text:
- Joined
- Sep 17, 2018
- Messages
- 17
- Reaction score
- 34
- Points
- 13
This bottle is only five inches tall. Embossed on it is Vineland Grape Juice, and the seam stops well below the neck. There's no mention of Welch's on it, but I think this might be a very early one because Welch lived in Vineland, NJ. I haven't been able to find another one like it online. It's a little beat up from being in the water, but what a cool piece of history it is! I paid a whole dollar for it.


text:
Classic London Hand Painted Leather Journal
Looking for a perfect gift for your dear one? You have possibly found it here.
This painting is called Classic London.
This hand painted by artist notebook will stand out from all others. No one in the world will possess the same, it is one of a kind. And you can even customize it in terms of leather color, size, you can even ask for your name on it.
Just leave an order note at the Cart -> Order notes, or Convo me with a contact us form.
The quality of painting is top notch, and the paint brush work will keep everyone impressed.
This item will be created just for you as you can choose leather color or modifications of the painting. So no one in the world will have it.
Yours will be unique!
Product Details
- Leather color: Ochre
- Size: Midori TN Regular Size (4.25 in by 8.25 in)
- No pockets, Inner pockets, Zipper, Pen loop (according to your choice of options for this product)
- Closure type: elastic closure
- PVC Zipper pocket for coins and bills and papers
- Painted by: our in-house artist, Tatyana. No printing is used for creation of this item, only brushwork
- Time of production: 7-14 Days
- Delivery time (after production): 7-10 days to US, 2 to 4 weeks worldwide
Go get it now by adding it to the cart and going through a simple checkout process on Shopify.
What People Tell About Us, Sanati Factory
You can see the reputation and social proof of our shop by reading below.
Our Etsy shop is here:
You can see thousands of sales of our journals and reviews on this trusted international selling platform.
Youtube reviews by bloggers and customers:
Instagram and Facebook
And our business Instagram:
And you can see comments and photos taken by our customers in the Facebook group and page
The Authors
Please read about us on About Us page.
May I Choose Other Types of Inserts?
You can also choose any simple combinations of:
- Grids
- Lines
- Dots
- Blanks (we also have light colorful paper, also black paper for writing with white or yellow glowing gel pens).
You can ask for any three inserts, either from this listing, or from other listing in our shop, in any variations.
How to Order My Custom Design?
Do not forget that we can make YOUR portrait or of YOUR beloved ones or YOUR pets! We make it every day. We made hundreds of custom paintings.
You are welcome to write and to ask. Mostly we reply within several hours to ANY letter.
Please convo me using messenger button at the right bottom.
Customer Reviews
This is a test review for my shop.
Alex, thank you for your review, and I am looking forward to your next orders.
As always great quality and a super fine product.\n\nI'm placing 4 instead of 5 because there were a couple of details.\nOne is I requested this to be sent to a different address since this was a present and it was sent to mine so i had to pay extra shipping to get it to the right one.\nThe secon minor one is that I requested that instead of the full white square as the picture provided, if it could be just a white outline surrounding the bird so it could stand out better over dark leather.\n\nOther than that, exquisite work and will definitely order more!\nThanks again Natalia!
This is amazing!! I love it. The leather is like butter and the painting is gorgeous!! Will definitely be ordering more!!!
Works great, swift delivery and well made
lovely notebooks. they fit in my cover perfectly. i'd wish for photos to be less foggy ...

subset: commoncrawl


text:
Includes 11 Cups, 12 Saucers, 15 Dinner plate, 12 Salad plates, 1 creamer, 1 sugar bowl + 1 lid, 1 round vegetable serving bowl & 1 oval serving platter. Please visit our E-bay store for additional piece-types and like items being offered. Check out my other items. Assume normal, minor use marks and wear unless we describe the items as "MINT". If you are unhappy with the item/s, we must be contacted within three days of receipt of the package.
ABOUT US: CHINA FINDERS is a family owned and operated replacement service for china, crystal, flatware and collectibles, with a storefront in Florida. The item "BLOCK china PAPRIKA pattern 55-piece SET SERVICE for 12 dinner soup cup saucer" is in sale since Sunday, October 1, 2017. This item is in the category "Pottery & Glass\Pottery & China\China & Dinnerware\Block". The seller is "dinnerwareemporium" and is located in Saint Petersburg, Florida.This item can be shipped worldwide.


text:
Steroid users life expectancy, does using steroids shorten your life
Steroid users life expectancy, does using steroids shorten your life - Legal steroids for sale
Steroid users life expectancy
Testosterone is an FDA approved steroid for the treatment of testosterone replacement therapy (low testosterone in men) and delayed puberty in boys; demonstrating its safety (6). Anavar is one of the most sought-after steroids on the market. This is mainly due to three reasons: It's an oral steroid It's suitable for men and women It has very weak side effects. Anavar is generally seen as a cutting steroid , as it does not aromatize; thereby creating a dry and lean look, steroid users life expectancy. However, many will not need such a dose, steroid users life expectancy.
Does using steroids shorten your life
Find out how to identify the signs of steroid use and addiction. To the body and mind and is known to reduce life expectancy. Organismal (2007) a bile acid-like steroid modulates caenorhabditis elegans lifespan via nuclear receptor signaling. Every dog breed's life expectancy found by new study. Pavie valsa, 27 was "living in pain" until she moved to london, came out in 2017 and landed a 'britney residency' in may 2021. Risk factors can include long-term steroid use, low body weight, smoking,. Him to steroids and his previously clean-living life – he did not. As a matter of fact steroid use can shorten their lives. Steroids cause hormone imbalances. For teens, hormone balance is. The use of anabolic. One known risk of glucocorticoids is that long-term use in high doses may increase a person's chance of developing cardiovascular disease,. Even if the consequences were that it shortened their life expectancy. Prevalence of anabolic steroid use is poorly researched, particularly in longevity. With the introduction of new medications, the increase in life expectancy, and polypharmacy The anabolic steroids are those type of drugs that are resembling the male hormone called testosterone, steroid users life expectancy.
Steroid users life expectancy, does using steroids shorten your life Packaging and delivery: One could not found a single mistake with their packaging and delivery process. Payment Methods: Money Transfers (WesternUnion, MoneyGram & RIA), CryptoCurrency, steroid users life expectancy. Product effectiveness: Going to continue this process in the future. I am suggesting everyone try this source. The half-life of a drug is defined as:"…the amount of time during. The second is the appearance of withdrawal symptoms when the user cuts back on or stops steroid use completely. The obsessive-compulsive behavior to keep using. Patients are anabolic steroid users who turned to sarms because they were. Spirit had tested positive for an excessive amount of a steroid. The main thing people have to understand about steroids is that steroids have to be used properly. And when you do that, there is zero impact on the user's life. Booster vaccines are not approved under 18 years of age. Methods: palliative medicine and hospice patients with a clinical diagnosis of oral thrush, a life expectancy of more than 1 week,. Find the latest lifestyle news and updates. How to use the microsoft office professional suite for your business. With the introduction of new medications, the increase in life expectancy, and polypharmacy. Every dog breed's life expectancy found by new study. Only life- threatening immune-mediated diseases require long-term daily steroid use. Most corticosteroid protocols require daily use only during the initial<br> Does using steroids shorten your life, does using steroids shorten your life Steroid users life expectancy, cheap legal steroids for sale cycle. Hence it is often referred as 'girl steroid'. Testosterone ' it is quite obvious that testosterone is a good choice for beginners since synthetic testosterone is working the exact same way as naturally made testosterone. Usually, testosterone is prescribed to those people who don't have normal levels of testosterone in the body, steroid users life expectancy. It can help with both fat loss and muscle/ strength gain. A lot of people are searching for those steroids that are building muscles the fastest way and if you're a person who is thinking to get the steroids for the same purpose then there are some steroids which are most suitable for you. Over many years of steroid use, improper functions of organs may take place as well as a change in the physical appearance of the individual, steroid users life expectancy. Steroid users life expectancy, price buy legal anabolic steroid bodybuilding supplements. If you want to start supercharging your gains, make sure to keep reading, does using steroids shorten your life. Will crohn's disease shorten my life span? with the right medication and preventive screenings, people with crohn's disease can live a long,. Thinking about using anabolic steroids to build muscles or improve your athletic performance? think again. Misusing them is not legal or. It can be concluded that the life span of male mice is decreased dramatically by exposing them for 6 months to the kinds and relative levels of anabolic. Cortisol is essential for life and well being. If you have been taking steroids long-term do not stop your steroids abruptly. Causes the blood to become thicker which can in some people trigger life. These problems may hurt them the rest of their lives. The world health organization said steroids should be used to treat patients hospitalized with severe covid-19, but advised against giving. Anabolic steroids may improve performance and muscle growth, but they can also lead to unwanted short-term effects. Learn about the harms of. Parental attitudes towards steroid use can direct treatment and determine adherence. A malaysian study of parents whose children were on prophylactic inhaled. In 1975 the international olympics committee banned steroid use by. Assuming that you're referring to anabolic/androgenic steroids; with prolonged use/abuse, absolutely. It can cut your life span by 50% or more. -- steroids: they're infamous for their use in sports. But they're also found in inhalers, creams to treat poison ivy and eczema, and shots to Corticosteroids can be life-saving medications and improve the quality of life for many cats. By working closely with your veterinarian, you can safely. What is steroid withdrawal? people addicted to anabolic steroids may experience withdrawal if they suddenly stop taking the drug or rapidly reduce their. The "solution" for some men – and some women too – is to take anabolic steroids, despite the fact that they are unlicensed for this use and. Some people who use illegal drugs spend their lives in prison; others become rich. If there is significant money to be made, illegal steroid use. Which reduce inflammation and suppress the immune system. These problems may hurt them the rest of their lives. Please also remember that steroids are often extremely effective and can be life-saving. If any of the suggestions here is unclear, or seems. This guide will also discuss the dangerous medical effects of illegal use of steroids on health. The short-term adverse physical effects of anabolic steroid. The difference between creatine and steroids is not at all subtle. Better on the field, because they're better able to cope with life off the field. If the findings hold up under scrutiny, it would mean that treating eight ventilated patients with dexamethasone would save one life. "that is a big effect. Corticosteroids can also be used to replace certain hormones that are not being produced by the body naturally – for example, in people with It may provide endurance or a handsome outlook for sure, steroid users effects. But this fitness is not permanent. Making your muscles bigger, heavier, and more effective isn't going to happen by itself in the gym. It's going to take a bit of extra work and add-ons from you, and that's where we come in, steroid users die young. Bottom line: After knowing all the facts, what do you want to do, steroid users sweat. Otherwise, keep away from using it and say no to anabolic steroids. Anabolic steroids change the amount of a type of protein made, steroid users who have died. Anabolic steroids need to bind to receptors in skeletal muscle, the muscles in our arms and legs we use for lifting, to cause the changes in protein production. With us, you can count on options that have passed through quality control and come in sealed containers you can trust. We'll ship within hours of your order, so you can get your products faster, steroid users in mma. Some steroids should be stacked in order to get the maximum benefit out of it, steroid users in the baseball hall of fame. Do not use steroids that are counterfeit. If the blood is saturated with hormones, the liver is not able to remove them. We can say that it works at high speed, steroid users signs. The only way to get steroids from your doctor is to have a medical condition that requires you to get steroids, steroid users in the nfl. That's why, doctors won't prescribe you any steroids if you do not have any health issues. That improves cell growth by stimulating the protein synthesis process, steroid users nfl. You may find around 30 types of AAS from a different online source. On the off chance that you need quick conveyance of steroids, at that point you should arrange it on the web, steroid users hall of fame. There are shops that do give paypal installment strategy steroids next conveyance day alternative. Similar articles:


text:
Everything You Need To Know About Cooking Okra
You can cook okra without it becoming slimy!
Okra or lady fingers is the debatable vegetable in many dishes. While many dislike it, there are others who love this delicate-looking vegetable.
It is found in a sinigang na baka recipe, in an Ilocos pinakbet, and can be the main vegetable in an adobong okra recipe. It's a vegetable that is commonly used in dishes in many parts of the world but is also avoided by many, too.
The main reason why the okra is a vegetable to avoid could be because it can be slimy. When exposed to heat, the seeds in okra produce mucilage. This stuff is what makes it a valuable ingredient for some dishes.
However, did you know there is a way to cook okra so that it's not slimy? There is! The best way to cook okra without making it slimy is to fry it. By frying okra, the hot oil sears the okra, preventing the mucilage from forming and oozing out of the vegetable making it slimy. What you get is wonderfully browned okra that has developed better flavor without the slime.
Since it's no longer in danger of becoming slimy, you can toss these chunks into your favorite dishes and enjoy its unique crunch and flavor at its best. This might be what you want to do even if you're making soup dishes with okra such as sinigang.
Here are a few other ways to cook and enjoy okra:
1 Steam it whole but trim the stem.
The dried-out stem can be trimmed so you expose the fresh stem. You may want to cut it off completely as many deem this part inedible and a little tough but some will leave it on. Either way, this is a great way to prevent the okra from getting soggy as well as slimy.
One of the best ways to cook okra is to simply steam it. Boiling it will just leave it vulnerable to becoming soggy so steaming is a great way of preparing it. Steam it until it's just tender to the bite with a little crunch left before tossing it with some delicious sauces or serving it as a side dish.
2 Add it to stir fries or grill it.
When you're adding okra to stir-fried dishes and it's chopped up, remember that the smaller you chop it up, the more slime it can and will produce. To avoid that, cut the okra into medium-sized pieces instead to minimize that. You can cook it first, set it aside, and add it in at the last minute just to make sure that it's cooked perfectly without any sign of the mucilage that many people avoid.
Want to elevate your dish? Grilling okra, as well as the other vegetables, is another way of avoiding the dreaded ooze of the okra. Plus, grilling it will give it a much savored charred taste that can make your pinakbet a winning meal.
3 Use it as a thickener in soups.
If you're making sinigang or any soup that you want to thicken up slightly, you're going to want to choose the right ingredients. For thickening up the soup, you may want to use gabi but we say, why not take advantage of the okra's thickening properties? Okra is not just for making your food interesting to eat but it's actually used for at its best for its ability to thicken soups and stews. It's one of the many reasons why it's an important ingredient in the dish, the gumbo.
If you are making sinigang but can't find any gabi to help you thicken the soup, reach for a few pieces of okra instead.
You can find a way to learn to love okra! If you are not that averse to giving this humble vegetable a chance, you may just discover that it's a delicious and nutritious vegetable that you can look forward to eating.
Thinking about what to cook next? Join our Facebook group, Yummy Pinoy Cooking Club, to get more recipe ideas, share your own dishes, and find out what the rest of the community are making and eating!
Got your own version of the classic dishes? Pa-share naman! Get your recipe published on Yummy.ph by submitting your recipe here!


text:
"Tell us about one of your posts from this week and give us a link so we can read it (review or otherwise)!"
I'm quite excited to have bookended my week with a giveaway and a review of TK Turner's Her Temptress.
"What is your favorite romance hero-type? Stereotype wise. Do you like the strong silent type or the brute macho man?"
I guess I'd have to go with the strong silent type - brute force may be handy in an action hero, but romance requires a little subtlety.


text:
Recipient of a 2014 Governor's Award for Excellence
As Client Services Director for the Division of Rehabilitation Services, Kyle Walker has displayed consistent and critical aspects of leadership that have transformed the Vocational Rehabilitation program under this division from an organization that is great to one that recognized locally and nationally as exceptional. He has been an instrumental administrative level leader in establishing the "The Rehab Way." Kyle has an ability to create the positive and address the negative through crucial conversations that have resulted in a new client-oriented focus on service provision, a stream-lined client services policy/procedure manual, and revised leadership meetings.
Because of Kyle, the division has a new welcome video that creates greater efficiency for clients coming to our offices, and helps them be more welcome and prepared to seek counselors' help. He has created a culture of meeting with community resources and developing partnerships and services that benefit people with disabilities. He is the person that is sought out by many staff with critical conversation needs of their own because of his integrity. They go to him because they trust him, value his ability to listen and know that they will receive meaningful feedback to make themselves better professionally and personally.
In all, Kyle has been a keystone in establishing a renewed vision of what we can do, and how we can be better. As a result of his achievements, the division has greatly enhanced the impact and return investment for the individuals served. The greatest characteristics of a leader are those who not only see the vision, but blaze a trail to its realization, those who have the capacity to paint the picture for all to see the possibilities, and then hold the integrity solidly enough to have those who see it, follow.


text:
Four Winds 2 supports three scoring systems that use a settling table to determine the final score for the hand.
Faan-Laak scoring system uses a simple look-up table where a certain amount faans (merits for the hand) corresponds a specified amount of final points. Laaks are multiples of limit points, the doubling of which is regulated by the settling table.
Mangan scoring system determines the final score by using the combination of basic tile points (fu) and doubling factors (han) as the criteria for final score.
Regulated doubles system uses a simple look-up table where a certain amount doubles corresponds a specified amount of multipliers. The multipliers thus achieved are used to multiply the total point scores earned by the hand.
To enable the use of settling table:
Variations related to settling tables:
Faan-Laak scoring
Auxiliary points
Mangan scoring
Regulated doubles
Related topics:
Creating and managing custom rule presets
Initial and Limit points
Logic of scoring system
Inclusion and scoring of hands and patterns


text:
I'm joining Rep. Alexandria Ocasio-Cortez as a Citizen Co-Sponsor of her legislation to ban the use of tear gas in the United States.
Tear gas is a chemical weapon banned in war, yet police departments across the country are using it to disperse peaceful protests and attack American citizens.
Thanks to public pressure from you and progressives across the country, Democrats in Congress are responding.
Rep. Alexandria Ocasio-Cortez just introduced legislation banning the use of tear gas by police in the United States. She's counting on a massive swell of grassroots support to make this bill law.
Democracy For America • PO Box 1717 • Burlington, VT 05402
Phone: 802.222.6934 • Fax: 802.316.5260
Paid for by Democracy for America and not authorized by any candidate.
Contributions to Democracy for America are not tax deductible for federal income tax purposes.


text:
Datastory democratizes data storytelling via new collaborative formats.Read more
The principle that access to the published papers and other results of research, especially publicly-funded research, should be freely available to all. This contrasts with the traditional model where research is published in journals which charge subscription fees to readers.
Besides benefits similar to the benefits of open data, proponents suggest that it is immoral to withhold potentially life-saving and valuable research from some readers who may be able to use or build on it.
Subscribe to our newsletter to get the latest from Datastory's Global Edition.


text:
For manufacturers, simplifying your business process and streamlining your organization is a constant concern. Whether you're just starting or are actively growing, making improvements to challenges like supply chain visibility, production, and product delivery can put you on a path to greater success.
About Encompass Solutions
Encompass Solutions is a business and software consulting firm that specializes in ERP systems, EDI, and Managed Services support for Manufacturers. Serving small and medium-sized businesses since 2001, Encompass modernizes operations and automates processes for hundreds of customers across the globe. Whether undertaking full-scale implementation, integration, or renovation of existing systems, Encompass provides a specialized approach to every client's needs. By identifying customer requirements and addressing them with the right solutions, we ensure our clients are equipped to match the pace of the Industry.


text:
Aug 19, 2015
The US Food and Drug Administration has revised fees the agency charges for issuing medical device export certificates in response to higher costs and demands for these documents.
The new fees go into effect September 1, 2015. From that date on, the FDA will use a new formula to calculate export certificate fees; the agency may charge up to $175 for original certificates, while subsequent certificates requested for the same device will cost $85.
Fees for medical device export certificates have not increased since 2003, according to the FDA, but the volume of certificates requested has more than doubled between 2003 (25,236 certificates) and 2014 (52,193 certificates).
- Stewart Eisenhart


text:
Zig zag 14mm with teeth. Gives a neat transition between laminate /smooth floor and adjacent stretch carpet installation. Top section should be lightly dressed down using a rubber mallet after fitting to ensure a snug fit to edges of both floor coverings.
Height 14mm, full width 54mm, top width 40mm, length 2.7 mtrs


text:
It was a dramatic winter view in Kas!
December 29, 2018 - I decided to begin the new year in the beautiful Mediterranean town of Kaş, Turkey. I go to Kaş every summer for flying,...Read the Full Post »
Magical sunset...
December 24, 2018 - It was a powerful sunset light hitting the Bosphorus today. It's not very often that I see the quality of light like tod...Read the Full Post »
Season's Greetings!
December 21, 2018 - SEASON'S GREETINGS! I hope that past year was a healthy and happy one for everybody. 2018 was a year in which I had w...Read the Full Post »
My underwater photographs are now on the website!
December 06, 2018 - I have had a bond with underwater ever since I can remember. I don't recall an age when I did not have a diving mask and...Read the Full Post »
Recent PostsNew work "In the Moment" "Musilage" has won an award in the 2022 PX3 Prix de la Photographie de Paris. Black Sea Beach PANORAMA Photo Gallery Fun and Games in Oludeniz New Project: Emaar The Address Hotel & Residence, Istanbul My first NFT! "Untamed" prints at Murgia Contemporary Art Biennial Aerial Adana 2021 Valentine's Day Special
January February March April May June July August September October November December


text:
Many airlines offer flexible change policies
Sign up to receive text alerts about your trip
This weekend's flight prices found within the past 7 days, for the period specified. Prices and availability are subject to change. Additional terms apply.
Prices starting at $164 for return flights and $82 for one-way flights to Atlanta were the cheapest prices found within the past 7 days, for the period specified. Prices and availability are subject to change. Additional terms apply.
|Origin Airport IATA Code
|Destination Airport IATA Code
|Direct Flight Airlines
|Earliest Flight Arrival
|Latest Flight Arrival
Orbitz.com can help you find cheap flights from Syracuse, New York, by searching many airlines at once to find bargain tickets. Syracuse and the surrounding areas are served by the Syracuse Hancock International Airport, located four miles northeast of downtown Syracuse. Six airlines, including Air Canada, Delta and jetBlue, provide domestic and international flights. Although Syracuse is known for its extremely snowy winters, the airport is closed less than 24 hours annually due to snowfall, on average.
Hancock Airport has both short- and long-term parking available. Expect to pay between $1 and $2 per hour, with a daily maximum of $10 to park in the garage, and between $.75 and $1.50 to park on the outside lot. Monthly parking is available for $225. If you already have an E-ZPass, you can use it to pay for parking.
Syracuse Regional Airport Taxi is the only taxi company that services Hancock Airport. Dispatch stations are located near each baggage claim. It also offers a shuttle service for large groups of people. Not only can Orbitz.com help you plan your air travel, it can find ground transportation too.
Syracuse Hancock International Airport has several places you can grab a bite to eat while waiting for your flight to leave, including Sbarro and Au Bon Pain. Alcoholic drinks are also available. Several gift shops offer an array of items in case you need to make any last-minute purchases. Orbitz.com can help you find cheap flights from Syracuse for your next trip.
Most of the visitors to Atlanta fly into Hartsfield-Jackson Atlanta International Airport. Hartsfield-Jackson is located 11 miles south of Atlanta, with easy access to the city via I-85. On your next visit, use Orbitz.com to book your budget flights to Atlanta, and you will be able to choose from any of the major domestic and international airlines that service the airport.
The most economical means of transportation into the city is via the MARTA, Atlanta's local train service. You can board the MARTA at the station, near the baggage claim area. Twenty minutes and $2.50 later, you'll be checking into your hotel in downtown Atlanta. Taxi service is available at the yellow bus aisle right outside of baggage claim. Expect fares into the city to cost roughly $30. If you used Orbitz.com to purchase your air ticket, consider bundling in a rental car or choosing a hotel that offers free shuttle service to and from the airport.
Atlanta's winters are mild, with average temperatures in the 40s and 50s, but summer temperatures can soar up to the 90s, with extreme humidity making it feel even hotter. July is the rainiest month of the year, so be sure to pack a rain slicker or umbrella in case you run into showers.
Atlanta combines the elegance and charm of the south with big city living. Whether you are a history buff, urban adventurer or outdoor enthusiast, you will have plenty of choices to put into your planner for your Atlanta visit. Consider a trip to Turner Field, enjoy the nightlife in Buckhead, visit Olympic Park or take a bike tour of the city. Whatever you choose to do while you are there, remember to use Orbitz.com the next time you plan to look for flights to Atlanta.
Fare, taxes & fees: Fares include all taxes and fees, except baggage fees. Rates shown reflect fares found by other Orbitz users over the past 7 days. Due to rapidly changing airline prices & seat availability, these fares may no longer be available.
Refunds/changes/cancellations: Itinerary changes, if permitted for the fare, will have a $30 service fee charged by Orbitz. Additional airline charges may apply.
Other conditions: Schedules, fares and rules are subject to change without notice. Seats are limited and may not be available on all flights/dates or in all markets. Lower fares may be available. Fares will not be honored retroactively or in exchange for any wholly/partially unused ticket. Tickets are non-transferable and non-refundable. Fare rules are provided for the selected itinerary before booking.


text:
How did you make the jump from show business to full-time environmentalist?
I used to think that my life's destiny was in entertainment, because I started out at four years old and that was all I knew. In 2004, my mom passed away from cancer and I went through a period of depression. I learned to connect to the world with empathy and I found myself looking for a purpose. Together with a few people, I started the Communities Organized for Resource Allocation—or CORA, which is my mom's name—with a simple feeding program. Before we knew it, we were doing it full-time and it completely changed my life.
How did that evolve into Planet CORA, the environmental arm of your non-profit organization?
As CORA started to grow, we wanted to do more for the environment. We weren't experts or marine biologists, but what we had were volunteers. We decided that we wanted to engage everyday people, so we started with coastal clean-ups and raising awareness of the damage caused by single-use plastics. This carried into our feeding program, where we educated children and youth on having sustainable development goals. Now we have partnerships with the government, the United Nations and certain companies and corporations, and this sends a message that we can do more when we all work together.
Travel Essentials
1. Eco bag: "Sustainable living is about using what you already have. This was a gift from my godsister and it's been with me everywhere."
2. Bamboo toothbrush: "Apart from being biodegradable, bamboo is naturally antibacterial and perfect for things like hygiene products."
3. Collapsible coffee cup: "This is a lifesaver when I travel and maybe the thing I've gotten the most use out of in my entire bag."
4. Reef-safe sunscreen: "This was a gift from a youth advocate in Palau, who made it from carrot seeds and red raspberry seeds."
5. Calming balms: "These are from a friend who knows that sustainable packaging is important to me."
6. Hair and body wash: "The bottle is made from recycled, food-grade, high-grade plastic and is completely recyclable."
7. Tooth powder: "This was given to me at an event and it's lasted for ages."
8. Silk pouch with bamboo cotton swabs: "There are areas in which we can easily cut out plastic use and this is one of them."
9. Woven fan: "Part of sustainable living is supporting local businesses. I got this in Boracay."
10. Water bottle: "Plastic water bottles contain microplastics that can be harmful to our health. This one is bamboo and reusable."
11. Patterned case: "This was a gift from a local indigenous community."
A quick guide to living sustainably
1. If you can't reuse it, refuse it
Start by saying no to that plastic straw, or bringing your own reusable shopping bag. It's the easiest way to cut back on single-use plastics.
2.Green is not just for the thumbs
Animal agriculture contributes heavily to the world's greenhouse gas emissions. You don't have to go vegan, but you can start by substituting meat-heavy dishes with plant-based foods.
3. Walk this way
Whenever possible, walk or bike to your destination. It's good for the environment and also for your health!
This article first appeared in the August 2019 issue of Smile magazine.


text:
Cook cuts loose to show he's man for all seasons
ENGLAND captain Alastair Cook steered his side to a crushing seven-wicket win over India in the second match of the one-day series and in the process went a long way to silencing the doubters who claim he scores too slowly to merit a place in the limited overs set-up.
Cook's measured style, which has reaped handsome rewards in the five-day arena, is not best suited to the one-day format and his appointment as one-day skipper was hardly met with universal approval.
But the Essex left-hander demonstrated a hitherto unseen array of attacking shots at a rain-sodden Rose Bowl yesterday to suggest he has been unfairly pigeonholed as nothing more than a Test specialist.
In a match that was reduced to 23 overs-a-side due to bad weather, England sacrificed Jonathan Trott, another patient compiler who, like Cook, is not a member of England's Twenty20 side, and also had to make do without the injured Eoin Morgan.
England won the toss and opted to bowl first but it looked a questionable decision by the time the tourists had raced to 109-2 in the 14th over thanks largely to a partnership of 79 between Ajinkya Rahane and Rahul Dravid.
Opener Parthiv Patel had made a lively 28 before he became James Anderson's 200th ODI wicket, but it was Rahane who caught the eye with a sparkling 54.
Suresh Raina made a brutal 40 from the 30 balls to drag his side to what looked like a more than competitive total of 187-8.
But England's openers got off to a flyer and by the time Craig Kieswetter departed for 46 they were well ahead of the asking rate.
Cook, whose innings of 80 from 63 balls contained one meaty six and one inventive paddle sweep for four, was deservedly there at the end as his side got home with five deliveries to spare to take a 1-0 series lead.
Shoulder injury ends Morgan's summer
ENGLAND batsman Eoin Morgan has been ruled out of the remainder of the one-day series against India with a recurrence of an injury to his right shoulder. Morgan first suffered the injury during England's Ashes tour of Australia earlier this year with the injury flaring up after the recent Twenty20 fixture against India at Old Trafford. With three games left, England's selectors have opted not to call up a replacement.


text:
Galactic Artificer
It can be played using either the standard 5th Edition DnD rules or with Esper Genesis—the comprehensive sci-fi rules system for 5E. You can play as a legendary fantasy hero, a dauntless sci-fi champion, or even both! You can also combine the two sets of rules to create a limitless number of character options and combinations.
The SeriesThe 300+ page book takes characters through all four level tiers and provides additional setting content and game options for use with any 5E campaign.
Follow the campaign today and be notified when it launches!
First Day Backer RewardsBackers that pledge on the first day of launch and keep their pledge active throughout the campaign will receive exclusive adventure content and campaign rewards:
- The Final Command: A two-part prequel adventure spanning the events that lead into the adventure series.
- Aldor's Holdings: Your choice of one piece of exclusive magitech gear not available in the adventure series. Also comes with a gear certification for your Crucible Corps organized play campaign.
- Product Recognition: Your name will be listed in the product as one of our pioneer backers.


text:
Las Vegas Raiders: Jon Gruden resigns as head coach after email allegations
Jon Gruden has resigned as the Las Vegas Raiders' head coach after allegations of inappropriate emails.
Gruden was working as a commentator at the time before rejoining the Raiders on a 10-year, $100m deal in 2018.
"I'm sorry, I never meant to hurt anyone," the 58-year-old said in a statement to confirm his resignation.
"I love the Raiders and do not want to be a distraction."
Gruden had a winning record as coach of the Raiders, then located in Oakland, from 1998-2001.
The following season he led the Tampa Bay Buccaneers to their first Super Bowl success and after being sacked in early 2009, took a job with ESPN.
An ESPN statement read: "The comments are clearly repugnant under any circumstance."
On Monday, the New York Times reported that the NFL had flagged many emails written by Gruden, in which he allegedly used disparaging terms while expressing opposition to women serving as NFL referees, the league having gay players and the protests where players took a knee during the pre-game national anthem.
Gruden was accused of using an anti-gay slur to describe NFL commissioner Roger Goodell, plus a different anti-gay slur while writing about Michael Sam, the first openly gay player drafted by an NFL team in 2014.
The Raiders currently employ the only active openly gay NFL player, defensive end Carl Nassib.
That report followed the Wall Street Journal's on Friday that Gruden used racist language in a 2011 email when describing the appearance of DeMaurice Smith, the executive director of the NFL Players Association.
Smith posted on Twitter on Monday: "The email from Jon Gruden – and some of the reaction to it – confirms that the fight against racism, racist tropes and intolerance is not over. This is not about an email as much as it is about a pervasive belief by some that people who look like me can be treated as less."
Gruden is the first NFL coach to leave their job during the 2021 season and the Raiders announced that assistant head coach and special teams coordinator Rich Bisaccia will serve as interim head coach.


text: The countdown to football season is on, and the Buffalo Bills are now the latest NFL team to find season tickets going on sale. The Bills home games throughout the regular season, in addition to some preseason dates, lead the day's list of presale opportunities. Other exclusive presale listings... Read more


text:
|The Flash >> View Post
Subj: Re: DC's Flash Poll.
Posted: Wed Jun 16, 2021 at 09:41:34 pm BST (Viewed 433 times)
Reply Subj: DC's Flash Poll.
Posted: Fri Jun 11, 2021 at 02:17:57 pm BST (Viewed 480 times)
Quote:Today, DC posted a Flash poll. Basically a 'Who's the best Flash' question.
Quote:Now, knowing it's mostly modern readers who vote in these things, it was with a heavy heart I looked at the results.
Quote:But the results were unexpected, and heart warming. With over seven hundred votes cast, Barry Allen is running away with it (No pun intended).
Quote:Finally, this nonsense that Wally West is the greatest Flash seems to be a thing of the past.
Quote:Barry is king again with the readers!
I think you're forgetting what "modern" readers have been exposed to, if you mean younger ones.
"Modern" readers would only know Barry Allen, especially with the TV show. It's been 12 years since Barry came back in the comics and Wally was left behind the scenes. And it's been 10 years since red-haired Wally ceased to exist after Flashpoint, being replaced by the newer version that also appeared in the TV show.
Posted with Google Chrome 91.0.4472.101 on Windows 10
|Alvaro's Comicboards powered by On Topic™ © 2003-2022 Powermad Software


text:
Massillon's Patrick Sweany has a hot new album and three Ohio shows
Blues-soul musician and band to appear Saturday at Musica in Akron
A resident of Nashville since 2009, the soulful blues musician Patrick Sweany is a proud Massillon native.
He paid tribute to his hometown in a song titled "Tiger Pride" ("I was born with tiger pride deep inside") on his 2015 album "Daytime Turned to Nighttime."
And most Monday nights at a little west-side beer joint in Nashville he plays in a side blues band called the Tiger Beats, "which is a reference to my beloved Massillon Tigers," he said.
Sweany, 44, has a full-tilt and very fine new album, alternately gritty and rowdy, tender and thoughtful, titled "Ancient Noise" that releases tomorrow. And there's a trio of Ohio shows to support it — tonight at the Music Box Supper Club in Cleveland; Friday at the Rumba Cafe in Columbus; and Saturday at Musica in Akron.
"The energy of the Ohio crowds is unlike anywhere else," he said admiringly during a leisurely recent telephone interview.
Sweany said he's still to this day benefiting from an unexpected turn of career fate. Years ago, a song of Sweany's titled "Them Shoes," which was produced by Dan Auerbach of the Black Keys, began popping up frequently (and still does) on the Black Keys channel on internet radio station Pandora, and gained Sweany new fans and a hit song that's a highlight of his live shows. Recently, a disorderly track from the new album titled "Up and Down" has taken off on streaming sites.
Following are excerpts from our freewheeling conversation.
Q. The new album is fantastic. How did you get that live and loose feel?
A. "We recorded at Sam Phillips Recording down in Memphis. Sam is the guy who founded Sun Records, and when he sold Elvis' contract to RCA he used that cash to secure a million-dollar loan to build this studio. It's a great big live room, like the original Sun Studio only 10 times bigger. We track live on the floor with the band, and, honestly, that's kinda how Sam did it. Most of the songs are no more than three takes. We work out the arrangement then cut it. For me, that's always been the way to do it best. This one is loose and organic but still sonically big."
Q. What is your process for writing songs? Do they start with you messing around on a guitar?
A. "They always start on the acoustic guitar. When it comes time to make a record, I kind of shut down everything in my life for about six weeks prior. I wake up early in the morning, make coffee, sit down at the table with a guitar and write all day. I'm always collecting little notes for melodies and lyrical ideas. That's the process I've used for more of the records. Having a deadline helps keep it cohesive as an album and keeps things in the moment."
Q. Can you offer a preview of your upcoming Ohio shows?
A. "We're definitely going to play some of the new stuff, probably four or five new songs. I try to balance that with what the audience wants to hear, but unfamiliarity hasn't been an issue on the first leg of this tour. It will always be the high-energy, kind of soul-influenced show. The hometown shows are always the best. They're at the end of the tour so the band is a well-oiled machine. I definitely have a solid band on the road with me. Two of the guys are Berklee (College of Music) grads. (Laughs) I can barely read or write."
Q. Is there a creative vibe in Nashville that inspires you?
A. "Yes, absolutely. Everyone there is motivated to be doing something and make things happen. That's just incredibly encouraging. My guitarist quit his band and six hours later I had Alex in my band and he's a fantastic guitar player."
Q. You spent 10 years playing regularly at The Zephyr Pub in Kent. How did that shape you as a performer?
A. "It was my college and grad school of performing. It was me having to entertain college kids who had no exposure to the type of old blues music I was playing and who just wanted to have fun. And having a new batch of students twice a year so the audience kept starting over again. It keeps you on your toes, keeps your chops up. It motivated me to keep an audience's attention."
Q. You seem pretty happy with your career — touring, writing, making solid albums.
A. "I'm a really happy person. Obviously, if you're not striving to do better, you're just going to fail. I love the work, I love the job. Playing music is my favorite thing to do. The whole music business, the more I learn about it, the more I think it's just based on luck. I was lucky. I had that song ('Them Shoes') that kept things alive when things were really winding down, and I was really terrified. At the time, I had a 15-year gap in my employment history (and thought) 'Ain't nobody gonna hire me!"
Q. Do you have family still in Massillon?
A. "My mom and dad and my brother still live there, my cousins too. I try to get back as often as I can. I love hanging in the hometown."
Q. Wasn't it your dad who first got you interested in music?
A. "Absolutely. My dad is a guitar player and always played at home. When I was a kid, he was in the folk group at church. He would jam with his buddy from the group after rehearsal and I thought that was the whole world. I started learning to play guitar so I could get in on that. Dad was real into the folk thing but he also had some blues records laying around that I picked up on. My folks have always been tremendously supportive of my music career. Mom obviously had large worries that I'd be going around in a van playing bars, but she knew that I worked hard, that I loved it and I made it my job."
WHO: Patrick Sweany, with Angela Perley & the Howlin' Moons.
WHEN: Saturday, 9 p.m.
WHERE: Musica, 51 E. Market St., Akron.
TICKETS: $12 at Ticketweb.com.


text:
Definition of Aplenty
in abundance
Examples of Aplenty in a sentence
With food aplenty, the chef began to place mounds of appetizers and snacks onto the huge serving tables. 🔊
The library's stuffed shelves seemed to be overflowing with books aplenty. 🔊
Ella's closet has clothes aplenty, so she plans to give some of her extra outfits to a local charity. 🔊
Other words in the Increase category:
Most Searched Words (with Video)


text:
BOOKS and PAPERS
A Review of the U.N. Ground-Water Exploration and Development Programme in the Developing Countries, 1962-1977. United Nations Department of Technical Co-operation for Development. Natural Resources/Water Series No.7 United Nations. New York. 1979
Agarwal, Anil Water, sanitation, health, for all? : Prospects for the International Drinking Water Supply and Sanitation Decade, 1981-90 International Institute for Environment and Development. London. 1981.
Appropriate Well Drilling Technologies: A Manual for Developing Countries National Water Well Association (U.S.) For USAID. Washington, D.C. 1978
Blankwaardt, Bob Hand Drilled Wells Rwegarilila Water Resources Institute. Dar es Salaam. Tanzania 1984
Bourne, Peter G. ed Water and Sanitation: Economic and Sociological Perspectives Academic Press. Orlando. 1984.
Brantley,J.E. History of Oil Well Drilling
Gulf Publishing Co. Houston. 1971
Carr, Marilyn The AT Reader The Intermediate Technology Development Group. New York. 1985
Chauhan, Sumi Krishna A Million Villages, a Million Decades? International Institute for Environment and Development. Earthscan Publishers. London. 1983.
Choosing the Right Technologies Case History No.3. United Nations Development Programme. New York.
Community Participation in Water and Sanitation: Concepts, strategies and methods WHO International Reference Centre for Community Water Supply. Technical Paper No.17 The Hague. 1981
Falkenmark, Malin Rural Water Supply and Health: The need for a new strategy Scandinavian Institute of African Studies. Uppsala. 1982
Farrant, Tony United Nations Water Decade: Will lessons be learned? Water Resource Journal, Sept. 1986. United Nations. New York. 1986
Financing Water Resources Development: The role of governments Water Resources Journal, Sept 1987. United Nations. New York. 1987
Ghana Five Year Development Plan 1982-1986 Accra, 1981 Ghana
Glennie, Colin Village Water Supply in the Decade: Lessons from field experience J. Wiley & Sons. New York. 1983.
Ground Water in Continental Asia United Nations Department of Technical Co-operation for Development. New York. 1986
Ground Water in North and West Africa UN Department of Technical Co-operation for Development and Economic Commission for Africa. Natural Resources/Water Series No.18. New York. 1988
International Drinking Water Supply and Sanitation Decade: A mid-decade review. Water Resources Journal, Sept 1987. United Nations. New York. 1987
Involving the Community: Malawi's national strategy
Case History No.1. United Nations Development Programme. New York.
Maintaining the System: Barefoot engineers Case History No.4. United Nations Development Programme. New York.
McGarry, M.G. Matching Water Supply Technology to the Needs and Resources of Developing Countries Natural Resources Forum. Vol. 11, No. 22. United Nations. New York. 1987
Progress in the Implementation of the Mar Del Plata Action Plan. Water Resource Journal, Sept. 1986. United Nations. New York. 1986
Rural Water Supply in the Counties of Grand Bassa, River Cess, Sinoe, and Grand Kru: Study and Master Plan Republic of Liberia. Monrovia. 1986
Saunders, Robert J. Village water supply: economics and policy in the developing world Baltimore. Published for the World Bank [by] Johns Hopkins University Press. 1976.
Second UN Conference on the Least Developed Countries. Proceedings. Geneva. May 1989
Strategies for Extending and Improving Rural Water Supply and Excreta Disposal Services During the Decade of the 1980s PAHO Scientific Publication No. 390. Washington, D.C. 1979
United Nations Interregional Seminar on Rural Water Supply Scandinavian Institute of African Studies. Uppsala. 1982.
White, Alastair Community Participation in Water and Sanitation WHO Technical Paper No. 17. The Hague. 1981
White, Gilbert F., Bradley, David J., White, Anne U. Drawers of Water: Domestic Water Use in East Africa University of Chicago Press. Chicago 1972
Women's Issues in Water and Sanitation: Attempts to address and age old challenge International Development Research Center. Ottawa. 1985
World Development Report The World Bank. Oxford University Press. New York. 1988
World Health Statistics Annual 1986 World Health Organization. Geneva. 1986
Andersson, Ingvar Rural Water Supply Development in the Context of Economic Crisis and Structural Adjustment In Waterlines Vol.8, No.2 October, 1989 Intermediate Technology Publications. London
Bhaskara, Harry Ending the Daily Water Chore In Against All Odds Panos Publications. London. 1989
Critchley, Will Building on a Tradition of Rain Water Harvesting In Appropriate Technology Vol.16, No.2 September, 1989. Intermediate Technology Publications. London
Dodge, Cole P. Debt-for-Water Swap: A First in Sudan In Waterlines Vol.8, No.1 July, 1989 Intermediate Technology Publications. London
Mathew, Brian A Zambian Water Project In Waterlines Vol.7, No.2 October, 1988 Intermediate Technology Publications. London
Morgan, Peter The Handpump Phenomenon In Waterlines Vol.8, No.2 October, 1989 Intermediate Technology Publications. London
Oganga, Winnie The Water that Brings New Life In Against All Odds Panos Publications. London. 1989
Rotival, Alexander: Beyond the Decade: A framework for Global Co-operation. In Source. United Nations Development Programme. Sept. '89
Watters, Gregor The Decade at Half-Time. In World Health December, 1986 World Health Organization


text:
Matthew Yauch, DO
Doctor of Osteopathy
My specialties:
- Family medicine
Professional interests:
- Adult care
- Chronic disease management
- Geriatric care
- Lifestyle counseling
- Pediatric care
- Women's Health
- Skin issues
- Virtual visits
I offer face-to-face virtual visits for a variety of health services and conditions.
Hometown: Arden Hills, Minnesota.
I'm passionate about: providing health care to the general public, because I believe in improving the well-being of my community.
If I wasn't a provider, I would be a: financial adviser, because I enjoy working one-on-one with individuals to help them make important decisions.
Practice philosophy: Establishing a relationship with each patient to foster trust and communication. Practicing preventive, evidence-based care with an emphasis on lifestyle changes.
Board-certified specialties
- Family medicine
Personal interests
- BWCA trips
- Fantasy football
- Fishing
- Minnesota sports teams
- Reading
- Rock climbing
- Swimming
Educational institutions
- Des Moines University College of Osteopathic Medicine
- Lawrence University
- Broadlawns Medical Center, Iowa
Years of experience
- 7
Hospital affiliations
- Mercy Hospital
Are you this provider? Update your profile.
To verify your specific doctor's or hospital's network participation with any plan, please contact the health plan directly. This information is subject to change and may not be reflected until the next update. We accept many insurance plans, providing access to providers across a wide range of specialties. Learn more.
Major health plans we accept
- Allina Health | Aetna
- Blue Cross Blue Shield of Minnesota
- HealthPartners
- Medica
- PreferredOne*
- SelectCare/LaborCare
- UCare
- UnitedHealthcare
Other health plans we accept
- Medicaid/Medicare*
- Aetna
- America's PPO
- First Health/Coventry
- Humana
- Hennepin Health (formerly Metropolitan Health Plan)
- PrimeWest
- South Country Health Alliance
- United Behavioral Health
- Wisconsin Physician Services (WPS)


text:
Deliverability services
The world of email moves fast, and there will always be issues that affect your sending. Our Deliverability Services team has a suite of tools at their disposal to monitor the health of your reputation and sending infrastructure. Get the peace of mind that comes with having a dedicated expert monitoring your email sending for any hiccups.
Email verification
With InboxReady Email Verification, you won't waste your time or budget on email addresses that don't exist. Customers who verify email addresses with us before they send have a 21% lower bounce rate, dramatically improving their delivery rates. All of our deliverability features are built in-house, from the ground up, backed by our years of expertise sending email.
Inbox Placement
Inbox placement delivers on actionable insights by providing expert recommendations on how to improve overall deliverability. Dig into Mailgun's rich logging capabilities to troubleshoot deliverability issues. View placement testing results as a whole, by mailbox, or by inbox service provider (Google, Outlook, Yahoo, AOL, etc.) to understand how your email may perform.
Boost your email engagement by sending to real contacts with real email addresses. With InboxReady deliverability apps and services, you can increase the leads and revenue that you generate with your email program. Our infrastructure scales with your business, meets industry best practices, and never goes down — and we're 100% GDPR-compliant.
Email testing tools
Testing tools come in several different categories, like spam testing, email previews, and email verification. Get a chance to view how your email will look in different email clients, like Apple Mail or Outlook.com. These testing tools will ensure your email looks professional and your email marketing campaign reaches the inboxes of valid email addresses. While it's hard to know exactly what kind of email deliverability you'll see, inbox placement tests give you the best indication.


text:
Maturing Capability for Enabled Care
COL Jerome Buller
U.S. Army Institute of Surgical Research
From Combat & Casualty Care, Q3 Summer 2019 Issue
A Louisiana native, Colonel Buller began his military career in the enlisted ranks in 1982 as a Medical Laboratory Specialist. In 1985, he left active duty and entered the Louisiana Army National Guard while completing his undergraduate studies. During his undergraduate training, he concurrently attended Officer Candidate School at the Louisiana State Military Academy, where he was the distinguished honor graduate, followed by completion of the Infantry Officer Basic Course at Ft. Benning, Georgia. His first assignment as a military officer was as a platoon leader with C Co., 3rd Battalion, 156th Infantry Regiment.
After earning his medical degree, Colonel Buller completed his residency training in Obstetrics and Gynecology at Madigan Army Medical Center in Tacoma, Washington, followed by a three-year fellowship in Urogynecology and Reconstructive Pelvic Surgery at the Johns Hopkins Hospital in Baltimore, Maryland. He then served as the Chief of Urogynecology at Walter Reed Army Medical Center. In 2003, he deployed with the 801st Combat Support Hospital in support of Operation Iraqi Freedom. While serving as the Division Surgeon for the 1st Armored Division from 2006 to 2009, Colonel Buller again deployed in support of Operation Iraqi Freedom as the Multi-National Division-North Surgeon.
Colonel Buller, as an associate professor, served as the Director of the Telerobotics and Advanced Minimally Invasive Surgery Program and the OB/GYN Director of Simulation Education at Uniformed Services University, until June 2011. At USU, he was the Program Director for the National Capital Consortiums Fellowship in Female Pelvic Medicine and Reconstructive Surgery and also later served as Assistant Chief, Department of Obstetrics and Gynecology at Walter Reed Army Medical Center. After a one-year tour as the Command Surgeon for the National Defense University, Colonel Buller completed senior service college at the Dwight D. Eisenhower School for National Security and Resource Strategy. He subsequently was assigned as the Director, Directorate of Communications, Office of The Surgeon General and the U.S. Army Medical Command from July 2013 to May 2015 and as the Executive Officer to the Army Surgeon General from May 2015 to February 2016. From March 2016 to June 2018 he served as Brigade Commander, Uniformed Services University (USU) in Bethesda, Maryland, a DoD organization with over 1,500 Army, Navy, Marine, Air Force, and Public Health Service personnel. As Brigade Commander he was the senior active duty military officer and principal military advisor to the President of the University and the Deans of the School of Medicine, Graduate School of Nursing and Post-Graduate Dental College. He partnered with academic faculty on all matters of military affairs to ensure optimal development of U.S. and international students as military medical leaders.
Combat & Casualty Care spoke recently with COL Jerome Buller, Commander, U.S. Army Institute of Surgical Research (USAISR), regarding various capabilities in surgical trauma care that USAISR is working to advance to a fieldable state of readiness.
C&CC: Provide some background into trends in field surgical care that USAISR is focused on to the present.
COL Buller: Since the inception of this Institute in the 1940's, we have focused on providing novel products and information that drive evidence-based, best clinical practice solutions and deliver advanced technologies to the Warfighter. The medical and medical research activities that we perform are focused on saving lives on todays' and tomorrow's battlefield. We are the home of the only Burn Center in the Department of Defense and the synergy between our laboratory scientists and clinical researchers makes us the U.S. Government's premier translational research center focusing on trauma, burns, and critical care of the combat wounded because we are able to take clinical problems to the laboratory and translate laboratory advances to the clinic, operating room, or the battlefield.
For example, in the early and mid-2000s we helped launch the modern tourniquet era. We validated several tourniquets, most notably the Combat Action Tourniquet (CAT) and conducted clinical studies on combat casualties that documented the life-saving effects of tourniquet application in casualties at risk of exsanguination from extremity injuries. We also performed a number of validation studies on junctional tourniquets, as well as studies on user training designed to reduce the incidence of tourniquet failure due to user error. Ongoing and future work will focus on development of "smart" tourniquets that can detect loss of hemorrhage control and potentially self-adjust to reduce risk of failure. In addition, studies are ongoing to help develop strategies for conversion from tourniquet to pressure dressing, thus reducing the risk of prolonged limb ischemia and amputation or poor functional outcome. One potential solution being explored is isolated limb perfusion in which blood or other resuscitation fluids could be perfused distal to the tourniquet to maintain viability of the limb without risking exsanguination of the patient.
We also helped launch the age of the modern hemostatic dressing. Prior to the Iraq conflict, the primary option for wound dressing was the venerable cotton gauze bandage. That's the same bandage used in similar format since the dawn of medicine in Ancient Egypt. Our research explored dressings incorporating fibrinogen as clot substrate, kaolin as a clot accelerator, chitosan for its muco-adhesive properties, and other substances to enhance hemostasis. Ultimately, kaolin-impregnated gauze, known as "Combat Gauze" was chosen for use by our Warfighters based on performance and cost. We are continuing to evaluate potentially improved dressings.
For non-compressible hemorrhage, intravascular approaches to hemorrhage control prior to the availability of surgical management have shown great promise, in particular, Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA). This approach dates from enterprising work of Army surgeons in the Korean War and was made practical through the pioneering work of Air Force surgeons, Todd Rasmussen and Jonathan Eliason, who developed devices that could safely be placed without the use of fluoroscopic guidance, thus making them practical for battlefield use. We continue to advance hemorrhage control by exploring how REBOA can used with other technologies to sustain patients at risk for or in hemorrhagic shock. A limitation of REBOA is that it occludes blood flow distal to the occlusion site, limiting blood loss from damaged tissue but also starving healthy tissue of oxygen-carrying blood. We are studying ways to improve perfusion of healthy tissue distal to the REBOA occlusion.
Another approach to controlling hemorrhage in the abdomen, where it cannot be readily controlled by external pressure, is to introduce a space-filling substance like a polymer foam into the abdominal cavity to provide pressure on bleeding vessels in a manner similar to the urethane foam used to re-inflate a flat tire ("fix a flat"). We have worked with industry partners to test this approach and work continues in this area.
Also, the concept of Damage Control Resuscitation (DCR) was developed from the U.S. military experience in Iraq, and we play a central role. DCR was the natural extension of the Damage Control Surgery (DCS) concept proposed by surgeons at the University of Pennsylvania in the mid-90s. DCS prioritizes hemorrhage control surgery and defers staged, definitive repair of injury-induced anatomic defects until after physiologic stabilization. DCR incorporates a modern understanding of the role of blood products in restoring hemostatic function and oxygen delivery while preventing the physiologic disturbances such as acidosis, dilution and hypothermia associated with the administration of intravenous fluids such as normal saline or lactated ringer's solution, which were the mainstays of resuscitation prior to the wars in Iraq and Afghanistan. Recent improvements to DCR based on our research and in collaborating research groups funded by the DoD includes the adoption of 1:1:1 transfusion ratios of red blood cells, plasma and platelets, in an approximation of whole blood, for patients requiring resuscitation from hemorrhagic shock.
More recently whole blood, particularly blood from group O donors with low titers of anti-A and anti-B antibodies (low titer O whole blood or LTOWB), has been widely adopted in military and civilian trauma programs for urgent resuscitation of exsanguinating patients. Finally, analysis of data from the DoD Trauma Registry (DoDTR) revealed that early (within the first 30-40 minutes post-injury) blood transfusion was the single most important factor in decreasing combat casualty mortality. Therefore, our research and development efforts have been focused on improving the delivery of blood to the point of injury on the battlefield through shelf life extension, improved storage and delivery systems and the development of products that extend the therapeutic effects of blood in shocked trauma patients.
Additionally, the Blood Far Forward (BFF) concept grew from the observation that delaying resuscitation in hemorrhaging patients would essentially increase shock depth and duration or shock dose, and that doing so would worsen outcomes. In Basic Life Support (BLS), CPR is started as soon as cardiac arrest is diagnosed to minimize duration of tissue hypoperfusion; so it is with hemorrhage: the heart does not need to be compressed, it needs to be filled with blood. Anecdotal observations from WWI suggested that the common sense remedy to blood loss might be replacement of lost blood. A century of experimentation with every conceivable alternative to blood for hemorrhage resuscitation has not yielded a better alternative. U.S. and United Kingdom forces in Afghanistan fielded blood products in the pre-hospital setting and the outcomes of these interventions were captured in the DoDTR. The results are clear by looking at the data: early resuscitation of hemorrhaging patients with blood resulted in decreased mortality. These results have also been confirmed in randomized trials conducted at several locations in the U.S. So some of our current research efforts are focused on delivering blood products with both oxygen carrying capacity and hemostatic function in the pre-hospital setting.
Something else that we have done is to realign some of our research efforts to better support multi-domain operations (MDO). Swift medical evacuation may not be an option; ensuring that Warfighters remain mission capable even while injured is crucial. Previously, some of our research efforts focused on decreasing complications of open fractures (primarily preventing infection and nonunion) and improving long term outcomes by restoring function by regenerating missing skeletal muscle. With the anticipated inability to quickly evacuate casualties, infections will go from becoming a complication to limb and life-threatening. Fractures and soft tissue injuries will take able bodied Warriors out of the fight in order to care for those who have been injured until they get medevacked. Tourniquets, which saved lives and caused little to no morbidity in recent wars, will likely cause loss of limb and even life when left on too long. So, we are focusing on getting solutions into the hands of medics and Warfighters like local antimicrobial irrigants and other treatments to prevent infection; an exoskeleton or brace that will allow wounded Warriors with lower extremity wounds to remain mobile and stay in the fight; and strategies to allow tourniquets to remain on limbs safely for longer periods of time.
C&CC: With a growing focus on prolonged field care (PFC), talk about some focus areas of field surgical care that USAISR is working to promote.
COL Buller: We are working on delivering hemorrhage control products and blood products for far forward resuscitation, without which there will be no prolonged field care (bleeding, non-resuscitated patients simply die). We are also working on pharmaceutical interventions that increase the body's ability to handle the metabolic stress of shock so that blood-based resuscitation will be even more effective. Furthermore, we are developing diagnostic technologies and decision support systems that will enhance the ability of the combat medic to diagnose life-threatening bleeding and intervene with the right products at the right time to the right patient.
One of our research departments, funded by Telemedicine and Advanced Technology Research Center or TATRC, is working to provide an overall life support system, parts of which initially can be placed on the ground or a stretcher with a wounded Warrior. Then, given availability transport, these components would be attached to the stretcher in compact form and managed by an autonomous master controller maximizing the stabilization and maintenance of a casualty, to include transfusion control, continued aspiration, respiration support, REBOA catheter balloon control, and potentially extracorporeal membrane oxygenation (ECMO) and many other life support systems. Ideally, our goals for this system will be compactness, ruggedness, and simplicity, so components can be quickly attached to a stretcher and loaded onto an unmanned aerial vehicle, unmanned ground vehicle, or manned transport.
Additionally, we now have the capability to support research protocols designed to address field surgical care concerns. This capability allows us to perform long-term intensive care research studies to address prolonged field surgical care in the same focus areas that I've described above.
C&CC: From a damage control surgery (DCS) perspective, what are some challenge areas USAISR is shedding light on to better point of injury surgical care?
COL Buller: Autonomous systems that aid in intelligent tourniquet deployment and vascular access will greatly improve care at the point of injury. We hope to show that autonomous systems will help the clinician accurately assess patient's condition, deliver clinical care guidance and potentially improve outcomes when timely medevac is not available and/or when operating in resource constrained environments.
We are developing software and evaluating use cases for usage in the field by clinicians trained at different levels of care. We expect augmented reality to have several roles to fulfill: bidirectional communication tool to facilitate the skills of the trained physician at the location of the untrained medic or first responder; a convenient deployment platform for decision support apps; a light-weight display tool to provide displays of medical devices without the traditional size and weight of conventional medical devices; niche rolls in dark or noisy environments where sight or sound cannot be effectively utilized, such as transport on an aircraft; and an enabler for hand-free operation.
Also, as mentioned before, tourniquet use has proven to be an extremely effective tool in controlling bleeding; however, extended use of tourniquets can be detrimental to limbs due to the lack of tissue perfusion. This can lead to limb dysfunction and/or amputation. Finding novel approaches to extend tourniquet time is absolutely essential due to the decrease in evacuation time.
Additionally, traumatic eye injuries are a common occurrence and a leading cause of blindness in military Warfighters. Unlike civilian corneal trauma, battlefield ocular trauma involves high morbidity with complex multiple full thickness lacerations, severe ocular hypotony, or intraocular pressure and iris prolapse, which happens when the iris tissue is outside of the wound. Another issue is the loss of intraocular fluids due to gaping corneal wounds, which results in damage to the posterior segment, including retinal detachment and choroidal hemorrhage. So we're looking for interventions that can temporarily stabilize the eye and seal corneal wounds to protect it until the appropriate clinical treatments or operative procedures can be performed.
C&CC: As capabilities advance what's possible in field surgical care, such as telemedicine and even robotics, speak to some areas USAISR sees as most promising.
COL Buller: We are developing capabilities such as miniaturized extracorporeal life-support (ECLS) that will make it possible to provide care that has previously been available only in the hospital setting. Our goals is to provide this capability for our troops in the field and during transport. ECLS is a life-saving therapy that involves taking part of the patient's blood out of the body through a system of small tubes, similar to dialysis, and then returning it back after adding oxygen and removing carbon dioxide (replacement of lung function); removing waste products (replacing kidney function). ECLS can also be connected to the patient in a way that permits replacing the patient's heart function, thus making ECLS useful for returning circulation to patients who suffer cardiac arrest, myocardial infarction or severe trauma with stoppage of the heart. Various iterations and efforts on ECLS are ongoing within the DoD from miniaturized wearable system testing to development of new prototypes, to making the plastic catheters of ECLS circuits friendly to blood.
Also, the evolving theme in trauma and critical care medicine generally is that earlier intervention prevents problems and improves outcomes compared to reactive strategies that attempt to reverse established patterns of organ failure. Overall, we are teaming up with our collaborators to seek technologies that enable a shift from in-hospital care to delivery of advanced care at the point of injury and during patient transport. ECLS, REBOA and semi-autonomous/autonomous surgical intervention technologies represent a suite of technologies that would move the most advanced life support systems available in Level One trauma centers and move them to far forward environments. ECLS, as currently implemented, generally depends on heparin anticoagulation to prevent circuit thrombosis. This is not compatible with the care of trauma patients who have not had definitive surgery to repair all injury-induced anatomic defects. A major goal of our research is to design ECLS systems that do not require anticoagulation medicine.
Also, REBOA is effective in controlling hemorrhage but results in ischemia in large vascular beds, often involving uninjured tissue, which thus suffers an iatrogenic insult. Some or our research aims to develop strategies to use REBOA to prevent exsanguination while maximizing perfusion of uninjured tissues. Eventually, these efforts will contribute to development of semi/autonomous systems that may be able to carry out life-saving interventions on combat casualties.
On telemedicine, we are looking at how to improve clinical performance and decision making when taking care of a critically ill patient in a prolonged field care environment. We are also investigating how local decision support systems can correspondingly improve clinical performance and workload when communications are down and telemedicine is not available. Additionally, we are researching how multiple medical algorithms can be combined to eventually be used in a semi-autonomous medical evacuation system.
We are also conducting research in novel technologies such as augmented reality; it has immense capabilities, such as line of sight visualization and holographic imagery that overlays on top of the real environment. This helps to provide additional information to help guide medics through complex procedures such as mapping a body and providing context for incisions. For example, we are developing holographic overlays on where incisions must be done for an escharotomy in order to properly release the compression for adequate perfusion and movement. Additionally, augmented reality devices can bring in a remote expert who can see in "first-person view" what the medic is undertaking to provide additional support when performing complex surgical procedures.
Similarly, we are working with TATRC and Stanford University for semi-autonomous surgical intervention using medical robotics. Through a collaborative effort, we are implementing virtual reality systems to remotely control a medical robotic system while also implementing artificial intelligence to complete surgical procedures when connectivity is lost.
Lastly, we want to develop an external fixation device (exoskeleton) that can help a Warfighter ambulate which would decrease the number of personnel required to care for that individual to free up more resources on the battlefield.
C&CC: Feel free to speak to other goals/challenges moving forward.
COL Buller: We are working with our colleagues at our headquarters, U.S. Army Medical Research and Development Command, U.S. Special Operations Command (SOCOM) and the Armed Services Blood Program (ASBP) to expand the program that supplies freeze-dried plasma (FDP) produced by the French Military to SOCOM. Specifically, plasma collected by ASBP will be sent to France for freeze-drying and then returned to the U.S. for distribution to U.S. forces. We have played a central role in the development and maintenance, and recently, in the expansion of this program. We continue to conduct stability studies on the FDP product and to inform our leaders and the Food and Drug Administration on product function and viability.
The DoD is funding a randomized clinical trial comparing the safety and efficacy of hemoglobin-based oxygen carriers (HBOCs) with or without FDP in the resuscitation of bleeding trauma patients compared to crystalloid fluids. The study will be performed in South Africa where these products are licensed. Ultimately, this study will assess the viability of HBOCs with/without FDP as a bridge therapy to blood transfusion in hospital. If successful, the combination of HBOC with/without FDP would be a much more logistically sustainable point of injury care bundle than labile blood products and would significantly increase resuscitation capability far forward.
At present, ECLS, or extracorporeal life support, is the flagship product within DoD as the next most promising life-saving technology. Various iterations and efforts on ECLS are ongoing within the DoD from miniaturized wearable system testing to development of new prototypes, to making the plastic catheters of ECLS circuits friendly to blood. We have formed a new department to lead these efforts.
For our burn casualties, we know that there's a need for a temporizing burn treatment. Burns sustained in Iraq and Afghanistan constitute five to 10 percent of injuries. Burns to a small surface area can be incapacitating for the Warfighter and strain the resources available for deployed military medical units. Burn patietns are particularly vulnerable to infections with more than 75 percent of all burn deaths (after initial resuscitation) result from infection.
For military burn injuries, the standard of care is described in the chapter "Burns" in the Emergency War Surgery Handbook. After burn casualties are stabilized, including fluid resuscitation, early burn wound care should be provided in a clean warm environment. The wound should be thoroughly cleansed with a surgical detergent such as chlorhexidine gluconate, followed by the application of topical antimicrobials. The topical antimicrobials include: 5 percent Sulfamylon solution applied to the dressings to maintain their moisture about every eight hours; and, the creams, Silvadene or Sulfamylon, applied as often as needed to keep the burns covered. Cream to cover a 20 percent total burn surface area burn weighs about 400 grams, just under a pound, which is not ideal for point of injury and for prolonged field care. While Silverlon has advantages during casualty transport because it can be kept in place for 72 hours, its effectiveness depends on continuous moistening with water that may be in short in supply, which over longer periods risks oversaturation and possible hypothermia and maceration. Moreover, the existing standard of care is not designed to temporize burn wounds to limit deterioration and allow delayed excision and grafting.
In recent conflicts, burn casualties have been evacuated to our Burn Center in San Antonio, Texas, where they arrive on average about four days after injury for definitive care, including skin grafting. However, in future conflicts the time until definitive care may be delayed a week, or longer. We are developing the temporizing wound dressing to stabilize burn wounds for better outcomes.
For battlefield pain control, we are investigating and developing solutions that will close multiple critical knowledge gaps for pain management which includes inadequate alternatives to current opioid analgesics for severe pain management by the medic/corpsman on the battlefield; inadequate acute pain management in deployed locations, including battlefield and resource-limited environments; and inadequate strategies for management of acute pain under the care of a clinician in non-deployed settings. This research into novel compounds for analgesic efficacy will provide the valuable preliminary data required for eventual FDA submission and use in human trials. It is expected that the novel compounds tested will provide analgesic efficacy as evidenced by a reduction in pain related behavioral responses in a thermal injury research. It is also expected that the novel compounds, when paired with opioids, will provide analgesic synergy, thus reducing opioid requirements and their side effects. We expect that if a novel compound shows analgesic efficacy equal to opioids then the novel compound would be a candidate to replace opioids for combat medics. This could potentially completely eliminate physiological and cognitive deficits experienced when taking opioids; as well as, negate the possibility for abuse and diversion. If the novel compound is not as efficacious as opioids but does show analgesic synergy then it may be possible to reduce opioid amounts while providing the same level of analgesia. Combat medics could then carry less opioid analgesics and therefore reduce the potential for physiological and cognitive side effects as well as abuse and diversion.
As you can see, we have done a lot of work for our combat wounded, but we still have a lot of work to do. We're excited about the direction in which our research is taking us. It's all about our Warfighters who deserve the best care from point of injury to definitive care. We strive every day to fulfill our mission of "optimizing combat casualty care" on today's and future battlefields.


text:
The deadline to submit nominations for the 2020 Quality Awards is Friday, July 12! If you're looking for ways to polish up your nomination before submitting it, this webinar will give you some inspiration.
Since 2009, the awards have celebrated inspiring projects and individuals that improved health care in BC. We can't wait to learn about the people and projects you nominate, and we want to help you make your submissions the best they can be. Tune into this webinar for tips from our Quality Awards team on choosing the right award category, providing evidence that will make your nominee stand out, and more!
How to join the webinar on July 10:
1. Go to https://bcpsqc.webex.com/bcpsqc/k2/j.php?MTID=ta8bfa4797c240ec892855c89405faae0
2. Enter your name and email address.
3. Enter the session password: VYMNP898
4. Click "Join Now."
5. Follow the instructions that appear on your screen.
To view in other time zones or languages, please click the link: https://bcpsqc.webex.com/bcpsqc/k2/j.php?MTID=ta760c86efa262af306add056d042308c
To join the session by phone only:
To receive a call back, provide your phone number when you join the training session, or call the number below and enter the access code.
Canada Toll Free: 1.888.642.2128
Canada Toll: 1.647.484.7953
Having trouble dialing in? Try these backup numbers:
United States Toll Free: 1.855.369.0445
United States Toll: 1.408.758.9898
Global call-in numbers: https://bcpsqc.webex.com/bcpsqc/globalcallin.php?serviceType=TC&ED=778005162&tollFree=1
Show toll-free dialing restrictions: https://www.webex.com/pdf/tollfree_restrictions.pdf
Access code: 556 758 620
If you need assistance to join:
- Contact BCPSQC at firstname.lastname@example.com or 1.604.668.8210
- Can't join the training session? Click here: https://collaborationhelp.cisco.com/article/qg8vzfb


text:
Scrooge takes Manitowoc stage Dec. 17
MANITOWOC - Scrooge will be visited by three Christmas ghosts during Kathie Bundy's production of "The Christmas Carol" at 7:30 p.m., Saturday, Dec. 17, at The Franciscan Center for Music Education and Performance, Silver Lake College, 2406 S. Alverno Road.
The production is set to music by Conductor Zack Holzer as Marly warns Scrooge — played by Warren Schmidt and Phil Kinzel — that he will be haunted by three ghosts.
OTHER NEWS:Manitowoc filmmaker seeks to thrill
OTHER NEWS: Manitowoc bell ringer embodies holiday spirit
The Ghost of Christmas Past is played by Barbara Bundy Jost, the Ghost of Christmas Present is played by Bruce Bitters and the fearsome Ghost of Christmas Future is played by Chuck Allger.
Scenes depict the plight of poor Bob Cratchit, played by Jim Steckmesser, and his family, portrayed by Chris Honzik as Mrs. Cratchit; Zalaire Fellows as Belinda; Teak Prigge as Peter; Ellan Schmeider as Martha; and Dominic Thiele as Tiny Tim.
The Past, Present and Future scenes are played by the businessmen, Tom Bartelme, Fred Schnell and Steve Thiele; the nephew and his wife, portrayed by Justin Knapp and Vicki Svacina; the vile bag ladies of Jerri Burkart, Claranne LaViolette and Vicki Svacina; and Old Joe, played by Roger Bennin.
In the end, Scrooge wakes up and joyfully opens a window and wishes everyone a "Merry Christmas!" Could this have been a nightmare? Seeing the Grocer and Errand Boy, played by Chuck Allger and Teak Prigge, Scrooge does something wonderful. Could this really change the rest of his life? Could a miser turn his coat of gray into a blazing Christmas holly red?
Tickets to the show are available at www.sl.edu/tickets; at Kathie's Stage Door Pub, 701 Franklin St.; or by calling or visiting the Silver Lake Box Office, 920-686-6274.


text:
3.3.3 The Labour Market
The term 'labour market' is applied to the framework within which employers seek suitable employees to help them operate their businesses. As with materials and supplies, described in the previous section (3.3.2), a market is in equilibrium when the price level is such that supply is balanced by demand. In the labour market, the price is the wage level and working conditions that are offered by the employer and are accepted by the employee.
Three aspects of the labour market are described further in the following sub-sections:
- The wage level that employers can afford to offer is affected by the productivity of the labour force (126.96.36.199).
- The employee's bargaining position is affected by individual personal circumstances and by the employer's alternatives to offering work in that situation (126.96.36.199).
- The government can intervene in the labour market by setting minimum wage policies (126.96.36.199).
This page is intended to form part of Edition 4 of the Patterns of Power series of books. An archived copy of it is held at https://www.patternsofpower.org/edition03/333a.htm


text:
This is the easier concept to understand. User-data-files are the files that users have uploaded to the system. They can be anything that complies with XcooBee file extensions Allowed File Extensions. For example images, contracts, proofs, spreadsheets, movies, etc.
In addition, XcooBee allows semantic and user specific tags to be added to each file via the directive files concept.
Files/Documents uploaded can be processed by the uploading user or by receiving user.


text:
Artificial sweeteners may increase risk of type two diabetes, finds study
Artificial sweeteners may increase risk of type two diabetes, finds study
Consuming artificial sweeteners might raise the risk of developing type two diabetes, new research suggests.
The study was conducted by professors at the University of Adelaide in Australia and looked at whether ingesting significant amounts of artificial sweeteners would affect the body's ability to control glucose levels in the blood.
They recruited 27 healthy participants and gave some of them capsules containing artificial sweeteners, an amount equivalent to five cans of diet drinks.
The capsules contained sucralose and acesulfame K and had to be taken three times a day for two weeks.
The others took placebo capsules.
Once the study was over, tests were taken which showed that those who were consuming artificial sweeteners had damaged their body's ability to manage glucose, which could subsequently lead to developing type two diabetes in the long run.
Participants' blood sugar levels were obviously higher after consuming the sweeteners, whereas their gut peptides, which prevent the surge of blood glucose levels after eating and drinking, were impaired.
"This study supports the concept that artificial sweeteners could reduce the body's control of blood sugar levels and highlights the potential for exaggerated post-meal glucose levels in high habitual NAS [non-caloric artificial sweeteners] users, which could predispose them to develop type 2 diabetes," the study's authors said, whose findings were presented at the European Association for the Study of Diabetes in Lisbon, Por Continue reading


text:
Only recently did I realize that miso is a living fermented food, like yogurt or sauerkraut. I had observed for many years that recipes usually warn you to add the miso last to soups and not to boil it, but no recipe ever said why, and it had not occurred to me to wonder. I figured it was just one of those things that recipes thoughtlessly repeat though no one knows a reason for it, like not lifting the lid on rice while it's cooking.
But now I know. Miso is a living fermented food, therefore we must eat it, even if it is salty. But eating miso is not a chore. It makes a great stock for soups. It also enables quick winter soups, because you don't have to simmer all day to get a proper stock. A friend recommends borscht made with miso. I will try that later today. Miso also makes a great little cup of hot broth. Just add a teaspoon or so to hot water.
The stuff is pricey. I paid more than $9 for a pound of miso yesterday at Whole Foods. Partly I think this is Whole Foods' high markup. A friend gets the same brand in Asheville for between $6 and $7 a pound. But a little miso goes a long way, and it will keep in the refrigerator for half of eternity. Whole Foods carries about four varieties of miso, I believe, made by Miso Master in Asheville.


text:
There are times in our lives that call for enthusiasm. We can be excited! We can be ready to go to get started or help make a situation better! Sometimes, though, our excitement isn't well received by others. But we can't give up!
When we have something as exciting as Jesus Christ in our lives, we shouldn't try to hide it! Instead, we should be enthusiastic and ready to share Jesus with others. We should have excitement in our faith and our desire to serve the Lord. Then, as we work for Him, we can allow others to join us and become enthusiastic in our lives with God!
Be excited and enthusiastic as you continue to serve God!
Dear God-
Thank You for walking with me and giving me hope and excitement. Help me to always share my enthusiasm as I serve You. Through Jesus I pray, amen.


text:
Dear readers, again I must apologize to you. I work a difficult job that sometimes smashes into my weekend and when I planned to finalize the narration videos for 11 and 12, work called. So, I plan on finishing both tomorrow, Monday once this proposal for work is finished (out of my hands Tuesday). But… Continue reading Episode Twelve
Category: Inheritors
Episode Eleven
(Hi readers. Apologies on the lack of a video today. I will endeavor to get it up ASAP. My intention has been not to let this story, or any writing, impact my mental health negatively. Unfortunately, I've had a rough couple of months in terms of work load and how much I've been doing, and… Continue reading Episode Eleven
Episode Eight
https://youtu.be/6vPks180BF8 Power is kinda like a game of dominoes. You tip the first one, which is the thing you want to do. Let's say… kill Danger Close. That dead cape tips over another domino, and then another, and then another, and the next thing you know all you have is a mess. That's my take… Continue reading Episode Eight
Episode Seven
https://youtu.be/FAkDYhSztvw The Affect abhors a visionary. It gives the bronze-souled the heaviest burden and the loneliest path. It takes their ideals and their principles and weaves them a very fine noose. Terrence Lilac, Report on Affect Hues: Bronze Part Two: Dead Cape Domino Five days after Danger Close's death, Bedevil rides in a luxury SUV… Continue reading Episode Seven
Episode Six
https://youtu.be/N0O7UuEUSYk A storm sewer isn't an ideal place for a meal. Given the circumstances, it'll have to do. We're not far from one of my usual haunts, but I didn't want to drag Mateo there in case we get followed again. My plan now is to see who else might chase us, or if we're… Continue reading Episode Six
Episode Five
https://youtu.be/kEpvPXBCoZM Thump, thump, thump. Heavy metal boots march on the chapel roof. I stare in horror at the ceiling, waiting for the guillotine blade to fall. "How do you think he found us so quickly?" Megajoule asks. "I don't know," I mutter. Megajoule chuckles as he circles around me like a shark. "This is why… Continue reading Episode Five
Episode Four
https://youtu.be/8Pzoj2riLBQ Two hours ago, I slipped into the Marskin warehouse expecting to find a gang of a dozen welterweight punks. I was paid three hundred American dollars to take care of them. Paul and I desperately needed the money to make ends meet. Instead I found a mass tomb. The gang I was supposed to… Continue reading Episode Four
Episode Three
https://youtu.be/WIIBoOU44jk Food stalls lurk in the skeletons of office buildings. Homes are made with plastic tarp and corrugated steel more often than brick and mortar. Nearly every building here has been touched by Affected war at some point in the last century. Capes move overhead like moons shifting the tides of the lives below them.… Continue reading Episode Three
Episode Two
https://youtu.be/izDYDlzl854 Immerse yourself again in blood with me. Are you there? Can you feel dead fingers grazing your skin in the red water? Good. I kneel over the one survivor I've found, a Latino kid covered in gore. He stammers, his body seizing. "Kid, you okay?" I ask. "P-p-p-p-p-p-" the boy starts while his body… Continue reading Episode Two
Episode One
https://www.youtube.com/watch?v=Fzr8g3J6OWo "The Affect made the ideal into the material. Rage, love, and hatred are all physical and can be measured. Moreover, they can be controlled. But what does that mean for the people who feel them?" Terrence Lilac, Affect Research Division Part One All the Universe's Violent Music As far as I know, I'm twenty-one. … Continue reading Episode One


text:
The Bubba Kush by Seeds66. We received a selected Pre 98 Bubba Kush clone in 2019 and the guys in America have optimized it from the yield.
Bubba Kush is easy to grow and yields plenty. It has been one of the most smoked varieties in America since the 1990s. Due to its Afghani heritage, it is an almost pure indica, which makes it perfect for relaxed smoking in the evening.
It is one of the most famous indica strains and a pleasure to smoke. The "couch lock effect" is guaranteed. The Bubba Kush also managed to win some awards. In 1996 she won first prize in the High Times Cannabis Cup.
Bubba Kush growth
The Bubba Kush is very easy to grow and is therefore perfect for beginners. With an average height of 80 - 110 cm, it is perfect for indoor use. Temperatures between 22 and 27 degrees Celsius have proven to be optimal. After 8 - 9 weeks of flowering, you can expect up to 500 grams per square meter.
The Bubba Kush also cuts a good figure outside. The yield outside is usually 500 - 800 grams per plant. Harvest time is late September.
Smell and taste.
The smell is warm and reminds of a light coffee aroma. The moment this weed is lit, there is a hint of pine and earthiness. Slight notes of sweetness and spices complete the taste.
It reminds of the OG Kush with its pine and lemony taste and is a real treat for cannabis connoisseurs.
The effect of Bubba Kush
The Bubba Kush is known for its immediate calming effect and is therefore perfect for smoking after work. It has a calming effect and turns your worries into euphoria. With a THC content of 16-19%, it delivers a relaxed high.
The bubba Kush is best enjoyed near the sofa. It provides soft physical relaxation that increases over time. A perfect grass for watching TV or as a sleep aid.
Properties of the Bubba Kush
Variety: Mainly indica
Genetics: Pre98 Bubba Kush clone
Height: 80 - 110 cm inside, 150 - 250 cm outside
THC content: 16-19%
CBD content: 0.2%
Flowering period: 8 - 9 weeks
Outdoor yield: 500 - 800 grams / plant
Indoor yield: up to 500 grams / m2