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Challenging the dogma of spinal immobilization and other evidence from the Prehospital Evidence-based Practice (PEP) program
by Jennifer Greene, Jolene Cook, Ed Cain, Judah Goldstein, Jan Jensen1, Janel Swain, Dana Fidgen, Alix Carter.
Spinal trauma can be a devastating injury, frequently managed by prehospital clinicians. Recognition of a potential spinal cord injury and prevention of any further injury are paramount for appropriate emergency care. Clinical care may include assessment with structured clinical rules, application of cervical collars and long spinal board. Recommended practices may vary from region to region, and guidelines have changed over the last several decades, including in the recent publication of the 2015 ILCOR Consensus on Science and Treatment Recommendations.
Restriction of spinal movement was at one time a cornerstone of the prehospital management of these patients, but this is now falling out of favour. Indeed, Emergency medical services (EMS systems around the world vary greatly in the interventions being applied in the out- of-hospital environment for many clinical conditions). Also, interventions that were once thought to be "best practice" or standard of care later fell out of favour. Commonly, paramedics ask why an intervention is being applied in one setting but isn't being done in another, or why we were trained to "always" do something, and then years later it is taken out of the protocols. An example of this is the care of patients with spinal cord injuries; for example, Australia has used spinal immobilization devices only for extrication for many years whereas for many other EMS systems, spinal immobilization for suspected spinal injury has become synonymous with the mandatory use of the long spine board.1 The question of spine boards becomes even murkier if you consider that the concept of spinal immobilization with a spine board is based on a few cases of delayed recognition of spinal cord injuries in the 1960s!
As the body of research evidence for prehospital clinical care continues to grow, it is important for prehospital clinicians and leaders to have a resource to quickly find prehospital-relevant research that can inform clinical care. This is particularly needed for topics such as spinal trauma, when best practices and guidelines change over time and the evidence is of varying quality with conflicting results. The issue is that up until recently there was very little research being done in the out- of-hospital environment to help guide decisions like the use of the spine board and many others. However nowadays, there is an exponentially expanding body of EMS evidence with conflicting results and of varying quality such that interpreting the evidence is tricky. This is where the Prehospital Evidence-based Practice (PEP) program becomes extremely valuable.
What is the Prehospital Evidence- based Practice (PEP) Program?
PEP (https://emspep.cdha.nshealth.ca/) is a robust online EMS resource that can help inform clinical practice regarding any patient presentation. The PEP Program aims to be the foremost evidence resource informing EMS. PEP is run by the Dalhousie University Department of Emergency Medicine, Division of EMS, in Halifax Nova Scotia, Canada.
Using systematic approaches PEP synthesizes EMS-relevant research in an open-access format. Available evidence is searched, selected, appraised and synthesized in simple, easy to understand evidence matrices. PEP can shorten the knowledge- to-practice gap and ensure prehospital clinical practice is based on current sound evidence. PEP assists users by reducing or eliminating the need to search for research studies on prehospital clinical care. Since PEP was introduced in 1998, the PEP database has exponentially grown with studies relevant to prehospital clinical care. PEP is also useful to identify gaps where more evidence is needed to help better inform prehospital clinical practice.
The PEP program essentially helps you skip doing an extensive literature review for clinical questions by systematically identifying, cataloging and appraising relevant EMS studies and then providing an overall summary of the evidence for each clinical intervention.
PEP search and appraisal methods are updated as needed, in order to ensure the rigor and validity of PEP recommendations, and reduce potential bias.
How can I use PEP to help me understand the evidence behind my clinical practice??
Within the PEP website, evidence is sorted by broad 'Nature of Complaint' categories (e.g., Major Trauma) then into, for example Shock, or Trauma. Next, a list of Clinical Conditions (e.g, Spinal Trauma) is presented. For example, under Trauma you would find Abdominal trauma, or Spinal trauma. When the user clicks the name of a Clinical Condition, an evidence matrix is displayed, with each intervention plotted in a table, indicating the Level of Evidence (LOE) (table 1) and Direction of Evidence (DOE) (table 2).
Evidence is described by Level (or quality) of Evidence, with 1 being strong, 2 being moderate and 3 being weak evidence (seeTable 1 ) and then also by Direction of Evidence, such that the evidence is summarized as to whether it supports, is neutral, or opposes the intervention (Table 2).
If you click on an intervention within the matrix (or scroll down) you will come to the individual papers that have been appraised for this topic. Each paper is also assigned a Level and Direction of Evidence. The matrix recommendation is a summary of the Level and Direction of all the individual papers for that intervention. You can reach the Pubmed (Medline) abstract by clicking on the individual citation.
What does PEP tell us about the care of spinal trauma patients?
The Spinal Trauma search was most recently updated in January 2016 using a systematic strategy developed with the help of a health sciences librarian. We used the following Population–Intervention-Comparison- Outcome (PICO) question as the base for our search: In (P) prehospital patients of any age who have experienced suspected spinal trauma, does the use of (I) (a list of individual interventions) result in improved/ neutral/worse (O) outcomes? A single author (JG) screened the list at the title and abstract levels for relevance, and two senior appraisers assessed the full text. The reference lists of all included studies and recent position papers on the topic were reviewed as well for other relevant citations. We included any primary research or systematic review reporting on emergency care of suspected blunt and penetrating spinal trauma. Emergency Department and simulation studies were included as they can inform EMS practice, but primarily the search was directed at answering the question of whether this intervention should be conducted in the prehospital/EMS/ Ambulance/Paramedic setting. The 2016 update added 45 new studies to our list of 33 publications already present in the PEP database, for a total of 77 papers.
The evidence
Evidence for adult and paediatric blunt spinal trauma interventions was made up primarily of supportive-moderate quality evidence and neutral-moderate and high- quality evidence (Table 3 & 4). (Accessed on May 20th, 2017 https://emspep.cdha. nshealth.ca/LOE.aspx?VProtStr=Spinal Injury&VProtID=222). No evidence was identified for or against the use of hypertonic saline in spinal trauma.
It is clear that there is a growing body of research to inform EMS spinal trauma care. Let's review the green (supportive) evidence identified in PEP. Some commonly used interventions were supported by evidence: cervical-spine clearance, scoop stretcher, self-extrication, spinal precautions (fair quality evidence), and "leaving helmet in place" (weak quality evidence).
C-spine clearance now contains 20 individual research papers. There is supportive evidence that C-spine clearance rules, such as the Canadian C-Spine rule, are able to reduce the need for imaging while being able to identify clinically important injuries in the prehospital environment.
You may notice a number of studies have been assigned a neutral classification. In PEP, studies performed in non-EMS settings can be moved to neutral due to indirectness if the setting likely affected the results such that we wouldn't expect the same result in an EMS setting (see Stiell et al. 2009). The primary outcome for the majority of these studies was the ability of the rule to identify those who did have a spinal injury compared to the ability of the rule to identify those who truly did not have an injury.
Shifts in practice
Two of the interventions in the 3×3 matrix should jump out as a shift from the usual dogma of practice: steroids, and long spinal immobilization. These two examples really demonstrate how evidence can shift practice. A few early studies were very promising about the use of steroids, particularly whether there is benefit to giving them in the ambulance or prehospital setting. As many leading organizations now recommend, the balance of evidence in PEP on steroid use in the context of spinal trauma suggests the harms may not outweigh the benefits identified.
Until recently, long spinal boards were the accepted way to package and transport a suspected spinal injury. However, they were originally designed as extrication devices and not as transport mechanisms. Evidence is emerging that the practice of maintaining a patient on a long spinal board for the duration of transport and until they can be log-rolled and cleared off the board may be resulting in more harm than benefit. Leading organizations are now looking at this evidence and calling on emergency services to stop the use of this intervention as a prolonged immobilization and transport device.
There is evidence that this intervention causes harm with regard to tissue interface pressures, which can ultimately result in pressure sores. Another important outcome is patient (or volunteer) reported discomfort. There is one high quality paper, four moderate quality papers and six weak quality papers opposing this intervention. For quite a long time this was an intervention we just accepted as "the way things are done", but the evidence strongly challenges this practice. In fact, only one paper showed any benefit in the use of spine board in preventing cervical motion during transport with several other papers showing that there wasn't any benefit at all. For all of these reasons, many EMS systems have stopped using long spine boards except when necessary for patient extrication.
Overall, the evidence for EMS interventions in spinal injuries was neutral, in other words neither supported nor opposed, for inline stabilization during intubation, steroids, and cervical collars. The evidence was opposing the use of long spine board immobilization, short extrication devices and immobilization for penetrating trauma.
Limits of the evidence
The most common primary outcomes identified were spinal motion, diagnostic accuracy, and pressure/discomfort. There are not many studies that report on actual worsening of spinal cord injury or long term functional status, which would ultimately be the most important outcome. Instead many studies use these proxy measures as they are easier to obtain and can be done on healthy volunteers (for example spinal motion, discomfort).
A number of studies in the spinal trauma section were completed in non-EMS settings such as emergency departments. In these cases, the direction of recommendation is downgraded if it was felt that the intervention would be affected by the setting or health care provider applying the intervention. One particular limitation to note is that many spinal trauma studies were performed in healthy volunteers using motion sensors in order to identify the effects of spinal immobilisation techniques on motion restriction. These studies in combination with the growing body of evidence on the negative outcomes of spinal immobilisation contributed to where interventions were placed within the evidence matrix.
Steroids were the only medication identified within the spinal injury section.
Implications to research
PEP also exposes gaps in the current research, and can help researchers determine what studies should happen next. One gap in the evidence for spinal trauma is the lack of sufficient evidence to make a recommendation about the use of hypertonic saline. Certainly the use of proxy measures such as spinal movement detected by sensors on health volunteers is also a gap; it would be ideal to have evidence on actual long term recovery of real patients. However, it is not always feasible or ethical to expose real patients to uncertain interventions just to study the difference between the outcomes, and so we make the best decisions with the evidence we have.
Clinical bottom line
The clinical bottom line supported by the synthesis of the currently available evidence on spinal trauma is that there is evidence to support EMS clearance of C-spine, use of scoop stretcher, self-extrication, spinal precautions, and leaving the helmet in place. The evidence opposes immobilizing patients with penetrating trauma, and use of short extrication devices. Most interestingly, the evidence is not supportive of using long spinal immobilization devices or steroids, and these practices are now being discontinued in many EMS services around the world.
PEP can be used as a quick link to a synthesis of existing evidence for many of the questions paramedics, administrators, medical directors, and other professionals involved in EMS systems might have about clinical care provided in the EMS environment.


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Memorial Day Weekend at Fort Scott National Historic Site
Date and Time
Saturday May 26, 2018 Monday May 28, 2018
8:00 AM to 5:00 PM
Fort Scott National Historic Site
Contact Information
Galen Ewing 6320-223-0310
Send EmailMemorial Day Weekend at Fort Scott N...
Features talks, tours, demonstrations, and living history programs about Fort Scott's role in the pivotal events of American History in the place where it happened. Visitors have the opportunity to learn more about the role of the dragoons and Infantry in policing the Permanent Indian Frontier and in our nation's westward expansion or explore the time known as "Bleeding Kansas" and the events and impacts of the Civil War that followed.
Living History and "Highlights in History" Featured for Memorial Day Weekend at Fort Scott National Historic Site
Fort Scott, Kansas: For the Memorial Day holiday this year, you and your family are invited to visit Fort Scott National Historic Site to experience the sights, sounds, and smells of a frontier military fort. Celebrate the weekend with living history programs, cooking demonstrations, and artillery firings.
On Saturday, volunteers and staff will present 1840s living history stations throughout the day at the Fort. Programs will focus on cooking, buying merchandise, and treating illnesses of the military garrison. Park Guides Dottie Messer and Paul Goodman will demonstrate what soldiers and people ate in the 19th century. Barry Linduff will do a presentation on the many goods available for soldiers and civilians in the Sutler store. Volunteers will present living history stations throughout the day throughout the Fort. At 2:00 p.m., come witness the power and sound of artillery. Kids of all ages are invited to join our soldiers in taking down the flag during flag retreat at 4:00 p.m.
Activities will continue on Sunday and Monday with more artillery demonstrations and programs focused on various historical events in which Fort Scott was involved. 1858: Bleeding Kansas Comes to "Fort Scott" will focus on the turbulent times Fort Scott citizens faced during the Bleeding Kansas era. In "Saws, Leaches, and Mercury", the important role of Civil War medicine in the lives of soldiers will be highlighted.
On Monday at 2:45 p.m. will be a special Memorial Day program honoring Fort Scott's fallen officers, followed by observance of the National Moment of Silence at 3:00 p.m. Throughout the day enjoy riveting period music of the 19th Century performed by the musical group "The Gum Springs Serenaders".
The schedule of activities is listed below:
10:00 a.m. – Cast Iron Skillets and Dutch Ovens: Cooking Demonstration and Talk
11:00 a.m. – Guided Tour
1:00 p.m. – "Crime and Punishment"- Guard Duty Talk
2:00 p.m. – "The Gun That Shoots Twice" - Artillery Demonstration
3:00 p.m. – "Plug, Port, and Peaches" – Post Sutler Talk
4:00 p.m. – Flag Retreat
11:00 a.m. – Guided Tour
1:00 p.m. – "1858: Bleeding Kansas Comes to Fort Scott" – Guided Tour
2:00 p.m. – "The Gun That Shoots Twice" - Artillery Demonstration
3:00 p.m. – "Saws, Leeches, and Mercury" – 19th Century Medical Demonstration
11:00 a.m. – Guided Tour
1:00 p.m. – "The Gum Springs Serenaders" – Musical Program
2:30 p.m. - "The Gun That Shoots Twice" - Artillery Demonstration
2:45 p.m. – Honoring Fort Scott's Fallen Officers
3:00 p.m. – National Moment of Remembrance

subset: commoncrawl


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People are our projects
The Fellowship finds indigenous people in need and helps them. They are our projects .
Their future us in your hands
Help us feed the hungry, clothe those in rags, provide medical care & support, and especially to equip poor indigenous people with livestock and what they need to produce their own food and sell their surplus they can become self-supporting (Cattle like those to your right which Fellowship staff want to buy for this purpose) .


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Some book by Gardner. Awesome writer )
I read light novels at this place and my favorite light novel is wortenia senki. This is one of the best.
What are you reading a light novel right now?
Some book by Gardner. Awesome writer )
I'd love to travelling and reading novel
too many to list on hold waiting on the author and/or translators to release.
Currently catching up on The Trash of the Count's Household.
nijineko the gm: AG16, CoS.
nijineko the player: AtG, RttToH; . The Journal of Tala'elowar Kiyiik! .
nijineko the archivist: the 3.x archive
nijineko the creator: TwinSeraphim Studios
Adventures by Tom Sawyer. Like to reread child books on and off.
Three Bodies from China, really good science fiction


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Audiovisual entertainment
Ociobus: Who said travelling by bus is boring?
We will make your journeys feel like a breeze with our new Ociobus entertainment channel program.
You can enjoy:
And yet much more: Sports, music videos, short films, movies, news and current affairs programmes.
This month there is a choice of new TV series and movies.


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- Developer: Parallax Software
- Genre: Shooter
- Originally on: Windows (1995)
- Works on: PC, Windows
- Editor Rating:
- User Rating: 8.0/10 - 2 votes
- Rate this game:
Game Overview
This is one of the better budget games around at the moment: the original first-person viewed, Doom-like hovery spaceship based shoot 'em up with trickier levels, that go up and down as well as sideways. The levels are more intricate, convoluted and seemingly senseless than the average Lloyd Grossman sentence. It's very spinny. It's incredibly swlrly-abouty. It will have you reacquainted with your last meal before you can say, "Now where did I leave my splash-proof PVC pullover?" You won't know which way is up. You'll get lost just when you least need to (like when you've set off the detonation device at the end of the level and are trying to get out before it blows...) - But you'll have an extremely good time doing it. And it's now available on Interplay's new Black Market range for less than the price of an hour in a confessional with a toothless choirboy.
Wow am I going to explain this game to you? It's a tricky one. If I were David Cronenberg. I'd probably ask you to imagine for a moment that video games are people and that Doom is a woman. A pregnant woman come to that - and what's more, she's been artificially inseminated. Except they had a little accident down at the sperm bank. Someone was absent-mindedly hurling an immense granite boulder around (as you do) and it flew into a shelf full of specimen jars and shattered the lot leaving the contents in a huge, swirling, bubbling pool on the floor. What a mess. The collected fluids of Tie Fighter, System Shock Tempest, Microcosm, and Magic Carpet - the cream of pc gaming - mixed together as one.
Anyway, the upshot of it all is that nine months later Ms. Doom gives birth to a very unusual baby indeed, and that baby is called... Descent.
Except that I'm not David Cronenberg at all, so instead. I'll simply describe it as "360 HoverDoom".
The plot: The Wurzels have taken over a series of underground space mines, sometime in the distant future. They are constructing death rays and bloody big bombs and threatening Earth a bit. They're also reconstructing all the mining robots that they can find and turning them into horrid combat droids. Enter you (yes. YOU) as the only man, woman, or child who can stop them.
Climbing into your nifty, highly manoeuvrable attack vessel, you blast off into space, hoping to penetrate each mine in turn, rescue any humans left inside, and finally blow up the fusion reactor which lies at every core, destroying any Wurzel-tainted nastiness that lurks within in the process. Once the reactor blows however, you have a brief 45-second countdown in which to find the exit and escape the mine before it all explodes around you. Fail, and the entire human race is doomed to spend the rest of its short existence listening to sub-standard novelty pop sung in an "amusing" rural accent.
Alright then, it isn't The Wurzels. It's Aliens. Again. Anyway, enough about the plot. Let's move on to how it looks, sounds and moves.
The complete indoor pilot
Although from the screenshots, lovingly reproduced here. Descent may appear highly similar to Doom (albeit pointing at funny angles), it actually moves more like System Shock (but faster), and handles more like Magic Carpet (with greater freedom). The playing area is assembled from texture-mapped polygons, as. indeed, are the nasties. You have total freedom of movement and astounding manoeuvrability. Your craft can bank left and right, spin through all the angles that a spinning thing possibly can. hover in mid-air loop the loop, zip forwards or zoom backwards, and even "strafe" in any angle you care to mention.
As you can imagine, this causes problems during your first couple of attempts; they'll consist largely of you swearing loudly and wrestling with the controls as you spin around and around, bouncing off walls and reversing into enemies. There are an awful lot of buttons to remember, whether you're using a joystick, mouse or keyboard (it is a kind of flight sim after all) and it's learning to cope with both these and the dynamics of ultra-manoeuvrable flight that can cause a little consternation. It's well worth going through this period of frustration however, since the feeling of satisfaction that you get when you pull off your first successful flashy manoeuvre is fantastic.
Once you've grasped the basics you'll be able to come to terms with the next problem; getting your bearings. Most of us aren't used to flying upside-down through our living rooms, and so it's easy to become confused about just where you are while playing Descent. The map simply serves to add insult to injury; revealing in rotatable wireframe 3D just how dauntingly complex your environment is. It's like a freeze-frame image of a plate of spaghetti and meatballs falling from a window-ledge, turned into a 3D model, with your ship somewhere in the middle. You'll feel as lost as Bonnie Tyler did when she sang Lost in France. You'll be more lost than the family from Lost in Space. You will be the lostliest of them all.
But actually, that's all part of the fun.
How to kill from any angle
Hardly a fair fight, now is it? Probing the bowels of a warren-like mine filled to the brim with all manner of life-threatening machinery all on your own. And all you've got are two measly lasers and a back pocket full of concussion missiles. It's like a boxing match where one contestant has a horseshoe in his glove, and the other is tied to a chair. Boo hoo hoo.
Fortunately, it seems that the technological warfare equivalent of the Easter bunny has been burrowing through these mines, leaving a scattered collection of weaponry upgrades and other assorted kill-ware in its wake.
There's a veritable selection box of mouth-watering maim-stuff on offer here -vulcan cannons, homing missiles, plasma guns, cloaking devices, even floating mines. But don't go crazy or anything. It's best to save up as much ammo as you can, because if you find yourself in short supply at a crucial moment, you'll be nothing more than mere debris before you can say "knife" (those with stutters, excepted).
When you die. all the weapons you have collected remain in the location where you were killed, and if you've got any lives left you'll have to find your way back there before you can use them again. Save your game frequently or you'll end up getting rather browned off.
Remember that nail-biting, knee-knocking sensation you got every time you peered round a darkened corner in Doom? Well, because "they" could be lurking anywhere, prepare to experience that feeling all over again, except that this time you'll be afraid of not just the darkened corners, but also of the ominous hole in the ceiling, the mysterious curved tunnel leading off to the left, and the brightly lit gap in the top left corner of the room. And don't forget to look down every now and again in case you pass unwittingly over the scary, little opening below which houses a particularly shirty shredding droid.
Surprisingly, for such a claustrophobic environment, you couldn't feel more exposed if you were being flayed alive. I was playing the game on "Rookie" level and I still found myself relying heavily on save-games for progress.
Killing, Hannibal Lecter style
The gameplay might not be to everybody's taste. It sounds like a aoomph roller coaster ride through twisting, cavernous insanity. But it's actually a little more methodical -you can't just flash about at breakneck speed, blasting anything that gets in your way. because there's too many of them. They'll simply overwhelm you. Instead, you learn to try and pick them off one by one. although there's still many an occasion when you'll have to come over all Hannibal Lecter and butcher entire squadrons of the things in a maniacal whirling rage.
Sometimes it's like a game of peek-a-boo and sometimes you'll be holding epic dogfights in the corridor. It's not a simple game to handle, but it's a bloody good one.
Cavalcade of options
One of the many factors that has contributed to Doom's seemingly endless reign as the most popular and widespread PC game of all time is it's tweakability. It was endlessly fiddled about with by HackMasters* everywhere. Descent will no doubt be subject to the same kind of meddling; in fact, it seems to have been designed to be meddled with, with a range of neat little options, such as the ability to record your own demos or take a snapshot.
As is becoming de rigeur in these net-work-obsessed times. Descent also features a top-notch, link-up multi-player mode. Up to eight players can compete against each other in a frenzied fight to the very death, or come over all happy and smiley and play cooperatively against the Wurzel menace instead. Guaranteed fun basically. You can even input a range of taunts and insults and assign them to specific "hotkeys" so you can tell the opponent chasing you just exactly how bad his or her mother smells without having to pause a moment to type the whole message in - a nice, thoughtful touch, and one that speaks volumes about the general demeanour of games players.
Oh - and those of you with slightly "under-endowed" computers can fiddle about with a full range of detail settings in order to keep things running smoothly. Hallelujah.
I'm going to torture you anyway
Now. let's assume for a moment that I've just been taped to a chair by Mr. Blonde from Reservoir Dogs. He's waving a razor and a great big yam in front of me and threatening to turn it into a giant Mr. Potato Head - using my nose. eyes. ears, hair and teeth - unless I slag Descent off for a moment. He rips the tape from my mouth and allows me to speak:
I say it's a little repetitive. I say it's hard to get to grips with. I say it slows down badly when there's lots of things around. I even say that the difficulty level is set a little too high. And no. I say. shaking my head, it isn't better than Doom.
But. as soon as Mr. Orange has blown Mr. Blonde's brains out and saved me. I get up off the chair and say that none of these niggles have prevented me from coming back to Descent time and time again since I started playing it - more than. say. Magic Carpet. It's got that elusive "grip" factor which ensures a game's longevity. I'll play it through to the bitter end.
Really good action games are few and far between. But this is one of the few.
Descent is one of those programs that justifies shareware. Few companies would be ashamed of it as a commercial product - and quite a few would be envious. If Heretic was Doom in tights. Descent is Doom in spaceships and one of the best shoot 'em up games, ever.
The plot centres around trouble at the mine. In this case the mine is on Pluto and run b the ruthless Terran Minerals Corporation. Some sort of aliens have taken the place over an are making their own robots to invade earth. Only you can save the day, so you are given ai Israeli made pyrocx and sent on a suicide mission. Your aim is to sort out the trouble by shooting things, rescuing hostages and destroying reactors. Once you've blown up the reactor. there's only a short space of time for you to get out before the whole place blows up.
Those of you with long memories will recall the excellent Hovertank of the late '70s. But only the plot recalls Hovertank. This game has some of the best graphics around. If you want to know what Quake might be like, look at this. You can pan all round a perfectly rendered 3D world. Everything is smooth am detailed. The sound is excellent and atmospheric. The gameplay is just the right blend of difficulty and intuitiveness. You fly through mazes of corridors, never knowing what's behind the next comer. There's an automap. which displays the mine in glorious wireframe 3D. Various weapons are left I around, and you can get more by destroying enemy craft. You cycle through the various weapons with the number keys - just like you do in Doom.
And just like Doom again. Descent has a network option: up to four players, ipx network - the usual thing. However, the program will tell you who you have killed (or who has killed you) and there are handy macros so that you can insult other players from a selection of abusive messages. There's a built-in recorder so you can play back your moments of glory.
A huge amount of thought has gone into this game - every aspect of it. There's even a .pcx file of a quick reference card. Interplay reckon that the program should run on a 386-33. and there are options for turning down the detail for slow computers. On a 486. it shows its stuff - and a clean pair of heels to the competition.
Download Links
System Requirements
Processor: PC compatible,
OS: Windows 9x, Windows 2000 Windows XP, Vista, Win 7, Win 8, Win 10.
Game Features:Single game mode
Descent Screenshots
Windows Screenshots
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MPAA Rating: R (Strong Violence and Sexual Content, and for Pervasive Language)
Running Time: 109 minutes
Starring: Charlize Theron, Christina Ricci, Bruce Dern, Lee Tergesen, Annie Corley and Scott Wilson
Written and Directed by: Patty Jenkins
Studio: Columbia Tristar
Retail Price: $26.96
Features: The Making Of Monster, Monster: The Evolution Of The Score, Film Mixing Demo, Theatrical Trailer, International Trailer, Soundtrack Spot, Previews
Specs: 1.85:1 Anamorphic Widescreen, English Dolby Digital 5.1, English DTS 5.1, Spanish Subtitles, English Closed Captions, Scene Selections (25 Scenes)
Released: June 1st, 2004
"Monster" is the based on the true story of Aileen Wuornos, who was labeled America's first female serial killer. The film tells the story of Wuornos and her crimes; in how she was a Florida prostitute who was emotionally shattered largely in part to a terrible life filled with a lack of love and abuse. But once Wuornos meets a lesbian teenager named Selby at a bar, things start to get complicated for the two of them. Unexpectedly overtaken by Selby's compassion, Wuornos seeks to give up prostitution. and start a regular and stable life. But sometimes, no matter how hard you try, there is no escaping your past nor are there any easy roads to redemption.
Let me get the obvious out of the way first: "Monster" has received the most attention for Charlize Theron's portrayl of Aileen Wuornos. Theron has been crticially praised for the role, and now has quite a few awards to show for it (including some much-deserved Oscar gold). Whether you liked the movie or not, Theron must be admired for what she achieves here: there is a lot more than this comely actress "deglamorizing" herself than the average moviegoer might think. Theron gives an intense, deeply-layered performance that was not only probably challenging for her, but challenges the audience as well.
But what makes Theron so rich, so heartwrenching and so intriguing at the same time as Wuornos? It's simply in how she inhabits Wuornos. Sure there is the accent and the ugly look to her, but Theron captures the mannerisms and emotional complexity incredibly well. Just see how Theron explodes often during the film and gets defensive, or the nervous smile and even in how she smokes a cigarette. But as amazing as Theron is when she is brooding, this force comes through in the quieter moments that certainly do resonate - the voice-over monologues Theron cites throughout the film are powerful and definitely strike chords.
But wait folks, there's even more: Theron flawlessly captures all the moods and thoughts Wuronos must juggle. There are many in the movie, but how she goes back and forth between them - from depression to the happiness in thought of living a normal life, Theron sticks herself deeply in every emotional corner. And for someone who ends up killing several people, Theron makes Wuornos a sympathetic figure - it's easy to feel all the pain and torment wihin her (I'm sure some of this comes from Theron's own past, where her own mother shot and killed her father in self-defense when he came home one night in a drunk rage). I hope that anyone who thought Theron was simply eye candy with just "some" acting talent in movies before better think twice now. Calling her a tour-de-force in this movie doesn't seem to do justice in just how good she is.
While Theron is certainly the star and the character of Wuornos drives the film, I could not believe just how many people overlooked Christina Ricci - be it the major awards, some critics and some audiences too. Ricci did a lot of commercial-oriented work when she younger, but as she has grown older, she has also taken many chances in much smaller films. Ricci scores one of her best roles to date as the confused and naive Selby. Selby in a lot of ways is a lot like Wuornos, in the fact that they are lost individuals who feel unloved and not totally accepted by society. Ricci shows her talent by hitting all the right notes from an emotional standpoint. There is excitement as she and Aileen begin a life together, but soon, wariness and fear as she comes to terms with Aileen's murder and what she has gotten herself into. What is really impressive is how Ricci taps right into Selby's unhappiness, frustration and personal loneliness, and how well she plays off Theron (the two are quite believable as a pair). Couldn't this actress also be recognized by the Academy with at least a nomination?
It's particularly fascinating in how writer and director Patty Jenkins stages the film, and what kind of figure she makes Wuornos out to be. The film's prologue gives some background on Wuornous, in how she was abused and unloved, and then picks up right before she meets Selby. This of course leads to multiple tragedies, rather then the redemption that Wuornous is seeking. She wants to go straight and needs money, but the only way she can actually get a few dollars is by being a prostitute. Even though she kills her first victim in self-defense after being raped and abused, the rest are innocent. Wuornous becomes overwhelmed and empowered by violence, and tries to justify the murders that she has comitted. At first her reasonings are quite broad, but soon Aileen is desperate and makes it more personal.
The film is clear and evenly-paced: Patty Jenkins focuses on what made Aileen so infamous, but deconstructs it and lets us inside the person she was. Jenkins makes Wuornous out to be a very complex character, and not just a mindless murderer. As things progress, we learn more about her past and it helps us empathize more with her. Certainly nobody commends her brutal acts, but the film makes us understand the woman as a human being. Wuornous, it seems, was never given a fair chance at life. We feel bad that nobody truly ever gave a damn about her and that people mistreated her, and had to use her body as a way of getting attention. In a sense, we feel some hope and happiness for her in that someone does respect her and does love her for who she is - even if we as an audience know where things will go. Ultimately the movie is a bit disturbing, but it perfectly achieves a dark mood that is rather haunting. It's almost as if you feel like you're being watched from behind during the course of the film, and that you keep anticipating the worst.
Even if the overall tone of "Monster" is not a happy one, Jenkins still makes it to be a very poignant motion picture. She makes strong parallels between Aileen and society and life in general, and puts in some powerful symbolisms and imagery (not to mention to give the audience to think about what a monster can really be). The voice-overs that Jenkins chooses that appear throughout the movie are well-placed and put things in perspective. Jenkins also does not shy away from the unflinching violence. Even though there has been more and even worse violence in plenty of other movies, when Wuornous fires a gun it is still horrific and graphic. Most importantly though, the film sticks with you once it is over and definitely makes you think about who Aileen Wuornous really was.
"Monster" definitely soars because of the acting, but it is also an incredibly effective character study. It remains to be seen what Theron will do from here, but it is certainly a career best for her as well as co-star Christina Ricci. Jenkins shows that she is definitely a gifted filmmaker and I'm curious what she'll be up to next as well. This this is a raw and powerful film.
Presented in 1.85:1 anamorphic widescreen, "Monster" certainly looks quite impressive given its small budget. The transfer really does shine with strong color saturation and an overly sharp image with clarity. The fleshtones look very nice, black levels are pretty strong and detail is overly solid making the seedier locations all pretty attractive (there is also no edge enhancement, either). There are a few things that bring the score down though: scratches and blemishes appear seldomly andthere is some noise. The scenes that have less lighting also suffer slightly, as they are a bit grainy and not usually as sharp as the scenes with more direct light. Still, these little instances don't really hurt the surprisingly strong image quality.
"Monster" is given the 5.1 treatment in Dolby Digital and DTS. It was really hard for me to tell the difference between both tracks since they sound so similar. Both have good dynamic range, above-average fidelity and strong imaging. Dialogue is crisp and very clear on both tracks, and the music definitely adds power to the mixes - that includes the well-placed 80s songs and the rather superb score by BT. But because "Monster" is mainly a talking picture, there aren't too many surround effects. What stands out the most though is the background talking in the bar, drivers passing by on the highway, a sudden car crash (which gives a pretty good jolt) and most memorably, the gun shots that Aileen fires (those sound very discrete). If I had to pick a preference though, I'd have to choose the DTS by a hair (sorry Dolby Digital - maybe next time). The sound has a tiny bit more depth to it, and envelopes better. Other than that, there really aren't any major differences in the tracks and each one gives off a fine experience. Spanish subtitles are also included, as well as English closed captioning via your television set.
The Making Of Monster is a strong featurette that covers a lot of ground in a mere fifteen minutes. Yes, there are clips from the film and footage from the set, but there's even focus on a lot of elements: the real Aileen Wuornous and Patty Jenkins fascination with her, Jenkins crafting the story for the film, Theron's make-up transformation, shooting on location and Theron's collaboration with Jenkins. The featurette is mainly highlighted by Jenkins and Theron, but there are interviews with Ricci, Dern and some other cast and crew members. This is all really well done, and I wish it was longer. Also, toward the start of the featuette, we see and hear about a road trip Jenkins and Theron went on to do research for the movie. It's pretty interesting stuff, especially when you hear from Wuornous' real best friend from high school, and makes me curious why the entire video of the trip wasn't included on the DVD. I would have loved to seen it all.
Monster: Evolution Of The Score also lasts about fifteen minutes and is in anamorphic widescreen. These nifty interview segments feature Jenkins and the film's composer, BT (who again does a really terrific job). Everything you'd expect is covered: what Jenkins was looking for, how BT got involved, and what the score entails. What's most fascinating though is BT's approach to the score: he wanted to build it from scratch in 5.1 sound. We hear from each artist respectively, but things shine when the two get together and talk about the work that was created and cite examples (which are shown). Also, Steve Perry of the band Journey is given some credit. I'm not sure if casual fans will like this, but if you're really musical-oriented or curious to hear about a film's scoring process, you'll love this. Very candid and insightful - a must-watch.
There is a Film Mixing Demo too - nothing new, but still kind of fun. Basically, you can mix and match your own custom mix of dialogue, effects and music for the Funland scene. It's always fascinating to hear just how crucial each sound element is.
There are the film's Theatrical Trailer and International Trailer, both in non-anamorphic widescreen and two-channel sound. Monster "Surrounded" is really just a promotion for the film's soundtrack and finally, there are five Previews for other Columbia Tristar titles - two before the main menu (which you can chapter skip) and three to choose from when you click "Previews" from the main menu.
"Monster" is a unique and pretty powerful character study, all anchored by two incredibly strong performances. Even though the DVD is not feature packed, it has a few things worth checking out (for those who are further inclined, Columbia Tristar has also released a documentary about Aileen Wuornos). The transfer is great though, and the sound mixes are nicely done. For those of you who missed the movie in theaters, "Monster" is certainly worth checking out on DVD.


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Friday May 1, 5-9 pm
Saturday May 2, 10 am-8 pm
Sunday May 3, 1-7 pm
Cost: $ 300
VMFS & CNSHT Members $ 200
Venue: Church of Truth
111 Superior Street in James Bay
Info: 250 883 8840 Gabriela G. Yanez
Creativity is Life itself
The work seeks to open doors between movement, awareness and art. It suggests and develops a method of approaching creativity, and introduces working instruments. It is a path and opportunity to give life to an interior world that has few possibilities to come to life. It is a way to find the obstacles that oppose the freedom of our creative being, and it is a lab of concentrated stimuli for transformation. The group becomes a small flexible community without expectations and where the individual and collective intertwine in movements, drawings, stories, poems and projects.
Workshop facilitated by Gianni Capitani, Professor and Trainer at the Gestalt Institute of Florence, and Founder of the Centro Pheonix in Italy. Gianni leads workshops throughout Italy, Spain, Portugal and Mexico. He has been a collaborator with Claudio Naranjo in delivering Enneagram training for the international SAT program for more than 15 years. This is Gianni's second visit to Victoria, BC.


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Tony Cooper, our village caretaker, has restored two of the benches on the Common; George Hiscocks' bench and the Jubilee bench. He's done a superb job and the benches are now good as new. Tony does this work on a voluntary basis for the good of the community and we are very grateful to him.
Month: March 2016
Clean for the Queen Report
Thank you very much to everyone who turned up to Clean for the Queen. We had a really successful morning. About forty volunteers collected about 120 bin bags of rubbish from Mill Lane, Melksham Lane and Coombe Lane. It was a fantastic turnout and a huge amount of litter was cleared. It was depressing to see how much rubbish had been thrown into the verges and hedgerows. At the same […]


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The Do family operates some of the best Vietnamese restaurants in Metro Vancouver
Do Chay
Where: 1392 Kingsway, 604-225-8349
When: Open for lunch and dinner, daily.
More info: instagram.com/dochay
When you see "Ish" sauce on the menu at Do Chay, don't blame autocorrect. It means you're at a vegan/vegetarian Vietnamese restaurant and Ish is their house-made vegan stand-in for fish sauce, an ingredient central to Vietnamese cooking.
Ish involves a lot of ingredients, but fermented mung beans mimmick the funk of fermented fish sauce — and it works.
The Do family came to Canada via a Malaysian refugee camp, dispossessed of home and country. Mom and dad met in Creston, B.C., then moved to Prince George. They worked incredibly hard, picking apples, sewing, labouring in a lumber yard and making desserts to sell to stores.
"They came with nothing," says son Patrick. "Seriously, they worked really, really hard. And now I'm able to stand on their shoulders."
Yes, look at them now, operating some of the best Vietnamese restaurants in Metro Vancouver — the others are Green Lemongrass on Kingsway, Broken Rice in Burnaby (sold a couple years ago) and House Special in Yaletown.
Patrick and Amanda Clark, his partner, oversee the newest offspring, Do Chay (which means vegetarian things), a mostly vegan Vietnamese restaurant which opened in May.
"Every once in a while, we'll throw an egg in there," says Patrick.
Dad's like the general contractor in the build outs, mom is the memory card for Vietnamese cooking and Patrick and his sister Victoria (at House Special) are modernizing and taking local Vietnamese food to the next level. They tweak, innovate and personalize the food and the restaurants while mom, Yen Do, is in there keeping it Vietnamese.
And they keep it real. For example, although time-consuming, they make their own tofu to avoid chemicals and preservatives. The popular dish — served with black truffle sauce, ginger, spring onion, and onion confit oil — had sold out when we visited and I don't see it on an updated menu. Fair enough. There's enough creativity and deliciousness on the menu without it.
For instance, the seitan calamari lotus salad ($12) plays impostor very well. The seitan strips, made of wheat gluten, did indeed have the texture of deep-fried calamari and was served with a refreshing toss of marinated cucumber, pickled lotus stem, wood ear mushrooms and chopped peanuts. There's not a lot of other meat or seafood wannabes.
"I love it when people say I don't miss the meat," says Patrick. "It's the biggest compliment."
Intense and varied flavours make up for the missing animal life. Do Chay makes vegetables taste so damned delicious in street food, noodle and rice bowl forms.
Coconut rice cakes (banh khot) are traditionally served with shredded dried shrimp and ground pork, but the Do Chay version, made in cast iron moulds, holds cabbage, green onions, coconut milk and a couple of lively dipping sauces.
Banh xeo, the extra-large Vietnamese crispy crepe, was another winner with a light and crisp crepe. The 'xeo' refers to the sizzle the crepe makes upon hitting the oil in the pan.
Usually the filling includes shrimp and/or pork. This, of course, didn't but the Ish sauce provided enough umami to more than compensate.
An eggplant dish, heady with an intense aged and fermented black garlic sauce, also had tofu and baby corn braised in the sauce, it sits atop rice which gets a crispy bottom in a clay pot. A topping of greens provides a fresh contrast.
Desert Island noodles is the most ordered dish on the menu, and comes with udon-like noodles, coconut milk, vegan "meatballs," shredded tofu, peanuts, Ish sauce, herbs and greens.
Steamed dumplings with snow peas and jicama filling were nicely made but definitely needed the kick of a sauce.
I didn't try the pho with a vegetable broth. "It's tricky balancing the push and pull between sweet and umami. We have to be careful not to go too sweet with the vegetables or too salty," says Patrick.
The beverage program is unfussy, with three Parallel 49 craft beers on tap and a small selection of house cocktails. A wine list is coming soon.
The cocktails use flavours that pick up on the Asian theme, with ingredients like soju, lemon grass, ginger, coconut, mango, ginseng and grass jelly. The house sangria — called Mother of Dragons and made with white wine — was light and refreshing but lacked the backbone that made Daenerys so formidable.
Do Chay opened in May and has been busy ever since. When we went mid-week there was a lineup of folks outside who thought the food was worth the wait. It's not a huge room, but still.
The food traditions "all stem back to grandma," says Patrick. "She has eight kids and ran a bahn mi shop. They all picked up different aspects of her cooking and opened different styles of restaurants."
That grandma's down in Houston, Texas, but hey, thank you, you've made a difference to Vancouver's food culture.
Side Dishes
"Tonight, we 86-ed ego," said Joanna Jagger.
It was at the end of the first Yes Shef! fundraising dinner with five female chefs, five female sommeliers, one female mixologists and five female culinary students as apprentices in the kitchen. It was a beauty of a dinner with wonderfully matched wines.
Jagger founded WORTH (Women of Recreation, Tourism and Hospitality) to empower and advance women in a still sexist hospitality industry.
"Women leave the industry at faster rates than men," she said at the event. "They'd rather leave than voice that they've been harassed or discriminated against.
"You have to imagine early mornings, late nights, blood, sweat and tears, but tears only in the walk-in cooler when no one is looking."
She said a survey showed men in the industry work for financial rewards whereas women want to be role models.
"Today, we bring together role models. I like to call them the Beyonces of our business."
On one first day of work at a restaurant Jagger was told by the sous chef that girls can't handle the work.
"I worked my ass off to show I could and to show I could get promoted," she said. When she did get promoted, that sous told her "You're pretty good for a girl."
At Yes Shef!, star mixologist Lauren Mote started the evening with cocktails. Andrea Carlson (Burdock & Co.), Meeru Dhalwala (Vij's and Rangoli), Mariana Gabilondo (La Mezcaleria), Tia Kambas (Chambar), and Eleanor Chow Waterfall (Cadeaux Bakery cooked. Sommeliers Jenna Briscoe (Cafe Medina), Maude Renaude-Brisson (independent), Jill Spoor (Fairmont Pacific Rim), Christina Haritgan (Wildebeest), and Kelcie Jones (Chambar) matched food with wine.
The fundraiser was for scholarships for the next generation of women in hospitality.


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Pick and choose the sessions you'd like
to attend individually.
Dedicated representative to assist you in planning of groups of 10 or more per session. Start planning your trip today!
Don't miss a minute of tennis – every session of the New York Open! All Inclusive box seats and individual seats are available.
See tennis from the quarterfinals to the finals. Access to day and evening sessions, Friday, Feb. 14 – Sunday, Feb 16.
Join us Sat., Feb. 9, for the Taste of New York Open, featuring celebrity Chef David Burke and ATP players, followed by Roddick vs. Courier match.
For more information, contact firstname.lastname@example.com or by phone at (516) 331-2143.
Kids are free at the New York Open!
Kids aged 12 and under are welcome for free with a paid adult for all sessions from February 11-16. Redeemable on Ticketmaster.com and at the box office.
*Two kids per paid adult. Upper level tickets. Not valid for semifinals on February 17 or finals on February 18. See Details
Seating is located in sections 103-117.
Easy access from main level.
Choose your view, looking down the court or from the side.
Seating is located in sections 208-218.
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This, I shall say, is He, the son of the carpenter or the whore , the destroyer of the Sabbath , the Samaritan and Who had a devil . This is He, Whom ye bought of Judas: this is He, Who was smitten with a reed and with bufferings, dishonoured with spittings, drugged with gall and vinegar. This is He, Whom the disciples stole secretly away, that it might be said that He had risen again[.]
Tertullian, De spectaculis (ca. 197–202).
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Having identified the dearth of blood for patients requiring urgent transfusion in hospitals, a Non-Governmental Organisation, Sant Nirankari Mission, in conjunction with the Red Cross Society of Nigeria, recently held its Annual Blood Donation Camp in Lagos.
The annual blood donation camp organised by the Sant Nirikari Mission, which is the fifth edition to be supervised by The Red Cross Society of Nigeria, witnessed large turnout of volunteers who turned out in large numbers with the sole aim of helping to ease the plight of patients in desperate need of blood.
Speaking on the sidelines after the blood donation exercise, coordinator of the NGO in Nigeria, Brig. Praveen Kapur RTD, while shedding light on the rationale behind the annual blood camp, said "Over the years we watched with keen attention the loss of lives at an alarming rate, mostly due to the non-availability of blood for victims who needed urgent transfusion".
"This became very worrisome for us, making it pertinent that we get involved to save lives through this effort which started 5 years ago. As far as Nigeria is concerned, this is the fifth year in succession that we are organising the blood donation camp. We've had very encouraging responses in the past and we hope to continue next year".
Praveen added, "today, both Indian and Nigerian doctor's volunteer freely to this course helping us attend to donors and also most importantly certifying if blood being donated is suitable for transfusion and also on hand just in case anyone falls ill".
Explaining the process, of the blood donation/transfusion, Praveen said, "Realising the delicacy of this blood donation exercise is why we have partnered the Red Cross Society of Nigeria to supervise the process, using the systematic process where in they test the blood pressure, grouping, weight, height etc. After all this is given the clear, the donor is then found suitable and fit to donate blood.
At this stage, all blood samples will be taken to Lagos State blood transfusion bank for screening, of all other infections.


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Banana Scones with Brown Sugar Cinnamon Glaze
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I'm not a big scone eater. It's not because I don't enjoy them — it's because getting a good one isn't easy. So often I'll eat one and it's so dense that it sinks like lead. I for one don't care to feel weighed down like that.
The amount of butter in scones is usually a turn off for me, as well. If I'm going to eat something with that much butter, it's gonna be a piece of cake or something.
These Banana Scones with Brown Sugar Cinnamon Glaze aren't loaded with butter, and they won't weigh you down like some of those others.
They have a mild, banana flavor, with the comforting, warm flavors of cinnamon and brown sugar. They're even whole grain. Plus, they look unbelievably good don't they?
I always love using half whole wheat or whole wheat white flour in my muffins and breads, so it made perfect sense to do that here, too.
The whole wheat flour lends a hearty, nutty flavor. If you'd rather use all white flour, be my guest.
These scones are moist enough without too much butter because of the bananas, and the addition of Greek yogurt. I didn't have plain Greek yogurt on hand, so I used my FAGE Fruyo vanilla bean flavored Greek yogurt. It has plenty of sugar in it, so I scaled the recipe back on sugar a bit.
The scones are slightly sweet, which is perfect, because there is glaze drizzled all over the top!
I'm not normally one for messing with dough because I can be quite lazy about this sort of thing. I actually kneaded the dough in the bowl, which worked out great, but you can dump it out onto a lightly floured surface also.
I use a Roul Pat, which is a large silicone mat, whenever I'm dealing with dough, or sugar cookies, etc. It's worth the extra money for sure! I patted my dough into what I thought was an even layer, about 1/2″ – 3/4″ thick or so. It didn't take long for me to realize that the dough wasn't terribly even, but no matter. I knew the glaze would cover up my error in judgment!
I used a 2 1/2″ biscuit cutter, and got 22 scones out of the batch. Not too shabby! They freeze well, too! A bit of buttermilk is brushed over the scones, and they're baked about 16 minutes until golden brown. Cool them on a wire rack, then drizzle with the glaze.
Oh, yeah.
These scones are perfect with your coffee or tea in the morning, or eat them as an afternoon snack or dessert.
Whenever you decide to eat them is no matter. You'll love them any time of the day!
Banana Scones with Brown Sugar Cinnamon Glaze
Banana Scones are an easy banana scone recipe that's whole grain, with mild banana flavor, and the warm flavors of brown sugar and cinnamon!
- 4 large bananas, mashed (about 2 cups)
- 2-4 tablespoons of milk or buttermilk to add to mashed banana to make 2 cups
- 1 cup FAGE Fruyo vanilla bean flavored Greek yogurt
- 2 1/2 cups flour
- 2 1/2 cups whole wheat flour
- 6 tablespoons brown sugar, packed
- 4 teaspoons baking powder
- 2 teaspoons sea salt
- 2 teaspoons ground cinnamon
- 8 tablespoons cold, unsalted butter, cut into small cubes
- 1 tablespoon unsalted butter
- 2 tablespoons milk
- 4 tablespoons brown sugar, packed
- 1/4 teaspoon ground cinnamon
- 1/2 teaspoon pure vanilla extract
- 1/2 cup confectioner's sugar
- Preheat oven to 400 degrees. Line (2) baking sheets with parchment paper.
- Mash the bananas in a medium bowl. Place in a measuring cup. If it's less than 2 cups, add enough milk or buttermilk to make it two cups. Pour it back into the medium bowl, then add the yogurt and whisk together. Set aside.
- In a large bowl, whisk together the flours, brown sugar, baking powder, salt, and cinnamon. Add the cold butter and work into the flour mixture with a pastry cutter, two forks, or your clean fingers (my method!). Continue to work into the butter until the dough is crumbly, and none of the pieces are larger than small peas. Add the banana mixture to the flour mixture, stirring just enough to incorporate all of the flour.
- Pour the dough out onto a lightly floured surface. Flour your hands a bit to make this easier, and pat the dough as smoothly as possible into an even layer, about 1/2 - 3/4" thick. Use a 2 1/2" biscuit cutter to cut into rounds, and place on the prepared baking sheets about 2" apart. Brush the tops lightly with milk or buttermilk, and bake 16 minutes or until golden, rotating the pans halfway through baking. Cool on a wire rack.
Prepare the Glaze:
- Melt the butter in a microwaveable bowl. Add the milk, brown sugar, ground cinnamon, and vanilla, and stir. Add the confectioner's sugar and stir until smooth. Drizzle the glaze over the cooled scones, and leave out at room temperature to set. Store in an airtight container.
- The scones may be cut out and frozen unbaked, or bake, then freeze before glazing.
- Recipe adapted from Annie's Eats and the Kitchn.
Nutrition Information:
Serving Size:1
Amount Per Serving: Calories: 222Total Fat: 6gSaturated Fat: 3gTrans Fat: 0gUnsaturated Fat: 2gCholesterol: 15mgSodium: 314mgCarbohydrates: 38gFiber: 3gSugar: 13gProtein: 6g
Nutrition information is mean to be an estimate only. The numbers will vary based on the quantity consumed, brands used and substitutions that are made.


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Current Selections
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- Fabric Type: plain-weave
- Fabric Content: 100% polypropylene See fabric details and order free swatch
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The Stevens sofa blends modern style with plush comfort. A taller seat height combined with soft, yet supportive, cushions delivers exceptional comfort with an upright feel. Stylish metal or wood legs elevate the look of this movie-night-worthy sofa.See the full Stevens collection
Comfort Overview
Discover if this seating will be comfortable for you.
Seat ComfortFor a scale of soft to firm, this product rates as medium soft seat comfort level.
Seat DepthFor a scale of shallow to deep, this product rates as medium depth seat depth level.
Seat HeightFor a scale of low to high, this product rates as medium high seat height level.
Details of Stevens Custom 91" Sofa
Material Details
- Dimensions: 91"w 37"d 30"h (34"h with cushion)
- Inside Width: 82"w
- Arm Height: 24"h
- Seat Height: 19"h
- Seat Depth: 23"d
- Leg Height: 4"h
- Legs: all are removable
- Construction: benchmade hardwood frame with sinuous coil suspension Construction details
- Seat Cushion: spring & down
- Back Cushion: fiber down blend
- Cushion Care: down cushion
- Cushion Style: 3 seat, loose; loose back
- Delivery Consideration: oversized item; measure your space for fit Printable instructions
- Warning: California residents Proposition 65
- Product Origin: made in North Carolina
- Material Origin: United States and imported
- Item Number: 10009698
- See all photos
Material Details
- Leg Finish: Maple with charcoal stain
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- Leg Finish: Maple with charcoal stain
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Cushion Details
Spring and down
- Encased spring coils surrounded by eco-friendly, high-resiliency foam, wrapped in fiber padding, feathers and down, encased in down-proof ticking
- Offers a plush, yet supportive, sit
- Allows for a relaxed look
- Will soften and settle with use; some feather loss is normal
Made to the same high standards as all of our furniture, each one of our upholstery frames is built to last.
Kiln-dried, engineered hardwood
We use kiln-dried, engineered hardwood in all of our upholstery frames. Often used for structural beams, engineered hardwood is made by pressing thin layers of solid wood together. Kiln-drying removes moisture, minimizing seasonal expansion and contraction. This stable hardwood material resists warping and cracking for lasting durability.
Reinforced joinery
We reinforce every joint in our frames for added stability. Precision-cut parts interlock like puzzle pieces and are reinforced with eco-friendly glues, screws or staples and corner blocks. Reinforced joinery ensures your seating holds together, even with years of frequent use.
Sinuous coil
A sinuous coil suspension consists of s-shaped metal springs that are stretched across the frame. The coils are securely attached with clips that allow the metal to flex while still remaining supportive. Because each coil is independently attached to the frame, you'll barely feel it when someone sits down next to you.


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I have been most neglectful of the site these past couple of months but I finally have a bit more time just in time for another breaking hairy news item.
This week social media star (!) Sjana Earp took to the internet to discuss all things pubic hair. Removing it, keeping it, simply talking about it. Watch the full video from her 'Girl Talk' series below.
'Pubic hair is completely normal and natural and if you want to embrace it, embrace it, if you want to get rid of it, get rid of it, it is completely up to you.'
Read more here:


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- Feb 02 2019
Full Icon Themes 177 comments
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GTK3 Themes 499 comments
https://imgur.com/a/kzWVC4H - Nov 19 2018
When you release new version will you update repo also? - Nov 19 2018
- Nov 19 2018
Gnome Shell Themes 128 comments
http://i68.tinypic.com/2rppq9u.jpg - Nov 21 2018
https://imgur.com/a/chV4U1e - Nov 21 2018
Full Icon Themes 291 comments
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GTK3 Themes 246 comments
- Nov 05 2018
Wallpapers Gnome 3 comments
GTK3 Themes 321 comments
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For many years CVS Fire and Security has been providing homes throughout Bristol and the South West with the installation and maintenance of fire alarms and fire protection systems. Whatever the requirement of your property, we can install new fire alarm system, provide planned fire alarm maintenance visits and ongoing annual support.
From the time of enquiry through to delivery and beyond, our fire detection team will work along side you to understand your fire protection requirements leaving you and your property fully protected from the threat of fire.


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We provide passenger transfers to Estoi and from Estoi at cheap prices. Book your Estoi airport transfer today with MyTransfer and get the best value for money on Portugal transfer service. Private and shared transfers from airport or any other location.
Estoi (Portuguese pronunciation: [(ɨ)ˈʃtoi]) is a former civil parish in the municipality of Faro, in the Algarve, Portugal. In 2013, the parish merged into the new parish Conceição e Estoi. The parish, which includes an area of approximately 46.55 square kilometres (17.97 sq mi), had a population of 3,538 at the 2001 census. The name of the parish, which was formerly spelled "Estói", was changed in 2004.
by Wikipedia
Transfer from 29,50€


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Hosted Voice
Stay connected to your business wherever you go.
With hosted voice, your phone system lives in the cloud and moves with you — whether you're in the office, at home or on the road.
Replaces on-site PBX systems with a cloud-hosted voice solution.
Unifies all your communications — phones, mobile devices, computers work together seamlessly.
Provides 24/7 access to business communications from anywhere in the world.
|Saves money
|No expensive hardware to buy. One predictable monthly fee covers everything.
|Better communication
Makes it easy for employees to collaborate and connect with customers.
|Scalable growth
|Easily and quickly add extra lines and features as your business grows. Only pay for what you need.
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|Improved quality
|A dedicated network removes interference from internet traffic for clearer voice calls.
Hosted voice lets her stay connected with the office, and her clients, while working from remote locations. No one knows she's not at her desk.
Uses hosted voice to field incoming calls with a personalized greeting and route them to the right person, making his small legal firm feel like a much bigger company.
Easily adds fully-featured telephone service for new employees in a rapidly-growing firm, which helps fuel growth.
Instead of missing calls from potential clients, Tracy now uses hosted voice to route incoming calls to a group of lines in his office so calls are always picked up.
Here are articles about the latest technology and ways to get the most out of your service.
Up in the air about whether to go with Hosted Voice or Onsite PBX business phones – which is the
Your business phones need to match up with the ways you and your employees communicate with custo
If you run a real estate business, you know how imperative it is to grab a potential client's fir


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Public records show how the paternity among the child was established in the prior case in this same court many rice and that NBA 2K VC points isn't the father.
The 2011 NBA 2K16 xbox one coins Draft takes place this Thursday, starting at 7 delaware.m. EST. With the eighth overall pick, our Detroit Pistons use a player that can contribute right away. New ownership and a likely over haul of the roster let the team's first pick to obtain amble playing time due to the fact franchise replenishes.
That leaves an uncovered hole for Kevin Durant's back-up. Durant played countless minutes in 2010-11 on his way to his second straight scoring title. While Durant is really a superstar that will stay on your platform as almost as much ast possible, he needs a breather occasionally and the Thunder prefer someone they're able to rely in order to work as they is upon the bench.
With the Wednesday "ultimatum" past and gone and twelve longer of talk in the books, the NBA as well as the NBPA will resume today at 12:00 p.m. Et aussi. Will their efforts end the weekend exhibitions which have peppered the NBA 2015-less calendar, and are fans prepared to say goodbye?
Analysis: It becomes very helpful interesting to look how morrison a pardon first round unfolds. The poor economic climate could encourage teams to achieve on international prospects while using the intention of leaving them in Europe to develop. Jonas Jerebko has potential and the long, lanky build that intrigues NBA scouts, but he appears like a reach in most important round.
Washington has a pretty good point guard in John Wall, and putting Thompson beside him in the starting lineup could really help spread ground for that team. At the No. 18 selection, this could also make Thompson fairly big "steal" for the Wizards, as he really this indicates a top 15 talent in the upcoming draft. It probably be more surprising at this stage if Thompson didn't see his draft stock increase as the days before the draft set out to dwindle.
A lot more had to bet in this one, I'd pick the Kardashian definitely. Why? That's not me a fan of Prince and I really don't recognise that much about football. However, I know that the trio of sisters have had amazing luck and in order to amazingly popular just getting themselves. I'm also keeping my fingers crossed that Reggie and Kim will both get the rings they really want. I know she said they never made that bet, but it surely would still be a very romantic ending to their on-again-off-again romance.
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These are my two babies.
My very first machine that I purchased, a White something or other. Just had her tuned up so she's in awsome working order (& very clean).
My second machine & the one I use the most, my Viking Prelude 360. I love this thing! We are great together & grumpy together. She gets me.
By the way, this is a great thread. It's fun seeing what everyone is creating on.


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Paso Robles High announces new online academy
Academy now accepting applications
– The Paso Robles Online (PRO) Academy is now accepting applications for the start of the spring semester in January. The PRO Academy is being offered through the Paso Robles Joint Unified School District and is a free, online, public high school program for students seeking a personalized alternative to the traditional school environment. It is the first district-supported online program in north San Luis Obispo County that has college preparatory courses approved for enrollment in a 4-year university directly after high school.
How does the PRO Academy work?
The PRO Academy will follow the same graduation requirements as the other high schools in PRJUSD with the difference being the flexibility in scheduling. Students meet with a designated online teacher once a week for one to two hours. During these meetings, students take tests, access tutoring, and work with their teacher to develop the weekly assignment sheet. The rest of the week is spent working independently to complete the assignments. Because the courses are online, that means the students can complete them anywhere and anytime. This provides students the flexibility to do things such as work during the day, travel with their families, audition to pursue a career in the arts, or compete in rodeos or motocross , all while finishing their diploma courses.
Curriculum meets the California education standards as well as the California State University/University of California admission requirements. Students enrolled in the PRO Academy will be issued a Chromebook to help facilitate with assignments. In addition to the online courses, students can also choose to take visual and performing arts and career technical education courses at Paso Robles High School. Students can also dual enroll in enrichment courses at Cuesta College and, because of the flexibility in scheduling, classes can be either day or night.
For more information, please visit the website www.pasoschools.org/proacademy or contact Alisha Lewis at email@example.com or 805-769-1620 ext. 51502. The PRO Academy is located inside Independence High School at 812 Niblick Road.


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- This event has passed.
International Gem & Jewelry Show
September 7, 2018 - September 9, 2018
International Gem & Jewelry
Website: https://www.intergem.com/
Date(s) and Time(s) of event:
Friday, September 7, 2018 12:00pm to 6:00pm
Saturday, September 8, 2018 10:00am to 6:00pm
Sunday, September 9, 2018 11:00am to 5:00pm
At the International Gem & Jewelry Show, you will find extraordinary one-of-a-kind jewelry creations, precious and semi-precious gemstones, eye-catching beads, pearls, watches, antique and estate jewelry, accessories and much more. Free jewelry cleaning and tips on proper maintenance and storage are provided. From everyday-fashionable pieces to the truly rare and exquisite, there is always something for everyone.
Name of building event is taking place in:
Expo Hall
Admission Fee:
Presale tickets available at www.intergem.com
Contact Info:
Parking Address:
1346 Saratoga Dr. San Mateo, CA 94403
Parking Fee:
$12 per vehicle*
*subject to change


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Social prescribing is missing an opportunity to help people with long-term health conditions into meaningful work, Work Foundation report finds. The new report from the Work Foundation – part of Lancaster University – promotes this in supporting clients with long-term health conditions back into meaningful work, arguing that the services need to play a far greater part in achieving this goal.
Social Prescribing: A Pathway to Work? found that employability and work-related outcomes need to become a core aim of social prescribing services, with greater recognition required for the important role that work plays as a social determinant of health and wellbeing.
Social prescribing is a means of enabling healthcare professionals to refer patients to a non-clinical service, who will work with them to co-design "non-healthcare interventions" to improve their health and wellbeing. There is growing evidence that social prescribing, where patients are linked into a variety of community activities, improves self-confidence, self-efficacy, and reduces social isolation. As this report shows, this can also support people onto the pathway back to work.
The report includes a survey of members of the Social Prescribing Network, ascertaining their views on how well employment is currently being championed within this context. The majority (70 per cent) of respondents agreed that employability and work-related outcomes should be included in the specifications of social prescribing services. Overall, respondents believed there was real potential for social prescribing to better help clients achieve work. However, the majority also felt that work was not currently optimised within the system as employment was seen as low priority goal for social prescribing services, and limited formal recognition or support available to achieve it.
Authors also looked in detail at four social prescribing organisations, showing how they are supporting people to find and prosper in work, and how they can be supported to do more.
Karen Steadman, Research and Policy Manager at the Work Foundation, said: "Social prescribing services should more directly recognise getting clients who want to work, back to work, as a key aim – whether this is in the short or long-term. More emphasis must be placedon the role of meaningful work in sustainably reducing social isolation, improving self-confidence, and self-esteem, and improving health and wellbeing.
"However, we must show caution before tying such an approach too closely to the welfare system: in order to help those who most need it, we must listen to what they want, and support them on their pathways."
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AKA's Tau Chapter, receives $100k in scholarship money
Alpha Kappa Alpha Sorority Inc. Tau Chapter of Indiana University set out to achieve a notable feat, to unite its members in service and sisterhood, step for $100,000 in scholarship money, and take home the title of the Sprite Step Off Champions, which is the largest step competition in the nation for Greek letter organizations.
And, this is exactly what they did. However, according to its members, it wasn't easy. Tau chapter's victory came with great diligence, sacrifice, disappointment, and a lot of national media attention.
Four days shy of nearly missing the qualifiers for the competition held at IU, Tau chapter hastily decided to participate in the Sprite Step Off, putting together a Girl Scout themed routine in only four days.
"After we won first place in the qualifiers, the real time commitment began," Jasmine Starks, 2010 president of Tau chapter said. "It was a struggle to balance our academics as well as our extra curricular activities."
Since December, Tau chapter worked daily to perfect and organize their step routine, regularly spending hours practicing to insure their performance exemplified excellence.
"It was hard work balancing step with the rest of our lives, but we were very supportive of each other," said Aleah Bouie, membership chair and step member of Tau chapter.
Long hours and late practices paid off, as everything came together at the Regional Finals in Chicago. The ladies placed first, receiving an all expenses paid trip to Atlanta for the Nationals.
The ladies of AKA were one step closer to taking home the Sprite Step Off title, an accomplishment Starks said would highlight the chapter's service and dedication to present quality programming on campus nationally – a much needed proponent after the chapter's seven years of inactivity from a previous suspension.
"Tau is a newly reactivated 2009 chapter," Starks said. "So, it means the world to us to be able to use this opportunity to show the nation a little bit more about what Alpha Kappa Alpha Sorority Inc. is doing."
"This was a chance of a lifetime, and I congratulated the ladies on their success," said Jerrie Hayes, graduate advisor for Tau chapter. "However, while we wanted them to win, we definitely didn't want their grades to suffer. I told them to keep the main thing the main thing, which is education.
With their priorities in tact and their routine polished, Tau chapter headed to nationals with the support and the encouragement of their advisor, fellow AKA members, family, friends, and the rallied support of IU.
However, no amount of preparation could have braced the contestants and onlookers for the dramatic Sprite Step Off results.
Before they presented their Law-and-Order themed routine to thousands of Greeks and supporters, Bouie said that the ladies said a prayer to reverence God in whatever the outcome would be.
"I knew we worked very hard and could give nothing more then our best at that point," Bouie said. "We agreed to leave it all on the stage, and that's what we did."
After 14 performances, rapper and host of the Sprite Step Off Ludacris announced the 2010 winners. To the dismay of many, Tau chapter was deemed second place, runner-up to Arkansas chapter of Zeta Tau Alpha – an all-white sorority.
This Coca-Cola-sponsored event was created to support higher education, promote creativity through stepping and unity through service. However, last month's results received a huge backlash and uproar from Americans and Greek members across the nation.
From YouTube, to Twitter, and Facebook, social networking sights were heated with comments about the step off results. Hayes says her frustration stemmed not only from the results, but more importantly the contorted perception that the media and others tried to inject into the situation. She notes that the step show had nothing to do with racial tension or cultural theft, but the question at hand was did the best step team really win?
"People didn't go crazy when they announced that Zeta Tau Alpha won. People went crazy when they announced that Alpha Kappa Alpha came in second," Hayes said.
Less than a week after the results, Sprite released a statement that said they conducted a post-competition review and discovered a scoring discrepancy.
Spokeswoman for Coca-Cola North America Lori Billingsley said, "There is no conclusive interpretation, nor definitive resolution for the discrepancy."
Thus, Sprite made the decision to make Alpha Kappa Alpha Sorority Inc. Tau Chapter co-champions of the 2010 Sprite Step Off. This is an honor they will share with Zeta Tau Alpha, who also received $100,000 in scholarships.
According to an interview on CNN, Arkansas senior and Zeta Tau Alpha step member Alexandra Kosmitis, said she is "ecstatic" another sorority will also receive the same large scholarship.
Despite the discrepancies, at the end of the day, Tau chapter accomplished what it set out to do: win a national title.
"It is amazing the diligence and intelligence these ladies have," said Hayes. "Even in the midst of all the controversy, they rose above it. This speaks to the merits of an Alpha Kappa Alpha woman."


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YBN Nahmir is barely old enough to hold down a moustache, so why bother putting labels on a relationship on a week's notice. In the YBN group interview with No Jumper, Nahmir stated that when group first started touring they getting busy after every gig. They now admit they were hitting skins at a pretty unsustainable rate. To be frank, the YBN boys all outed one another as closet-romantics, but that isn't going to change how they posture themselves in view of other people. The "No Relations" mobile shoot is where we found lust and sourdough pizza intermingle in one soluble fiber.
On "No Relations" Nahmir reaffirms his public stance over a quickfire beat he matches scale for scale. The video covers a good portion of the Miami coastline, the YBN movement isn't locked to any sector. They met online in a fledgling chat room, then consummated their friendship on AOL. During the shoot, YBN Cordae protected his image by refusing to remove his shirt. Almight Jay, celebrating his alleged bachelor status, shows up with a flowchart heavily tilted towards "short term investment," if you catch my drift.
Quotable Lyrics:
If it's beef you know wassup
We ain't gon' talk it out
Thirty clip in this stick
Knock a n**** down
Nerd n***** going to hate
I'ma do me
Let a n**** touch me
Leave him six deep.


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Part two of a four part series on residential plumbing projects explores water heater installation and repair.
Water Heater InstallationIf your water heater is more than fifteen years old, you may wish to look into replacing your water heater. Why? Well, newer model water heaters are more Energy Star compliant. This means they help to save you some money on your electric bill each month. It isn't just energy efficiency that may make you want to consider installing a new unit, however.
Maybe you have a large family, and you want an extra water heater to allow everyone to take a hot bath or shower without the down time between refilling the tank. Another possibility to consider if you need a lot of hot water is to install a tankless water heater. Tankless heaters are compact, and provide an on-demand supply of hot water.
Is it Time To Fix Your Water Heater?
Water heaters on the whole are a durable appliance, however, there are times when things can go wrong with them. Usually, water heater repair can be broken down into three areas: electrical, tank, and connections. If the problem with your heater is electrical, take a look at the symptoms. If the water is not heating, more than likely you have one or more heating elements that have gone bad. Sometimes, you can pick up replacement heater elements at a hardware store. Just be sure to switch your electricity off before you try to replace your heating unit to avoid electrical shock. You may actually be better off calling in a professional to avoid any potential danger.
Your home's plumbing is a network of interconnected elements including your pipes, appliances, and of course your water heater. So whether you want to install a new heater, switch to tankless, or repair a water heater, the right plumber can make all the difference in the world.
This concludes part two of our series on residential plumbing projects. For more information, be sure to read part one, part three, and part four as well.
PUR Plumbing Inc.
7139 Mitchell Blvd.
Suite 2210
New Port Richey, FL. 34655
(727) 475-1474


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McCaskill calls for investigation of Franken
JEFFERSON CITY (AP) — Missouri Sen. Claire McCaskill said she's "shocked and concerned" about allegations against fellow Democratic Sen. Al Franken of Minnesota and is calling for an ethics investigation.
McCaskill's Thursday statement came after a Los Angeles radio anchor accused Franken of forcibly kissing her during a 2006 USO tour and of posing for a photo with his hands on her breasts as she slept. Franken has apologized.
McCaskill says "the behavior described is completely unacceptable." She says comedy is not an excuse for that kind of conduct.
A Republican candidate for McCaskill's seat said her response doesn't go far enough. Attorney General Josh Hawley tweeted that McCaskill should join him in asking for Franken to resign. He also wrote she should return the $30,000 to Franken's leadership PAC, Midwest Values, which has donated to her campaign.
McCaskill later wrote in a tweet she donated the money to Missouri food banks.
(Editor's note: This story has been updated to include the latest information.)