According to the Courthouse News Service, GREAT WHITE's lead singer and founding member Jack Russell has filed a lawsuit against his estranged bandmates claiming that they fired him and stole the group's name while he was recovering from surgery to repair a perforated bowel. Named in the complaint were GREAT WHITE lead guitarist Mark Kendall, drummer Audie Desbrow, guitarist/keyboardist/backing vocalist Michael Lardie and talent agency Bigg Time Entertainment.
The March 22 federal lawsuit — which can be downloaded as a PDF file at this location — states: "In August of 2010, plaintiff was hospitalized and underwent emergency surgery for a life threatening condition. While he recuperated from this surgery, other singers filled in for him during [GREAT WHITE's] live performances, however, it was undisputed that plaintiff's absence was temporary, and that he retained his position in the band's lineup and would resume singing with the band upon his recuperation.
Russell recently enlisted former members of FIREHOUSE, FIGHT and GREAT WHITE to perform with him under the name JACK RUSSELL'S GREAT WHITE. That band kicked off its "High Seas" tour on March 3 at Route 46 in Sanford, Florida and is scheduled to headline this summer's "America Rocks Tour" with support from FASTER PUSSYCAT, BULLETBOYS, PRETTY BOY FLOYD and LILLIAN AXE.
Kendall, Desbrow, Lardie, bassist Scott Snyder and singer Terry Ilous recently announced plans to release a new GREAT WHITE studio album, "Elation", via Frontiers Records. Due in May, the 12-song CD will mark GREAT WHITE's first effort with Ilous following the band's split with Russell.


Analysis acceleration, velocity, and displacement. For checking of unbalance, misalignment, bearings and gears. Large memory of 100 results and 10 frequency spectrograms. Includes a hand-held accelerometer probe with a removable magnetic base. Rechargeable battery. Upper and lower limit setting and sound alarm.


text:
Why Lack of Political Support is a Problem For Obamacare
Peter Suderman | 7.24.2014 1:06 PM
Over at The Washington Post, editorial writer Stephen Stromberg notes my current print-edition feature on the challenges ahead for Obamacare and the ways the administration has either exaggerated the health law's successes or downplayed its potential problems.
Stromberg argues that my piece is "ultimately too negative," but we do have a few points of agreement, mainly that "President Obama and his staff oversold the law, promising coverage expansion, cost containment, and unrealistic levels of consumer choice." In addition to laying out remaining problems for the law and noting the ways that the disastrous launch had helped shaped expectations for later performance, that was one of the major points of the piece: that even when the administration has reasonably good news or numbers on its side, it has often chosen to exaggerate its successes, and to declare them with more confidence than is warranted.
I want to zero in on a particular area of disagreement. Stromberg does not seem to think it is a particularly large problem for the law that it is still struggling in the court of public opinion. The law's low polls, he writes, say "little about its inherent merits."
I tend to think that bad polls are at least potentially a bigger problem. For one thing, poor popularity ratings suggest that even if one believes the law is a success, it's a success that's not widely felt. Its benefits are going either unnoticed or actively disliked by the majority of people, which, with a law the size and scope of Obamacare, indicates that it may not be as successful as intended.
More importantly, though, is that for a law to work—or even survive—it must maintain a certain level of political support, even and perhaps especially if you think, as I sense Stromberg does, that it's already a moderate policy success that just needs more time to work out the kinks. An unpopular law is an unstable law, and it is one that is constantly under threat of change or perhaps even outright repeal.
Just as a general matter, it's hard to maintain a law when the party behind it loses elections because of it. That's probably what happened in 2010, when Democrats lost the House. A 2012 paper by a team of political scientists found that Democrats may have lost control of the lower chamber (and thus the ability to, say, tweak the law during key implementation years) as a result of voting for the health law.
It's true that there's not perfect precedent for the total repeal of a law as sweeping as Obamacare. But major health reforms have been wiped from the books before. The Medicare Catastrophic Coverage Act, for example, was passed in 1988. A year and a half later, the law, commonly known as Cat Care, was repealed after extremely angry senior citizens refused to pay a tax financing an expansion of the health program's catastrophic coverage.
As a 1990 post-mortem of the law in Health Affairs said, "a retrenchment of this magnitude is unprecedented in postwar social welfare policy." It had never happened before, which meant that no one really thought it was possible. But it did happen. The public pressure was just too strong.
Do I think full repeal is a realistic threat to Obamacare? It does seem somewhat unlikely, especially since polls suggest that support for full repeal is smaller than support for changing the law. In any case, it would be somewhat unprecedented (Obamacare is much more sweeping than Cat Care was). But as the Cat Care incident shows, unlikely and unprecedented events do happen.
And full repeal is not the only plausible way that a lack of public support could affect Obamacare. A law does not have to be repealed to be changed, and some sort of revamp, whether through a series of smaller tweaks or in the context of a larger rethinking and reworking of the nation's entitlements, does seem quite possible.
Republicans have repeatedly stated their commitment to repealing or radically revamping Obamacare somehow. What they'll actually do if given power to make changes is less clear, but it seems unlikely that they will simply leave it as is. And since the launch of the exchanges last fall, we've even seen several Democrats, ostensibly the foundation of the law's political support, distancing themselves from the law and instead talking largely about "fixing" it. The party's own voters don't appear to be particularly motivated by the health law.
If a law of this scale is to be judged as any sort of sustainable success, it will need to build broader political support—something it doesn't seem likely to gain when even representatives of the party behind it are implicitly describing it as broken.
NEXT: John Buckley, Libertarian Senate Candidate From West Virginia
Peter Suderman is features editor at Reason.
PoliticsPolicyObamacare

redpajama_set_name: RedPajamaCommonCrawl


text:
Huayo may refer to:
 Huayo District, one of thirteen districts of the province Pataz in Peru
 Azúcar huayo, trees in the genus Hymenaea
 Botón huayo (Anthodiscus pilosus), a plant species found in Peru
 Leche huayo (Couma macrocarpa), a plant native to South America

redpajama_set_name: RedPajamaWikipedia


Air conditioners may look similar, but their Seasonal Energy Efficiency Rating (SEER) can vary widely. Higher SEER numbers save more money spent on electricity. A 13 SEER air conditioner, the EPA "current minimum standard", uses 23% less energy than a 10 SEER unit (EPA standard up until Jan. 2006). Even though 13 SEER is the minimum efficiency available, we currently offer a line of air conditioners that start at 14 SEER and go all the way up to a 21 SEER. Depending on your average usage, higher SEER air conditioners can significantly reduce your electric bill.
Our company also carries a vast assortment of HVAC filters, parts, & ductwork for sale to our customers. This is for the customer that prefers to take on the small tasks themselves. However, Oliver Air Systems is always there to help you tackle the bigger tasks.


This is Honey, so named, I assume, for the Quince & Co. yellow-olive colourway I've had my eye on for a while. There are few things better than a good stripe, and here it's in a sweet top-down raglan, with dinky pockets, designed by Amy Miller. It's simple, but it also has an air of luxury to it, like a classic cashmere sweater. It's understated, but the kind of thing you can imagine reaching for in the morning, whether you're heading to the office or out for a winter walk with the dogs. (If I had dogs, which I don't. I'm trying to wear the boyfriend down on this point).


text:
homereal estate News
How Indian real estate beat COVID 19 second wave
How Indian real estate beat COVID-19 second wave
By Jude Sannith Jul 15, 2021 9:20:03 PM IST (Updated)
New launches shot up by 71 percent, year-on-year (103,238 launches in H1 2021 versus 60,489 launches in H1 2020) and sales spiked by 67 percent (99,416 home sales in H1 2021 versus 59,538 in H1 2020).
In the first six months of 2021, the Indian housing market has convincingly trounced the disappointment that was 2020. According to data gathered by Knight Frank between January and June 2021, new launches shot up by 71 percent, year-on-year (103,238 launches in H1 2021 versus 60,489 launches in H1 2020) and sales spiked by 67 percent (99,416 home sales in H1 2021 versus 59,538 in H1 2020).
What's even more awe-inspiring is the fact that the comeback was scripted in the midst of a debilitating and tragic COVID-19 second wave that made the first one last year seem like a ripple. So, how did Indian real estate pull off this heist?
Policy reforms, a key factor
A spate of reforms in the housing sector is a crucial cog in the wheel of revival. "The reductions in repo rates, stamp duty and ready reckoner rates have been crucial in driving the sales momentum in the April-June quarter this year," said Rohit Poddar, managing director, Poddar Housing and Development.
Also read: Explained: Global real estate prices surging, but why are bankers iffy?
"Lucrative offers from developers have managed to sustain this momentum, and as a result, Indian real estate has witnessed historic year-on-year growth in the first half of the year," he added.
Poddar has a point. Indian real estate, post-pandemic, has been a happy marriage of stamp duty largesse, circle-rate cuts, realistic repo rates from the Reserve Bank of India and calculated business development plans adopted by builders.
Developers reinvent sales activity
"With the foresight of the first wave, developers recalibrated their approach towards new launches to suit the current time, while developing properties that address the current new-age homebuyer demand," Poddar said.
Also read: PE investment in real estate at $2.7 billion in H1 2021
Ram Raheja, director of S Raheja realty credits the monetary reforms, including low-interest rates, as the primary reason for the reinfusion of liquidity. However, timely unlock measures, he added, have also helped with business continuity.
"In Mumbai, the partial lockdown on business during the second wave ensured that these businesses managed to stay afloat," said Raheja, "With a better understanding of the pandemic, real estate stakeholders' preparedness in 2021 has helped residential sales in H1 2021 to exceed the H1 2020 levels."
Growth yet to reach 2019 levels
No doubt, a 67 percent year-on-year growth in sales is indicative of the fact that consumption has increased. However, even this stellar recovery isn't quite on par with pre-pandemic levels in 2019.
Also read: How to invest in real estate in India?
For instance, while 1.03 lakh homes were launched between January and June this year, that total is still is 3.64 percent below the launch number of 1.07 lakh in H1 2019. Home sales in the first six months this year totalled to 99,416 — a whopping 25.42 percent below the 1.33 lakh homes that were sold in H1 2019, pre-pandemic.
An industry veteran like Niranjan Hiranandani, president of the National Real Estate Development Council, believes this comparison proves that there is still some way to go.
"Indian real estate is witnessing a recovery from the slump witnessed due to the pandemic, but the pace is slow," said Hiranandani, "There are better sales numbers in 2021 when compared to 2020, but there's room for further enhancement in growth for numbers to be at pre-pandemic levels."
Also read: Knight Frank report: Home launches and sales rebound in 2021 but stay below 2019 levels
First Published: Jul 15, 2021 9:12 PM IST
COVID-19Real Estate


text:
KOPS - The Institutional Repository of the University of Konstanz
The UN and African Union in Mali and beyond, a shotgun wedding?
Politik- und Verwaltungswissenschaft
Author: Weiss, Thomas G.; Welz, Martin
Published in: International Affairs ; 90 (2014), 4. - pp. 889-905. - ISSN 0020-5850. - eISSN 1468-2346
DOI (citable link): https://dx.doi.org/10.1111/1468-2346.12146
The United Nations (UN) and the African Union (AU) have collaborated in building a viable African Peace and Security Architecture and have worked together in a number of armed conflicts over the past decade. Examples include the peace operations in Burundi and Somalia, and the hybrid peace operation in Sudan's Darfur region which is perhaps the most prominent illustration of this collaboration. Although the UN Security Council authorized the intervention in Libya, which was approved by leading regional organizations (the Arab League, the Organization of the Islamic Conference and the Gulf Cooperation Council), it was opposed initially by the AU although the three African states in the Security Council voted for it. Relations cooled as a result and have grown colder still as the UN snubbed the AU and its initial efforts to engage in post-conflict stabilization in Mali. While the AU sought to prove itself as a capable security provider and partner on the continent with its operation AFISMA, France's Opération Serval and the UN's peace operation for Mali, MINUSMA, bypassed the African Union. This article explores the underlying fault-lines between the two organizations by examining interactions between the UN and AU since the latter's launch in 2002, but focusing on the Mali case. The fault-lines emerging from the analysis are different capabilities, risk-averse vs risk-assuming approaches to casualties, diverging geopolitics and leadership rivalry.
Subject (DDC): 320 Politics
Bibliography of Konstanz: Yes
WEISS, Thomas G., Martin WELZ, 2014. The UN and African Union in Mali and beyond, a shotgun wedding?. In: International Affairs. 90(4), pp. 889-905. ISSN 0020-5850. eISSN 1468-2346. Available under: doi: 10.1111/1468-2346.12146
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A cryptic species previously included under C. urophasianus; not until mid-1980s and early 1990s were the differences from latter in morphometrics, breeding behaviour and plumage discovered, including significantly smaller size (400–800 g less in males)#R and different display#R. Some genetic data are available to support the treatment of this population as a new species#R#R. Monotypic.
Confined to Gunnison Basin, in SE Utah and SW Colorado, in WC USA.
Formerly, it presumably occurred also in NE Arizona, N New Mexico, NW Oklahoma and Kansas#R.
Minor seasonal movements (habitat shifts) within small range.
Fjeldså, J. & Kirwan, G.M. (2019). Gunnison Grouse (Centrocercus minimus). In: del Hoyo, J., Elliott, A., Sargatal, J., Christie, D.A. & de Juana, E. (eds.). Handbook of the Birds of the World Alive. Lynx Edicions, Barcelona. (retrieved from https://www.hbw.com/node/204311 on 22 April 2019).


International trade is when one country trades with another, also known as importing and exporting goods. Some countries use protectionism methods such as high tariffs so their people won't import so much. Countries also impose embargos. Some countries agree to trade with each other without protectionism. This is called "free trade".Free trade reduces trade barriers in exporting items.


text:
Jewish Day School Students Debate Global Issues at YU Model United Nations
Most Recent News January 22, 2008 yunews
Jan 22, 2008 — Approximately 500 yeshiva high school students from throughout the United States and Canada had an opportunity to promote international law, wrestle with world hunger, and address the crisis of weapons of mass destruction this February. At least in theory.
At the annual Yeshiva University National Model United Nations (YUNMUN), organized by the YU Office of Admissions and run by YU undergraduates, students from 44 high schools participated in a simulated United Nations conference. The annual event, held this year at the Sheraton Stamford, CT, February 3-5, provides students with a forum to learn about diplomacy and debate tough issues affecting the global community.
"Our goal was to engage the students in relevant issues," said Josh Levy, a senior at Yeshiva College and this year's secretary general of YUNMUN. "We instilled in them an understanding that there is a world so much larger that the one in which they live."
Each participating school was represented by a delegation of five to eighteen students and a faculty advisor. They spent months of preparation learning to represent their assigned country knowledgeably and skillfully, and submitted "position papers" outlining their country's stance on designated issues. At the conference, students responded to crises that arise, negotiated for their country's best interests, and penned resolutions for passage in the General Assembly.
The conference was divided into 15 committees, each of which was devoted to dealing with a specific UN sector. A team of Yeshiva University undergraduates chaired the committees, acting as passionate advocates of international involvement and as role models for YU's mission of Torah Umadda [Torah learning combined with secular studies] .
Three new committees relevant to current affairs debuted this year: the United Nations Children's Fund (UNICEF), the World Meteorological Organization (WMO), and a committee called 1540, focusing on weapons of mass destruction.
At YUNMUN's close, an eagerly anticipated awards ceremony recognized outstanding individuals and schools.
Levy said, "Between a great staff, intriguing topics, and the power of competition, this was one of the best years yet."
Day School, Global Issues, Jewish, Model, Students, United Nations, YU
Researchers Question Whether National Dietary Guidelines Do More Harm Than Good
With 15,000 Lectures Online, YUTorah.org Takes Trove of Teachings to Wider Audience
yunews


text:
Encyclopedia of Major Marketing Campaigns
Author: Mark Lane
AMAZON THEATER CAMPAIGN.
HISTORICAL CONTEXT.
TARGET MARKET.
CHOOSE YOUR OWN ENDING.
MARKETING STRATEGY.
FURTHER READING.
1200 12th Ave. South, Ste. 1200
Web site: www.amazon.com
AMAZON THEATER CAMPAIGN
Amazon.com, Inc., entered the retail marketplace as a pioneering online bookseller in 1995, and though it had been steadily diversifying its product offerings all along, by 2004 most consumers still thought of the website only in connection with books and music. Having recently made the transition, thanks to years of capital-intensive investment, from dot-com trendsetter to actual profit maker, Amazon wanted its customers to begin thinking of its site whenever they needed anything. Unconvinced that television and other traditional forms of advertising could translate into online sales, Amazon and its founder and CEO, Jeff Bezos, enlisted Fallon Worldwide's Minneapolis office, a leader in online branded entertainment, to spread the message about Amazon's breadth of products via Amazon.com itself.
The result was "Amazon Theater," a series of five short films starring well-known Hollywood actors and integrating products available for purchase on Amazon.com. The films, sponsored by JP Morgan Chase & Co., cost approximately $2.5 million to produce. Timed to coincide with peak holiday traffic, they premiered on Amazon.com each Tuesday between November 9 and December 7, 2004, and were packaged as a free "holiday gift" to customers. Though the featured Amazon products were folded into the stories without fanfare, they were listed as starring players in an interactive credit roll at the end of each movie, allowing viewers to click and go to linked Amazon pages to make immediate purchases.
This innovative integration of entertainment and shopping attracted industry and media attention and pointed the way to future explorations of interactive advertising. Amazon continued to experiment with the inclusion of entertainment on its website by partnering with the Tribeca Film Festival in 2005 to stage a short-film competition. Candidate films were available for free viewing on the website, and Amazon customers selected the winner.
Inspired by a statistic claiming that Internet usage was growing at a rate of 2,300 percent a year, entrepreneur Bezos launched Amazon in July 1995 as an online bookseller. By doing away with the costs associated with the building and operation of traditional retail stores, the pioneering Web business was able to offer consumers lower prices than its physical-world counterparts while still delivering a high level of customer service. As the Web population grew exponentially in the late 1990s, so did Amazon. It went public in 1997; extended its product range to music, videos, toys, and electronics in
1998; began a concerted effort to buy up other dot-coms and to offer a wider range of online services; and increasingly established an international presence by 2000, with websites serving England, Germany, France, and Japan. In 2002 Amazon partnered with hundreds of clothing retailers. In 2003, after years of steady investment aimed at allowing it to boast "Earth's biggest selection" and to claim to be "Earth's most customer-centric company," Amazon posted its first yearly profit.
By 2004, despite the fact that Amazon's product selection rivaled that of Wal-Mart, most consumers still thought of the online retail powerhouse as a site strictly for buying books and music. Amazon wanted to change this perception, but it had almost entirely quit investing in traditional media advertising, choosing instead to keep prices low and offer free shipping. The company had, however...


A giant sea spider, Colossendeis robusta, used in the thermal tolerance experiments done by Shishido and colleagues at McMurdo Station, Antarctica. Photo by Tim Dwyer, courtesy of ARCUS.
A large ocean arachnid of the polar oceans may be less vulnerable to ocean warming than researchers previously thought.
A team including two University of Hawaiʻi researchers ventured to the isolated throes of McMurdo Station in Antarctica to study why marine life living in the polar oceans and deep seas can grow so much bigger than other regions of the world.
University of Hawai'i at Mānoa zoology PhD student Caitlin Shishido and UH researcher Amy Moran together with colleagues from the University of Montana studied giant sea spiders to test a prevailing theory that explains the phenomena of large marine animals. Called the "oxygen-temperature hypothesis," the theory posits that animals living in extremely cold environments can grow larger due to slower metabolisms.
The sea spiders—close relatives of land spiders that can breathe underwater through pores in their legs—were subjected to a series of exercises. The team attempted to exhaust the spiders by flipping them up-side down and counting the number of times they turned themselves right-side up at a range of temperatures: -1.8°C all the way up to 9°C. Contrary to expectations, the giant sea spiders showed just as much stamina as their smaller cousins on land.
This seemed especially odd for sea spiders who have no gills or lungs and rely on diffusion across the surface of their legs to get oxygen. So how do these creatures show such resilience in varying temperatures?
This was a mystery until Shishido and Aaron Toh, a UH undergraduate student, put the sea spiders under a microscope. They found that, as the spiders grow, their exoskeletons become more and more porous, allowing for greater oxygen intake.
"The exoskeletons of the really big ones look almost like Swiss cheese," Shishido said.
These short-term experiments only provide a limited view of the effects of ocean warming on giant sea creatures, the researchers cautioned. The long-term effects have yet to be understood.
The study was published in the April 10 issue of Proceedings of the Royal Society of London.


For ATB choir. In this piece, I explore a variety of tonal colors using only three voices.
Premiere performance by Vox16 under the direction of Markdavin Obenza.
Text written and copyrighted by E.E. Cummings.


The Queen's Sailing Team is CICSA's largest sailing team, consisting of approximately 45 dinghy and keelboat sailors. The Queen's Sailing Team is competitive in both the Canadian conference (CICSA) and American conference (MAISA, ICSA). Recently, the team has been champions in dinghy fleet racing – National Champions 4 of 6 years since 2010; dinghy team racing – National Champions for 6 consecutive years, and keelboats in Canada – National Champions in 2015 and 2016, and World Champions in 2016. Queen's finished their 2016 season on a high. Highlights include winning CICSA Team Racing Nationals for the 6th year in a row, placing 1st and 2nd at CAN/AM Cup, placing 4th at CICSA Fleet Racing Nationals, and winning the Student Yachting World Cup in Larochelle, France. Queen's is the 2016 CICSA Team of the Year, along with both Male and Female Skippers of the Year being from Queen's University. The team is looking forward to defending our National and World titles in the upcoming 2017 season.


This Australian made outdoor table has been built with the highest quality standard in mind. With a 50mm x 50m stainless steel base and stainless steel fixers. The Black Jardine Table has an impeccable black stained finish with the top being constructed from thick kwila slats. This kiln dried kwila timber contains natural oils that ensure solidity, durability and resistance to a range of climates.
The size shown is 2.7m x 1.2m, which is a ten to twelve seater outdoor table and is perfect for large groups and Sunday lunches. Avalaible in a variety of sizes, this table is extremely suitable for outdoor use.


Starting 1/20, Hershey's Gold Miniatures Bags will be priced at $3.50 each. Combine this price with a Hershey's Gold Miniatures Bags coupon to further reduce the price. Plus, you will receive $1 Bonus Cash when you buy 2 of this product. You can get Hershey's Gold Miniatures Bags ONLY $1 Each.


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text:
Phuket | Laguna International Marathon: 4,100 runners to conquer Phuket tomorrow
Laguna International Marathon: 4,100 runners to conquer Phuket tomorrow
PHUKET: A total of 4,100 runners – aged 13 to 80 years old and representing 45 countries – have registered to compete in the five races of the 8th Laguna Phuket International Marathon (LPIM), with runners set to take their marks as early as 4am tomorrow.
Speaking to the Gazette this afternoon, shortly after marathon registration closed, Roman Floesser of Go Adventure Asia, event partner and organizer, shared this year's LPIM registration numbers.
The full marathon (42km) will be contested by a total of 700 runners; while 900, including the Gazette's own Isaac Stone Simonelli, will attempt the 21km half-marathon. The 10.5km race proved to be the most popular, with 1,200 set to compete. Another 800 will take it easy in the 5k 91.5FM Community Walk, and about 500 'good sports' should breeze through the 2km kids' race.
Following the pre-event press conference, held this afternoon near the starting line at the Laguna Complex in Cherng Talay, the Gazette spoke to a few interesting LPIM 2013 participants.
Mrs Sirporn Van Paassen, or as as she is commonly known by her Phuket Hash House Harriers' name, "Minnie Mouse", is excited ahead of her first-ever attempt at the full marathon.
Minnie Mouse, who has competed in and completed the half-marathon race in previous LPIM events, says she is now ready for the next step.
"As former head of the Phuket HHH, I've enjoyed running for some 25 years," she said.
Asked about her training preparations, Minnie Mouse said she has done a few 30km runs, but admits that even this is 'small fries' when compared to the full 42km feat.
"Everone says that after 30km, when you see the [remaining 12km] goal, it's easy to give up… but I want to know this feeling and give it my all to complete the race. I've given myself a target of about six hours to complete the race," she said.
Australian 'Couple on the Run' Andrew and Sue O'Brien are also excited to take on the LPIM.
Having already completed some 200 marathons around the world, conquering an estimated 80,000 kilometers – all together – Sue told the Gazette that the most common question their fans and followers ask them is if the couple always finishes together.
"The answer is yes, of course! No matter what happens, if there's something wrong with one of us, we always make sure to cross the finish line together – holding hands," Andrew added.
Laguna Assistant Vice President Debbie Dionysisus, who has opted to run the 10.5km race this year, clarified the LPIM's "Run Paradise" theme: "The LPIM is a fun event for the young, old, colleagues, friends and families – and everyone else – to come out and enjoy our beautiful home that is Phuket.
"There is no reward money, and we're not necessarily targeting professional athletes… this is a fun event for everyone to enjoy in the perfect setting."
For more pre-event details about LPIM 2013 demographics, click here.
— Steven Layne
UK's Page wins Laguna Phuket Marathon
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Prime Algarve Transfers and Tours is a family business, which provide Faro Airport Transfers for people who arrive at the international Faro Airport - Algarve.
Our Grandfather iniciate our activity back in 1968 when he bought his first taxi company in Faro.
Acácio Viegas Alves, our grandfather back in the 80's at FARO AIRPORT.
It is with enormous pride that we, brothers Ricardo and John, represent the third generation of this company in this activity.
John, Silva and Ricardo at FARO AIRPORT.
We provide private Faro airport transfers with a large fleet of vehicles, suitable for the needs of our clients.
It is our policy to always assume a high quality posture and a high standard to everyone who uses our services.


Lay the laminate flooring in the doorway or along the carpeting, keeping the edge of the flooring at least 3/8 inch inside the edge of the threshold or transition strip and the same distance away from the nail or screw holes.
Overlap Reducer - (Floating Method Only) Used to join hardwood floors that utilize the floating installation method with floors of different heights such as vinyl, ceramic tile, or low pile carpeting. Overlap-Reducer_v1.png; Installation: To attach molding pre-drill and nail in appropriate 6" to 8"
The experts at DIYNetwork.com show how to install snap-together laminate flooring to create a beautiful new floor. Step-by-step instructions make this project the room until reaching the far side. Rip planks lengthwise to fit in the last row and install transition strips between the flooring and other floor types at the doorways.


text:
Jacksonville couple stages their ninja fitness business in old theater
By David Blanchette, Correspondent
Jul 26, 2016 at 10:45 PM Jul 26, 2016 at 10:45 PM
JACKSONVILLE -- It still looks like an old movie theater, but there's a different type of drama going on these days inside a downtown Jacksonville building.
There are 20 obstacles from the extreme fitness challenge television series "American Ninja Warrior." Three rock-climbing walls of progressive difficulty levels occupy the area where a movie screen once hung. A large children's area features special fitness activities and obstacles for younger people. And it's all inside the former Times Theater building at 231 E. State St., where the historic facade is unchanged except for the new business name, Krush Time, which is billed as an "official American Ninja Warrior training facility."
"It was a pipe dream long before it was an actual dream," said 27-year-old Jacksonville native Josh Jones, who developed Krush Time with his wife, McKea, both of whom were high school athletes. "We watched the show and thought, 'Man, we'd like to try that.' There are three ninja gyms in all of Illinois, in Chicago and one way south, so they weren't really options."
The couple had formed Krush Nutrition in Jacksonville in 2013 to sell nutrition supplements, with the word Krush derived from Orange Crush, a nod to Josh's favorite color. When they purchased and converted the Times Theater building, Josh and McKea kept the word Krush, took the "s" off of the "Times" on the theater marquee, and came up with the new business name. They have since incorporated their nutrition supplement business inside of Krush Time.
"Our faith is a big thing, we were praying a lot, and one night I had a dream just as vivid as you can imagine and I woke up and I just had this idea for all of this," Josh said. "It was as clear as day, so the next day we started looking for buildings."
The 25-year-old McKea, a Winchester native, "really didn't think Josh was too crazy" because "it was one of those dreams that we knew because of our faith that he had received it," she said. "I thought, 'Well, I think I can get on board with this,' and I started thinking about what we could do with it as well."
'Wonderful fit'
Krush Nutrition was along West Morton Avenue, the long commercial street that runs through Jacksonville, but the Joneses could not locate a suitable space for their planned new venture along that main thoroughfare. But when they contacted Judy Tighe, the executive director of Jacksonville Main Street, she immediately recommended that they look into the long-vacant Times Theater building downtown.
"I brought Josh, McKea and the owner together, we walked around the building and showed them everything, and they explained their idea to the owner," Tighe said. "He thought it was a great idea, and he really wanted to help them, so he gave them a heck of a deal, $1,000 to buy the building."
"They were trying to be all serious, but you could just tell from the look on their faces that you could knock them over with a feather," Tighe said. "They just couldn't believe it. That was what they were paying in monthly rent. It was a deal too good to pass up.
"It's a wonderful fit for downtown Jacksonville because downtowns are typically more conducive to small-business owners to practice entrepreneurship, niche businesses, unique and not big-box retail that you find on everybody's main drag. It's also a fabulous adaptive re-use, a new idea for an old building."
Hang, swing, jump
With a building and a mission, Josh and McKea dove into the project, doing all of the work themselves, from refurbishing the marquee to building the extreme fitness obstacles inside. They started with the children's area, inside the upper theater of the former two-screen complex.
"We had bounce houses at one point and a zip line, but the kids always wanted to go to the other side and do the ninja stuff," Josh said. "So we made the kids' area more complex and challenging, and they really responded to that because that's something that kids don't do anymore. They are so used to digital things that when they can actually hang from things and swing and jump, it's a lot of fun for them."
The Play Zone for children ages 12 and under includes trampolines, multiple slides, a tire climb, and a fort near the room's ceiling. The kids can also try to conquer their own scaled-down American Ninja obstacles.
"The other side was purely based on how many obstacles from the show could we fit in this room and what we needed to build to accomplish it," Josh said. "We started with the rock walls, because where the screen was located was the perfect spot to put them. And the screen was collapsing anyway, so we knew we wouldn't be able to save that."
"The first wall is simple, but by the time you get to that third wall that leans out, out of thousands who have tried, maybe 20 have made it to the top," Josh said. Of the American Ninja obstacles, "the most challenging would most definitely be the hanging doors where you can't hold the top but just have to hang onto the side, pinch it with your feet and hands, hang there, and then move to the next one without touching the ground. Also the salmon ladder, where you do a pull-up and move the bar up with you."
"This is old-school athletics. It's strength and technical difficulty, so many parts in one," said Josh, who has successfully completed all of the obstacles. "The salmon ladder in particular is insanely hard, but it's an iconic piece of the show, everybody knows it and wants to try it."
McKea has completed several of the obstacles and is working toward conquering the others. She enjoys helping customers make progress "because there's that sense of pride and accomplishment when you do get something, or even if you just make progress on an obstacle," she said. "We see people who come back later after losing weight or getting in better shape, and it's cool to watch their strength increase."
'Great for Jacksonville'
Krush Time customers from the area include 34-year-old Tasha Meyer of Jacksonville, who has done the rock-climbing wall and part of the American Ninja Warrior course.
"As soon as they opened it up, I was in there. It's very challenging, but it's a good challenge," Meyer said. "It makes me feel like I'm famous, that the small town of Jacksonville has something so awesome that people from bigger cities would come to do."
Brad Baldwin is a 46-year-old Jacksonville resident who recently moved back to the area and "just happened to turn down the street and saw the poster and sign, and I thought, 'What's this? I've got to go back and check this out.' So I was very surprised and very happy to see it," he said.
"I've done the rock-climbing wall and played around with some of the ninja obstacles, and I've made some progress on those," Baldwin said. "A lot of people can benefit from this place."
Carol Christensen, a 36-year-old Jacksonville resident, enjoys Krush Time with her family.
"It's great for Jacksonville, and it's great to know there is a place where my kids love to go," Christensen said. "It lets people do something that they can see on TV, but they couldn't do on their own. It's great for people's health and wonderful for our town."
Krush Time customers must sign a waiver before they are allowed to try any of the American Ninja obstacles or climb the rock wall, but that comes with the territory.
"I tell people 'expect to get hurt, be happy when you don't,'" Josh said. "It's almost like a warrior status, they go in there and bang their leg off something, or get a little cut going, and they have the mindset that it's just making them stronger."
-- Contact David Blanchette through the metro desk: 788-1517.


'An Essay on Generation,' by J. F. Blumenbach, translated from the German, 1792.
'An Inquiry into the Nature and Origin of Mental Derangement,' 1798.
'A Synoptical Table of Diseases designed for the use of Students,' 1805.
'An Account of some Experiments with Vapour of Tar in the Cure of Pulmonary Consumption,' 1817.
'On the Treatment and Cure of Pulmonary Consumption,' 1823.
This page was last edited on 17 February 2013, at 20:13.


Illuminated by streams of natural sunlight and warmth, this beautiful 3-bedroom home simply oozes cool coastal chic. Just moments to the soft sands of Beaumaris beach and enjoying fiercely sought-after secondary college zoning, it is the perfect base from which to relish an enviable beachside lifestyle.
Nestled on approx. 635sqm, the home opens to reveal stunning light-lavished interiors enhanced by soaring ceilings, glossy hardwood floors and huge picture windows. Entertaining is a breeze thanks to the open plan living/dining area which extends effortlessly out to the sundrenched alfresco deck whilst back inside, the stylish kitchen showcases quality appliances and is certain to please the chefs of the family.
Peacefully situated away from the social hub of the home, the three bedrooms are of generous proportions and share two bathrooms (one with laundry provisions). Enjoying its own external access, the real bonus is a separate and versatile room, perfect for use as a kids' playroom/retreat, home office, guest accommodation or even a home theatre for family movie nights.
Ducted heating, evaporative cooling in the bedrooms, gas fireplace, split system and ceiling fan keep the home comfortable throughout the seasons – substantial storage both in the attic (drop-down ladder) and under the house, an easy-care garden, practical work-shed and double auto garage are also included.
In the prized Beaumaris & Mentone Girls' Secondary zones and a stroll to a choice of primary schools & kindergartens, the home is also within easy reach of both the Concourse and Seaview shops along with the area's leading private schools.


text:
Architecture | 7 Nov 2018 | By Scott Bay | Photography: Noshe
Take a grand tour of Seoul's accelerating architecture scene
Seoul is undergoing an urban and architectural transformation. Pictured here, one of the South Korean capital's latest high rises, Lotte World Tower. Photography: Lotte Group
The economy in the South Korean capital of Seoul has been booming for decades. With that, the infrastructure and architecture has blossomed too, swiftly becoming world-class. The country has entered a modern-day 'golden age', with the city undergoing one of the fastest and largest transformations in the world, creating new and exciting opportunities for the urban landscape.
Explore Seoul's expansion from every vantage point: from the crowded streets that seem to curve around the urban structures to the juxtaposition of traditional Korean hanoks with the fifth tallest skyscraper in the world (Lotte World Tower) completed last year. Seoul is a dynamic city of change.
David Chipperfield's Amorepacific headquarters is one of the capital's most eye-catching, state-of-the-art workspaces. Photography: Noshe
This is the second largest national capital area in the world at 223.7 square miles; containing within it plenty of architectural wonders. Old and new, tradition and modernity coexist. This is a country famous for its technological advances. Sustainability is also high on the agenda, with architectural examples such as Morphosis Architects' environmentally-friendly Kolon One & Only Tower leading the way.
At the same time, South Korea is renowned for valuing beauty and luxury fashion. The former manifested in the K-beauty phenomenon that has been sweeping the global marketplace for the past decade, with the country's obsession with skincare and grooming resulting in exciting new brands. This is reflected architecturally by additions such as David Chipperfield's Amorepacific headquarters.
Seoul's belief and investment in architectural advances can also clearly be seen in the recent and upcoming plans for its sprawling urban landscape. Read on to discover more about the metropolis' ever-expanding skyline. §
Lotte World Tower by KPF
A sleek, supertall South Korean masterpiece – the Lotte World Tower – is the fifth largest skyscraper in the world. It was completed last year at 123 floors and 555 metres tall the structure boasts a 7-star hotel, luxury apartments, business space, an observation deck, and a rooftop cafe. Photography: Tim Griffith
Amorepacific HQ by David Chipperfield Architects
The recently completed headquarters for Korea's largest beauty company, Amorepacific, is both abstract and gestural. Photography: Noshe
Its design's ambition is to create a public space alongside the business centre for Amorepacific by incorporating amenities such as a museum, auditorium, library, restaurants and childcare facilities. Photography: David Chipperfield Architects
Kolon One & Only Tower by Morphosis Architects
The holistic concept for Kolon One & Only Tower encompasses energy efficiency, resource conservation, and environmental stewardship, working in concert with education and employee health and well-being. The western facade creates a dramatic appearance to the tower whilst thoughtfully balancing views and shade for the interior of the structure. Photography: Jasmine Park, courtesy of Morphosis Architects
This recently completed campus for The Kolon Group allows space for collaboration and innovation. Photography: Roland Halbe, courtesy of Morphosis Architects
CJ Blossom Park by CannonDesign
CJ Blossom Park creates an inspiring and playful workplace to host the various aspects and needs of the CJ Corporation's businesses in one campus.
Hosting 900 researchers and 750,000sq ft of research space, CJ Blossom Park has integrated great design to help increase the company's global competitiveness.
Simple House by Moon Hoon
Reinforced concrete beams support massive concrete boxes stacked on top of one another to create a stunning visual appearance to this modern house. Floor-to-ceiling windows flank each side of the levels to capture the light throughout the day.
The distinctive design of this home creates an expressive living space from the moment you enter through the door right up to the rooftop terrace.
Unicity by D-Werker Architects
Completed in 2017, the Unicity project adds unique geometry to the Seoul skyline. It is the headquarters and research centre of cosmetics company Carver Korea.
The architects cleverly designed Unicity to include outdoor space on each floor, to counteract the lack of green space in the surrounding area, while granting visual excitement that jars against the ordinary urban environment.
Wandering In The Clouds by CAA
Inspired by the Taoist teaching of 'Yi,' this concept for Seoul creates a metaphorical cloud depicted in East Asian ancient fine art through a series of bridges and buildings.
The design would include museum space, memorial gardens, and an arts and cultural centre while embracing the surrounding sacred South Korean mountain.
Namdaemun Tower by Mecanoo Architects
Namdaemun Tower is an office high rise located next to the vastly popular Namdaemun Market which is the oldest and largest market in South Korea. Photography: Kyungsub Shin
The market's rich history and traditions were carefully considered when designing the restrained monochromatic tower. The architects wished to communicate the passing of time with its facade in relation to its location. Photography: Kyungsub Shin
Peace and Cultural Center by CoRe Architects
A former defense structure used by the military has been masterfully transformed into a Peace and Culture center for the public to use as a creative hub. Photography: Hwang Hwochel
CoRe Architects decided to keep the existing structure of the military bunker, adding steel and wood elements to create an inspiring creative facility. Photography: Hwang Hwochel
Seoullo 7017 Skygarden by MVRDV
Dutch practice MVRDV has transformed a disused overpass into a pedestrian promenade and 'urban nursery', rearing trees for the surrounding districts. Photography: Ossip
Launched in 2017, Seoullo was designed to be as green as possible, providing a breath of fresh air for its locale, as well as a means to further connect different parts of town – a little like New York's High Line. Photography: Ossip
Seoninjang by Studio Minorormajor
Studio Minorormajor has given a collection of abandoned warehouses the second chance at a new life with a proposed public space.
Seoninjang, translating to 'cactus' in english, uses the desert plant as inspiration to create a vibrant and organic cafe/lounge/studio/gallery space.
Start-up Center Seoul by Ensamble Studio
The purpose of this forthcoming project is to build a state-of-the-art platform for living, working and learning.
With hopes to regenerate the Changdong-Sanggye area of Seoul, Ensamble Studio aims to provide smooth transition between context and internal activities, provoking enriching synergies for the users and the wider area.
Lie Sangbong HQ by Unsangdong
Local architects Unsangdong have transformed an existing building into a state-of-the-art headquarters for celebrated South Korean fashion designer Lie Sangbong. Photography: Kim Jaeyoon
The tall, slim building includes offices, showrooms and a multipurpose space for events; as well as a set of contemporary residences. Photography: Kim Jaeyoon
SOUTH KOREAN ARCHITECTURE ON INSTAGRAM


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redpajama_set_name: RedPajamaGithub


Since I'd never been before, I looked to the internet for advice, and Twitter was a WEALTH of information. It told me to wear comfortable shoes, to stuff my purse with protein bars, and to bring my suitcase to the Javits Center. A suitcase, really?
Yes, really! The Javits Center allows you to park a suitcase for a few bucks every day so that as you collect free galleys you can drop them off and run get more! I love book folks, don't you?
In the days before, some people even shared schedules of all of their favorite galley drops so that we could join them in line. Authors of every type of fiction were there – picture book, middle grade, graphic novels, YA and NA and adult, etc.
My upcoming book was chosen at a Book Buzz pick, so I was able to participate in the BEA MG Book Buzz Panel on Friday. I arrived to the conference excited and scared to death. Luckily, my awesome editor, Nancy Paulsen, was up first. She did a great job presenting my book, LAST IN A LONG LINE OF REBLS. I was so inspired when she finished, I wanted to read it again myself!
After a quick walk around the showroom floor, it was my turn. The other authors, Alex Gino, Ali Benjamin, Nicholas Gannon, and Adam Shaughnessy could not have been nicer. The panel was moderated by Shelf Awareness children's editor Jennifer M. Brown and she quickly made us all comfortable.
Whew! Nancy Paulsen and my awesome agent, Susan Hawk were there for moral support and they swore that I didn't blow it.
Don't let that heavily photoshopped picture fool you, that's me! My first ever book signing was too much fun.
People actually came! I smiled so much I'm pretty sure I broke my face, but it was great. After BEA, I came back home and collapsed. I wonder if anyone else can relate. Oh yeah, TWITTER.
Yup. Book lovers are the best.
BEA was a wonderful experience and if you have the opportunity – go! Next year's event will be held in Chicago. Sounds like the perfect venue for the entire Mafia Family!
I've thoroughly enjoyed watching your progress. I look forward to reading your book. Best of luck in all your future endeavors.


Ireland (Vice President, Leasing), has provided in-house representation of Whitesell's office and industrial property portfolio for thirteen years, and has been a solid performer in the southern NJ commercial real estate marketplace for nearly two decades.
Founded nearly sixty years ago, the Whitesell organization is a full-service commercial real estate development and management company. The third-generation, family-owned company owns and manages approximately 9.3 million square feet of industrial and office space in southern New Jersey and southeastern Pennsylvania.
To view Peggy Ireland's Q & A spotlight feature, click link below, and turn to page 55.


A FEMALE police officer has been taken to the Lusaka Magistrate's Court for allegedly stealing a fridge worth K3,500 from Resula College.
Jane Mumbi, 21, of LusakaWoodlands Police Station, is charged with theft.
On August 8 this year, Mumbi allegedly stole a KIC fridge worth K3,500, the property of Resula College.
The matter came up for allocation on Wednesday before Magistrate Mwaka Mikalile, who allocated it to magistrate Betty Malupenga.


text:
Seriously, I meant to get out today. But last night, I started to feel sick. Again! Ach. But, you know me, any excuse to stay home. I think I'm ready to give it up. If I feel like staying home, I'm staying home. It's so cozy and nice here. The cat is friendly, the electric heater keeps it warm (gas is so expensive!), and the knitting goes well.
I do worry, though, that I'm becoming overly introverted, isolated, anti-social. On the other hand, I went to the movies with C-money yesterday and it was good fun. We talked for a while after and it was just like old times. On Friday, I went out with Pele and we had a good time.
Maybe it's ok to hibernate for a while. Maybe it's better to do what I feel like and not worry about it. It's not like I'm turning down invitations. Au contraire.
Tomorrow, well, I'll go out if I feel like it. I think I will. It may be a drive out to the Eden Center and a movie or just a walk over to Union Station. I'll play that by ear.
The movie was saw on Sunday was Sweeney Todd. It was C-money's suggestion. I was happy to go, though, since I'm a big musical fan.
When I was in the sixth grade and we lived in DC, my parents bought the record. As I did with most of their other records of musicals, I played it over and over. (Among the ones I memorized: West Side Story, Guys and Dolls, Annie Get Your Gun, Candide, Kiss Me Kate, The Pajama Game, My Fair Lady, Cabaret and A Chorus Line. Among the ones that perplexed me: Company, Finnian's Rainbow, Fiorello, The Fantasticks and The Most Happy Fella.)
The music is what drew me to these shows. Since I'd never seen any of them, I couldn't always put the plots together and the actual meaning of the songs often escaped me. As a grade-schooler, I could warble every word of "Adelaide's Lament" from Guys and Dolls without the slightest clue that the song was about a woman's (comic) despair about her boyfriend's unwillingness to marry her.
Even though I was a little older (11 or 12) when I first listened to Sweeney Todd, the grim center of the show didn't make a strong impression on me. What I noticed were the hilarious lyrics and beautiful melodies. When a traveling production came to DC, my parents got tickets. I begged my mother to let me go. I'd been listening to the record non-stop for weeks. I knew the whole score by heart. My mother said no, that I was too young. I pouted but I didn't get to go.
After Mom got back from seeing it, she said, "I should have let you go." She didn't enjoy it--it was too grim for her and she didn't know the songs as well as I did.
As it turns out, I've never seen a stage production of Sweeney Todd. Of all those shows listed, I've only seen three on the stage (I've also seen a few not listed). When a film version exists, I've seen it and usually not liked it. The lyrics are inevitably changed for films and I can't bear it. I want to sing along (silently). Or, sometimes, the casting is unbearable. Marlon Brando in Guys and Dolls is awful and I love Brando. Frank Sinatra is almost as bad. Natalie Wood almost ruined West Side Story--the dubbing was painful. However the second leads save that film. Hello Rita Moreno!
Anyway, back to Sweeney Todd. I'd seen some of it on tv. They filmed one of the performances and it aired on PBS way back when. But filmed stage plays always fall flat. Only a film adaptation gets the three dimensions needed to make a show live.
In this movie, Johnny Depp and Helena Bonham-Carter did a decent job. Their singing wasn't great but their acting was and that was sufficient. I had a couple of moments of nostalgia for Angela Landsbury. Her cloying, pragmatic Mrs. Lovett is un-toppable, but Bonham-Carter was rather un-waif-ish and convincing and I liked her. She and Depp have matching looks, which worked.
The music was great. I haven't listened to the album in years, but I could have sung along to most of the show. I still love the music.
As to the story, boy oh boy, was it grim. The body count was high and every murder was shown in full bloody detail. I had to shield my eyes. Yes, I am that squeamish.
The show was trimmed to make for a movie-appropriate running time, leaving gaping holes in the subplot. That was unfortunate.
It's not exactly family-friendly holiday fare. And there are some head scratching moments. But mostly it made me remember the joy I got listening all those years ago, memorizing the words, singing along and living in the music. So what if it wasn't a perfect interpretation, it was close enough.
Not a bad present, actually.
Happy merry everyone! I hope you're spending X-mas in exactly the way you desire.
Grateful for: musicals.
Labels: friends, mom, muscials, theater, x-mas


Why are there compressed loads (more than 100% load density) listed in your Reloading Manual?
What is the minimum trim length on brass?
What is the Maximum Overall Cartridge Length listed in your reloading manual?
Is there any more data than what is listed in Reloading Guide #7 or Nosler's website?


text:
Retrospective Evaluation of the Effect of Tenoxicam and Paracetamol Applied as Intraoperative Analgesics During Orthognathic Surgery on Postoperative Pain
10.4274/meandros.galenos.2021.72681
Zeynep Büşra Düzenli
Burcu Gürsoytrak
Özlem Kocatürk
Postoperative pain caused by orthognathic surgery significantly affects patient comfort. Non-steroidal anti-inflammatory drugs, corticosteroids and opioid analgesics can be used to relieve postoperative pain. The aim of this study was to retrospectively evaluate the effect of tenoxicam and paracetamol administered intraoperatively during orthognathic surgery on postoperative pain.
The study was conducted with 63 files in accordance with the determined criteria. For postoperative pain control, patients were divided into two groups according to the types of analgesics administered. Patients who were administered tenoxicam 20 mg (35 patients) or paracetamol 10 mg/kg (28 patients) IV without extubating were included in the study. In the follow-ups in the postoperative period, the values at 0, 1, 3, 6, 12, 24, 36, and 48 h from the visual analogue scale (VAS) data, the presence of nausea and vomiting and the need for opioid analgesics were evaluated in the files recorded.
There was no statistically significant difference in VAS values between the tenoxicam group and the paracetamol group in the postoperative follow-up. Nausea and vomiting were higher in the tenoxicam group than in the paracetamol group, but no statistically significant difference was observed. Also found no significant difference in rescue opioid requirements.
When intraoperative tenoxicam administration and paracetamol administration were compared in patients undergoing orthognathic surgery, lower VAS scores were observed and analgesic efficacy was found to be sufficient in patients in the tenoxicam group, but no statistically significant difference was found. Similarly, statistically close results were found between the presence of nausea and vomiting and the need for rescue opioids.
Keywords: Pain, orthognathic surgery, analgesia
Orthognathic surgery is a treatment method that includes invasive, major operations that are frequently applied to repair maxillofacial deformities. Pain, edema, and loss of function, which are symptoms of widespread inflammation, may occur in the postoperative period as a result of tissue damage in orthognathic surgery (1). Postoperative pain after orthognathic surgery significantly affects patient comfort. Therefore, good management of the inflammatory process is very important.
Intraoperative analgesia, one of the preventive analgesia methods, is a comprehensive analgesia method aiming to control the development of central sensitization in the postoperative period. It is a practice that adopts the conventional perioperative strategy for anticipated physiological pain.
Tenoxicam, an oxicam derivative among non-steroidal anti-inflammatory drugs (NSAIDs), can be used once a day with its 100% bioavailability, approximately 99% blood protein binding, adequate penetration into synovial fluid, low systemic clearance, and long elimination half-life. Therefore, it can be used as an intraoperative analgesic and as the preferred analgesic in the treatment of postoperative pain (2).
Paracetamol (acetaminophen) is a para-aminophenol derivative drug with antipyretic analgesic properties. Unlike tenoxicam, it has no antithrombotic activity and its anti-inflammatory activity is negligible. The therapeutic effect of acetaminophen begins quickly, is short-lived, and does not prolong bleeding time, as it does not affect platelet function. It has no potential toxic effects on the cardiovascular, respiratory, and gastrointestinal systems (3).
The main purpose of this study is to evaluate the efficacy of tenoxicam and paracetamol intraoperatively in orthognathic surgery for postoperative pain control. Also, secondarily, it is aimed to evaluate the effect of these drugs on nausea and vomiting, as well as the need for additional analgesia during the postoperative period.
In this study; The aim was to retrospectively evaluate the patients who underwent orthognathic surgery. Our study was analysed by the Aydın Adnan Menderes University Faculty of Dentistry Clinical Research Ethics Committee with protocol number 2020/11 (date: 13.01.2021).
Inclusion criteria for the study:
- Le Fort 1, patients undergoing bilateral sagittal split osteotomy (BSSO) and bimaxillary surgery,
- Patients undergoing routine anesthesia protocol,
- Patients with The American Society of Anesthesiology (ASA) I-II group were included in the study.
The exclusion criteria for the study were as follows:
- Patients with ASA III and above, hepatic or renal dysfunction
- Patients who use long-term NSAIDs or opioid-derived drugs and have a history of allergic reactions to drugs,
- Patients with symptoms of pain, swelling, inflammation in the head and neck region before the operation,
- Pregnant and lactating patients,
- Patients with missing file data were not included in the study.
Demographic Data and Surgical Characteristics
Age, gender, weight, and ASA data of the patients were noted. Surgery time, type of surgery (single or double chin surgery), and demographic data were recorded as surgical characteristics.
Type of Analgesic Used
Patients using tenoxicam in the intraoperative period were enrolled in the tenoxicam group, and patients using paracetamol were enrolled in the paracetamol group.
Evaluation of Opioid Requirement and Presence of Nausea and Vomiting
The presence or absence of need for opioid analgesia in the postoperative period and the presence or absence of nausea and vomiting in addition to the amount of opioids used were recorded.
Measuring the Level of Pain
Visual analogue scale (VAS), a visual technique, was used for pain level measurement. The VAS score was accepted as 0 in the preoperative period. All individuals whose post-surgical pain levels were included in the study were told that on the pain scale arranged in the form of a 10 cm horizontal marker on the prepared forms, they stated that there was no pain at the "zero" level and the most severe pain at the "10" level. The values recorded at the 0th, 1st, 3rd, 6th, 12th, 24th, 36th, and 48th hours of the postoperative routine measurements for each individual were used in our study.
Anesthesia Protocol and Surgical Method
Our routine general anesthesia protocol was applied to all included patients. After the patients were taken to the operating room, an vascular access was opened and anesthesia induction was performed with 1 μg/kg fentanyl, 2 mg/kg propofol, and 0.8 mg/kg-1 rocuronium. During the maintenance of anesthesia, all patients were administered sevoflurane in a volume of 1-2% in 50% O2 and 50% N2O. Electrocardiography, non-invasive blood pressure, oxygen saturation, and end-tidal carbon dioxide monitoring were performed for each patient. Nasal intubation was performed with an endotracheal tube in all patients. The patients were taken to the recovery room after extubation following the end of the surgery. All hemodynamic parameters, vital signs, and early postoperative complications of each patient were recorded.
Bilateral buccal, inferior alveolar, and lingual nerve block anesthesia in the mandible, bilateral buccal local infiltrative and posterior superior alveolar block anesthesia in the maxilla were performed in all patients with 2% articaine 80 mg+1/200,000 epinephrine.
Le fort 1 osteotomy was performed with the Bell (4) method. BSSO was performed according to the Hunsuck (5) modification. For postoperative pain control, patients were administered intraoperative tenoxicam and paracetamol.
In the hourly follow-ups in the postoperative period, the values at 0th, 1st, 3rd, 6th, 12th, 24th, 36th, and 48th hours from the VAS data in the patient file, the presence of nausea and vomiting and the need for opioid analgesics were recorded.
Data analysis was performed using SPSS (version 18.0, SPSS Inc., Chicago, Illinois, USA). The assumption of normal distribution for quantitative variables was tested with the Kolmogorov-Smirnov test. Correlations between categorical variables were analysed by the chi-square test. Comparisons between groups were analysed by independent sample t-test or Mann-Whitney U test. Descriptive statistics were presented as mean with standard deviation, number and percentage, quantitative and categorical variables, respectively. A p-value below 0.05 was considered significant for all comparisons.
A total of 63 patients, 36 female, and 27 male, were included in the study. The patients were divided into two main groups according to the analgesia used in the file data. The group in which tenoxicam was used as intraoperative analgesia in the orthognathic surgery was called the "tenoxicam group" and the group in which paracetamol was used was called the "paracetamol group".
In Table 1, the demographic data and the mean and p-values of the surgical characteristics in our study are summarized. There was no statistically significant difference between the tenoxicam group and the paracetamol group in terms of age, gender, body weight, and ASA classification (p>0.05).
The VAS values of the tenoxicam and paracetamol groups in the hourly follow-up postoperatively are shown in Figure 1. Very close values were recorded in the tenoxicam group and paracetamol group on average at the 6th hour postoperatively. However, the VAS value at the 12th hour followed in the paracetamol group was higher than in the tenoxicam group. The lower VAS score in the tenoxicam group at the postoperative 12th hour made us think that tenoxicam may be a longer-acting analgesic than paracetamol.
The variation of VAS values according to gender is summarized in Table 2. Except for the 3rd hour, mean VAS values were higher in females at every hour. In the 48 hours follow-up, the female gender gave statistically significant higher scores than the male gender (p<0.05).
According to the intraoperative analgesia preference, the VAS pain values recorded at the 0th hour did not show a statistically significant difference between the tenoxicam and paracetamol groups (p>0.05) (Table 3). However, statistical findings suggest that the results may be more significant in favor of tenoxicam when the sample size is larger. There was no statistically significant difference in postoperative VAS values between the tenoxicam group and the paracetamol group in the other hours followed.
The statistical data of nausea and vomiting and additional opioid requirements of the tenoxicam group and paracetamol group are shown in Table 4. Nausea and vomiting were more common in the tenoxicam group than in the paracetamol group, but no statistically significant difference was observed. No statistically significant difference was found in additional opioid requirements (p>0.05).
Bimaxillary surgery is a well-executed orthognathic surgical procedure that includes BSSO and Le Fort I osteotomy. It has been reported in the literature that young adult women undergoing double chin surgery have higher pain scores following surgery. Mobini et al. (6) reported in their study conducted in 2018 that women felt more pain after bimaxillary orthognathic surgery compared to men. In our study, similar to these literatures, regardless of the groups, it was found that women felt more pain than men.
Although various accepted or approved analgesia protocols are used to keep pain under control after orthognathic surgery; Researchers could not reach a consensus regarding the ideal method of administering analgesia. Many drugs and methods such as steroids, patient-controlled analgesia method, opioids, NSAIDs, combination of NSAIDs and local anesthetics, antiemetics, antiepileptics, nerve blocks are used in order to provide postoperative analgesia in double maxillofacial surgery (7-10).
Tenoxicam is an effective agent that has an intravenous (IV) form of NSAIDs and has a longer duration of action than lornoxicam, and is frequently used in mild to moderate pain. The recommended daily dosing regimen for tenoxicam is 20-40 mg. Akca et al. (11) reported in their study that administration of IV 20 mg tenoxicam in 80 patients undergoing inguinal hernia repair and laparoscopic cholecystectomy is a simple, safe, and highly effective method for postoperative pain control. Vandermeulen et al., (12) in a multicenter, placebo-controlled study on 258 patients undergoing abdominal or orthopedic surgery, showed that IV administration of 40 mg tenoxicam was effective in postoperative pain control and reduced the use of postoperative morphine. In the light of similar studies, IV 20 mg tenoxicam was administered as a single dose in our study, and this application was found to be sufficient to provide effective analgesia in the early postoperative period.
Acetaminophen (para-aminophenol derivatives) is evaluated outside of NSAIDs because it does not have anti-inflammatory and antiplatelet activities. Although other central mechanisms of action have a role, it shows analgesic and antipyretic activity by inhibiting prostaglandin synthesis in the central nervous system. However, in peripheral tissues, acetaminophen is a weak inhibitor of cyclooxygenase (10 times less potency than acetylsalicylic acid) and therefore does not significantly affect prostaglandin synthesis, which plays a role in the development of inflammation. The weaker anti-inflammatory activity on peripheral inflammation compared to NSAIDs can be explained in this way (13). In a study by Wininger et al. (14) on 224 patients undergoing abdominal laparoscopic surgery, repeated administration of 2 separate dose regimens of IV paracetamol (1000 mg and 650 mg) was associated with statistically significant analgesic efficacy compared to placebo and after abdominal laparoscopic surgery, it was concluded that this drug is also effective in adults. Tuzuner Oncul et al. (15) in a study on buried third molars; showed that paracetamol provides postoperative analgesic efficacy similar to NSAIDs and is an appropriate analgesic for patient satisfaction. In our study, 10 mg/mL paracetamol was used intraoperatively; It was found to be effective as an analgesic in hourly VAS measurements and additional opioid requirement, consistent with other studies.
No study was found comparing tenoxicam and paracetamol for the control of postoperative pain in orthognathic surgery cases in the database searches. However, there are studies comparing the efficacy of tenoxicam and paracetamol in different applications. In a study conducted by Gunusen et al. (16) in patients with postoperative pain after elective abdominal hysterectomy, 120 patients who received 1 g paracetamol, 20 mg tenoxicam or placebo at the end of the operation were randomly divided into three groups and all patients were administered postoperative principal component analysis with morphine. As a result of the study, it was found that a single dose of 20 mg tenoxicam after abdominal hysterectomy provided more effective analgesia and reduced total morphine consumption compared to paracetamol and placebo. In addition; side effects except nausea were found to be similar (16). In the study of Cheung and Rodrigo (17) in which they compared the efficacy of tenoxicam for pain relief with paracetamol after third molar surgery, it was observed that both drugs were effective as analgesics after third molar surgery and tenoxicam had comparable efficacy to paracetamol. In our study, the VAS data of the patients at 0th, 1st, 3rd, 6th, 12th, 24th, 36th, and 48th hours postoperatively were compared. It was determined that the VAS measurements of the tenoxicam group at the postoperative 0th hour were less than the VAS measurements of the paracetamol group in the same periods. However, due to the small sample size, no statistically significant difference was found. In other time periods, VAS values were found to be similar in the two groups.
The most important factors affecting patient satisfaction in the postoperative period are nausea, vomiting, and inappropriate postoperative pain management. One of the common causes of high rates of nausea and vomiting is the use of opioid derivatives and opioid-like drugs such as tramadol (18,19). Huang et al. (20) compared intraoperative tenoxicam with placebo for the relief of postoperative pain after cesarean section. In this study, nausea and vomiting of patients were also evaluated compared to the placebo group, and they found that there was no difference. In our study, there was no statistically significant difference between the paracetamol group and the tenoxicam group in terms of postoperative nausea and vomiting, which was consistent with these studies.
One of the most important factors in avoiding the use of NSAIDs for postoperative analgesia is the concern that it will cause bleeding. During our study, we did not detect any side and toxic effects, hypotension, arrhythmia, cyanosis due to the drugs used in the intraoperative and postoperative period.
As a result, in patients undergoing orthognathic surgery; when intraoperative tenoxicam administration and paracetamol administration were compared, lower VAS scores were observed in tenoxicam group patients and analgesic efficacy was found to be sufficient. A single dose of intraoperative tenoxicam and paracetamol administration is an effective and safe method in the treatment of postoperative pain in patients undergoing orthognathic surgery. Various methods have been tried to reduce postoperative pain in these patients, and there is still no agreed-upon analgesia protocol. Future controlled prospective studies are needed to better evaluate the types, doses, and complications of analgesic agents, and to provide a better understanding of the results.
Ethics Committee Approval: Our study was analysed by the Aydın Adnan Menderes University Faculty of Dentistry Clinical Research Ethics Committee with protocol number 2020/11 (date: 13.01.2021).
Informed Consent: Retrospective study.
Surgical and Medical Practices: Z.B.D., B.G., Ö.K., Consept: B.G., Design: B.G., Data Collection or Processing: Z.B.D., Analysis or Interpretation: Ö.K., Literature Search: Z.B.D., B.G., Ö.K., Writing: Z.B.D., B.G.
Conflict of Interest: No conflict of interest was declared by the authors.
Financial Disclosure: The authors declared that this study received no financial support.
Gonçales ES, Duarte MA, Palmieri C Jr, Zakhary GM, Ghali GE. Retrospective analysis of the effects of orthognathic surgery on the pharyngeal airway space. J Oral Maxillofac Surg 2014; 72: 2227-40.
Binder D, Hromatka O, Geissler F, Schmied K, Noe CR, Burri K, et al. Analogues and derivatives of tenoxicam. 1. Synthesis and antiinflammatory activity of analogues with different residues on the ring nitrogen and the amide nitrogen. J Med Chem 1987; 30: 678-82.
von Bruchlausen F, Baumann J. Inhibitory actions of desacetylation products of phenacetin and paracetamol on prostaglandin synthetases in neuronal and glial cell lines and rat renal medulla. Life Sci 1982; 30: 1783-91.
Bell WH. Le Forte I osteotomy for correction of maxillary deformities. J Oral Surg 1975; 33: 412-26.
Hunsuck EE. A modified intraoral sagittal splitting technic for correction of mandibular prognathism. J Oral Surg 1968; 26: 250-3.
Mobini A, Mehra P, Chigurupati R. Postoperative Pain and Opioid Analgesic Requirements After Orthognathic Surgery. J Oral Maxillofac Surg 2018; 76: 2285-95.
Cillo JE Jr, Dattilo DJ. Pre-emptive analgesia with pregabalin and celecoxib decreases postsurgical pain following maxillomandibular advancement surgery: a randomized controlled clinical trial. J Oral Maxillofac Surg 2014; 72: 1909-14.
Ahiskalioglu A, İnce İ, Aksoy M, Yalcin E, Ahiskalioglu EO, Kilinc A. Effects of a Single-Dose of Pre-Emptive Pregabalin on Postoperative Pain and Opioid Consumption After Double-Jaw Surgery: A Randomized Controlled Trial. J Oral Maxillofac Surg 2016; 74: 53.e1-7.
Chen YA, Rivera-Serrano CM, Chen C, Chen YR. Pre-surgical regional blocks in orthognathic surgery: prospective study evaluating their influence on the intraoperative use of anaesthetics and blood pressure control. Int J Oral Maxillofac Surg 2016; 45: 783-6.
Bouzinac A, Tournier JJ, Dao M, Delbos A. Ultrasound-guided maxillary nerve block in adults: feasibility and efficiency for postoperative analgesia after maxillary osteotomy. Minerva Anestesiol 2014; 80: 860-1.
Akca T, Colak T, Kanik A, Yaylak F, Caglikulekci M, Aydin S. The effect of preoperative intravenous use of tenoxicam: a prospective, double-blind, placebo-controlled study. J Invest Surg 2004; 17: 333-8.
Vandermeulen EP, Van Aken H, Scholtes JL, Singelyn F, Buelens A, Haazen L. Intravenous administration of tenoxicam 40 mg for post-operative analgesia: a double-blind, placebo-controlled multicentre study. Eur J Anaesthesiol 1997; 14: 250-7.
Özalp Dural EA. Farmakoloji. İstanbul: Nobel Kitabevleri; 2002: 124-6, 264, 266, 294-5.
Wininger SJ, Miller H, Minkowitz HS, Royal MA, Ang RY, Breitmeyer JB, et al. A randomized, double-blind, placebo-controlled, multicenter, repeat-dose study of two intravenous acetaminophen dosing regimens for the treatment of pain after abdominal laparoscopic surgery. Clin Ther 2010; 32: 2348-69.
Tuzuner Oncul AM, Yazicioglu D, Alanoglu Z, Demiralp S, Ozturk A, Ucok C. Postoperative analgesia in impacted third molar surgery: the role of preoperative diclofenac sodium, paracetamol and lornoxicam. Med Princ Pract 2011; 20: 470-6.
Gunusen I, Karaman S, Acar A, Sargin A, Firat V. The efficacy of paracetamol versus tenoxicam on postoperative pain and morphine consumption after abdominal hysterectomy: a placebo-controlled, randomized study. Clin Exp Obstet Gynecol 2012; 39: 49-52.
Cheung LK, Rodrigo C. Tenoxicam for pain relief following third molar surgery. Anesth Pain Control Dent 1992; 1: 229-33.
Leslie K, Williams DL. Postoperative pain, nausea and vomiting in neurosurgical patients. Curr Opin Anaesthesiol 2005; 18: 461-5.
Yimyaem PR, Kritsanaprakornkit W, Thienthong S, Horatanaruang D, Palachewa K, Tantanatewin W, et al. Post-operative pain management by acute pain service in a University Hospital, Thailand. Acute Pain 2006; 8: 161-7.
Huang YC, Tsai SK, Huang CH, Wang MH, Lin PL, Chen LK, et al. Intravenous tenoxicam reduces uterine cramps after Cesarean delivery. Can J Anaesth 2002; 49: 384-7.
Pain orthognathic surgery analgesia


On Saturday I had the pleasure of attending the Royal Academy of Arts (RA) collaborative event with Royal College of Music (RCM) entitled 'In Tune with Feminist Time' held in The Benjamin West Lecture Theatre, at Burlington Gardens. It was a wonderful use of this space as the musicians transformed what is normally an intellectual venue into a room full of colour, texture and emotive sounds. Behind the performers were projected self-portraits from renown RA academicians, one that struck me in particular was the artist Angelica Kauffman. She was a prominent English Artist of the 18th century, one of only two founding female members of the Royal Academy of Arts and the last woman to be admitted until 1922.
In her self-portrait 'Hesitating Between The Arts of Music and Painting' it revealed that she was a talented opera singer, struggling between devoting herself to a career in music or art. I found this fascinating and thought it was a wonderful link to International Women's Day as women are capable of possessing many talents and with the right opportunities can achieve success and explore their abilities to the fullest.
All the performers in this event were fantastic and revealed new music, tales of history and interesting poetry inspired from the female hand. The composers that were represented were: Barbara Strozzi, Judith Weir, Clara Schumann, Lili Boulanger, Maria Rodrigo, and a premiere by living composer Hayat Selim.
I particularly enjoyed the event as it continued the theme created by the inaugural event last year that I performed in: 'In Touch with Feminist Futures' which was created as a platform for myself and my fellow colleagues to present our research and performances from our Women in Music module led by the charismatic and formidable duo Diana Roberts and Natasha Loges.
This weekend the weather has been unseasonably warm with clear blue skies over London and I decided to take a break from my practice schedule to spend some time with my parents who were down in London for the weekend.
When working alone you have to find ways to focus and keep motivated and one of my coaches suggested reading some poetry for inspiration, it was suggested that I take a look at Thomas Hardy as one such writer. I read through some of his pieces and this one, in particular, struck a chord with me.
Ecstatically I moved and feared no night.
So today, along with my parents, we set off to find The Hardy Tree, this is living, evolving memorial, created by Thomas Hardy following the building of St Pancras station in the 1860s. Hardy at the time was employed by the firm of architects charged with exhuming the bodies on the site and moving them to another place of rest so that the station could be completed.
Having finished this task Hardy had hundreds of headstones that were now disconnected from their owners and he decided to create a memorial to commemorate them. He arranged the headstones in a circular pattern around the base of an ash tree in the grounds surrounding St Pancras Old Church which was to be left undisturbed by the construction work. The memorial stands to this day and has become an ever-changing memorial as the living tree and its roots have grown and become entwined with the headstones. It was quite moving to see this memorial amongst the hustle and bustle of this busy area of London.
Whilst visiting the site we were quite taken by the church and Dad decided to go inside and ask about its history. Apparently, it is believed to be one of the oldest sites of Christian worship in London dating back to around 313 to 314 AD. The location on a small hill is thought to have once been used by the Romans during their occupation as an encampment following which the location became a place of worship. It is amazing to think that over the centuries this site will have been the center of hope for so many people who came here to give praise and find peace. I do enjoy finding these little gems scattered so randomly amongst the modern architecture that has become synonymous with a busy metropolis such as London.
I was also amazed to see the redevelopment in the area where they have made flats out of old gas storage towers, we had a gas storage tower in Winsford in Cheshire, the town I grew up in but it was dismantled and a college now stands in the space. I'd have never have thought an ugly structure could be turned into reinvigorated living space. With shops built on the old cold dumps and the canals cleaned up with walkways that we enjoyed exploring the area seems to be getting its heart and soul back.


text:
module WurflStore
  module Filter

    def set_wurfl
      return unless session[:handset_checked].nil?
      handset = WurflStore.get_handset(request.headers['HTTP_USER_AGENT'])
      session[:handset_agent] = handset.user_agent unless handset.nil?
      session[:handset_checked] = true
    end

  end
end


text:
NOSH Brands North Country Smokehouse
North Country Smokehouse
Company: North Country Smokehouse
Website: https://ncsmokehouse.com/
North Country Smokehouse has been making some of New England's finest artisanal meats and cheeses since 1912. Voted America's Best bacon by Men's Journal, North Country Smokehouse has been making some of New England's finest artisanal meats and cheeses since 1912. All of our products are handmade and slow-smoked in small batches by our expert butchers, wurstmachers, and smokemasters, who never use artificial fillers or flavors. As one of the last remaining family-owned smokehouses in the country, we honor the high quality and integrity of other local producers by using fresh ingredients from farms, cheesemakers, orchards, and sugarmakers nearby. While the smokers are running, we also take the time to put our values – quality, patience, and doing the right thing – to work outside of the smokehouse. Our crews and contributions have helped revitalize downtown Claremont, NH, a vibrant community that has welcomed us as a neighbor for generations. We're also a member of the Free Farmed program, which assures proper care and handling of livestock; look for the "certified humane" mark on a growing number of our products. As companies across America turn their focus back to buying local, creating jobs, supporting communities, and making ethical choices, we're proud that we've been doing these very same things for a century and counting.
North Country Smokehouse Announces New Product Collaborations
by Press Release, May 22, 2019 at 1:59 PM
North Country Smokehouse, a family-owned, artisanal smoked meat producer with a strong history of culinary excellence, announced collaborations with Harpoon Brewery and Vermont Farmstead Cheese Company as part of its ongoing commitment to crafting recipes with fresh, locally sourced ingredients and supporting the "eat local" movement.


Transfers wiith us will be much more interesting than regular Taxis, as we will explain the history and main tourist attractions of the city, so when you will start your different Tours you will already have some basic information of our Capital. In addition, you will also receive assistance at the Check-In and Tax Free back. Depending on the clientandon requestwe can offerothervehiclesfromour fleet andstandard priceslistedbelow.