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The Sweet Spot – Natalie May, Part 2

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The Paediatric Emergency Department is a relatively unique area in medicine as the registrar workforce usually comes from one of two backgrounds: Emergency or Paediatrics. Consequently, we strive to have the optimal combination of both specialties – The Sweet Spot.

The two groups come with a very different skillset and approach to medical care. In some cases, the Emergency trainee may not have cared for children previously, or the Paediatric trainee not have worked in the ED since their intern year.

This edition of the Sweet Spot is brought to us by Dr Natalie May, Dr Natalie May is a Consultant Emergency Physician with speciality training in Paediatric Emergency Medicine. She is currently working at the famous Sydney HEMS in Prehospital & Retrieval Medicine.

In addition to liking tea, running and singing at FOAMed conferences, Nat has been instrumental in editing and contributing to and and tweets prolifically as @_NMay. She is one of the eminent contributors to #FOAMped worldwide and is a member of the SMACC organising committee.

Part 2 : For Emergency registrars new to Paediatric Emergency:

What are some common stumbling blocks & how can these be avoided/fixed?

Just like the paediatricians, ED docs tend to migrate to their comfort zone – it’s just a different comfort zone! Take the opportunity to get good at looking after sick kids (not just minor injuries) – as much as it might be soul destroying to spend a whole shift seeing snotty nose after snotty nose, somewhere in there might be a child who is really unwell. This is the time and place to learn how you can identify them and what to do with them when you do. That said, if you do have a shift like that – spend the last hour seeing minor injuries and give yourself a break!

How does their mindset need to change/evolve?

You need to be totally flexible in paediatric consultations. Getting the confidence of the child and their parent or carer is paramount. Examinations rarely follow the same pattern – you need to learn to rapidly identify the child who is about to cry (and listen to their lungs before they do). Sometimes a little time/food/paracetamol/sleep will make your assessment of a child a lot easier – you’ll come to learn which situations those are and when it’s safe to let those things happen (it usually is)!

What are some knowledge deficits that can be ameliorated...

– quickly and easily?

There are key components of the paediatric history we don’t think about in adult practice – birth history, immunisations, family and social history, school – you’ll get into the swing of that rapidly but it does matter.

– with concerted study and experience?

Paediatric fractures are tricky – I spend a lot of time in the paediatric ED reviewing x-rays both at the time with our junior doctors and afterwards (with our missed fracture reports). I’d prefer the former, so if you’re not sure – ask! You’ll get to know what sort of injuries you might see and how they are subtly different.

The skill/attribute that differentiates an average Registrar from an exceptional one is…?

Willingness to listen to parental concerns. We can get frustrated in the adult ED when there are lots of people in the cubicle, all trying to contribute to the story, but it’s essential in paediatrics and often the reason the patient is there in the first place. Be patient, ask specifically about concerns and remember to ask if there’s anything else you can help with while the family is present in the ED.

What is the most under-used feature in the History/Examination/Investigation?

Asking the child to give the history first. This is a great way to build rapport in children who are able to try (realistically, children from about 2yrs can point to the bit that hurts or nod and shake their head; older children might give you a more comprehensive story of injury or illness). Don’t be dismissive of the child, even if the parent tells you that it’s total nonsense! You’ll find that taking time to make the child part of the consultation (including asking them which ear to look into first) makes things go much more smoothly.

What is the most over-used feature in the History/Examination/Investigation?

Blood tests in general. Most children don’t need any and considering the amount of distress involved for everyone in obtaining bloods, it’s probably worth just running any plan involving venipuncture past a senior doctor before you start poking kids with needles.

How is the communication different...

– with parents? New parents deserve a special mention – they are often spectacularly overwhelmed and not having nearly as much fun as they feel they should be having. Give them the time and space to tell you how they are going. Your care responsibility doesn’t start and end with the child.

– with medical & nursing colleagues? You’ll generally find referrals a little easier (but not always). In many EDs there will be nursing staff who can perform venipuncture but do not expect this: you’ll need to be willing to perform procedures your patient needs (arguably this is also the case in the adult ED…) That said, paediatric nurses are highly skilled; never attempt procedures on children without a nurse. A doctor is no substitute!

– with senior staff? You’ll often find senior staff beyond the ED more involved with patient care than in adult specialties. It certainly isn’t unusual to speak to registrars about referrals and consultants in tertiary specialties will usually want to know that their patients are in the ED (especially in-hours).

A strength that this group might be surprised they have is…?

An ability to know when something isn’t right. Don’t ignore those feelings; talk to a senior doctor. We are there to help, and even if it turns out there’s nothing serious going on it’s an ideal time to fine tune your spidey senses with some wisdom from someone senior.

My top five tips for this group:

  1. Don’t be scared – most kids will respond cooperatively if you smile!
  2. Learn the basics of the language of children – know the name of Peppa pig’s little brother, for example. This helps children see you as part of their world and less threatening
  3. Never attempt procedures without a nurse. Just don’t.
  4. Invest pre-procedure time in planning, preparation and communication. You want things to go smoothly and this time is never wasted.
  5. Know some basic important drugs doses (think APLS) and keep other important doses stored somewhere easy-to-access under pressure (?mobile phone)

The most important piece of advice for Emergency Reg new to Paeds ED is:

Safety netting really matters. Take the time to provide adequate reassurance, a clear explanation of what you expect to happen to the child and when to return. When the first kid returns because you told the parents to look out for something and it actually happened, you’ll find it much easier to sleep at night.

Be sure to read more of Nat’s advice in Part 1 : For Paediatric registrars new to Paediatric Emergency. Thanks Nat for taking the time to be interviewed!

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A Paediatric Trainee based in Queensland, Australia, Henry is passionate about Adolescent Medicine & General Paediatrics, with a strong interest in Medical Education & Clinical Teaching. An admitted nerd & ironman with a penchant for Rubik's Cubes & 'Dad jokes'.

@henrygoldstein | + Henry Goldstein | Henry's DFTB posts


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Upper GI Bleed

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A 7 year old boy is referred from a peripheral hospital for a 2 day history of passing black tarry stool. On the 3rd day he passes loose stools mixed with dark maroon blood clots. For the last week he had been having upper respiratory tract symptoms and had daily doses of ibuprofen for his low grade fever.

Bottom Line:

  • Upper GI bleeds manifest as melena, hemetemesis and occasionally hematochezia
  • In the event of an acute bleed, the patient must be resuscitated in line with first principles
  • An urgent GXM must be sent to prepare for blood product transfusion
  • Depending on suspected etiology, an infusion of proton pump inhibitor or octreotide may be commenced while awaiting endoscopic or surgical exploration
  • Massive bleeds warrant urgent surgical exploration, while more stable patients can be triaged for endoscopy with the paediatric gastroenterologist

What is an upper GI bleed?

An UGIB is bleeding in the gastrointestinal tract proximal to the ligament of Treitz and manifests principally as

  • Hemetemesis
  • Melena
  • Hematochezia

Are you sure it's a UGIB?

There are several pitfalls which may lead to misdiagnosis of melena or hematochezia.

Red food coloring, fruit-flavored drinks, fruit juices, and beets may color the vomitus or stool red.

Stools may also be black after ingestion of iron, grape juice, spinach, and blueberry.

When in doubt and in a non emergency situation – send off for a stool sample for occult blood.

What can cause UGIB?

Causes can be subdivided by age group:

  • Swallowed maternal blood
  • Milk protein sensitivity
  • Trauma (nasogastric tube in NICU)

  • Stress gastritis or ulcer
  • Esophagitis
  • Coagulopathy associated with infection
  • Congenital coagulation factor deficiency
  • Vascular malformation
  • Hemorrhagic disease of newborn

  • Mallory-Weiss tear
  • Esophagitis

  • Stress gastritis or ulcer
  • Acid peptic disease
  • Vascular malformation
  • GI duplication
  • Gastric/esophageal varices
  • Bowel obstruction

  • Esophagitis
  • Esophageal varices
  • Mallory-Weiss tear
  • Acid-peptic disease
  • Gastritis, especially H. pylori gastritis
  • Caustic ingestion

  • Vasculitis
  • Bowel obstruction
  • Crohn’s disease
  • Haemophilia

How do we manage an acute UGIB?

  1. As in any emergency presentation, assess vital signs, level of consciousness, perfusion (peripheral and central).
  2. A quick physical examination may yield important clues as to the etiology of the bleed and prioritize subsequent management. Look for a palpable liver and spleen (portal hypertension and hence bleeding varices) or signs of chronic liver disease. In a less acute presentation when the patient is stable, a good history will usually provide an aetiology.
  3. Establish an airway, O2 supplementation, establish good IV access with 2 large bore IV cannulae and depending on signs of circulatory compromise, consider fluid boluses.
  4. Send for blood investigations, most importantly an urgent group and cross match in the event a blood transfusion is required
  5. Keep the patient nil by mouth and pass a nasogastric tube
  6. In large bleeds with signs of circulatory compromise the patient will require transfusion of blood products. It the patient continues to be unstable with continued bleeding, surgical exploration is necessary.
  7. In the event the patient is stable but has ongoing signs of slow blood loss, semi urgent endoscopic exploration and emergency banding and sclerotherapy is scheduled after discussion with the paediatric gastroenterologist.
  8. Endoscopy will reveal if the source of bleeding is due to variceal bleeding or mucosal lesions.

Which investigations should take priority in the acute UGIB?

  • Complete blood count with reticulocyte count
  • GXM
  • Prothrombin time (PT) and partial thromboplastin time (PTT)
  • Guaiac test on stool/emesis (if blood loss is not obvious)
  • Alanine aminotransferase, aspartate aminotransferase, albumin, alkaline phosphatase
  • Blood urea nitrogen, creatinine

What if the bleeding is from a mucosal lesion?

Mucosal lesions comprise of ulcerations or erosions on the esophagus or gastric mucosa.

The aim of therapy is to neutralize or minimise release of gastric acid with the use of Proton Pump Inhibitor medication or H2 receptor antagonist.

How do we manage a variceal bleed?

Variceal bleeding is managed with emergency banding,endoscopic sclerotherapy or injection into the varices with cyanoacrylate glue. Banding is preferred over sclerotherapy as the risk of complications is less (bleeding, perforation, pneumomediastinum).

Use of a balloon tamponade (Sengstaken-Blackmore) may also be used as a temporizing measure to stem the bleeding if the size of the child is appropriate. (generally > 40 kg). Balloon tamponade is applied for more than 24 hours and the patient’s airway is usually intubated. Complications include esophageal perforation, aspiration, mucosal ischaemia.

Variceal bleeds stops spontaneously in 50% of patients but rebleeding occurs in 40%.

Medically, intravenous octreotide is used and works by reducing splanchnic blood flow and portal pressure. The largest retrospective series in 2004 in children found octreotide stopped bleeding in 71 % of children with portal hypertension, however 52% rebled. Octreotide can be used to help with hemostasis prior to endoscopy or if endoscopy cannot be performed.

What is portal hypertension and how does it form varices?

Portal hypertension is defined as portal vein pressures exceeding 5mmHg or a portal vein to hepatic vein gradient of > 10 mmHg. Variceal bleeding is associated with a gradient of > 12 mmHg.

When the portal system becomes congested, collateral pathways develop at the junctions between the high pressure portal veins and the low pressure venous system, forming varices.

These varices are formed at:

  • esophageal and gastric sub-mucosal veins which decompress the left gastric vein and the short gastric veins into the azygous vein.
  • recanalization of the obliterated umbilical vein from decompression of the left portal vein to the epigastric veins resulting in the caput medusae pattern.
  • inferior mesenteric vein and inferior vena cava and their tributaries (superior, middle, inferior rectal veins, common and internal iliac veins), forming anorectal varices.

How do we investigate portal hypertension?

Via Doppler ultrasound of the liver.

Is there primary prophylaxis to prevent further variceal bleeding?

In adults the preventative role of beta blockers is well studied in adults and have been shown to reduce portal pressure and prevent primary and secondary bleeding. (Bleeding is reduced in adults by 50%). Portal hypertension is reduced by decreasing cardiac output, and inducing splanchnic vasoconstriction through B1 and B2 blockade.

In children however limited studies suggest that bleeding rates on propanolol are not much improved compared to bleeding rates seen in the natural history of the disease. Furthermore there is a theoretical risk of harm from the B1 blockade causing decreased cardiac output, which may hinder compensatory tachycardia during acute severe hemorrhage. It is therefore not recommended in the paediatric age group.

What are the surgical options to managing esophagogastric varices?

  • Portosystemic shunts
  • TIPS (transjugular intrahepatic portosystemic shunt)
  • Splenectomy
  • Gastrosplenic decompression

1. S Chawla, D Seth et al. Upper gastrointestional bleeding in children. Clin Paediatrics; 6(1)2007;16-21

2. . E Mileti, Ph Rosenthal. Management of Portal Hypertension in Children. Current Gastroenterol Rep (2011) 13:10-16

3. Schettino GCM, Fagundes EDT et al. Portal vein thrombosis in children and adolescents. J Pediatr (Rio J). 2006;82(3):178-8

4. Sarin SK, Agrawal SR. Extrahepatic portal vein obstruction. Semin Liver Dis. 2002;22:43-58

5. Molleston JP. Variceal Bleeding in Children Journal of Pediatric Gastroenterology and Nutrition 37:538–545 November 2003

6. Chawla Y, Duseja A, Dhiman RK. The modern management of portal vein thrombosis. Aliment Pharmacol Ther 2009 30, 881-894

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Dr Li-Zsa Tan iss an advanced trainee in paediatric gastroenterology and general paediatrics. Based in Sydney as a Fellow in Gastroenterology, she thinks Jean-Luc Picard is the best Star Trek captain EVER and wonders if someone would like to do a coffee run now, please.

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Wednesday, August 30, 2006

Ballunar Liftoff Festival at NASA

You can't always get that perfect, "Kodak" moment...

two cryin' kiddos

(or I really need a faster trigger finger with my camera phone)

Tuesday, August 29, 2006

A career for A Mom?

Fightin Mad Mary sent me this link:
Yummy Mummy
I've just checked it out today and it's very interesting and geared to moms who need flexible schedules and understanding bosses.

Wednesday, August 16, 2006

Best Sippy Cups - Best Baby & Child Products Series #2

(I can't really do a Best Bottle because every baby is different. My daughter liked any kind of bottle and my son only like Avent.)

But with sippy cups, they are fairly similar in basic design. You need one that won't leak and your child wants one that doesn't require too much sucking and feels comfortable.
I've found for the transition from bottle to sippy cup the Avent Magic Cup is the best. You can see from the design, the mouth piece is closer is shape and feel to a bottle nipple than most sippy cups.

Avent also makes a Magic cup with handles. Both designs are truly spill-proof and the spill-proof valve lasts longer than most. (they are dishwasher safe-but I suggest NOT using HEAT to dry to keep the valve from warping)

For a child who has no problem with transitioning to a sippy cup or toddlers and older kids, I've found the Gerber sippy cups are best. Again, with proper care, the spill-proof valves last longer than other sippy cups. Plus, my kids prefer the easy-grip design.

I like the Gerber sippy cup that comes with an attached snack container too.

SIPPY CUP VALVE INFO-The valves for sippy cups are small and easily lost, but you can purchase replacement valves from most baby product websites/stores. Gerbers valves are simple to use as they are only one "plug" piece.
Other valves, such as Playtex, have two plug ends and if not inserted correctly, they will leak.

Tuesday, August 08, 2006

I recently overheard the following conversation of my nieces talking about my daughter...

Niece #1: "Why do you blame everything on her?"

Niece #2 replies defensively: "I DON'T. Sometimes I blame things on you."

(My stomach still hurts from laughing)

Wednesday, August 02, 2006

I dropped the kids off at day care and sat with my daughter while she ate her breakfast. My sister had packed a sack lunch for my daughter's zoo field trip today. As I sat with my little girl, she asked who made the drawings and wrote her name on her lunch sack. I told my daughter that her aunt Tracey had done that.
Several moments passed as well as several bites of waffles and my daughter exclaims, "Mommy, Tracey made love!"
I carefully scan the room to see if any parents were in ear-shot. Thankfully- none. Then, my daughter points to one of the hearts my sister had drawn on the lunch sack. "See,"
My sister "made" a heart-she made love.
Yes, now mommy sees-the lunch sack conversation had slipped my mind which apparently fell directly into the gutter.


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Four Bedroom House Designs Sample Plans PDF

four bedroom house designs 1

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4 Bedroom House Designs, Craftsman Home Designs, Country Style Plans

two bedroom house plans with porch 3

Modern House Plans & House Designs In Modern Architecture


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Chasing Greatness Blog

Weekly inspirational examples of greatness that we can apply to our every day lives.

FREE Chapter of "Great Teams: 16 Things High Performing Organizations Do Differently"

Subscribe to The Greatness Mailing List, and receive the first chapter of Don's latest book, available for purchase here.

Records Are Made To Be Broken: Lessons From UCONN Women’s Basketball

The world of sports abounds with magical records that no-one-believed-would-ever-be-broken. Consider New York Yankee Lou Gehrig’s grueling mark of 2,130 consecutive baseball games played, which stood tall for 56 years: Cal Ripken, Jr. smashed it by playing in 2,632. Or Hank Aaron’s 1976 career home run record of 755. Insurmountable! Until Barry Bonds passed it in 2007. Leonidas of Rhodes’ 2,168-year-old mark of twelve individual Olympic titles? Unbeatable! Until Michael Phelps churned right by to capture his 13th individual gold medal last year in Rio.

One such unsurpassable mark was John Wooden’s UCLA men’s college basketball team's 88-game winning streak, set between 1971 and 1974. None of us imagined that any other team—especially in the topsy-turvy sport of basketball—could ever win 89. Yet along came the UCONN women’s basketball team, and pushed right past UCLA to win 90 straight games and set a new record in December of 2010.

What I remember most clearly about those post-record-shattering December days, was the collective uproar about the validity and integrity of the Huskies’ phenomenal achievement. Pundits and pedants alike cried foul: You can’t compare the women’s game to the men’s, they claimed. The competition UCONN faced was not stiff enough, they argued setting the consecutive-wins record was a much easier feat for head coach Geno Auriemma than it was for the inimitable Wooden, they insisted.

A 3 Step Comeback For You And Super Bowl Losing Coach Dan Quinn

As the curtain closed on the most dramatic denouement in Super Bowl history last Sunday, offering us so many indelible images—a tearful Tom Brady hoisting his fifth Vince Lombardi trophy, a defiant Bill Belichick pumping his fist skyward—I sunk back into my couch feeling oddly contrarian.

Rather than celebrate the many riveting plot points in the New England Patriots’ record-setting 25-point comeback victory—Julian Edelmann’s mind-boggling last-minute catch and Dont’a Hightower’s crushing fumble-forcing sack of Matt Ryan—or marvel at Belichick’s unflinching stewardship or Brady’s Shermanesque fourth-quarter march, I fixated on Atlanta’s fantastic failure.

I thought of the challenges Falcons head coach Pat Quinn will face this off-season. There can be no greater test of leadership than a moment like last Sunday’s, when a brilliant young team—buoyed by a boisterous locker room culture and an enthusiastic, forward-thinking coach—get soul-crushed the way Atlanta did. And there is no better cross-over lesson for business leaders who may at some point be forced to face a similarly devastating challenge of their own—the loss of an anchor client, a crippling economic slump or even termination or bankruptcy.

What Saturday’s Belichick – O’Brien Showdown Taught Me About Winning

As Houston Texans head coach Bill O’Brien trudged across the field through a postgame swarm of players, coaches, photographers and security guards to congratulate Bill Belichick, who had just dealt him the most painful blow of his nascent head-coaching career—a soul-crushing 34-16 loss that jettisoned Houston from the playoffs, just two wins shy of a Super Bowl appearance—I couldn’t help but wonder two things.

First. Wow! I wouldn’t want to have walked in Bill O’Brien’s shoes last Saturday—even for a minute. As if coaching a high stakes NFL playoff game weren’t harrowing enough, he had to go up against his former boss—a man he spent years imitating and adulating, whose wildly successful career he can only hope to one day emulate. O’Brien must have been racking his brains, wondering—“What did I do to deserve this? I finally arrive on football’s biggest stage—in the most critical game of my coaching career—and I have to outwit the very man who has been my greatest source of inspiration. And who—it just so happens, is the most decorated coach in the NFL today. And among the best ever!”

Four Ways To Make Your Team Meetings Matter

In business, as in sports, there is nothing more frustrating than a poorly executed meeting. Whether you are stuck in an office conference room listening to a droning, directionless boss or huddled up on the field with a queasy, indecisive quarterback, your confidence, productivity and competitive edge are bound to plummet.

That’s why every great leader—be they coach, captain, division head or CEO—knows that in order to spur high performance, meetings (and huddles) must be focused, disciplined and inspirational.

This principle of Great Teams was most poignantly reinforced for me four years ago at Madison Square Garden, as I watched Villanova face off against Louisville in the 2013 Big East Tournament quarterfinals. Every time Villanova called a time out the players moved their chairs out towards the middle of the floor so that—as the starters sat down—the rest of the team could encircle them, arm-in-arm, forming a protective cocoon. Everyone was present. Everyone was dialed in.

Apply The 60-Minute Rule To Avoid Getting Fired… Or Embarrassing Your Team

It took all of fifteen minutes for sideline reporter Tracy Wolfson to bring up Pittsburgh Steelers wide receiver Antonio Brown’s Facebook Live locker room fiasco during CBS’s nationally televised broadcast of the AFC Championship game. And while her broadcast booth cohorts quickly refocused viewer attention on the Tom Brady special unfolding on the field, the mention of Brown’s week-old off-field antics underscore a topic I’ve been thinking about for a while now.

Consider this: What happened to Steelers head coach Mike Tomlin could happen to any boss across America. Brown’s unauthorized live streaming of his coach’s post-victory pep-rant from inside the locker room, provided the world with an unfiltered view of the team’s most intimate interactions. It also accentuates how distracting and damaging a single player’s (or employee’s) indiscriminate use of a social media platform can be to the collective efforts of a team (or company). The Steelers should be been single-mindedly focused on surmounting the very real (not real-time) challenges that crop up on the road to a Super Bowl championship. instead they were swept up in a self-induced maelstrom.

What Nick Saban Taught Me About Greatness And It’s Worst Nemesis: Complacency

As I sat in my living room watching the final seconds tick away—and the Clemson Tigers posted a dramatic come-from behind victory over the Alabama Crimson Tide to claim the NCAA Division 1 College football championship—I got to thinking about my favorite topic: Greatness.

I’ve studied Greatness for more than 25 years—interviewed the world’s top athletes (Michael Jordan, Walter Payton and John Smoltz) and most acclaimed coaches (John Wooden, Tony Dungy and Joe Maddon). I can say, unabashedly, that I consider myself a bit of an authority on the subject.

Yet as I watched Clemson’s Dabo Swinney embrace Alabama coach Nick Saban at game’s end I felt like a giddy novice—an armchair amateur mesmerized by the unmitigated greatness of two men who had each commanded a crew of some one hundred young athletes to compete for college football’s loftiest summit.

Get a sneak peek into the first chapter of Great Teams

Download Free Chapter

Order now at any of these fine retailers
Apple iBooks
Barnes & Noble

Some of the Winning Teams Don Yaeger works with

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text:
Chasing Greatness Blog

Weekly inspirational examples of greatness that we can apply to our every day lives.

FREE Chapter of "Great Teams: 16 Things High Performing Organizations Do Differently"

Subscribe to The Greatness Mailing List, and receive the first chapter of Don's latest book, available for purchase here.

To LINgit to Quit!

I hate to be late to a party, but I’ll admit I kept waiting on this one because I kept thinking it might flame out.

Count me in on the party…but only because I’ve spent the last week learning more about Jeremy Lin the fighter than Jeremy Lin the man-of-the-moment New York Knick Rock Star. Lin’s face is everywhere. The Knicks point guard has taken the world by storm. He has led the Knicks to a 7-2 record since he became a starter. His highlights include hitting a game-winning 3 pointer at the buzzer to beat the Toronto Raptors and nationally televised wins over Kobe Bryant and the Los Angeles Lakers and the defending champion Dallas Mavericks. During this time Lin became the first NBA player to score at least 20 points and have seven assists in each of his first five starts. Ever.

Eli Manning: Quietly, Confidently Chasing Greatness

In August 2011 Manning was being interviewed on New York City’s ESPN 1050 Radio by Michael Kay.

“Is Eli Manning an elite quarterback? Are you a top 5, a top 10 quarterback?” Kay asked.

Manning simply replied “Yeah…”

The firestorm from that one-word answer lasted all season…especially when the Giants were floundering at 7-7 and looked like their playoff hopes were dashed. But every time a reporter or fan threw his answer back at him, Eli stood strong. “I believe I am,” is all he said.

Owning It…

The road to greatness in sports often looks to us like an unbroken string of successes.

We don’t often see or remember the failures nor do we remember how they were handled.

We should.

In the NFC Championship game three weeks ago, San Francisco 49’ers wide receiver and punt returner Kyle Williams mishandled two punts that led directly to a touchdown and a field goal…and indirectly to his team being eliminated from the playoffs.

What We Can Learn From Patriots Quarterback Tom Brady On Success

I’m fascinated by what drives successful people…really successful people.

Tom Brady is going to his fifth Super Bowl this week seeking a record tying fourth Super Bowl win. How did he get to such status? In a recent Sports Illustrated article, “Tom Brady As you Forgot Him” writer Michael Rosenberg talked about how Brady was told by then University of Michigan head coach, Lloyd Carr, that despite the fact he had waited three years and earned the opportunity to be the team’s starter, he would play the first quarter of games and freshman top prospect Drew Henson would play the second quarter and the in-game competition between them would allow coaches to decide at halftime who would play the rest of the game.

Get a sneak peek into the first chapter of Great Teams

Download Free Chapter

Order now at any of these fine retailers
Apple iBooks
Barnes & Noble

Some of the Winning Teams Don Yaeger works with

Hewlett Packard


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Sunday, March 25, 2012

Doppler Stop

Doppler Stop is an international traveling exhibition organized by Mel Prest. The exhibition features works by 19 artists living in the US and Europe. The exhibition title refers to the Doppler Effect as well as synesthesia. The intent of the exhibition is to visually question or crush the illusion of difference between 2D and 3D. The artists chosen have created work that optically straddles this un-locatable perceptual space where static objects move and shift or trigger simultaneous sense-readings. Doppler Stop was developed in tandem with STOP & GO 3-D, curated by Sarah Klein: a stop-motion animation festival traveling through Europe and Croatia spring and summer 2012.
Participating artists include:

Albert Roskam  (Leiden, NL / Paris, FR)
Brent Hallard  (San Francisco, US)
Debra Ramsay  (New York, US)
Gay Outlaw  (San Francisco, US)
Gilbert Hsiao  (New York, US)
Gracia Khouw  (Amsterdam, NL)
Guido Winkler  (Leiden, NL)
Henriëtte van 't Hoog  (Amsterdam, NL)
Iemke van Dijk (Leiden, NL)
José Heerkens  (Zeeland, NL)
Karen Schifano  (New York, US)
Kevin Finklea  (Philadelphia, US)
Mel Prest  (San Francisco, US)
Nancy White  (Redwood City, US)
Patricia Zarate  (New York, US)
Richard Bottwin  (New York, US)
Ruth van Veenen  (Amsterdam, NL)
Sarah Klein  (San Francisco, US)
Steve Baris  (Philadelphia, US)

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A Significant Life (October 2005)

Saturday, 02 April 2011 02:21

Saga Magazine
October 2005

A Significant Life

Dorothy Rowe

Before the suicide bombers were even identified the question was being asked, ‘Why did they do it?’ Most of the answers from the experts and the people in the street came in only two versions, ‘They were evil’ or ‘They’d been brain washed.’ Such answers may relieve anger and frustration but they don’t explain why. To find the answer we have to ask ourselves, ‘What is the absolute top priority in my life?’

As we get older and find ourselves reviewing our life we can see clearly that what matters most is that our life should have significance, that our existence has been acknowledged by others and in some way has made a difference. To die and disappear, seemingly never to have existed, makes just the thought of death utterly unbearable. In old age we can articulate this clearly but when we were younger we may have striven for significance without understanding exactly why. As small children we did what we could to get the adults’ attention, and then, to achieve this even more effectively, we learned to be good in the way our parents and teachers defined ‘good’. If, as we got older, we felt that our life had no significance we became greatly distressed. Women who feel that they are seen only as wife, mother, daughter, employee, and never as themselves can easily become depressed. Middle-aged men who feel that they have played all the cards in their hand, achieved nothing, and now face a dreary trudge though the rest of their life, are likely to abandon their partner for someone much younger, or take to drink or drugs, or become depressed, or kill themselves.

We all differ in how we define ‘significance’. Some people feel that they will be significant only if they become the greatest sportsperson, or the most famous artist, or the richest or the most powerful person in the world. Others ask only that they will always enjoy the love and attention of their family and friends. We will do the most outrageous, stupid things to gain and keep the significance we strive for. We will cheat, lie, steal, betray, become a slave to work or to our appearance, or undertake foolhardy adventures in order to feel significant. Even those who ask only for love and attention will devote themselves totally to the needs and wishes of family and friends while ignoring their own.

But all our efforts can easily come to naught because no one is taking any notice of us. Ian Cobain, writing in the Guardian, said of Hasib Hussain, who blew up the Number 30 bus, ‘When he moved to Matthew Murray high school it was apparent that he was never going to stand out as a scholar or a sportsman.’ All four bombers were described by their family and friends as good young men. However, goodness alone will not ensure significance, and the trouble with being good is that you’re never good enough. How can you become the ‘goodest’ person in the world? Every religion tells us how to be good, but each religion stretches across a spectrum from a fundamentalist interpretation of the religious doctrine as absolute truth with ‘good’ and ‘bad’ unambiguously defined, through a middling, less absolute but still conventional set of beliefs and practices, to a mystical interpretation which is unspecific in the extreme. All fundamentalist interpretations, whether Muslim, Christian, Sikh or Hindu, claim to show how a person can become the ‘goodest’ of all. Follow the fundamentalist religion’s teaching in every respect and punish those who do not, then your life will have the greatest significance of all. The British bombers may not be heroes in their home towns but they will attain the glory of martyr heroes on internet sites across the Muslim world.

Many adolescents who have failed in their efforts to be good and thus get loving attention from adults give up trying to be good and seek significance by trying to make sure that other people are aware of their existence and are afraid of them. Donal MacIntyre, writing in the Guardian, told how he had interviewed Ryan and Wayne, aged 19 and 16 respectively, who work as drug dealers. Older members of the gangland fraternity and the police each described these young men as dangerous. MacIntyre asked them both, ‘What do you want to be?’ Ryan said, ‘I just want plenty of dough, happy life.’ Wayne said, ‘I want to be remembered, me. I want someone to say, “Ah, remember him? Hard little bastard, that cunt.”’

The four bombers and Ryan and Wayne represent the two extremes of efforts to gain the greatest significance but there are many people in between these two extremes who try to feel that their life has significance by claiming that they are significant while other people are not. This way of thinking forms the basis of racism, religious hatred, nationalism, and snobbery in all its forms. It is the basis of the hierarchies that we form where those at the top lead lives which are seen to be far more significant than the lives of those lower down the hierarchy.

Fighting terrorism and fighting crime are wars that can never be won while we continue to trample over one another in the effort to make our own life significant while ignoring other people’s need to feel significant. Thus the American and British forces in Iraq count the numbers of their dead and mourn them but they don’t bother to count how many Iraqis are killed, not even the number of children. In Britain we exclude children from all hope of education because we don’t approve of the way they behave, and we don’t try to give them the attention which might teach them to seek significance in more socially acceptable ways. Many teachers do try to do this but they aren’t given the resources needed for such work. We grade children according to their scholastic ability and thus create a hierarchy where those at the top – teachers, parents and politicians – despise the children at the bottom. We pay great attention to ‘celebrities’ with very limited talents and ignore or, in the aftermath of a disaster, sentimentalise the people who make our daily lives comfortable and secure. We laud the successful entrepreneur and ignore or patronise the woman who cares for children or cleans up our mess. We sentimentalise or demonise children and ignore or patronise the old. In short, we deny to others what we want others to give to us. We forget that we all have significance simply because we exist.

SAGA Magazine, October 2005

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Friday, November 30, 2007

Moving house

The move has gone well but taking on a business as well as moving house is different. There has been no time to do any unpacking as DH gets to grips with the paperwork, suppliers, meat slicers etc. Its an early rise and an early to bed day but everyone in the family is chipping in and being patient. My regular internet will not be connected until after the 12th December so posts will be sporadic but I wanted to let you know that we have arrived and are up and running.
No pictures as the camera is in a box somewhere to be discovered.

I am reminded of the words to live and not live to work.

My challenge today is to use up a batch of mushrooms which will be turned into mushroom soup and to set up the compost bin which has travelled in pieces with us. Recycling will be more than necessary as I cannot tell you what wrapping and cardboard boxes get delivered and need dealing with.

Moonwaves said...

Good to hear from you. Hope things go well for you all in settling in. Busy and exciting time I'd say.

gary said...

Glad the move had gone well. Looking forward to seeing some pics when you're more settled.

Regards, Gary

Sian said...

congratulations! wishing you all the best in your brave new venture :)


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All of the free quiz questions on this site are either written or edited by DP Quiz and every effort is made to keep them up-to-date.

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Facts sometimes change and when dealing with quiz questions from this site and from others you are strongly advised to check the latest information. This is particularly true of questions that can easily go out of date such as "How old is Europe's oldest man?" or "What is the world record high jump?" Use your common sense to detect when it's worth looking up a question.

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Dragon Age Wiki

Mahariel family

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The Mahariel family belongs to the Sabrae clan of Dalish elves which is lead by Keeper Marethari during the events of the Fifth Blight and Dragon Age II.

Background Edit

The patriarch of the Mahariel family was the former Keeper of the Sabrae clan prior to Marethari. He fell in love with a hunter from another clan in somewhat controversial circumstances[1], however it is not known if that happened before he became the clan's Keeper or not.

The pair's joy was short-lived. Before their young baby was born the two of them were ambushed and attacked by a group of humans and city elves. The Keeper was killed outright and his wife was wounded. She lived long enough to give birth to the Dalish Elf and soon after disappeared in grief. From then on Ashalle took over the care of Mahariel, as their guardian.

References Edit

  1. Stated through conversation with Ashalle during the Dalish Elf Origin.

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You are here

How To Live As Long As Possible

According to Dr. James Vaupel of the Laboratory of Survival and Longevity in Rostock, Germany, a person's life span has very little to do with genetics.

Dr. Vaupel explains that while certain physical traits like height are determined in large part by one's genetics, "only 3 percent of how long you will live compared to the average person can be explained by how long your parents lived."

To support this position, Dr. Vaupel points to studies that have tabulated the life spans of identical twins. The data shows that even identical twins die, on average, more than 10 years apart.

So what are the key factors that determine the average person's life span?

In November of 2005, the National Geographic published an article that profiled the dietary and lifestyle traits of the following groups of people who have traditionally enjoyed long, healthy, and productive lives:

  • Okinawans in Japan
  • Sardinians in Italy
  • Seventh-day Adventists in Loma Linda, California

What follows are brief summaries of each group's dietary and lifestyle habits.

Okinawans in Japan

Traditional diet: locally-grown fruits, vegetables, tofu, miso soup, rice, potatoes, sweet potatoes, seaweed, sesame seeds, and small portions of fish or other flesh meats.

Other observations: many older Okinawans grow a lot of their own food. Their land is typically used to grow Chinese radishes, garlic, green onions, cabbage, turmeric, tomatoes, and a variety of fruits.

Okinawans are known to embrace a philosophy of eating that says to eat until your stomach is 80 percent full.

Sardinians in Italy

Traditional diet: homegrown fruits and vegetables like zucchini, eggplant, tomatoes, and fava beans, milk and pecorino cheese made with milk from their own grass-fed sheep, wine that they make from locally grown Cannonau grapes, and paper-thin flat bread called "carta da musica."

Other observations: most older Sardinians are known to do physical work all day long in their homes or on their land. It is not uncommon for both men and women to remain physically active into their 8th and 9th decades.

Seventh-day Adventists in Loma Linda, California

Traditional diet: beans, nuts, a variety of vegetables, fruits, whole wheat bread, oatmeal, dairy products, eggs, and several glasses of water per day. Members are encouraged to avoid caffeinated drinks, alcohol, smoking, condiments and spices, and meat, especially pork and shellfish.

Other observations: Devout Seventh-day Adventists strive to observe the Sabbath and put their spiritual practices above other facets of their lives.

Clearly, we can enjoy long, healthy, and productive lives following our own unique diets and lifestyles. However, in considering all that we know about long-lived populations, we can say that the following traits are common to almost all of these groups:

  1. They eat plenty of vegetables, fruits, and whole grains.
  2. They eat small amounts of clean animal foods such as fish, eggs, or dairy.
  3. They eat foods that are rich in omega-3 fatty acids.
  4. They are physically active throughout the day.
  5. They give their bodies regular sleep and rest.
  6. They spend a lot of their time outdoors in the presence of fresh air and natural sunlight.
  7. They do not smoke.
  8. They tend to put family first and have unconditional respect for their elders.
  9. They are genuinely close to their family members and/or a group of friends - the kind of closeness that goes way beyond superficial schmoozing.
  10. They have a sense of purpose, a strong reason to get up each day and make it a good one.

To adopt some or all of the traits listed above certainly cannot hurt our chances of staying healthy for a long time. Interestingly, all of these traits are strongly associated with reducing our risk of developing almost all types of cancer, heart disease, hypertension, diabetes, Alzheimer's disease, and multiple sclerosis.

On a slightly different note, it is worth noting that certain occupations can increase the probability of shortening our lives via a fatal accident.

According to a 2005 national census of fatal occupational injuries conducted by the Bureau of Labor Statistics in the United States, the 10 most dangerous jobs by fatality rate are:

  1. Logging workers
  2. Aircraft pilots
  3. Fishers and fishing workers
  4. Structural iron and steel workers
  5. Refuse and recyclable material collectors
  6. Farmers and ranchers
  7. Roofers
  8. Electrical power line installers/repairers
  9. Driver/sales workers and truck drivers
  10. Taxi drivers and chauffeurs

It is truly unfortunate that all of the professions listed above are needed for our world to go round.

Perhaps the most important point for all of us to embrace is that while we can be hopeful of living long, healthy, and productive lives by making sensible daily choices, we must always strive to be grateful for every moment that we are given.

To receive newly published articles and recipes like this one, stay in touch with us via

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Please Rate This
Your rating: None Average: 4.4 (11 votes)

Thanks for this great article, Dr. Kim! As an Adventist, I am proud of the Adventist heritage of a typically longer, healthier life than the norm. The how-to's are certainly no secret; it's simply about a NEWSTART! That's Nutrition, Exercise, Water, Sunshine, Temperance, Air, Rest, and Trust in Divine Power. These are all things I know that you espouse, and I thank you for your continued efforts to make sound health principles accessible to all. Happy New Year to you and your lovely family!

Bev Edwards-Miller, Registered Dietitian
Ontario, Canada

SDAs are in more places than loma linda, ca. I'm one who lives in north carolina. I just thought that localizing us to just that area was a bit narrow. But everything else was very true and usefull. Great article.

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Sunday, March 11, 2012

Missionary Man: Bad Moon Rising

(Reprints: Missionary Man stories from Judge Dredd Megazine #2.29-30, 2.43 and 2.50-59, and Judge Dredd Mega-Special 1994)

Before we get started this week, I need to tip my hat to the wonderful Sarah Glidden, of How to Understand Israel in 60 Days or Less fame, who painted this Dredd commission for me! If you happen to be in Germany this week, she's doing commissions of both super-types and actual people...

OK--now down to our featured book this week, Missionary Man: Bad Moon Rising, and our conversational guest: please welcome Mr. Evan Narcisse! I had the pleasure of working with Evan at Techland; these days, he’s blogging over at Kotaku, and also Twittering up a storm.

DOUGLAS: Evan, I think your initial reaction to this material was “These stories are weird. It’s Quitely, but also not.” True enough. When Missionary Man first appeared in 1993, it was Frank Quitely’s first comics work beyond the Glasgow underground comic book Electric Soup. (I’ve heard rumors that a couple of other artists in Electric Soup were also pseudonyms for Vin Deighan, but “Frank Quitely” was the one whose style caught on.)

Quitely only got to draw the first two episodes of Missionary Man before he did the first Shimura story with Robbie Morrison a few months later (then returned to Missionary Man for “Bad Moon Rising” in 1994); one more Hondo City Law one-shot, and that was it for his 2000-related career, aside from a lovely cover for the Megazine in 2010. By 1996, he’d formed his enduring partnership with Grant Morrison for the about-to-be-reprinted-at-last Flex Mentallo miniseries, and he’s been drawing American comics ever since.

Missionary Man was also very early work for Gordon Rennie—he’d previously published a couple of one-off stories and the miniseries White Trash, with Martin Emond. (The latter is a particular favorite of one of the guys who runs my local comics store.) Rennie went on to write pretty extensively for 2000 AD and the Megazine, both in Dredd’s world (“Cursed Earth Koburn,” “Mean Machine”) and outside it (“Caballistics Inc.,” the current serial “Absalom,” and many others). And, for the past decade, he’s been one of the go-to guys for Dredd-when-John-Wagner-can’t-write-it; 2005’s “Blood Trails” and its sequels “Matters of Life and Death” and “Burned Out” got to do more with Dredd’s supporting cast than almost any other non-Wagner story in the current century. (He also posted last week that he thinks Missionary Man's time has passed.)

The Missionary Man feature itself was remarkably long-lived for a premise that was so slight and so strongly associated with an artist who’d only drawn it for a few months; beyond the material collected here, it ran another 57 episodes between 1994 and 2002. But yeah, it is really slight, a very straightforward bunch of Western clichés (by way of earlier Westerns in the same Dredd-universe setting, like “The Cursed Earth” and Helltrekkers and The Dead Man) and things-a-hellfire-preacher-would-say clichés, with monsters thrown in to keep it visually interesting. There’s a germ of a clever idea in there—the sci-fi Western with the “sheriff”’s civil authority, as in Dredd, replaced by religious authority—but that doesn’t really go anywhere. Dredd alumni Garth Ennis and Steve Dillon’s Preacher, which started only a few years later, is a much more interesting take on the same basic elements. The end of “Bad Moon Rising” has the one really good Christian joke in this book—Legion, about to be thrown into the pit of fire, yelling “I can see my house from up here!”

So that leaves Quitely’s artwork as the particularly interesting thing about this. For me, it definitely looks like the Quitely we know, right from the outset: micro-detailed, texture- and topography-minded drawing on faces and figures, coupled with compositions that are so strong and use negative space so well that they let Quitely get away with drawing practically nothing in the way of backgrounds; action shots that look like something frozen in place for a microsecond instead of suggesting movement (the explosion on the last page of the first episode seems sculpted rather than kaboomed); very carefully considered choreography (the tier with Cain being dragged behind the horse in “A Town Called Intolerance” is almost a straightforward zoom-in, but not quite). It’s not quite as bogglingly masterful as the Quitely of We3 or All-Star Superman or even Flex Mentallo, but for a mainstream debut, it’s striking and impressive. It has character; it doesn’t look like anybody else’s work.

The other artists who drew the series in this period aren’t quite as exciting, in part because Rennie doesn’t give them a lot to work with. I like Garry Marshall’s color sense a lot, but “Legend of the Unholy Drinker” is basically just a talking-heads story with a monster in it—Marshall’s sunset palette is the most exciting thing about it. “Sanctuary,” besides being a big pile of unaltered Western and horror tropes, has artwork (by Sean Longcroft) that looks like it was aiming for a comedy strip or a Richard Sala book and got lost. And “The Undertaker Cometh” was yet another professional debut, this one Simon Davis’s: he went on to draw a handful of other Missionary Man strips, and is still drawing for 2000 AD now, but in this one he looks like he’s trying to impress somebody with how many tiny little dots he can squeeze into each image.

I’m curious, Evan: what did you make of this stuff, as someone who’s coming into the setting more or less cold but has been following Quitely’s work for a long time?

EVAN: This book also reminds me of Garth Ennis and Steve Dillon’s Preacher, a twisted Americana opus created by two Brits. The Missionary Man could be a conceptual grandfather for Preacher’s Saint of Killers, with his white hair, brown duster and proclivity for God-sanctioned ultraviolence. Ennis and Dillon are products of British comics publishing who wound up as American comics superstars, and the back-and-forth exchange of inspirations reminds me of my first encounters with Judge Dredd.

Judge Dredd—and the 2000 AD plane he comes from—hold a weird significance for me. I think I came at Mega-City’s top cop via annuals solicited in old Bud Plant mail oreder catalogs. The exact years and content escape me, but I remember Brian Bolland making that sneer come to life really clearly.

What I found in my first readings of Dredd comics was a sense of politics seeping into fiction, in a way that I rarely encountered in American superhero comics. The Earth of Dredd's sci-fi was one that would exist as the ultimate end of 1980s geopolitical jockeying. The Cold War would fuck us all, in other words. It’s how I was able to access the mood of Thatcher-era England, and now that I look back at it, that work on the ultimate authority figure was probably done by people who were punks in their day. Through the fractured lens of various creators, I learned about English slang, caste systems and attitudes by reading the 2000 A.D. reprints I encountered as a teenager.

I bring all this up because the Missionary Man comics read like the work of folks who absorbed Western genre tropes from outside the bounds of those ideas’ motherland. You’ve got a guy lynched at the beginning of “A Town Called Intolerance,” which nods at the institutionalized racism in the U.S. after the Civil War, and the religious fervor that runs through the whole strip references the itinerant preachers and revivalism that gripped America in the 19th century. The weight of Sergio Leone and spaghetti westerns is heavy here, but without the morally grey heroes of those movies.

What’s interesting to me about Preacher Cain’s stories is that—even while they’re pretty straightforward—they represent the other side of the crypto-fascism seen in Dredd comics. Dredd’s an avatar of man-made law-and-order imperatives. When he bellows, “I am the Law,” you know where he gets his power from. Missionary Man’s orneriness comes from super-religious singlemindedness, but all those Bible quotes don’t make for very good catchphrases.

Rennie’s writing is, like you say, serviceable. He seems to have fun mashing up blood-and-bits sequences with Bible-thumping, but there’s not much depth beyond that. Quitely’s the real appeal for me here, and what you say about how he renders details in this early stage of his work rings true. But his body types look different: slimmer and not as bulked up as in his later work. The faces of the background characters look cartoonier, too, and feel like the work of a younger man.

When I’ve read Dredd, I could always tell myself that some kind of other real-world commentary was going on in those stories, simply by virtue of where they were set. "Missionary Man" doesn’t have that sense of intent built into it, and the material ultimately feels less memorable because of it.

Thank you, Evan! Next week, we return to the Titan-era Ennis collections for Muzak Killer, and maybe a discussion of Dredd’s relationship to pop music.

1 comment:

  1. The metonymic effect of reviewing this book so soon after you looked at 'Goodnight Kiss' is either proof of joined-up thinking on your part, or demonstration of the tendency of fledgling authors- like Ennis and Rennie- to genuflect before the Elder Gods (Wagner, Clint, Jahweh) at the outset of their own journey. It's all about borrowed authority, isn't it?

    Ennis and Rennie both put (mis)appropriated signifiers of authority- The Badge and The Bible- at the centre of their tales of Cursed Earth Marshals. Ennis seems to be voicing his own misgivings about stepping into Wagner's shoes: his story features a young gun who has no right to the badge in his possession and isn't up to trading blows with the old master; and he interpolates the discourse of The Good Book with that of 'Unforgiven' only for the greater glorification of Wagner's creation.

    I think Rennie's wearing those same references like armour. If you're still finding your own authorial voice, it must be useful to distance yourself from the work by making it clear that you didn't write most of the dialogue. Didn't like that pay-off line? Take it up with King James, fanboy motherfucker.

    The seven panels of page four of 'Salvation' feature six of the most familiar action tropes, accompanied by the first seven biblical quotations that came into Rennie's head. Works though, dunnit? Maybe you could make a case that Rennie's Derridean tissue of biblical quotations juxtaposed with action clichés is subversive, hinting that one is as empty and irrelevant as the other.

    Clint and Christianity aren't the only discourses Rennie purloins, though. I counted Bernard Shaw, 'Casablanca', Milton, 'The Dukes of Hazzard', 'Richard The Third', 'The Three Little Pigs', Wagner, 'The Book of Common Prayer', 'Die Hard 2', Yeats, and- hilariously- the villain's final line recapitulates the punchline from Billy Connolly's re-telling of The Crucifixion. Even David Bishop's recap page blurb tries to co-opt the edgy, counter-culture suss of ... The Eurythmics: 'Don't mess with the Missionary Man'.

    And Rennie employs a host of commonplace phrases to accompany the biblical references: 'give it his best shot', 'the bigger they are, the harder they fall', 'a good landing is one you can walk away from'. Maybe using these banalities in the same way as bible verses- to underscore formulaic action tropes- is drawing an equivalence between all three. Or maybe it's just picking up where 'White Trash' left off and marking Rennie's transition from snotty enfant terrible to Wagner's heir apparent.

    I enjoy Gordon Rennie's writing, I'm just not sure how accurate it would be to describe him as the author of this story.


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Thursday, February 14, 2013

Is There a Link Between Lack of Folic Acid and Autism?

There is a no study out which seems to indicate that a lack of folic acid is an indicator of autism.  This is a breakthrough study!  Look it up, it was on and on both.

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Posts About : Hale Bob

5 Tempting Tunic Dresses Perfect for a Summer Getaway

How about a fresh set of tunic dresses for your closet? The printed tunic is a versatile, easy to wear number that holds a lot of instant wow factor . Wearing one is basically the quickest way to have that effortlessly chic style for summer. And if you happen to be planning a beach getaway, […]

Jessica Simpson: Etro Spectacular in Printed Silk Mini Dress

I’m sure you’ve heard, Jessica Simpson was named by Us Weekly as Style Icon of the Year. Although a lot of people have questioned the choice, I’m just glad she got it. For someone who has a booming fashion line (plus of course the singing), she deserves the title. Word has it that she is […]

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Cambridgeshire Churches

Kirtling, All Saints

I love the borderlands between Suffolk and Cambridgeshire. For the most part, any interesting landscape is on the Suffolk side, but there are places where the high land is on the western side of the border, and we end up with pockets of woodland and gentle hills. Kirtling sits firmly in this territory, and the church has one of the finest spots in the parish. It sits next to the moat of Kirtling Tower, once the large Tudor mansion of the North family (of whom, more anon). Nothing of the original survives now except for the gatehouse, hence the present name for the building, but for the most part the parkland still survives. The richness of the living is indicated by the lovely rectory which also sits next to the churchyard; it is an Elizabethan building, though updated with a later brick frontage, and has a beautiful line of pleached limes in an avenue next to the low brick wall of the churchyard. It is all marvellously bucolic.

the door (and Ben, signing the book)

The church itself is pretty, though it presents quite a modest exterior. There is a tower after the Suffolk fashion, built of flints and possessed of cross-buttresses. The staircase is hidden within the southwest corner, which projects outwards a little way to accommodate it. This makes the west face slightly convex (the same thing can be seen in one or two other places, such as Barton). The tower itself has no battlements, but the rest of the church is decorated with them along the clerestory and the aisles. There are two porches: a plain north porch, and a rather nice south porch. A big Tudor brick chapel in the north-east corner piques the appetite for what lies within, and the whole thing looks rather typically Perpendicular.

For the most part, the church is indeed Perpendicular, but there are some fragments that have been incorporated from previous buildings. Within the church, I found a very deep lancet at the west end of the nave, and there is an old-looking blocked-up window in the north aisle. The most dramatic survival is the south door. Not only is there a wonderful round-headed Norman doorway, complete with chevrons and zig-zags on the arches, but there is a Norman door. It has been rehung, so the ancient iron straps no longer connect to the hinges, but it's still remarkable to see a door of this age (predictably, doors get a bit more battered than most parts of a church, so they don't tend to survive this long). Above the door in the tympanum is a intense and primitive Norman sculpture of Christ in Majesty, sitting on a rainbow. A lot of people have passed under that inscrutable, archaic face.

the nave looking west

Inside, the intensity is replaced by Perpendicular urbanity. This is not, though, a run-of-the-mill interior. The nave arcades are all quite low, and do not match; on the north side the piers are octagonal, with rounded half-shafts on four of the faces, while on the south side the arches are surprisingly broad and rounded, with shields on the keystones. The southern piers are all very plain and round, and Pesvner thinks that they may be a survival of an earlier aisle originally knocked through the south wall of the Norman nave. Above these arcades, the clerestory is unusually tall, with grand Perpendicular windows soaring up to a high roof. The proportions are therefore unusual, and I thought the effect was very interesting: the space in the nave feels top-heavy, with the light above pressing the seating and arcades downwards into a rather constricted space.

Up at the east end of the north arcade, a grand archway leads through into a north transept chapel, which is also connected to the aisle by a half-arch in the shape of a flying buttress. This is a very interesting structure. On first sight, it appears to be a familiar 15th century guild chapel, complete with high roof and big Perpendicular window in the north wall. The east wall tells a slightly different story, however: there is a blind arch, within which are two smaller lancets. Was this another Perpendicular window that was, for some reason, filled in and replaced with the two lancets, or does this show that there was an older chapel in the same place that was merely spruced up?

north transept

The details in the chapel are particularly nice. On either side of the east window are sets of double niches - endearingly, they aren't on the same level, though they look to be roughly of the same age. The southern ones are smaller, higher up, and slightly plainer, with very slender ogees rising above the niches. Around them, there is some very sketchy blind arcading on the walls, and below them is a piscina. The northern niches are set within more elaborate panelling, complete with quatrefoils and criss-crossing arcading; and the niches themselves are big solid cinquefoil arches, with an octagonal pillar separating the two and remains of black and gold paint hinting at rich decoration, once upon a time. I also liked the roof, which is supported by some nice angels: no wings, but cheerful naïve faces and unusual hairdos.

Moving through into the chancel, there are some more remains of medieval paintwork. On the north wall are some paintings of swirls and leaves, and there is a little bit of colour left on another elaborate niche just to the north of the east window. Also in the north wall are the remains of two arches, which were probably windows at one point (though I did toy with the notion that they might have led through to another chapel, which might explain the odd configuration in the east wall of the north transept chapel). One of the arches is now filled with a Victorian Gothick monument to one John Crighton Stuart, Marquess of Bute, who died in 1848. Hanging nearby in a wooden frame is a brass which depicts a man kneeling and looking pious. The inscription tells a fascinating tale:

looking west

Here resteth the corse of Edward Myrfin, Gentleman, born in ye city of London, educated in good virtue and learning, travelled through all the countries and notable cities, princes' courts and other famose places of Europe and likewise of ye Isles of Greece and so to the Turkis court. Then being in the city of Haleppo on the borders between Armenia and Syria and so returning through Jewry to Jerusalem and so to Damasco, and from thence passing by divers countries with sundry adventures, arrived at length in his own nativity city, where shortly he ended his life in the year of our lord 1553 and in the 27th year of his age.

Myrfin was a merchant, and so his journey may have been a commercial one; but I do still wonder whether this wasn't a precursor to the Grand Tour. If only he had left us a journal…

North tomb

To the south of the chancel, two big arches lead through into the grand brick chapel that I saw from outside. This was built in about 1500, but was subsequently taken over by the North family, and filled with their monuments. The first North to live at Kirtling was Edward North. He was born in London in 1496, the son of a haberdasher, but rose to have a stellar career. He was a successful lawyer, and attracted the patronage first of Thomas Cromwell, then of King Henry VIII himself. He was knighted in 1541, and joined the royal service first as Treasurer, then as Chancellor of the Court of Augmentations. This was the court responsible, amongst other things, for the distribution of the land and property seized by the crown during the dissolution of the monasteries, and - predictably - North made a huge amount of money out of it. In addition to buying Kirtling in 1533, he owned the old Charterhouse in London. On one occasion he was suspected of financial double-dealings, but was able to clear himself (though he did end up having to give quite a substantial gift of land to the king).

North tomb

The apogee of North's power came towards the end of Henry's reign, when he became a member of the privy council. Under Edward VI, his star started to wane a little, and he was dismissed from his office and from the council by the Protector Somerset. In 1553 he was one of the prominent supporters of Lady Jane Grey, the ill-fortuned protestant successor to Edward, and although he was pardoned by Queen Mary (and even given a baronetcy) he never returned to the centre of political life, either under her or Elizabeth I.

Edward North died in 1564, and buried in Kirtling. His monument is the northmost one in the chapel: a sober chest of black stone. At first, it looks rather unassuming, but the quality of carving is superb: it is thought that it came from the same workshop as that of Lord Treasurer Audley, who is buried with a similar tomb in Saffron Walden. The stone is very high quality - it is extremely hard, and the carving has remained deep and crisp. Behind it, on the east wall, is a plate with the following epitaph:

'Nature richly endowed Edward North, royal favour added great wealth, he held high offices thoughtfully and wisely, but even in great office he was unassuming; the gifts of nature increased by the favour of the ruler were all removed by dark Death in a single day. He died on the last day of December in the year of our lord 1564. He had the sons Roger, Lord North, and Thomas, and the daughters Christiana and Maria, of whom one is married to William, Earl of Worcester, and one to Henry, Lord Scrope.'

Edward North's wife was one Alice Myrfin, née Squire. She was the daughter of a minor Hampshire gentleman, and the widow of one Edward Murfyn. She married North in 1528; so, I wonder whether the Edward Myrfin commemorated
in the chancel was her son by that marriage?

North arms

Roger, the second Lord North, is commemorated next to his father. He followed his father into politics, but was content to start on a local level. He represented Cambridgeshire in the 1555, 1559 and 1563 parliaments, and after his father's death in 1564 threw himself into local administration. He was the most powerful man in the county - the only resident peer - and was both Lord Lieutenant from 1569, and Custos Rotulorum from 1573, effectively acting as the chairman of the county's bench of JPs. Over time, however, he gradually regained some of the national political influence that his father had lost. He was good friends with Elizabeth I: she sent him on several delicate diplomatic missions, and visited him frequently in Kirtling, often to his very great expense. (It is recorded that one visit cost him over £700 - a phenomenal sum). He married Winifred, daughter of Henry VIII's Lord Chancellor Richard Rich, thereby
linking himself to a very influential family; and six years before the end of his life he was made a privy councillor.

Lord Roger

He died in 1600, and his monument sits next to his father's. Whereas Edward North's tomb is a masterpiece of sober understatement, Lord Roger's is extraordinarily garish: a wonderful riot of garish Renaissance detailing. Lord Roger himself lies in effigy, dressed in armour with his head resting on a helmet. At his feet sits a splendidly fierce gorged griffon: much better than the insipid dogs that often lie in such places, but I suppose that it takes an exceedingly rich man to have a pet griffon rather than the more usual greyhounds or bulldogs. He lies on a chest covered in swirling leaves and strapwork, to which there still cling some fragments of paint and so on. (It's interesting to compare this tomb with those at Isleham, incidentally, where rich American descendents of the Peyton family have paid for the tombs to be repainted in glossy bright emulsions: evidently there are no Norths amongst the wealthy New England captains of industry).

Surrounding this chest are six outlandish pillars, bulging slightly in the middle and covered in dense carving of foliage and things: vines on the westernmost pair, oaks in the middle and strawberry leaves, pomegranates and roses on the north-east and south-east respectively. These support a heavy canopy: Lord Roger's effigy is surmounted by a relatively restrained coffer painted in black and gold and white, but around the edges there is an architrave full of faces and more swirls, and the whole thing is surmounted by a huge three dimensional pile of strapwork, coats of arms, griffins, natives, women and cherubs. I love it - it's one of the most gloriously silly things I've ever seen.

All Saints was open when we visited.

| | about us | | | | ©2009 Ben Colburn & Mark Ynys-Mon


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Monday, August 31, 2015

The Security Media Department: A Realistic Image

ABU DHABI, United Arab Emirates - Monday, August 31st 2015 [ME NewsWire]

The Security Media Department is pleased to extend to you its warmest greetings and sincerest wishes for continued success, and we would like to thank you for your response and cooperation with our activities. We appreciate our partnership with you, as it strengthens the safety and security systems within the UAE.

We continue to share images and captions that depict realistic behaviors and events, highlighting both positive and negative behaviors that have been captured by the lenses of the Security Media Patrols. We do hope that you will allocate sufficient space for this activity, as this enhances our ability to raise security awareness and promote the sense of security within the society.

Photo Caption: Wrongly entering the roadway violates the safety requirements and puts motorists and pedestrians at risk.

((Photo captured by the Security Media lens))

For more information about:

The Ministry of Interior, please click HERE

Abu Dhabi Police, please click HERE

Follow us and check our Social Media feeds on: YouTube, Facebook and Twitter

The Arabic-language text of this announcement is the official, authoritative version. Translations are provided as an accommodation only, and should be cross-referenced with the Arabic-language text, which is the only version of the text intended to have legal effect.

The UAE Minister of Interior's General Secretariat, Tactical Affairs and Security Media Department

Abu Dhabi Police GHQ - Security Media

Chris Cron +971-(0)-50-987-1317

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Sending something special in the mail? Need an upscale look for that business presentation? Duck® Brand Self-Locking Boxes come in all white for a clean, upscale look. Easy to assemble thanks to self-locking tabs, you can open and close the boxes without bends or tears so they’re perfect for storing and reuse. Plus, they come in a spectrum of sizes, including dimensions fit for catalogs and binders making them an ideal choice for all your business-to-business needs.

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Steep Local Penalties

Read this tip to make your life smarter, better, faster and wiser. LifeTips is the place to go when you need to know about Boating Under the Influence and other DUI topics.

Steep Local Penalties

1 800 DUI LAWS Tip: Did you know that if your driving license is suspended as a result of a violation of California boating under the influence laws, you are affected by the same rules that affect drunk driving cases? This can include DMV hearings to get your license back! Also, any violation of underage drinking laws or underage blood alcohol content will further complicate your case.

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William Pirraglia


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Meadow Counselling

Using a blend of person centred and psychodynamic approaches our experienced therapist works with clients from our private practice based within Northampton.

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Dynon Aviation Data Advisory: KOAK (Oakland) Class C Airspace

Date: April 23, 2012

Pilots Affected:

This Aviation Data Advisory only applies to SkyView-equipped aircraft that use the free Dynon-provided Aviation Data in or around the KOAK (Oakland International) class C airspace.

Aviation Data Affected:

Issue is known to be present in the 5 April 2012 - 1 May 2012 cycle of FAA/AeroNav aviation data (free US-only data) available from the Dynon Database Downloads Page.

This issue is likely to be present in earlier data cycles. Dynon does not know if or when AeroNAV/FAA will correct the issue in future data cycles.

Dynon Avionics has notified the FAA/AeroNav of the error in this data.

Description of Problem:

The Class C airspace altitudes for KOAK (Oakland International) are incorrect.

The paper sectional for this area depicts the ceilings for KOAK's class C airspace with a ceiling of "T" instead of a numerical altitude as is usually the case. A ceiling of "T" means that the class C airspace ends at the floor of the airspace immediately above it. In this case, this means that KOAK's class C ceiling is at SFO's class B floor in places. Since SFO's class B and KOAK's class C airspace are not perfectly aligned, KOAK class C has a variable ceiling.

The FAA/AeroNav data that is available on SkyView contains numerical values for the KOAK airspace ceilings that are not "cut up" into enough areas to accurately represent the variable ceiling of the KOAK class C airspace. Therefore, the FAA/AeroNav data that is distributed by Dynon can mislead the pilot into believing that the aircraft is not in class C or class B airspace when, in fact, the pilot remains in KOAK's class C airspace.

Dynon recommends that pilots use supplemental navigation data when transiting the KOAK airspace area.


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Thursday, December 17, 2009

Google Sketchup & Build Your Town

As I mentioned before, Google is partnering with the DE and AEAs to provide Google Sketchup to Iowa schools.

For teachers interested in using Google Sketchup but unsure of a hook to your classroom, you should know about the Model Your Town Contest from Google. The contest asks students to design 3d renderings of buildings in their towns via Sketchup, and then submit those for Google Earth.

Grant Wood AEA has taken the lead on this and is offering training for teachers in Google Earth. You can check out their website for more details about the project. Heartland AEA is developing an online course for Google Sketchup as well. Those interested to know more can contact me or Denise Krefting at the Heartland office.

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Friday, December 2, 2011

Happiness and Weekend Reads

Yesterday I took a trip down memory lane and visited the office of an old summer camp I used to attend. I was looking for old yearbooks in the hopes I might find pictures of my awkward 8 year old self. I'm not really sure what prompted me to do this other than just an odd curiosity. Unfortunately, there was a fire and they lost all the old yearbooks, but my mission wasn't a complete waste! I came across this awesome plaque, sitting on the office floor, which I couldn't resist posting a picture of. After all, it is true, right? Happiness and marshmallows...yep...pretty much the same thing. :)

1 comment:

Josie said...

I've been having major hot chocolate and marshmallow cravings lately, so yep, this is pretty much true for me!

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