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- Case report
- Open Access
Grisel’s syndrome: a case report on this rare pediatric disease and its anesthetic challenges
BMC Anesthesiology volume 20, Article number: 255 (2020)
Grisel’s syndrome is a non-traumatic atlantoaxial subluxation associated with inflammatory conditions of the head and neck, which occurs primarily in children. Increased flexibility of the ligaments during inflammation is implicated in the pathogenesis of the subluxation between the axis and atlas. The potential sequelae may be severe, and early diagnosis and treatment of Grisel’s syndrome can prevent tragic outcomes.
We present a case of torticollis in an 8-year-old child. She had a two-week history of a streptococcal throat infection. The patient was treated with several different methods of conservative care, including muscle relaxation, cervical halter traction, and Halo application. However, the torticollis persisted. The patient then required surgical correction involving cervical spine fusion. She had no complications and experienced no reoccurrence of the torticollis to date.
Grisel’s syndrome is a pathology for which conservative management is successful in most cases. Cases requiring surgical intervention are rarely documented in the literature. Our case is significant, as in spite of aggressive conservative management, the patient required surgical correction. Patients requiring surgical management of Grisel’s syndrome may require additional anesthetic exposure for diagnostic interventions like magnetic resonance imaging or neck manipulations for closed reduction. We discuss the features of Grisel’s syndrome and specific anesthetic management considerations for procedures such as magnetic resonance imaging, application of cervical traction, and surgical correction of torticollis.
Nontraumatic atlantoaxial subluxation (AAS) is a rare complication of upper respiratory tract infections and otolaryngologic surgeries first described by Sir Charles Bell in 1830 in a patient with syphilis, pharyngitis, and lethal spinal compression. A century later, a French physician, Grisel, described two cases of pharyngitis and nontraumatic AAS and named it Grisel’s syndrome . Grisel’s syndrome refers only to non-traumatic AAS, and most commonly occurs after an upper respiratory infection, though some unusual causes include mumps, tuberculosis, and Kawasaki disease . It may also be seen after certain otolaryngologic operations such as adenoidectomies, tonsillectomies, and ear surgeries.
Grisel’s syndrome is most often seen in children but may also be seen in adults. Originally, Grisel theorized that the subluxation occurs secondary to muscular spasm. The most recent explanation is the two-hit hypothesis, which posits that hyperemia following infection or trauma leads to decalcification of the anterior arch of C1 and laxity of the transverse ligament . Fielding has characterized four different types of rotatory AAS (see Table 1) .
Types I and II are most often seen without any neurological deficits and are typically resolved conservatively, with oral non-steroidal anti-inflammatory drugs (NSAIDs), antibiotics, physical therapy, and the collar. Types III and IV are more severe and are associated with neurological deficits and serious complications and are managed with surgical fusion. The most definitive imaging modalities for AAS are computed tomography (CT) and magnetic resonance imaging (MRI) studies.
In our study, we review the literature published so far, which indicates the most common etiologies, diagnostic modalities, and management of these patients. There is, however, a paucity of literature regarding the anesthetic management of this pathology. We present the case of our patient with Grisel’s syndrome who failed conservative management and had to undergo surgical fixation with a discussion on the anesthetic management and challenges we faced in this case.
Informed consent was obtained from the patient’s parents for this clinical case report.
We report a case of an 8-year-old female with a 2-week history of recent streptococcal throat infection who presented to the emergency room with torticollis. She was treated conservatively with antibiotics, muscle relaxation, and physiotherapy. Neither an otolaryngology consult nor radiological tests were ordered. A month later, her torticollis persisted, for which she received a CT scan. It showed a C1-C2 AAS, which was consistent with a diagnosis of Grisel’s syndrome. At this point, conservative management was continued with cervical halter traction of 5 lbs., which was subsequently increased to 8 lbs. during her month-long stay in the pediatric intensive care unit (PICU). Post manual reduction, she had full range of motion of her neck, and CT showed complete resolution of subluxation. However, she returned with persistent torticollis 3 months later. An MRI at this time showed C1-C2 rotatory subluxation with associated narrowing of the cervico-medullary junction. She underwent Halo application under anesthesia, which was uneventful. After a week, however, the patient showed no improvement. The next step was C1-C2 cervical fusion under general anesthesia in the operating room.
The patient was brought to the operating room and standard monitors were placed. Total intravenous anesthesia was requested by the surgeon as motor and somatosensory evoked potentials would be monitored during surgery. The patient was induced with 200 ml of propofol, 100 mcg of fentanyl, and 2 mg of versed through a preexisting intravenous (IV) line. No muscle relaxants or inhalational agents were used during induction or maintenance of anesthesia. The patient was intubated endotracheally using the video laryngoscope while maintaining inline stabilization of the neck and spinal cord. Patient had been intubated with use of conventional direct laryngoscopy during her previous anesthetic. And so fiberoptic bronchoscope was not required. A second large bore IV and arterial line were placed after intubation. Total intravenous anesthesia (TIVA) was used for maintenance with an infusion of 0.1–0.2 mcg/k/min remifentanil and 100–120 mcg/kg/min propofol as tolerated intraoperatively. Somatosensory evoked potentials and motor evoked potentials remained unchanged throughout the surgery. Duration of surgery was about 10 h. The estimated blood loss was one liter. The patient received 2 l of crystalloids, 250 cc of albumin, one unit of packed red blood cells, one unit of fresh frozen plasma, and 500 cc of cell saver. The patient had a foley placed prior to the surgery which showed a urine output of 800 ml. Given that the length of surgery was 10 h, the major fluid shift, and the need for immobilization, the patient was left intubated after surgery. The propofol infusion was continued postoperatively for sedation and she was transferred to the care of the PICU. She was extubated the next day. A follow-up CT scan showed a complete resolution of subluxation. Based upon follow up imaging (see Fig. 1), there were no adverse or unexpected outcomes.
A PubMed search was performed using the phrases “Grisel’s syndrome,” “spontaneous AAS,” and “ENT surgery complications.” We made an extraction form focusing on the etiology, diagnostic modalities, treatment received (conservative or surgical), and follow-up outcomes. Single case reports and case series of both pediatric and adult cases were included. We identified 115 papers, of which 15 papers were excluded as they were not in English. We were able to analyze 100 papers evaluated by three independent reviewers. After an analysis of those 100 papers, we found 80 papers that met the inclusion criteria of nontraumatic AAS, Grisel’s syndrome, and torticollis. Of those 80 papers included in the study, 62 were case reports (62 cases), 14 were case series (37 cases), and 4 were retrospective reviews (1 case report, 3 case series (20 cases)), making a total of 119 cases for our purposes. Out of these 119 cases, 55% described infection as the causative factor, and 45% had a post-surgical cause as the etiology. Adenoidectomy (30%), oto-surgery (15%), adenotonsillectomy (13%), and tympanoplasty (7%) were the most common surgical procedures established as the primary cause of AAS in the category of post-surgical AAS.
Diagnosis of the disease process was by CT scan (55%) followed by X-ray only (19%), X-ray diagnosis with CT confirmation (18%), and direct MRI confirmation (8%). In our analysis, treatment for cases of infectious origin were successful mainly through conservative methods such as antibiotics, NSAIDs, cervical collars, or Halo application. Surgical fusion was employed in 17% of cases due to failed conservative treatment. In post-surgical patients, conservative treatment was successful in 93% of cases. The remainder had to undergo surgical fusion. The most likely reason for an increased failure of conservative management and the necessity of surgical fusion in the cohort of patients with an infectious etiology is the duration of symptoms and delayed diagnosis.
Grisel’s syndrome is a diagnosis of exclusion. Differential diagnoses such as traumatic head posture and developmental torticollis that must be ruled out first. Congenital conditions that involve ligamentous laxities, such as Marfan syndrome and Down syndrome, are more susceptible to AAS . Rare causes of AAS include tuberculosis  and Kawasaki disease . Case reports have linked Grisel’s to the use of monopolar suction electrocautery in adenoidectomy for bleeding control . Karkos et al. reported 96 cases, of which 48% were due to infections . Bocciolini et al. described 100 cases, of which 77 cases were caused by infection . CT with 3D reconstruction proved to be an excellent method of documenting the presence and degree of AAS .
Neurological complications are infrequent but can be devastating and are seen in 15% of cases. They can range from radiculopathy to quadriplegia and death from respiratory failure due to medullary compression. Diagnosis of AAS should be based on a high degree of clinical suspicion as early detection and treatment are critical factors in preventing severe neurological complications. Post-surgical neck pain and torticollis are early signs of AAS and should not merely be attributed to the usual post-surgical pain and malaise.
Administration of anesthesia, especially airway management, in these patients presents a significant challenge. This is due to the abnormal laxity/inflammatory distention of cervical ligaments. These patients are at high risk of neurological injury during laryngoscopy, and tracheal intubation as a head extension or any sudden movements of the cervical spine may cause subluxation of the atlas over the axis, resulting in spinal cord compression. Therefore, one needs to maintain inline cervical stabilization, preferably using a video laryngoscope, and be prepared with a difficult airway cart including need for fiberoptic bronchoscope . Gupta et al. also suggests using fentanyl for analgesia to prevent the general anesthetic complications of respiratory depression and myocardial depression . Postoperatively patients with AAS must be carefully monitored for signs of neurological complications. Keeping the patient immobilized postoperatively and under close watch in the intensive care unit is one strategy to prevent these issues from arising. When patients require continued ventilation after surgery, consideration should be given to allow them to awaken after the procedure, to test for signs of myelopathy.
Positioning for otolaryngologic procedures such as tonsillectomies, direct laryngoscopies, or ear procedures also deserves deliberation. As positioning is an important part of anesthetic management, being aware of the optimal position for a patient with AAS is critical. This will help alleviate the chances of postoperative neurological complications commonly associated with AAS. For myringotomies, it is recommended to strap the patient to the operating room table securely, place supports alongside the head, and roll the table side to side, rather than turning the head. For airway procedures that usually involve head extension, it is crucial to communicate with the surgeon preoperatively about minimizing head and neck movement. It may be possible for the surgeon to perform the laryngoscopy or tonsillectomy without using suspension.
For urgent surgeries, the patient should be treated with cervical spine precautions. An unstable cervical spine will require neurological and electrophysiological monitoring. TIVA and delivery of anesthesia to patients with cervical traction and halo outside the operating room in MRI and CT suites can also be considered.
Grisel’s syndrome remains a rare disease with little in the literature regarding its implications in anesthesia. If we review the literature, we may be able to find principles of anesthetic management for similar types of spine surgery. However, anesthetic management of Grisel’s syndrome has its unique implications. Challenges include, but are not limited to, the usage of TIVA, airway management, positioning, and anesthesia outside of the operating room. The practicing anesthesiologist would be well served by being aware of this disease and its management to ensure the safety and health of their patients.
Availability of data and materials
The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.
Non-steroidal Inflammatory Drugs
Magnetic Resonance Imaging
Pediatric Intensive Care Unit
Total Intravenous Anesthesia
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Cite this article
Reddy, K.N., Baig, S.M., Batra, M. et al. Grisel’s syndrome: a case report on this rare pediatric disease and its anesthetic challenges. BMC Anesthesiol 20, 255 (2020). https://doi.org/10.1186/s12871-020-01176-7
- Grisel’s syndrome
- Atlantoaxial subluxation (AAS)
- Pediatric anesthesia
- Airway management
- Cervical spine

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A couple of weeks ago I was very daring and I bought a single crochet hook and a ball of yarn. Hours of online research later (mainly Pinterest!), I have taught myself to crochet and have made items that I am already super pleased with! The first was the hat that appeared in my #sundaysevens blog post.
The next thing I had my eye on was some crochet bunting. The tutorial/pattern was very basic and I was a little dubious that it wouldn’t be very good. However, it was easy to follow and produced some lovely little triangles that could be turned into bunting.
Our apartment is rented and furnished through the housing company that is linked with the company that Adam works for. It is lovely, modern and simple; just the right size for us but the colour schemes are not ‘us’. We like little pops of colour! Yes, there are different colours around the apartment but they are mainly on the cream and brown spectrum. This makes me a little sad. So a few little projects popped into my head and here I am giving our apartment a little makeover!
Starting with the bathroom!
I made the 8 bunting triangles; 2 of each design; some plain and some striped.
I measured the mirror and spaced the bunting out across the tape measure. I then used the scraps of yarn to join the triangles together at the corners.
Each end of the bunting looped around the corners of the mirror. I raised the centre and secured it with some wash tape. I also wash taped the edge of the mirror to provide a tiny little frame 🙂
Our bathroom doesn’t have any windows (which also makes me sad) and we have a bulb out…so the photos aren’t that great! In person, it does look effective and is a start to our pops of colour. Next time, and I’m sure there will be a next time, I would make the triangles slightly bigger. If I run out of projects, I will make some bigger ones to replace these but for now, they make me smile 🙂
8 thoughts on “Bathroom Makeover Part 1”
Well done on teaching yourself to crochet! Its such a lovely thing to be able to do. Your bunting really makes a colourful pop 🙂
Thanks! I will be adding a few more bits soon too! 🙂 Colour is the way forward!
How lovely! A neutral background is the perfect foil for a bit of crocheted colour. Soon you will be bursting with happiness every time you walk through the door:)
Yes, I am now picturing crochet bunting in every room now though! 😀
Cute! Cream, brown and a lack of bathroom windows makes me sad too lol!
Two sinks.. So jealous! Our bathroom also has no window.. 😦
Lovely bunting.. Well done x
Aww! Well I think having two sinks and crochet bunting definitely makes up for the previous lack of colour and no window! I would never have thought to put bunting in the bathroom! But it’s so sweet! 🙂
Very cute. Congrats on starting the crochet journey–now you’re hooked!!

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Here’s a continuation from the previous post on the portrait session at Lake Park. This entry will feature only Elaine, whom I think has very nice facial feature. She’s very nice to work with, and I enjoyed working with her the last time out.
The shots here are pretty straightforward and simple, as I wanted to keep things simple and easygoing, since we didn’t have the luxury of time. All the concepts came flowing in on the spot that day.
Well, you’ve seen the photos on top before in the previous entry, and I’ll leave you with the rest in my collection taken at the Lake Park the last time out. Do wait patiently as it takes a little bit longer to load all the photos from the shoot here, as I have 21 photos from the day.

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Sri Lanka’s China-backed Port City has expanded gross domestic product and helped in boost growth in 2017 growth to 6.5 percent from 4.5 percent as the statistics office updated the base year from 2010 to 2015 and included the reclaimed area.
“The value Added of land reclamation has been added to the GDP separately throughout the period of 2014-2018 in the GDP under the Construction activity,” the statistics office said.
“The value added of the total land reclamation has been added to the GDP according to the work done of the land reclamation in each year. This methodology is internationally recommended one and has been used by countries with this experience.
The bulk of the 269 hectare area has been reclaimed in 2017, the statistics,” office said.
The 2017 GD_ – a year the country suffered an output shock after the currency collapsed to 152 to the US dollar from 131 a year earlier – was increased to 6.5 percent from 4.5 percent.
The Port City drove up GDP with higher level of construction activity.
“In the year 2017 work done of reclaimed land is much higher than in other years,” the statistics office said.
“As a result, this variation is much higher in the year of 2017, when it compared to the other years. Hence, the published growth rate in the year 2017 has been changed significantly under the new base year estimates,” it also said.


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The novel test was shown to be effective in the early detection of symptom-free patients with coronary artery disease.
A novel screening test that uses artificial intelligence showed high accuracy in non-invasive coronary artery disease (CAD) detection, according to a new study published in The Journal of Electrocardiology.
Authors state in background to the study that conventional noninvasive diagnostic modalities for at-rest detection of stable CAD are limited by “low sensitivity, and personal expertise.”
The current study compared results of conventional angiographic screening for detection of coronary ischemia (gold standard) with results of a new approach that combines supervised artificial intelligence with 5-lead vectorcardiography, called cardisiography (CSG).
Of the 595 participants in the current multicenter analysis who had been admitted for a coronary angiogram, 62% (n=369) were identified as “affected,” ie, had 1, 2, or 3-vessel disease.
The primary evaluated outcome was accuracy of the CSG Diagnosis System, validated by a 5-fold nested cross-validation vs angiographic findings.
CSG identified CAD at rest with:
"We see great potential in Cardisiography for early detection of symptom-free people with coronary artery disease. Broad-scale early detection has not been possible until now," said co-author Sotirios Spiliopoulos, MD, PhD, Department of Geriatrics, St. Vinzenz-Hospital, in a press release.
Although CAD is the most common type of heart disease-affecting >18 million adults aged ≥20 years-patients often do not have symptoms until the onset of a severe event, making early detection of low blood flow crucial to effective diagnosis, management, and treatment.
Elements of Cardisiography
1. The Cardisiograph: A device that records 3-dimensional electric currents via 5 electrodes applied to the upper body.
2. The Cardisio Cloud: A proprietary artificial intelligence software application that uses multiple algorithms and machine learning to evaluate a patient’s measurements.
The Cardisio Graph collects data from the resting heart for approximately 4 minutes and the results, along with a supplementary electrocardiogram report, are available in just 1 minute.
"Cardisio embodies a new generation of medical diagnostic systems that are mobile and Internet-based, leveraging new Artificial Intelligence capabilities," said Meik Baumeister, co-founder and CEO of Cardisio, GmbH, creator of Cardisio, in the same press release. "The combination of classic cardiology coupled with intelligent high-performance algorithms offers us unprecedented opportunities to change how CAD is managed globally."
Cardisio is currently evaluating partners and studies to support regulatory clearance and deployment in the US and other countries.


While it's possible to say Cincinnati has been waiting for Major League Soccer forever, that wouldn't be entirely true.
Don't take that as an indictment of the city or its many soccer fans. Rather, FC Cincinnati's rapid ascent from an idea to an American soccer phenomenon only adds to the movement's lore.
That's not to say that some in the city haven't wished for MLS to come to town for decades. There definitely were some – *raises hand.* But after routinely seeing FCC crowds of 25,000-plus, it's easy to forget that Cincinnati was a backwater in professional soccer just five years ago.
Previous efforts to make the pro game stick in the Queen City seemed forever cursed. No less than eight teams had come and gone prior to FC Cincinnati's 2015 unveiling. It seemed the city's soccer fans would forever be relegated to supporting foreign and domestic clubs from afar or turning out in small packs for semi-professional matches.
Today though, things couldn't be more different.
Long considered a baseball town, FC Cincinnati flags are just as likely to be draped from a downtown balcony as the Cincinnati Reds variety. It doesn't require a walk through all seven of Cincinnati's hills to see that FCC gear is now just as pervasive as that of the NFL's Bengals, Xavier University or the University of Cincinnati, too. Players and coaches regularly feature on local television and radio. FC Cincinnati stepped onto the local sports scene like it had been here forever.
So why the quick buy-in? Timing is sometimes everything.
Long laden with underperforming professional sports teams, Cincinnati sports fans needed something new to get behind – a new hope on which to rest the city's sporting dreams. Fresh-faced and shiny new FC Cincinnati was launched directly into that void. And completely detached from the Queen City's established sports traditions, that gave the fledgling team's supporters opportunity to create their own.
"I'd like to think we've played a pretty significant part in helping this club on their way to MLS," offers Chris White, president of FC Cincinnati supporters group The Pride. "Honestly, it still kind of catches me off guard when I hear people talk about how incredible our supporters are."
Along with fellow supporters groups like Die Innenstadt, The Briogaid, and others, the supporters created something the city had never before seen.
With matchdays situated in the middle of the University of Cincinnati's densely packed campus, supporters march from surrounding bars and fuse into one larger group along the way to Nippert Stadium. Once inside, the historic stadium's steep concrete stands amplify the supporters' rallying cries and chants. And for the next 90 minutes, they fill the stadium with sound.
In truth, the experience they've created has become as much of a draw as the action on the field.
When crowds in excess of 30,000 pack into Nippert's tight confines to join in the festivities, the results can be truly impressive. Standing pitchside prior to FC Cincinnati's 2017 U.S. Open Cup semifinal against the New York Red Bulls, former US Soccer president Sunil Gulati was impressed: "This is like Europe," he said.
On Sunday when FC Cincinnati welcome the Portland Timbers to town for the club's inaugural MLS home match (5 pm ET | FS1 in US; MLS LIVE on DAZN in Canada), the club's supporters will once again have the eyes of the soccer world upon them.
Will they be able to inspire the Orange and Blue to victory? They'll certainly try, but there's no doubt they'll make the Queen City look good while doing it.
D.J. Switzer is a Cincinnati native, freelance journalist, and founder of American soccer website and podcast Wrong Side of the Pond. His work has been featured in The Cincinnati Enquirer, by The American Outlaws, and he currently covers FC Cincinnati for Pro Soccer USA.


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Get in line, Rite Aid.
Four inpatient hospitals in the Denver area traded hands last month at prices that make name-brand pharmacies and grocery stores look like a bargain for real estate investors.
Scottsdale-based Healthcare Trust of America bought four SCL Health Community Hospitals in the Denver suburbs on May 26 for a total of $135 million, according to county records. That averages to $812 per square foot – well above what retail occupied by sought-after tenants like Rite Aid and Walgreen’s has fetched in recent metro area sales.
The seller is Indianapolis-based Duke Realty, which developed the four facilities in Aurora, Northglenn, Littleton and Westminster.
The most expensive of the group is the Aurora center, a 37,000-square-foot building that sold for $35.5 million or $957 per square foot, county records show. By comparison, the Rite Aid on Leetsdale Drive in Glendale traded hands in March 2016 for $771 per square foot, according to research by JLL.
A 55,000-square-foot hospital in Northglenn commanded the smallest sum of the four, $36.9 million, or $672 per square foot. That price also edges out recent single-tenant retail sales like a Natural Grocers in Wheat Ridge – $625 per square foot in June 2016 – and a Walgreen’s in Denver – $491 per square foot in March 2016.
SCL Health is one of a few local health care providers, including Centura Health and UCHealth, experimenting with smaller medical centers as an alternative to large hospitals.
SCL, a Broomfield-based nonprofit that also operates large traditional hospitals like St. Joseph’s Hospital, announced in 2015 that it would open four freestanding centers as a joint venture with Texas firm Emerus. The Westminster facility opened in 2015, followed Littleton, Aurora and Northglenn last year.
The property sale does not affect facilities operations; SCL and Emerus will continue operating the centers.
Each satellite facility can provide emergency and inpatient care, perform surgeries and run diagnostic tests, according to the SCL website.
The four hospitals’ new landlord, HTA, is a publicly traded REIT that focuses on healthcare real estate.
The SCL transactions are part of a $2.75 billion deal that has HTA taking over 71 medical properties owned by Duke Realty affiliates, HTA reported to the SEC on May 1.
The Duke acquisition increases the REIT’s presence in the Denver metro area to 538,000 square feet, up from 371,000 square feet as of the end of 2016, SEC filings show.
HTA reported that Duke’s Denver-area properties command a base rent of $8 million on an annualized basis, bringing HTA’s total annualized base rent in the Denver metro area to $16.9 million.
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I am trying to learn how to do plastic canvas and am having problems on how to do patterns that aren t squares or rectangles.?
If it isn t a square or rectangle, I don t understand how to overlay or whipstitch it. I can follow the patterns where you go up a hole and down the one right next to it but struggle with any other type of stitch.
And I struggle to get the back smooth. When I just pull the end of yarn through it always comes loose.
Any advice? All patterns I do need to be free. Thanks.
- dripLv 73 weeks ago
Watch some YouTube for beginners on stitching,
When you thread the needle leave a four inch tail on it. You need to be able to hold the needle and the tail so when you pull through the yarn doesn’t come off the needle. Pull taunt, but not a hard yank, so the back side is smooth.
Practice each stitch. It takes practice to be able to do it correctly and with ease. Get a piece of plastic and just doing different stitches in it.


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A Facebook user, Akpodhoma Mike Ajirioghene Mikoko, shared a photo of man who has a striking semblance with former Nigerian…Read More Obasanjo has a twin brother that rides Okada???
No fewer than 13 persons were killed, while four others sustained injuries in an auto crash on the Bauchi-Jos Road, Narbodo village in Toro Local Government Area of Bauchi State.
It was further learned that the accident, which occurred around 5p.m., yesterday, involved an Opel Vectra and Toyota Sharon bus.
Eyewitnesses account revealed that the accident may have been caused by the carelessness of a motorcycle rider, who suddenly crossed the road, leading to a head-on collision of the vehicles.
Confirming the incident, Police Public Relations Officer of the Bauchi State Command, Haruna Mohammed, said: “There was a fatal motor vehicles/motorcycle accident on Sabon Garin Nabordo in Toro council of Bauchi State, involving a Black Toyota Sharon bus with number plRead More Careless Okada Rider Caused Fatal Auto Crash Claiming 13 Lives In Bauchi


Thursday, April 01, 2010
RFID Journal News Roundup
We followed the technology of RFID for a number of years as it applied to retail on shelf and inventory applications. We tested many related ideas in the innovation centers. I still follow this technology and find that the RFID Journal and its news alerts are a good source. Here is their latest news roundup.


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Heumann’s advocacy spirit was ignited by her parents, who fought for her access to quality education. That spirit became her advocacy voice as she gained awareness of the greater disabled experience alongside other young adults with disabilities while spending summers at Camp Jened. The 2020 Oscar-nominated documentary Crip Camp features Camp Jened campers, Heumann and other campers who she would work alongside as disability rights activists throughout her life.
Heumann spoke out against discrimination and exclusion when she was once again deemed a fire hazard when she applied for a teaching position with the New York City Board of Education. The court ruled in her favor, and she became the first teacher in the state of New York who was a wheelchair user.
Heumann’s fights led to wins for many others besides herself. She spoke out against injustices in access to employment, education, and community living and was not afraid to put her voice and body on the line to make change happen. Her domestic disability rights policy work on the Individuals with Disabilities Education Act, Section 504 of the Rehabilitation Act of 1973 work on the Individuals with Disabilities Education Act, and internationally in her work with the World Bank and the US State Department changed how others viewed people with disabilities and drafted a policy that impacted their lives.
Her legacy lives on in global disability policy and in the hearts of those who knew and knew of her. Members of Georgia’s disability community shared their memories of Heumann and what she meant to them.
Kayla Rodriguez, Former Georgia Council on Developmental Disabilities (GCDD) Intern and Disability Advocate
Judy Heumman was the definition of a trailblazer. She was often called the mother of the disability rights movement and for a good reason. She and many others created the disability rights movement as we know it today, and the movement wouldn’t have been the same without her contributions. I was lucky to meet Judy back in October 2019 when I was an intern for GCDD. Judy will surely be missed, and we will continue the disability rights movement in her honor.
Brittany Curry Graphic Facilitator and owner of Inky Brittany
She made people listen to the ones who were usually skipped over and never counted, the ones who were usually dismissed, and whose voices were not seen as very important. Judy made it known that everyone’s voice and contribution is important, in the smallest and largest of ways. And how much better the world is when we slow down to take the time to count each one. She laid the bricks we are walking and rolling on today, and her impact will forever be present.
I created this of Judy on her birthday in 2020.
Carol Britton Laws, Associate Clinical Professor; Destination Dawgs Inclusive Education at UGA, Director
Judy came to speak to my Disability Issues in Childhood and Adolescence class in October 2019. One of my students noted:
“Her talk made me realize how much one person can make a difference in our society. If it was not for Judy’s story and her constant fight for her own rights and the rights of others, we would not have a lot of the legislation that solidifies the rights of those with disabilities that we have today. This will encourage me in the future to make impacts where I can and continue to fight for the rights of those around me and that even though I am only one person, I can still make a positive change in our society.”
Susanna Miller-Raines, Program Manager Think College
I was one of Judy’s drivers when she was in Georgia for the Georgia Disability History Symposium in 2019. After an incredible day listening to her and other Georgia disability leaders speak, we went to dinner across the street from the hotel with renowned disability advocate and former advocacy director at the Shepherd Center, Mark Johnson. He and Judy were old friends, and being invited to dinner and conversation with old friends was a privilege. The dynamic was different, unlike normal national keynotes or consultant dinners. I got to see the human side of Judy Heumann and it is something I will cherish forever. We finished the evening with Mark and Judy racing their wheelchairs down the road in Athens, GA, a moment I will always look back on with fondness. The best part of those two days was going to a Social Work class at UGA and watching Drunk History- “Judy Heumann Fights for People with Disabilities” WITH Judy Heumann herself!
Gillian Grable, Institute on Human Development and Disability
In 2019 when I had the privilege of inviting Judy to be the keynote speaker at the 5th Annual Disability History Symposium at UGA I had no idea the enormous impact meeting Judy would make on myself, my colleagues, students at UGA, and the Symposium participants.
Judy invigorated us all; she urged us to vigorously challenge any devalued perception and barrier confronting people with disabilities. Judy engaged people by “making a fuss”. One of my younger colleagues who saw video footage of Judy that I had prepared for our staff meeting said,” Judy showed me that using your voice is the most powerful force. She was a trailblazer who motivated me to do more to help others find their voice.”
I will remember her always – Judy’s legacy lives on for the next generations. Like the late Senator John Lewis, she encouraged us all to get into good trouble.
Darien Todd, Community Advocate Specialist at CLD
In 2019 Judy Heumann was the keynote speaker at a conference where I was a panelist. I’d never met her before, but everyone’s eyes were on her when she entered the room. She had energy, and everyone was pulled in by it. I wanted to know who she was and how so many people admired and respected her. I am lucky to have been able to be in her presence. As a disability rights advocate, she has inspired me to keep doing the work and it was a day I’ll never forget.
I met Judy Heumann in Washington, D.C. I was part of a program called JAA – Jewish Abilities Alliance. Several of us had gone to Washington, D.C to Lobby and speak with our Legislators. I’m so glad I had the opportunity to meet her. She did so much in her life that she should be proud of.
I also admired Judy for her courage, self-esteem and for not giving up in life. Judy faced many hardships in her life, but she was a fighter! Judy and I were alike in many ways. I have overcome a lot in my life and advocate for myself and others who need it. Judy is a true hero and an inspiration to me. I am a very determined person, just like Judy was. I don’t give up too easily. I attended West Georgia Tech and my field of study was Information & Office Technology. I own my condo and have worked at Jewish Family & Career Services for almost 30 years. I am a proud member of a Group called Uniting 4 Change – an advocacy group where I serve on the Leadership Committee.
There is a saying in my Uniting 4 Change group: Rise Up and Speak Out. That’s what Judy did, and that’s what I do.

domain: sociology


The Beverly Tie-Dye Dress is maxi dress perfection! This comfy dress features features a high neckline, keyhole slit at the back, ruffled layers with raw edges and smocking at the waist to give you a more fitted feel.
Color: Dusty Navy
50% Polyester 38% Cotton 12% Rayon
Machine wash cold, turn inside out, delicate wash, gentle cycle, wash dark colors separately, do not bleach, do not tumble dry, lay flat to dry, warm iron if needed. Wash before wearing.


A Midwest municipality retained Utilicast to support its operations center remodeling project. The initial phase of work is to develop requirements, RFI, and selection of construction contractor.
Utilicast started the management and support of a two-year Strategic Alignment and Real-time Transformation, or START project, that will replace and upgrade key operational systems to include Asset Management (EAM) Customer Information System (CIS), Head End System (HES) and Meter Data Management (MDM) for a southeastern investor-owned utility.
The City of San Francisco PUC selected Utilicast for a five-year partnership. Utilicast is currently providing Risk Management assessment for its Power enterprise. Utilicast is also providing on-going CAISO scheduling and settlement subject matter expertise.
A large western Generation and Transmission utility hired Utilicast to develop an enterprise IT architecture. Utilicast was also retained to develop requirements for outage management replacement, energy management system (EMS) upgrade and potential energy market membership.
A western investor-owned utility hired Utilicast to conduct a gap, impact and cost analysis of moving from the energy imbalance market to a full ISO membership.
Through a competitive RFP process, Seattle City Light selected Utilicast to serve as its market integrator for membership into to CAISO Energy Imbalance Market.
A western investor-owned utility selected Utilicast to plan a new integrated operations center project. The initial phase includes site selection, vendor requirements/RFP, business case and operating model.
Through a competitive RFP process, a large Midwestern utility selected Utilicast to provide a Future State Design and Roadmap for its Energy Management System (EMS) and other transmission applications.
Through a competitive RFP process of a large governmental agency, Mexico’s market operator (CENACE) hired Utilicast to write a specification and RFP for its market systems.
A southwest investor-owned utility hired Utilicast to provide a Gap Analysis and Cost Assessment for membership into the CAISO Energy Imbalance Market.


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Spring has sprung and it is almost the beginning of April so you know what that means – FREE GAMES! The Xbox Games with Gold have been announced and it is going to be a great month of free games. For the month of April, Xbox Gold Members will be able to download, Technomancer, Outcast: Second Contact, Star Wars Battlefront 2, and Ghost Recon 2.
April 1st – Technomancer and Star Wars: Battlefront 2
It is time to get your ass to Mars in this action RPG from Focus Home Interactive comes Technomancer. Things have not been going as well as they should on Mars. Mutants are popping up, creatures are destroying settlements, dust storms are blowing dust, and it is up to you to find a fix. Walk the path of a technomancer and find a way to help save Mars.
Join the cast of Star Wars in the Xbox 360 version of Star Wars Battlefront 2. This is where the Star Wars formula for galactic assault started. Battle the armies of robot troopers as a member of the 501st, or hop online and test your Jedi skills against your friends online. Take a look at how the Battlefront series became so popular starting on April 1st.
April 16 – Outcast: Second Contact and Ghost Recon 2
Xbox Gold Members can join the adventures of Cutter Slade in the remake of Outcast: Second Contact. Cutter is an elite solider and must find a way to save the planet of Adelpha, while trying to save the planet Earth at the same time. This sci-classic is sure to get in touch with your nostalgic side.
Ubisoft’s monthly contribution to the Xbox Games with Gold this month is Ghost Recon 2. What is there to say, another shooter set in a war-torn third-world country. Looks of team work will make the dream work. There are rockets, helicopters, tanks and more. Get our Army on starting on April 16th.

domain: entertainment


Optimization and realization
There is no developer that hasn’t heard the famous Donald Knuth quote: "Premature optimization is the root of all evil." Often this sentence is understood in the context of performance, i.e. the speed of the software execution. However, it refers more to something else.
It's about the value that some code brings into the product.
During the development, the programmer's goal is to write the code that effectively meets the required functionality. However, often in the desire to write a high-quality code, a programmer goes too far and introduces complexity that is greater than its real worth (over-engineering). In other words, the value of the code decreases because of the unnecessary increases in complexity. Similarly, sometimes the development focuses on features that are not critical and do not give the product essential value. Instead, development tackles less relevant features.
In this context, premature optimization is all the work that was not spent on the production of real value. The alternative to optimization is realization: work that actually brings value. Now the Knuth sentence is more meaningful.
Striking the balance between optimization and realization is not reserved for planning and top-level architecture. It make sense to view work on everyday code from this perspective. No matter whether it is a feature or a code block, try to determine if it is an optimization or a realization. If it is an optimization, work out whether it is premature or not. Are you working on something that brings little value, or even no value, at the moment? Are you introducing unnecessary complexity? Are you adding more edge cases than actually needed?
The virtue is to avoid complexity. Detect it on time by thinking about premature optimization.
By Igor Spasić


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I've never eaten a McVitie's biscuit but Kitty-chan sure seems to be enjoying them.
While everyone is gearing up for London's Olympic extravaganza, I hope you can take the time to ride on one of their funky buses, courtesy of Coke.
While we're in a Brit-mood, I hope all those in Tokyo can enjoy a UK Retro night at Amate-Raxi on August 11th featuring old pal, DJ Mixture! Hopefully I'll be making the trek to Tokyo to boogie down with the best of them! Pick up your tickets here.


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Hello folks, this attachment is about Captain Chairs Suv Images #9 (Christian Wardlaw) The Captain's Chairs Recline And Have An Ottoman-style Footrest.. It is a image/jpeg and the resolution of this image is 653 x 490. This blog post's file size is just 48 KB. If You decided to download It to Your computer, you have to Click here. You might too see more pictures by clicking the following photo or see more at here: Captain Chairs Suv.
11 pictures of Captain Chairs Suv Images #9 (Christian Wardlaw) The Captain's Chairs Recline And Have An Ottoman-style Footrest.
Naturally, inside the Captain Chairs Suv Images #9 (Christian Wardlaw) The Captain's Chairs Recline And Have An Ottoman-style Footrest. can enjoy an important purpose. Because of the sculpture, along with stunning, the backyard also seems exotic, more creative, and persona. So, as a way to define the statue deft such concerns, the conditions of that which you have in mind? It's surely very important to notice. Therefore, the sculpture not only resting within the yard. Below are a few points you must contemplate to place Captain Chairs Suv such as for example.
Observe the Gap Between Your room with sculpture. The perfect, a particular range is between the sculpture of the room where the statue looked-for illustration porch. Hence, the sculpture is seen from your bedroom readily. When the distance of the statue together with the place too near or remote, the versatility of view is certainly difficult to have. Just for example, the distance between your place together with the statue should really be substantial enough.
Note the sculpture that is position with all the concept / idea Areas. With place, the statue appears more tuned for the playground. Not different from one-another having a garden. In case your backyard with concept that is minimalist, make use of the same model sculpture. Case barrel-designed statue mementos or small designs. Or, work with a pitcher sculpture carving nan variation that is minimal. Another example, in case your backyard in standard style, place the statue is also a normal style. For example Javanese puppet options. The exotic gardens also should Balinese sculpture Balinese style.
Captaincap•tain (kap′tən, -tin),USA pronunciation n.
- a person who is at the head of or in authority over others;
- an officer ranking in most armies above a first lieutenant and below a major.
- an officer in the U.S. Navy ranking above a commander and below a rear admiral or a commodore.
- a military leader.
- an officer in the police department, ranking above a lieutenant and usually below an inspector.
- an officer of the fire department, usually in command of a company, ranking above a lieutenant and below a chief or assistant chief.
- the commander of a merchant vessel. Cf. staff captain.
- the pilot of an airplane.
- a local official in a political party responsible for organizing votes on a ward or precinct level.
- the field leader of a team: The captain of the home team elected to receive on the kickoff.
- a person of great power and influence, esp. based on economic wealth.
- See bell captain.
- [South Midland and Southern U.S.]an unofficial title of respect for a man (sometimes used humorously or ironically).
- to lead or command as a captain.
Chairschair (châr),USA pronunciation n.
- a seat, esp. for one person, usually having four legs for support and a rest for the back and often having rests for the arms.
- something that serves as a chair or supports like a chair: The two men clasped hands to make a chair for their injured companion.
- a seat of office or authority.
- a position of authority, as of a judge, professor, etc.
- the person occupying a seat of office, esp. the chairperson of a meeting: The speaker addressed the chair.
- (in an orchestra) the position of a player, assigned by rank;
desk: first clarinet chair.
- the chair, See electric chair.
- See sedan chair.
- (in reinforced-concrete construction) a device for maintaining the position of reinforcing rods or strands during the pouring operation.
- a glassmaker's bench having extended arms on which a blowpipe is rolled in shaping glass.
- a metal block for supporting a rail and securing it to a crosstie or the like.
- get the chair, to be sentenced to die in the electric chair.
- take the chair:
- to begin or open a meeting.
- to preside at a meeting;
act as chairperson.
- to place or seat in a chair.
- to install in office.
- to preside over;
act as chairperson of: to chair a committee.
- to carry (a hero or victor) aloft in triumph.
- to preside over a meeting, committee, etc.
SuvSUV,0 pl. SUVs.
SUV,0 pl. SUVs.
Imagesim•age (im′ij),USA pronunciation n., v., -aged, -ag•ing.
- a physical likeness or representation of a person, animal, or thing, photographed, painted, sculptured, or otherwise made visible.
- an optical counterpart or appearance of an object, as is produced by reflection from a mirror, refraction by a lens, or the passage of luminous rays through a small aperture and their reception on a surface.
- a mental representation;
- a mental representation of something previously perceived, in the absence of the original stimulus.
semblance: We are all created in God's image.
copy: That child is the image of his mother.
- a symbol;
- the general or public perception of a company, public figure, etc., esp. as achieved by careful calculation aimed at creating widespread goodwill.
- a type;
embodiment: Red-faced and angry, he was the image of frustration.
- a description of something in speech or writing: Keats created some of the most beautiful images in the language.
- a figure of speech, esp. a metaphor or a simile.
- an idol or representation of a deity: They knelt down before graven images.
- the point or set of points in the range corresponding to a designated point in the domain of a given function.
- [Archaic.]an illusion or apparition.
- to picture or represent in the mind;
- to make an image of;
portray in sculpture, painting, etc.
- to project (photographs, film, etc.) on a surface: Familiar scenes were imaged on the screen.
- to reflect the likeness of;
- to set forth in speech or writing;
- to symbolize;
- to resemble.
- [Informal.]to create an image for (a company, public figure, etc.): The candidate had to be imaged before being put on the campaign trail.
- to transform (data) into an exact replica in a different form, as changing digital data to pixels for display on a CRT or representing a medical scan of a body part in digital form.

domain: design


text:
Art Break: Spring Prints
FACEBOOK LIVE EVENT
View the Facebook Live event here. Make painted prints of flowers with the blooms you can find outside and with your finger tips! Fun for our littlest artists and anyone who enjoys playing with paint and the outdoors. Together we will make a beautiful keepsake of the season of new beginnings. We’ll take our inspiration from Barbara LeBey’s Summer Garden Path.
- Thick paper or canvas board (or other prepared canvas)
- Acrylic craft paint or ink pads
- Markers, pens, crayons, or colored pencils


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Look Before You Jump
You can share this podcast by copying this HTML to your clipboard and pasting into your blog or web page.
On International Market Watch today Ben LeBrun, Market Analyst at Options Express in Sydney joins us to discuss the Australian economy and the RBA holding benchmark rates. He also talks about the US shutdown and debt ceiling. Is now the time to buy?
This and more than 60,000 other podcasts in your hand. Download the all new BFM mobile app.
Tags: aud, rba, us, debt ceiling

domain: economics


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The San Francisco Giants were hoping to keep their lead in the NL West at three games heading into Wednesday night's contest with the Houston Astros, and thanks to some timely hitting by the Black and Orange, they came away with another victory by the score of 6-4.
Although skipper Bruce Bochy had the chain on Barry Zito very tight this evening, the bullpen was solid after the former Cy Young winner departed after just 2.1 innings of work, prompting Bochy to use six different relievers to get the job done.
Hunter Pence sent a 3-run blast into the atmosphere as part of a four run first inning for San Francisco, though they didn't score again off Dallas Kuechel until the sixth when an error by Scott Moore opened the door for two more runs for the Giants off a Joaquin Arias Triple.
San Francisco goes for the road sweep on Thursday as Ryan Vogelsong takes on Jordan Lyles in the finale at Minue Maid Park. First pitch is set for 5:05 p.m. PT with coverage on CSN Bay Area and KNBR 680 AM.
For more on the Giants, head to McCovey Chronicles.


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Most of the Banning Lewis Ranch remains to be developed, with the hang-ups being the economy and the annexation agreement.
The City of Colorado Springs
has prevailed in a decision in bankruptcy court that says the Banning Lewis Ranch
annexation agreement is not a contract, meaning it can't be set aside to make it less costly for developers to convert the 17,760 acres into subdivisions.
However, the David Jenkins family
, ("Building an empire," Nov. 19, 2014) the biggest developers in the Pikes Peak region, won't concede quietly. They've filed an appeal to the U.S. District Court, meaning the case will continue.
Courtesy city of Colorado Springs
This shows how much of the city is represented by the Banning Lewis Ranch.
At issue is whether the annexation agreement
, adopted by City Council in 1988, mandates that developers pay for all infrastructure, from streets to fire stations, which totals $11,910
per acre, under an annexor obligation fee adopted by the city in 2007.
A California company that owned the ranch filed for bankruptcy in Delaware in 2010, and the following spring announced an auction in which the land would be sold "free and clear"
of liens, claims and other encumbrances.
This is where the city intervened in the case to assert that the property couldn't be sold free and clear of the annexation agreement.
, a Houston-based oil company, bought most of the land for $20 million
. A couple thousand acres was sold to Oakwood Homes
at that same time. The sales were approved, but the question of the annexation agreement continued after the case was transferred to U.S. Bankruptcy Court
in Denver. Ultra wanted the annexation agreement set aside, because it planned to drill for oil and gas on the property, not develop it for homes and businesses. When testing for minerals came up dry, Ultra was no longer interested in the property and sold it last November to Jenkins-controlled Banning Lewis Holdings, BLH No. 1 and No. 2
for $28 million. BLH then stepped into the bankruptcy case to take Ultra's place.
Here's what U.S. District Judge Howard Tallman
said about the annexation agreement being an executory contract that could be set aside by a trustee in a bankruptcy case:
In this case, because the Agreements are of the type that run with the land and are properly recorded, the Agreements are not only valid and enforceable among the non-debtor parties such as the City or the other Annexors, but they are also binding on the Debtor’s successors in interest.
paid for several court records from the case so that some of them could be shared with readers.
Here's the decision:
See related PDF
The court also dismissed developer Randy Case
's motion to intervene as an owner of the land that once was part of the ranch.
Here is BLR's notice of appeal:
See related PDF
What does all this mean? It means that developers are still trying to get out from under an annexation agreement they see as onerous,
because of the estimated $1-billion
cost of building infrastructure.
The appeal could be a way for Jenkins to create leverage
with the city to negotiate a new annexation agreement, and that might not be a bad thing, if the city can fold into that agreement the transfer of some 12,000 acres
of open space into a conservation trust, or into the city's open-space portfolio.
So in other words, this saga continues. So stay tuned.
We reached out to David Jenkins' son, Chris
, for a comment but haven't heard back. We're also seeking a comment from the city and will update if and when we hear something.
As a footnote, Colorado Springs Utilities
, which is involved in this court action due to its interest in water rights that are at issue, as well as the city is represented by Sherman and Howard
The city is represented by Hogan Lovells.


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In light of the government’s promise to publish a Green Paper on social care, the Institute of Public Policy Research has proposed in a new report a 2p tax rise in order to fund free help for elderly. This would include help with basic tasks such as getting up and eating, as well as funding full time care for complex needs such as dementia.
The report compares social care to the NHS model. NHS services are free at the point of access whereas the funding of social care is means tested. The report makes the point that funding for social care has been cut drastically over recent years and that private providers are struggling, meaning that care provision is often fragmented and uncoordinated.
The report proposes three steps to transform elderly care, these being:
- Introduce free personal care for the over 65s in England
- Full funding for free personal care
- Join up health and social care.
The report highlights many obvious benefits to this such as avoiding hospital admissions. What the report doesn’t deal with is where the current private care sector would fit in this model. And the report doesn’t deal explicitly with how to fund staffing for this free provision of care, especially in view of the fact that private care providers can struggle with staffing in light of the impact for example of the Living Wage and the availability of staff.
Further information on the report is available here: https://www.ippr.org/research/publications/social-care-free-at-the-point-of-need
Authored by associate Jennifer Johnston, BLM


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AbstractBackground: Obesity and overweight are strong and modifiable risk factors for postmenopausal breast and endometrial cancers. The PRevention of Breast and Endometrial cancer using Total Diet Replacement (PRoBE-TDR) study aimed to examine the effect of TDR-induced weight loss on normal breast and endometrial cell proliferation, breast progenitor cell activity and cancer risk biomarkers in high-risk women. Methods: PRoBE-TDR was a prospective, non-blinded, randomised controlled trial in pre-menopausal women with obesity at increased risk of breast and/or endometrial cancer. Randomisation was 2:1 to either immediate 12-month TDR-based weight loss programme or delayed intervention (control) group. Biopsies of the breast and endometrium were assessed at baseline and after 12 weeks in both groups for proliferation (Ki67) and gene expression (RNA sequencing) and breast samples for progenitor cell activity (mammosphere assay) and cellular hierarchy (by flow cytometry). Anthropometric measurements and blood sampling for cancer risk biomarkers (fasting glucose, insulin, HOMA-IR, fasting lipids, CRP, IL-6, TNF-ÃŽÂ±, leptin and adiponectin) were obtained at baseline and then 12-weekly for the duration of the study. Results: Forty-seven women were randomised to immediate (n=30) or delayed TDR (n=17). Significant weight loss was observed with TDR; median absolute weight reduction was -9.9kg (IQR -12.8 to -7.0, P 0.99) in the control group. Additionally, breast luminal progenitor cells were reduced from median 21.6% to 9.0%, a median absolute difference of -9.6% (95% CI -19.5 to 0.58, P=0.04). No significant differences in any other sub-populations were seen. RNA sequencing analysis demonstrated downregulation of extra-cellular matrix(ECM)-receptor interaction, tight junctions, Hippo signalling and ErbB signalling pathways in breast tissue with >10% weight loss. Within endometrial tissues, immune system pathways were downregulated. Conclusion: This is the first study to simultaneously assess the molecular impact of weight loss using TDR in both breast and endometrial tissues. We have demonstrated downregulation of pathways associated with cancer risk in both tissues. TDR achieved statistically and clinically significant weight loss and for the first time, we have demonstrated reduced progenitor cell activity in the normal human breast as a result. Although TDR-induced weight loss may reduce breast cancer risk in women with obesity, further validation work is required to quantify the alteration in gene expression and large scale cohort studies are required to ascertain the longer term impact of the reductions observed within this study.
|Date of Award||31 Dec 2023|
|Supervisor||Tony Howell (Supervisor), Michelle Harvie (Supervisor), Sacha Howell (Supervisor), Robert Clarke (Supervisor) & Emma Crosbie (Supervisor)|
- cancer prevention
- total diet replacement

domain: literature


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"We are that place in the country where old dogs come to retire."
Woody’s Place Senior German Shepherd Sanctuary, Inc. is a 501c3 non-profit organization located in Greentown, Pa. Since our start in 2011, it has been our mission to provide the best possible long term care for displaced *senior German Shepherds.
* Senior being 8 years and older.
It is our philosophy that these loving, and often overlooked displaced senior German Shepherds have the opportunity to live the best possible life that we can offer. They are just as deserving as their younger counterparts.
Our wonderful seniors past and present
Move mouse over photo for slide show. Click on photo to expand.
We’re raising money to help end the killing of pets in America’s shelters. And we plan on having a lot of fun doing it!
Every day, nearly 1,700 dogs and cats are killed in America's shelters simply because they don't have safe places to call home. That number should be zero. That’s why our team is participating in Best Friends Animal Society’s Strut Your Mutt event to raise money for animals. But we need your help, too.
Please join us by registering for our team and joining us on October 24, 2020, to walk your dog. We will be gathering at the Tobyhanna State Park Pavilion, Tobyhanna, PA to walk sanctuary dogs from 12pm to 2 pm and would love to see you there. You can also walk your dog where ever you'd like if you can't meet us that day. All participants who donate $15 or more get a free Woody' place T-shirt, so after you donate, be sure to email us your shirt size at wpsgss.org subject heading WP T-SHIRT.
To register or donate click on the link:
Your donation is tax-deductible and each participating animal welfare organization keeps 100 percent of the money raised after transaction fees. And the best part? That money will help save the lives of homeless pets.
Together, we can Save Them All.
Thank you for your support!
If you would like to volunteer or foster, or adopt, please click on the links below:
Canine Gastric Dilation Volvulus (Bloat)
Hemorrhagic Gastroenteritis (HGE)
Gunnar's Wheels Foundation Assist owners in providing mobility options to their pets. Gunnar's Wheels Foundation is a loaner program and carts may be used for the duration they are needed, and then returned to Gunnar's Wheels Foundation to be refurbished and matched with the next pet in need.
To learn more go to:
Click to enlarge and print
Woody's Place is sponsored in part by:
The Shepherds Run Foundation, Inc
1025 Main St
1600 PA-507, Greentown, PA 18426
471 Easton Turnpike,
Lake Ariel, PA 18436
We are a Fromm brand ambassador
EZ Auto Body
402 PA-590, Hamlin, PA 18427
A Tribute to Woody,
our sweet boy in heaven
Woody's Place ~ Senior German Shepherd Sanctuary, Inc is a 501(c)(3) registered nonprofit organization that is dedicated to saving the lives of displaced senior German Shepherds

domain: pet


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Bordering Guatemala to the east and Honduras to the south is the splendid, but small country of El Salvador, where I would spend twelve glorious days of my Central American tour. On December 6, 2012, after a 7-hour bus ride with two travel friends (a New Zealand lad and a Scottish lass) and a new friend (a loner Frenchman), I landed in a tiny beach town called Playa El Tunco. If you haven’t heard of it, it would be easy to miss on a map, but luckily, my brother and I were told this was the place to check out in El Salvador.
Touching the Pacific Ocean, Playa El Tunco is a surfer’s paradise. The warm waters and rolling waves create ideal conditions for surfers of all levels, while the fine black sand beaches offer a scenic backdrop for sunbathers, swimmers and spectators alike. In El Tunco, surfing isn’t just a past-time; it’s practically a religion. Locals love their surfing, and they love to share their enthusiasm for the sport with visitors to this gem of a beach town. Surfboard rentals are easy to find and are quite reasonable at $5/day. Surf lessons are also reasonable and more often than not, your instructor will be a semi-pro or professional surfer with long hair, a golden tan and a true love for the ocean. A few girlfriends took advantage of the $20 lessons and were happy with the lessons, but not as thrilled about one instructor’s Casanova attempts (we called him Fabio; you would understand if you saw him).
Another must-see that has become synonymous (in my opinion) with El Tunco is its sunsets. Perhaps second only to surfing are the spectacular sunsets on this beautiful beach. Ranging from golden orange to ethereal pink, El Tunco sunsets are something to marvel and take in every evening that you’re there. With wonderful company, a few cold drinks and time at a standstill, every sunset I saw was magical. For a different view, you can also swim out to the rock that seemingly splits the beach in two and climb up to the top, but you also have to be prepared to dive into the water after the sun has set and the tide has risen. One evening, I walked to the northern end of the beach with several friends and climbed a large boulder for a new sunset experience. The boulder was accessible from the sandy beach, but once on top, you could easily imagine someone falling off the cliff into the rougher waters below. Luckily, we all made it down in one piece.
Although the entire town consists of only a few square blocks, El Tunco is a lively, spirited place. From nightly pool parties to live music and dancing, there is no shortage of entertainment and fun to be had. In fact, there is an undeniable energy – and serenity – to El Tunco that makes it difficult to leave. For my brother and me, the town started to feel like home and our fellow travelers became regular company. This is where I received swim lessons and became a kid again, thanks to the German boys (friends I first met in Belize). This is where I learned the amazing life story of the loner Frenchman, a wanderer who just a few months prior, had been in a 3-month coma (rock-climbing accident). And when the ocean beckoned at 2am, this is the beach where I ran to meet the waves, aided by a bearded Canadian with whom I danced the night away.
*Practical information: For accommodations, check out the El Tunco Lodge (*has a pool) and the Surfers’ Hostel. El Salvador uses US dollars; there are two ATM’s in town, but they only accept VISA. Average dining out costs for breakfast/lunch/dinner are $4/$6/$9. Nearby places of interest: Tamanique Waterfalls (Cascadas de Tamanique) and La Libertad, the nearest “big” town – both approx. 20 minutes by bus.

domain: geography


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Vistry Group shares rise as builder plans to merge divisions
- Vistry Group shares were the best performers on the FTSE 250 on Monday morning
- The merger will reduce the number of regional business units from 32 to 27
- During the first half of 2023, the number of Vistry legal unit terminations increased by 40%
Vistry Group shares soared on Monday after it revealed plans to combine its homebuilding and partnerships divisions alongside a strong set of half-year results.
The Kent-based property developer said the merger would help it focus on meeting the acute shortage of affordable and mixed tenure housing in the UK.
As part of the restructuring, the number of Vistry’s regional business units will be reduced from 32 to 27 and 30,200 plots of land in the group’s residential land bank will move to the partnership model.
Good outcome: Vistry said merging its housebuilding and partnership divisions would help it focus on meeting the serious shortage of affordable and mixed tenure housing in the UK.
Its Countryside Partnerships brand will remain unchanged, as will the three homebuilding brands, Bovis Homes, Linden Homes and Countryside Homes.
Vistry expects to save around £25m in costs through the integration, in addition to the £60m in annualized synergies from the acquisition of Countryside last year.
After the update, Vistry Group Shares They rose 14.75 per cent, or 118 pence, to £9.18 on Monday morning, making them the best performers on the FTSE 250 index.
They have expanded about 43 percent since the beginning of this year.
Greg Fitzgerald, chief executive of Vistry, said: “The scale of social need for mixed tenure affordable housing across the country continues to increase, and it is clear that Vistry is uniquely positioned as a leader in associated housing.”
He added that an alliance “better enables sustained growth in housing production, provides greater benefits to our partners while maximizing long-term value and profitability for shareholders.”
Vistry also announced on Monday that it was maintaining its forecast of £450 million in adjusted pre-tax profits following a strong first-half performance amid a more challenging backdrop for the British property market.
Statutory unit completions rose 40 per cent during the first half of 2023, helping to boost revenue by around a third to £1.58 billion.
However, profits still fell 8.4 per cent to £174 million due to higher financing costs resulting from rising debt and interest rates.
Successive base rate increases by the Bank of England have raised borrowing costs over the past two years, causing a sharp drop in mortgage approvals.
According to Better.co.uk, the average two-year fixed-rate mortgage deal now stands at 6.2 per cent, while the equivalent five-year deal is 5.57 per cent.
Vistry has noted that private sales on the open market have continued to slow since July, although he said this partly reflects the traditionally quieter summer period.
However, the company said its housebuilding associations and arms had a combined order book totaling £4.3bn and were still closing deals with local authorities and housing associations.
Mark Crouch, analyst at investment platform eToro, said: “Vistry’s decision to double down on its partnerships business is not surprising given its recent purchase of Countryside and a general slowdown in the broader housebuilding market.
“Demand for mixed tenure housing tends to be more resilient, even in a weaker market, particularly when MPs are keen to increase the social housing stock in this country.”


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I was unfamiliar with mung beans and did a little research. I am quite impressed with the nutritional value, health benefits, and versatility of mung beans. I will be trying some mung bean recipes soon!
1.Take the amount of whole mung beans you want to be sprouted. Pick and clean the mung beans. Now wash the mung beans in water for 3-4 times.
2: In a bowl take the mung beans. Add water and cover it up to 1 inch above the mung beans.
3.Cover the bowl with a lid and soak the mung beans overnight.
4.The next day the mung beans will swell. If there is any remaining water on top, then just discard it. Discard all the water.
5.Wash and squeeze off excess water from a clean thin cotton cloth. Spread it and pour the soaked mung beans.
6.Bring together all the edges, roll tightly and make a knot. Rolling tightly yield tasty mung beans sprouts.
7. Next day, open cloth, mung beans will be sprouted fully. (more…)
I had heard about Mung Beans, but never tried them. Ordering was easy. Prices are good and delivery is next day! Can’t wait to try the mung bean recipes.
Everyone wants food that is NOT GMO. Mung Beans fit the bill. They are grown in US on a family owned farm. They have the vitamins and fiber that you need, especially if you have digestive issues and act as an anti-inflammatory as well.
These beans are one of the few tridoshic foods in Ayurvedic diets that can be eaten to balance all three dosha’s (energetic forces) in the body. Tridosha defines the three fundamental energies or principles which govern the function of our bodies on the physical and emotional level. The three energies are known a Vata, Pitta, and Kapha. Each individual has a unique balance of all three of these energies. You will feel the difference in your body when you eat Mung Beans over time.
They are healthy vegetables for everyone, children and seniors. Not only are they high in minerals, vitamins and fiber, they taste great and are easy to prepare. Growing the sprouts are easy and they really taste good! Just put the beans in water, keep in light, and within days, you have sprouts. There are easy to make recipes on our website.

domain: health


LG made yet another bold move. The company has been surprising the tech world this year be introducing the new Android flagship, the LG G2 and its first tablet the LG G Pad 8.3. This time, they made a phone running a completely different platform – Firefox OS.
What is Firefox OS? It is an open source mobile operating system just like Google’s Android and Microsoft’s Windows Phone. The OS has been developed by Mozilla, the company that is behind Firefox browser that first use as an alternative browser to Microsoft’s Internet Explorer. It is a very very young OS which just started last year. So far only ZTE, Alcatel and Geeksphone have been making smartphones running the OS. LG’s entry to the Firefox camp is great news for Mozilla because it will open doors for developers to create apps for the OS. Just like Android, iOS, BlackBerry 10 and Windows Phone, Firefox also has an apps store called Firefox Marketplace.
Here is a quick demo of Firefox OS:
LG’s first smartphone running Firefox OS is called LG Fireweb. Specs are quite on the low end side because Firefox OS is made for low end phones. Mozilla’s target market are those who buy affordable smartphones so Firefox doesn’t really require top notch specs.
LG Fireweb specs:
- 1GHz Qualcomm processor
- 4GB internal storage expandable via MicroSD up to 32GB
- 4-inch TFT display (320 x 480 pixels)
- 5 megapixel camera with autofocus and LED flash
- 3G, WiFi, Bluetooth
- GPS, A-GPS
- 1,540 mAh battery
- Firefox OS 1.1
There are no official pricing yet but I don’t think this will reach the Philippines just yet.


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Noted celebrity chef and restaurateur Jason Santos is pleased to announce the opening of his third restaurant venture, Buttermilk & Bourbon. Located on the corner of Dartmouth Street and Commonwealth Ave, the highly-anticipated Buttermilk & Bourbon will deliver Southern hospitality to guests in the heart of the Back Bay.
Drawing on the South’s trademark charm, the 150-seat restaurant will boast a swanky, cozy atmosphere, and offer guests an innovative American menu with Southern-influences. Santos, who currently owns and operates Boston’s Abby Lane and Back Bay Harry’s, aims to channel his love of New Orleans and all things Southern to transport guests to the Bayou.
The menu will offer refined American cuisine showcasing Southern classics as well as re-imagined versions of staple dishes. Offerings will include: pork belly cracklings; boiled peanut hummus, BBQ Shrimp; house-made biscuits; oyster chowder; crispy boudin; and house-fried chicken served either Southern-style, Nashville-style, or with sweet and spicy or white BBQ sauce. An oyster bar will also serve up a variety of local oysters as well as peel & eat shrimp.
“I have been cooking different variations of American comfort food my whole life and when I first visited New Orleans, I fell in love with the cuisine and the energy of the city,” said Santos. “I wanted to make a restaurant that exudes everything that the South embodies- awesome food, inventive drinks, fun people and great energy.”
Buttermilk and Bourbon’s beverage program will feature a wide variety of options for imbibing. In addition to an expansive offering of beer, wine, classic cocktails, and signature drinks, Buttermilk and Bourbon will serve up hurricanes-on-tap, large-batch cocktails, and a selection of bourbon-based drinks. They will also have frozen hand grenades available at the bar.
Designed by Erica Diskin of Assembly Designs, the intimate space will offer several distinct New Orleans-inspired neighborhoods featured in each separate room. Neighborhoods that are featured in each space include: The French Quarter, The Garden District, Bourbon Street, and a Voodoo Lounge. The vibrant scene includes brick walls covered in New Orleans-inspired murals, a large center bar suitable for optimal guest and bar staff interaction, and separated dining rooms that offer varied atmospheres for guests to enjoy as well as a private dining room. Exuding the allure and vibrancy of the South, Buttermilk and Bourbon will feature a reclaimed fireplace, reclaimed church pews as seating, tin ceiling tiles, dramatic chandeliers and red velvet banquettes. The space will include seating for 150 indoors, a full bar with lounge seating, an interactive oyster bar, and a 40-seat patio.
About Buttermilk & Bourbon: Buttermilk and Bourbon will be open daily for dinner from 5 p.m. until 11 p.m. and soon will open for brunch on Saturday and Sunday from 11:30 a.m. until 2 p.m. The bar will be open until 1 a.m. daily. Buttermilk and Bourbon will be located at 160 Commonwealth Ave. in Boston’s Back Bay neighborhood. Please visit www.chefjasonsantos.com for up-to-date information or log onto www.buttermilkbourbon.com for reservations or call 617-266-1122.
About Chef Jason Santos: Award-winning Chef Jason Santos is a Boston-based chef and restaurateur who has moved up the culinary ranks in some of Boston’s best kitchens for over ten years since graduating from Newbury College’s Culinary Arts Program. Santos currently owns and operates Boston hot-spots Back Bay Harry’s, located at 142 Berkeley Street, and Abby Lane, located at 253 Tremont Street and the soon-to-open Buttermilk and Bourbon on Commonwealth Ave. Known nationwide for his bold, blue hair and his even bolder, larger-than-life personality, Santos’ cuisine seamlessly combines Asian, French and traditional American flavors in inventive and creative ways.
Gaining national notice as a celebrity chef, Santos was a finalist on Season 7 of Fox’s hit television show Hell’s Kitchen, is a regular guest on the CBS television show The Talk, and a recurring guest on subsequent seasons of Hell’s Kitchen. He has appeared nationally on the Today Show and the CBS Early Show, and appeared on this season of Spike TV’s Bar Rescue as a Culinary Consultant. For more information about Jason Santos, please visit www.chefjasonsantos.com.

domain: food


FireHooks EKS-12 Elevator Key Set
Manufactured to conform to the majority of elevator manufacturer's access keys.
Set is attached with split rings to a 5 inch jailers ring for easy key removal, storage, and use.
Keys are hard anodized in gold color plate to resist rust.
Volt resistant key with a 5000 volt resistance as tested in a salt bath
Swing door key
Rib key "T" style
Vandal Proof access key
Half moon key (large)
Half moon key (small)
Single Drop Key
Side exit key
Knife key fluted


The Sackler family that owns OxyContin maker Purdue Pharma will not agree to a bankruptcy settlement for their drug company unless the billionaires are personally given liability protection against lawsuits seeking damages from the firm and its owners over the opioid crisis, an heir told a court on Tuesday.
During testimony in Purdue's bankruptcy trial, heir and former board member David Sackler said that without keeping legal shields in place for his family members, "I believe we would litigate the claims to their final outcomes," The Associated Press reported.
"We need a release that’s sufficient to get our goals accomplished," Sackler said in response to questioning from a lawyer for the U.S. bankruptcy trustee. "If the release fails to do that, we will not support it."
Thousands of lawsuits from states, local governments and individuals have been filed seeking damages from Purdue and its owners for OxyContin's contribution to the nation's opioid crisis. Members of the Sackler family have agreed to pay more than $4 billion to settle the claims as part of Purdue's reorganization.
The deal has the support of many state and municipal governments, as well as hospitals and others, according to Reuters. However, nine states and the U.S. Trustee, the Department of Justice's bankruptcy watchdog, oppose the deal.
Sackler acknowledged during the proceedings that because Purdue marketed the powerful opioid, "we bear moral responsibility to try to help, and that’s what this settlement is designed to do."
The family and company have long maintained that they did nothing illegal in their selling of the drug, a message reiterated by Sackler on Tuesday.
Fatal opioid overdoses in the U.S. reached a record of over 70,000 last year, and the drugs have been linked to more than 500,000 American deaths since 2000.
The Associated Press contributed to this report.


text:
Endless Zombie Rampage
Shoot: Point and Click
Movement: Arrow Keys
Reload: R Key
Change Weapons: Mouse Wheel
Be sure to buy weapons and powerups between levels or you will be zombie food!
Crush the Castle 2
The resistance has spread further and the King is not happy. He has or...
Monster Trucks Att
Destroy the army of killing monster trucks before they get to the city
You are a young cowboy just came into this western town with a few buc...
It's been 3 years since the original Bubbles. Here is the sequel you'v...
Play Kids Games
Free Games For Your Website


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What can you make with 5,335,200 Lego pieces? A lot of things actually, but one of these things can be a full-sized Star Wars X-Wing if you have the will and skills. We’re not talking about a 1:10 or 1:5 scale models, but an actual 1:1 model that will require a hanger and every last pieces of Lego you own.
The humungous Lego X-Wing was built to commemorate the premiere of the Lego Star Wars-based animated series, The Yoda Chronicles, on Cartoon Network. It took 32 Lego master builders 17,336 hours (~4 months) to put the Lego X-Wing together. It stands 11ft tall, is 43ft in length with a 44ft wingspan, and weighs just shy of 46,000 pounds (45,980).
Although the Lego X-Wing was built in Kladno, Czech Republic, it was shipped (it would be amazing if it could fly, too) to New York where it is currently up for display in Time Square. In the coming months, the X-Wing will make its way across the country, and will settle down in Legoland California Resort.


The Ajax captain will play for the Serie A champions next term but where does Juventus new boy Matthijs de Ligt rank among pricey teenagers?
The draw for the Copa Libertadores round of 16 took place in Paraguay on Monday.
Wednesday's results left all three teams on 10 points but Flamengo (+6) and LDU Quito (+4) pipped Penarol (+2) on goal difference.
Palmeiras reached the knockout phase thanks to a 4-0 rout of Melgar, while San Lorenzo also progressed despite their 1-0 loss to Junior.
Boca Juniors scored four goals against Jorge Wilstermann on Wednesday, after Cruzeiro's Fred celebrated a first-half hat-trick.
Marco Ruben led Athletico Paranaense to an impressive win over Boca Juniors in the Copa Libertadores.
Boca Juniors and Palmeiras both won 3-0 in the Copa Libertadores on Tuesday.
Defending champions River Plate snatched a last-gasp draw at Alianza Lima on Wednesday.
We assess the leading candidates for glory and the potential stars ahead of the start of the 2019 Copa Libertadores.
With two years left on a lucrative contract at Shanghai SIPG, Hulk does not anticipate moving to Palmeiras for the 2019 season.


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Reading and Leeds have finally been revealed the last two headliners for this year’s festival. The festival has announced that Biffy Clyro and Fall Out Boy will fill the headline slot on Sunday night.
Although the headliners are enough to make anyone want a ticket, Reading yet again prove their diversity of sound. Amongst these new additions the likes of A$AP Rocky, The Vaccines, Five Finger Death Punch and more have been announced.
Tickets are still available here: www.readingfestival.com/tickets.
In the meantime, see below how the people of Twitter reacted to the announcement.