City Utilities of Springfield elected to add a 300-MW coal-fired plant to its fleet to meet rising demand for electricity. It was the first coal plant constructed by the utility since 1976. An extremely competitive construction market required the utility to adopt new contracting practices to meet a tight project schedule, an approach that proved very successful. The $555 million plant commissioned in January 2011 is expected to cover system growth at least through 2024.

Dupuytren's disease is a progressive fibroproliferative disorder of an unknown origin affecting the hands causing permanent flexion contracture of the digits. Significant risk factors for development of Dupuytren's disease include old age, male sex, white northern European extraction, presence of positive family history of Dupuytren's disease, and diabetes mellitus. The disease also seems to deteriorate rapidly in those cases showing young age of onset and additional fibromatosis affecting the back of the hands, soles of the feet and the penis. Although there is no cure, patients with Dupuytren's disease of the hand may gain a significant functional benefit following surgical improvement or correction of the deformity. With realistic expectations, timely and appropriate surgical technique in a specialist centre, and attention to postoperative recovery and rehabilitation (occupational therapy and physiotherapy support), a beneficial outcome can be achieved in most cases.

  One important fact getting overlooked in all the discussion of whether FBI Attorney Kevin Clinesmith’s guilty plea represents the sacrifice of a minor criminal so the ringleaders can escape justice or the beginning of the end for those who were running the show is exactly whose show Clinesmith was a part of when the crime he’s admitted committing occurred.