Literally.
Lead singer (and newlywed) Caleb Followill shocked fans—and his bandmates, for that matter—when he abruptly left the stage during their performance Friday night at the Gexa Energy Pavilion.
So what went down?
MORE: Kings of Leon's Caleb Followill Lands Himself an Angel of a Wife
With temperatures reaching the 90s in town last night, the frontman complained of feeling majorly overheated in the venue and the show was stopped midway, the band's rep confirms to E! News.
"My voice is completely 100-percent wrong, I'm sorry," the 29-year-old singer said to the crowd. "I'm about to fall down here because I'm so goddamn hot…I'm gonna go backstage for a second. I'm gonna vomit, I'm gonna drink a beer and I'm gonna come back out here and I'm gonna play three more songs."
Caleb then left the stage but never came back.
The rest of the band was none too amused by his exit.
"We are so unbelievably sorry—there's no words right now," guitarist Jared Followill told fans. "Caleb's just maybe a little unfit to play the rest of the show. I know you guys f--king hate us...It's really not our fault. We will be back as soon as possible...F--king hate Caleb, not us."
After the show, Jared again apologized on Twitter, "So sorry Dallas, your heat got the best of a few of us. I'm so sorry for the inconvenience of all this bullsh-t. We'll be back soon."
The Kings' rep also confirmed that the show will be postponed to a later date.
Their next gig, however, is set to take place tonight in Houston.
(Originally published, July 30, 2011, at 11:05 a.m. PT)
PHOTOS: Speaking of heat, check out rock's steamiest romances!
TAGS/ Kings Of Leon , Music , Concerts


It's the season where we all get stuffed, and why should a pork tenderloin be any different? Creamy goat cheese and tartly sweet dried cherries are combined with spinach to fill the butterflied tenderloin. Decadent duchess potatoes and carrots flavored with honey and thyme round out this dish, which will find you stuffing yourself with the stuffed.
Peel, trim, and cut carrots into ½" diagonal slices. Coarsely chop spinach. Peel and cut potatoes into 1" dice. Bring a medium pot with potatoes covered with lightly salted water to boil over high heat. Reduce heat to medium and simmer until fork tender, 15-18 minutes. Drain in a colander and return to pot. Add half the milk, half the butter (reserve remaining for carrots), and liquid egg. Mash with a potato masher or fork until smooth. Add remaining milk 1 Tbsp. at a time to achieve desired consistency. Season with ½ tsp. salt and ¼ tsp. pepper. While potatoes cook, make filling.
Heat 1 tsp. olive oil in a medium non-stick pan over medium-high heat. Add spinach and ¼ tsp. salt. Cook, stirring often, until spinach is just wilted, 2-3 minutes Remove to a small mixing bowl and cool 5 minutes. After it has cooled slightly, mix in dried cherries and goat cheese crumbles. Cut twine into five equal lengths.
Rinse tenderloins and pat dry. Lay tenderloins on a cutting board. Hold knife blade parallel to the board and carefully make a lengthwise cut through the center, using your free hand to steady meat. Stop ¼" short of opposite edge of tenderloin so pork remains in one piece. Open meat as you would a book. Cover with plastic wrap and pound out to a uniform ½" thickness with a meat mallet or small pan. Place filling down center and roll up tenderloins. Tie tenderloins closed with twine. Season pork on all sides with ½ tsp. salt and ¼ tsp. pepper.
Transfer potatoes to a small casserole dish. Use a fork to pull potatoes into small peaks, forming ridges with tines of fork. Brush lightly with olive oil and bake until golden brown, 20-25 minutes. While potatoes cook, heat 2 tsp. olive oil in pan used for filling. Add tenderloins to hot pan and cook until browned on all sides, 5-6 minutes. Transfer to prepared baking sheet and bake until pork reaches a minimum internal temperature of 145 degrees, 10-12 minutes. Wipe pan clean and reserve.
Return pan used to sear tenderloin to medium heat. Add remaining butter, honey, thyme sprigs, carrots, and 2 Tbsp. water. Bring a simmer and cover pan. Cook, stirring occasionally, until carrots are tender, 8-10 minutes. Discard thyme sprigs. Season with a pinch of salt and pepper.
Slice pork into ½ thick slices and serve alongside duchess potatoes and carrots.


J. Jane Consulting | anne petera.
virginia. (but her heart is in kill devil hills, north carolina) | wife. mother. sister. internal consultant. mentor.
The only thing an only child may miss out on in the world is the joy of siblings. How nice would it be to have your own bed growing up or your very own clothes or just a spell of privacy in the bathroom? I wouldn't know such things, but I do have joy in my relationships with siblings. No matter how many opinions or differences siblings may have, in most cases, they will be the longest running relationships in life. You experience the world together—often times learning simultaneously, sometimes years apart—and there is an authentic beauty in that connectivity.
Anne Petera's genuine desire to help others bares the true mark of a middle child. Her 93-year old mother describes her as simply brilliant and always been willing to lend a helping hand. "Anne is just plain good, always has been," the prideful mother of nine told me the other day. Anne's colleague's describe her as a hard working, dedicated public servant with a heart of gold. Anne knows what it takes to climb the proverbial ladder and understands the significance of mentoring. I am honored to share her thoughtful words with you today. Enjoy today's highlight!
I define career as "my life's work," and believe it encompasses what I have done to earn a living, my marriage, parenthood, family, passions, and hobbies. Also of note, I finished two-thirds of my undergraduate degree by taking evening classes after work for six years. So, I have been a gainfully employed wife and mother for all of my adult life. My work career began in commercial banking, moved to real estate sales and development, and included being a real estate educator. My passion for good representative government led me into voluntary political activism, working to elect good candidates to the local board in the growing suburb where we raised our son. Some success at the local level led me to volunteer for statewide campaigns, and the first big success there led to an opportunity to move into state government. That opportunity came at such a good time for me. I was a bit bored with my work in real estate development and my son was in college by then – that it was an easy choice. I spent the next 10 years in state service to three elected officials, and then a dramatic change of the "party in power" in the state capital caused me to reassess the landscape and determine where my next good opportunity might be. Then I made a truly life changing decision to move to the D.C. area and pursue service in the administration of President George W. Bush, who saw fit to place me in the three-year old Department of Homeland Security, where I served until the end of Bush's second term. For the last six years I have been an internal consultant for two major government contractors. My hobbies include travel, reading, golf, and knitting.
Can you share a little about your family?
I was blessed with four sisters, four brothers, 19 nieces & nephews, a husband who is the love of my life and my best friend, and one perfect son of whom we are immensely proud and his wonderful wife, Andrea, the daughter I never had! And then there is my great bonus in life, my beautiful granddaughter, Abby! My mother is still with us at 93.
If someone wanted to follow in your footsteps, what are a few necessary steps they need to take?
Know enough about what you want to pursue to be sure you have the necessary credentials. And then go get them. I knew that my ambitions lay primarily in business and government, and even considered law school at one time, but not seriously. Getting back into school and finishing my B.S. though was a very conscious decision because I knew I could not successfully compete without it. And I was right. The Governor who asked me to take over a $400 million enterprise agency would not have considered me if I had not obtained that degree.
Also—and this is for everybody,—get involved in this American democracy. Know your philosophy of government, what you think it should and should not be. Do some research on candidates and by all means VOTE EVERY SINGLE TIME the opportunity arises. It really does matter, and it is sad how disengaged most people are.
You have been in the American workforce for over 30 years. Can you shed some light on the history of female mentorship in the professional workplace? In other words, who helped you when you were just starting out?
My husband and my sister Trudi were amazing, both of them encouraged me, listened when things were not going well, and gave great advice. This was quite fortunate because mentorship in the early 70s was an intangible and dominated by the "old boys network." The women who outranked me consistently said, "I figured it all out by myself and you will too." In other words, no help at all. I promised myself that I would not be that woman, and I have not been. I try to teach, challenge, coach, and guide everyone with whom I work (men and women), and find it to be richly rewarding.
Are we ever to old to have a mentor?
In this great experiment called life, we all need mentors at every stage of it. We CAN learn from others mistakes and successes. All we should have to do is ask.
Difficult conversations are well … difficult. Can you give us your thoughts on having these difficult conversations in a professional setting? And why is it important to face these conversations head on?
Because the truth will set you free. You don't help employees by telling them they are doing a great job when they aren't. You don't help yourself by allowing others in positions of authority to mistreat you or behave unprofessionally. Finding your own "voice" in difficult times is a tough challenge, but well worth the effort required. The two most important things to know are 1.) listen to and take to heart any criticism that comes from a superior or co-worker and work on improving that weakness, and 2.) be professional and both expect and demand professionalism in others. Several times in the course of my career, I had superiors speak unprofessionally to me and even raise their voices in criticism of my work, often in earshot of others. The last time this happened to me was over 10 years ago, and I literally held up my hand to the individual, said, "Stop this right now." (And then he took a breath in shock!) I continued, "When you can speak to me in a normal tone of voice about this I will be in my office," then turned and walked out. Funny, no one has ever yelled at me in an office setting since.
What makes a successful mentorship relationship?
Mutual respect and understanding, a commitment to one another, and willingness to trust that someone else has a more objective viewpoint than you do.
Oh yes – my husband and I became grass roots activists in our twenties, working to get candidates elected at the local level. Our commitment to a conservative philosophy in government ultimately led to positions in state government for both of us and in the federal government for me. That passion has led to a lifestyle that includes homes in two different states, lots of time on the road, and a lot of chicken dinners!
I would instill in the youth of the world a great thirst for freedom and love of democracy, and then watch the world become a better place.
Yes – but it is not 50/50, nothing in life ever is that balanced. I do recommend finding employers and managers who recognize when your life takes priority over your work, though. It also helps to learn to say "no," so that you don't get over committed. You really don't have to always be the person who takes on that extra project at work and then the next day agrees to chair the PTA fundraiser!
SLOW DOWN!!! Make sure to fully experience and enjoy everything, because it really does all go by so fast!
Write a novel. I love a good story and wish that I could also tell one.
My marriage of 45 years–it is hard work, but oh so precious.
Learn to look at things from the OTHER point of view, not just your own—and to respect that other viewpoint. Recognize that everyone's education and life experiences are unique and different from yours and that is why we have such differing points of view. I believe that respect for others and true self-respect is the definition of a graceful life. I must add that for me, a deep and abiding faith in God keeps me focused, calm and always hopeful.
Like all other highlights posted, feel free to share your thoughts in the comment box below. A very special thank you to Mrs. Petera. I truly appreciate your time.
I cannot begin to express how blessed I am to not only call Anne Petera my aunt ( I am Trudi's daughter) but also my Fairy Godmother!
Anne has always been a shining example of what a woman can accomplish in a male dominated world if you work hard and have faith.
You are a lucky girl. Aunt Anne would make an excellent fairy Godmother! Thanks for stopping by and be sure to share this post with your entire family.


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Q: Azure Data Factory v2 - SSIS lift and shift I'm in the process of evaluating the possibilites of lifting and shifting my ssis packages to ADFv2 but without testing I'm finding it hard to see if all SSIS functionalities are supported.
For example my package unzips files, modifies contents of files (script task) saving new version in different directory, loads modified files to DB and update data etc
What I'm not sure about is unzipping the files (I dont want to transfer unzipped files from on prem) and also modifying files with script task. I believe these would have to be moved outside of SSIS and created as an activity of ADF? And leave only the load of files, updating data etc as my SSIS package? Probably with the files stored in Blob storage?
Or can all this still be done directly in SSIS?
Thanks

A: What you currently do using SSIS on premises, you could also do using SSIS in ADF.  For example, you could install additional (un)zip programs using custom setup and utilize the %TEMP% folder/current working directory (".") of your SSIS IR to modify files, see
https://learn.microsoft.com/en-us/azure/data-factory/how-to-configure-azure-ssis-ir-custom-setup
https://learn.microsoft.com/en-us/sql/integration-services/lift-shift/ssis-azure-files-file-shares?view=sql-server-2017


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Bountiful (2005): Bountiful was such a great CD to work on because the band felt like a family, and we rehearsed each song until we were totally inside the stories. Tom Finch played electric guitar and Rob Fordyce played bass. They would also play on "No Turning Back" eight years later. Amazingly enough, the drummer, Chris Krotky, was also the recording engineer. It was quite a sight seeing him with his Mac computer placed right next to his drum set while we were all gathered around our instruments. He would look at us, smile, hit the return bar, and count off. . . .
Big Sun
City Of You
Annabel's Song
Wonderful Day To Run


This winter, Rosewood Castiglion del Bosco, the bucolic Tuscan resort founded by Massimo and Chiara Ferragamo, will give guests the opportunity to stay at the estate for the first time ever during the colder months with the Winter Villa Escape. Available from November 27 to April 12, the Winter Villa Escape offers guests a tranquil retreat in one of the property's ten luxury villas, providing a new, intimate way to experience the beauty of Tuscany during the off season.
Located in the scenic UNESCO World Heritage Site of Val d'Orcia, the resort's luxury villas are restored 17th and 18th century farmhouses, offering artisanal furnishings and modern comforts, including full-service kitchens, Tuscan-style fireplaces and accommodations that can sleep up to twelve guests. Ideal for romantic getaways and large family gatherings alike, the Winter Villa Escape includes a curated collection of immersive programming and ultra-luxurious services.
The Ritz-Carlton Hotel Company will open its first all-villa property in one of China's earliest UNESCO world heritage sites, Jiuzhaigou Valley. The Valley of the Nine Village Forts is a stunning location filled with waterfalls, blue lakes and verdant forests. The beauty of the nature reserve and national park you will be able to admire from your window of the new Ritz-Carlton property which will be open in 2017.
The Ritz-Carlton, Jiuzhaigou, will feature 87 stunning villas at the incredible 2,300 metres above sea level height. With three restaurants and mountain spa, the newest member of the astonishing hotel will be mesmerizing.
Zaha Hadid Architects' design for the newly inaugurated Port House, Antwerp is a blend of historical reverence and an evocative vision of the future. Belgium's Antwerp is Europe's second largest shipping port, handling 26 percent of the continent's container shipping but it lacked a central headquarters for its staff. The Flemish government's department of architecture and the City and Port authorities thus organized a design competition for the new head office. The only requisite was that it preserve the fire station that was originally there.
The basis of Zaha Hadid Architects' winning design was historical research, and follows a joint effort with a heritage consultant in the restoration and renovation of historic monuments. The elevated extension crowns the fire station building below in a clever juxtaposition of new volume and old Hanseatic design. The old fire station's central courtyard is enclosed with a glass roof, in which visitors can access a public reading room and library. The new extension provides panoramic views of the city and port. Its exterior has a glazed surface that reflects the changing tones of the sky. Triangular facets, a mix of transparent and opaque, ensure sufficient sunlight, and make reference to Antwerp's reputation as the city of diamonds.
This structure is among over 30 projects that were under development at the time of studio founder Zaha Hadid's death earlier this year.
Conceptual gastronomic performance, "Game of Chefs" or "meeting of leaders of cuisine", scheduled for Friday, 15th October at the Regent Porto Montenegro will bring together seven renowned executive chefs from the Balkan region. Oltion Veshi from Albania, Nihad Mameledžija from Bosnia and Herzegovina, Ante Udovičić from Croatia, Jure Tomić from Slovenia and Filip Ćirić from Serbia are ideal representatives of their countrey's gastronomic identity. Already celebrated Chef of the Regent, Željko Knezović will represent Montenegro. In charge for a sweet finale is Petra Jelenić, a special guest - the owner of the famous Zagreb patisserie "Mak na konac" which has entirely revolutionized pastry.
The aim of the event is profiling Balkans as the new gastronomic destination. Each chef will create a course that will reflect their country of origin. The seven-course gastronomic symphony will be round off by carefully selected wines of the same region. The inspiration for this culinary show Regent team found in the diversity of the national cuisines of the area and similarities such as the abundance of high-quality natural products. Each abovementioned chef has transformed national cuisine with their unique cooking style and by applying current global culinary trends.
Shangri-La's Le Touessrok Resort & Spa has unveiled its three redesigned Beach Villas – Hibiscus, Flamboyant and Bougainvillier – following the hotel's much anticipated reopening last year. These legendary properties have previously played host to celebrities and royalty, and are considered the most exclusive beach addresses in Mauritius.
Incomparable privacy and personalised service are key to the distinction of the Beach Villas, blending refined luxury and outstanding access to the crystalline waters of the Indian Ocean with the heartfelt hospitality of a private residence.
For London's first Design Biennale, Somerset House welcomed 37 pavilions from 37 nations, all of which were asked to create work under the theme of 'Utopia by Design'.
Visitors interact with brand new work by world-leading architects, designers, scientists, writers and artists in a broad,vibrant exhibition that includes large-scale kinetic sculpture,immersive digital installations, culinary pop-ups, performances and VR renderings of the future. The biennale where the world meets will end on September 27th.
Finally opened, the Nobu Hotel features world-renowned Japanese restaurant Nobu Miami, Helene Henderson's Malibu Farm, along with rooms and suites set within the Eden Roc Miami Beach's landmark Morris Lapidus tower. The new Nobu hotel complements rather than replaces the existing Nobu Miami Beach restaurant that has been drawing in food obsessives for nearly two decades. The hotel presents 206 guest rooms including 36 junior suites and three penthouse suites, plus four pools, a spa and 24-hour in-room dining.