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Stock Market & Financial Investment News
News Breaks
August 6, 2014
Medtronic CEO says 'progressing' in Covidien deal approval process
Omar Ishrak is speaking on CNBC.
News For MDT;COV From The Last 14 Days
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October 1, 2014
Medtronic has upside in multiple scenarios, says BofA/Merrill
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September 30, 2014
On The Fly: Analyst Initiation Summary
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Medtronic initiated with a Buy at Needham
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September 29, 2014
U.S. tax regulations may require Medtronic-Covidien renegotiations, Reuters says
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September 26, 2014
Market ends week lower after inversion crackdown, mixed data
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September 25, 2014
Medtronic deal for Covidien still attractive despite new rules, says Bernstein
Bernstein believes that Medtronic's (MDT) deal to acquire Covidien (COV) is still attractive despite the new Treasury rules on tax inversions and the firm thinks the acquisition will still be completed. The firm estimates the transaction would still be 4% cash accretive in FY16 and 9% accretive in FY17 if Medtronic raises debt to fully finance the cash portion of the deal. Bernstein maintains its Outperform rating on Medtronic.
September 24, 2014
Summer Street Director of Research to hold an analyst/industry conference call
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Experts see new tax rules not halting inversions, WSJ reports
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September 23, 2014
On The Fly: Closing Wrap
Stocks on Wall Street were lower after the U.S. took new action to clamp down on tax inversion deals and led airstrikes against Islamic State militants in Syria, while Europe reported weaker than expected manufacturing data. ECONOMIC EVENTS: In the U.S., the FHFA's home price index rose 0.1% in July to 212.7, missing expectations for an increase of 0.5%. Markit's preliminary manufacturing Purchasing Managers' Index for September came in at 57.9, slightly below the consensus forecast for a 58.0 reading. In China, HSBC's flash manufacturing PMI rose to 50.5 from a final reading of 50.2 in August, better than expectations. In Europe, Markit's composite flash PMI for the eurozone dipped to a nine-month low of 52.3, missing expectations for it to hold steady with its 52.5 reading for August. COMPANY NEWS: The shares of a number of companies that have announced or been speculated as targets in tax inversion deals fell after the U.S. Treasury last night issued new regulations that will make such deals less attractive. AstraZeneca (AZN), which has previously turned down an offer to be acquired by the U.S.'s Pfizer (PFE), sank $3.54, or 4.74%, to $71.13 despite a Bloomberg report that said Pfizer is still considering pursuing a deal with the U.K. drugmaker. AbbVie (ABBV), which has a deal in progress to acquire Shire (SHPG) and thus move its tax domicile to Ireland, fell $1.15, or 1.96%, to $57.56, while Shire shares slid $5.56, or 2.17%, to $250.74. Medtronic (MDT), which is pursuing its own inversion deal with Covidien (COV), dropped $1.90, or 2.88%, to $64.08. MAJOR MOVERS: Among the notable gainers was Herbalife (HLF), which rose $3.88, or 9.65%, to $44.09, bouncing back from a pullback yesterday that had been attributed to rumors of Carl Icahn selling out of his stake in the company. Also higher was Plug Power (PLUG), which rose 40c, or 9.57%, to $4.58 after the company's CEO gave FY15 revenue guidance that was above the consensus Street view in an interview with the Albany Business Review. Among the noteworthy losers was Ascena Retail (ASNA), which dropped $2.78, or 16.82%, to $13.75 after the apparel retailer's fourth quarter results and fiscal 2015 profit outlook trailed analysts' consensus estimates. Also lower were shares of used car retailer CarMax (KMX), which fell $5.01, or 9.49%, to $47.80 after the company reported sluggish comparable used car sales in its second quarter. INDEXES: The Dow declined 116.81, or 0.68%, to 17,055.87, the Nasdaq dropped 19.00, or 0.42%, to 4,508.69, and the S&P 500 fell 11.52, or 0.58%, to 1,982.77.
On The Fly: Midday Wrap
Stocks on Wall Street were mixed and little changed at midday, amid new rules from the Obama administration on tax inversions and manufacturing data from around the globe. ECONOMIC EVENTS: In the U.S., the FHFA's home price index rose 0.1% in July to 212.7, missing expectations for a rise of 0.5%. Markit's preliminary manufacturing Purchasing Managers' Index for September came in at 57.9, slightly below the consensus forecast for a 58.0 reading. The Richmond Fed manufacturing index for September rose to 14, beating expectations for it to have dropped two points to 10. In China, HSBC's flash manufacturing Purchasing Managers' Index rose to 50.5 from a final reading of 50.2 in August, better than expectations. In Europe, Markit's composite flash PMI for the eurozone dipped to a nine-month low of 52.3, missing expectations for it to hold steady at the 52.5 seen in August. COMPANY NEWS: Shares of several companies, including a number in the pharmaceutical industry, are lower in early trading after the Treasury Department announced new regulations yesterday night that aim to make it tougher for U.S. companies to lower their tax burdens via mergers with foreign companies, otherwise known as "inversions." Among the stocks that moved lower after the new rules were announced was Astrazeneca (AZN), which had previously been a target of Pfizer (PFE) and fell about 4% near midday. Also lower were shares of both Shire (SHPG), which fell 2%, and Abbvie (ABBV), which dropped 1.6%, as the two have previously agreed to merge in a tax inversion deal. Medtronic (MDT) and Covidien (COV), which similarly agreed to an inversion merger, were down 3.3% and 2.7%, respectively. MAJOR MOVERS: Among the notable gainers was Salix Pharmaceuticals (SLXP), which rose more than 5% after The Wall Street Journal reported that Allergan (AGN) is in advanced talks on a deal to buy the company. Shares of Allergan were also up nearly 3% near midday, as the Journal also reported that Allergan rejected a recent buyout offer from Actavis (ACT). Among the noteworthy losers was Ascena Retail (ASNA), which dropped 16% after the apparel retailer's fourth quarter results and fiscal 2015 profit outlook trailed analysts' consensus estimates. Also lower following its own earnings report was auto retailer CarMax (KMX), which fell over 9%. INDEXES: Near midday, the Dow was down 32.91, or 0.19%, to 17,139.77, the Nasdaq was up 2.90, or 0.06%, to 4,530.59, and the S&P 500 was down 2.29, or 0.11%, to 1,992.00.
Medtronic moves lower as Treasury seeks to curb inversions
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Stocks, analysts react to Treasury inversion crackdown
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Leerink medical devices analyst holds an analyst/industry conference call
Medical Devices Analyst Antalffy discusses the ultimate market opportunity for leadless pacers and compares Medtronic vs St. Jude Medical on an Analyst/Industry conference call to be held on September 24 at 2 pm.
On The Fly: Pre-market Movers
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Inversion regulations look more onerous than expected, says FBR Capital
FBR Capital says the new regulations announced last night by the Treasury and IRS contain appear more onerous than expected. FBR points out the proposed changes remove the ability of inverting companies to make "hopscotch loans" between the foreign and domestic subsidiaries. The firm believes the regulations will not end the practice of inversions, and it still expects completion of already announced deals.
Medtronic will still pursue Covidien deal, says Citigroup
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Treasury, IRS announce plans to reduce inversion tax benefits
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September 22, 2014
Medtronic announces CE Mark, European launch for TYRX envelope
Medtronic has received CE, or Conformit� Europ�enne, Mark for the TYRX Absorbable Antibacterial Envelope, which covers an implantable cardiac device to help stabilize the device after implantation and reduce surgical-site infections.
September 19, 2014
Senators bring bill requiring companies to settle before inverting
U.S. Senators Sherrod Brown and Dick Durbin announced new legislation requiring corporations to "Pay What You Owe Before You Go" � settling their U.S. tax bill before relocating to a foreign country. "Everyone knows that before you leave a restaurant you have to settle your tab," Brown said. "Corporations shouldn�t get to play by different rules. While it is critical that we reach a long-term solution that reforms our international corporate tax code by implementing a global minimum tax and reducing the statutory tax rate, this bill is an immediate, commonsense measure to ensure businesses settle up before leaving the U.S." Among the deals or possible transactions that involve inversion are Mylan's (MYL) acquisition of Abbott (ABT), Medtronic's (MDT) acquisition of Covidien (COV) and Valeant's (VRX) proposed takeover of Allergan (AGN).
September 18, 2014
NY AG announces national settlement with Medtronic for Medicaid violations
Attorney General Eric T. Schneiderman announced that 46 states and the District of Columbia have reach a settlement agreement with Minnesota-based company Medtronic to resolve claims under the False Claims Act that Medtronic improperly induced physicians to recommend Medtronic devices to treat cardiac rhythmic disease. New York led a national team composed of members from Oregon, Texas and California to negotiate the settlement. The federal government settled its matter in May of this year...The agreement requires Medtronic to pay the settling states $362,362, which will go to those states� Medicaid programs. The matter was brought by a whistleblower, Adolfo Schroeder, and was filed in U.S. District Court for the Eastern District of California. The Attorney General would like to thank Mr. Schroeder for bringing this matter to the government�s attention. Under the terms of the agreement, the New York Medicaid Program will receive $67,369.31.
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Ninth Circuit Appellate Practice Guide Posted
The Appellate Lawyer Representatives' Ninth Circuit Practice Guide is available for the downloading from the Ninth Circuit's web site. It's a how-to for preparing and filing a brief in the federal appellate court out yonder in California. But it's chock full of good tips no matter what jurisdiction you find yourself in.
You'll want to look at the Top Technical Flaws In Briefs. Some of these are more than just technical. Don't make one of these head-shaking mistakes.

subset: commoncrawl


text:
Servings: 8 servings
Prep Time: 20 min
Cook Time: 40 min
Difficulty: Easy
Butter, for pans
2 cups all-purpose flour, plus more for pans
2 cups sugar
2 teaspoons baking soda
2 teaspoons ground cinnamon
1 teaspoon salt
4 eggs
1 1/2 cups vegetable oil
3 cups grated carrots
1 1/2 cups chopped pecans, optional
2 (8-ounce) packages cream cheese, room temperature
1 stick salted butter, room temperature
1 (16-ounce) box powdered sugar
1 teaspoon vanilla extract
1/2 cup chopped pecans
Preheat oven to 350 degrees F. Grease and flour 3 (9-inch) round pans; Line bottom of the pans with parchment paper.
In a large bowl, combine flour, sugar, baking soda, cinnamon, and salt. Add eggs and vegetable oil. Using a hand mixer, blend until combined. Add carrots and pecans, if using.
Pour into pans. Bake for approximately 40 minutes. Remove from oven and cool for 5 minutes. Remove from pans, place on waxed paper and allow to cool completely before frosting.
For the frosting:
Add all ingredients, except nuts, into a medium bowl and beat until fluffy using a hand mixer. Stir in the nuts. Spread frosting on top of each cake layer. Stack the cakes on a serving plate and serve.
This is the best carrot cake I made in my life ¡is wonderful!. All my family loved it. Thanks a lot Paula.
By Ma. de la Luz on April 19, 2014
Very wet, stuck to the pan and it didn't look like cake. Looked greasy and gross. Not much of a cake consistency.
By Sarah on April 19, 2014
What are the orange twirls in the top of the cake. They look great.
By Satya on April 10, 2014
I've started a food service business and a customer asked me to make a carrot cake for New Years Day. This is by far the best carrot cake I've ever tasted. This cake will definitely bring return customers to my business. I always go to your web site to find the best recipes. Thanks and have a blessed new year.
By M. Davis on January 01, 2014
Made this cake for my Dad's 85th Birthday! It was a hit!!
By Camille Weeks on December 30, 2013
God bless you, Paula.
By Anne Yoder McDonald on December 17, 2013
I made this cake for Thanksgiving and it was a hit! I had never considered making a carrot cake and my sister suggested this recipe. I will definitely make this in the future.
By Lisa on December 13, 2013
I really don't know how to rate this because there isn't any liquid for this cake other than oil. I wasted my money .something is wrong!!
By Brenda Davis on September 19, 2013
I miss your cooking show,you have great recipies and great personality. It made me mad when they took your show of the cooking chanel. Who are they to judge, just leave Paula alone after all this is a free country right. I love all your recipies and they are easy and simple to make thank you very much.
By Nora E treadway on August 12, 2013
Loved this cake! Very moist! Paula, thank you for sharing your cherished family recipe!
By Connie McClanahan on August 07, 2013
OUTSTANDING!!! I had some of my carrot cake leftover and took it to work the next day and EVERYONE MADE A POINT of telling me how it was the best carrot cake they ever tasted!! Thanks Paula, you're da bomb!!!!
By Cheryl on July 10, 2013
This is the best carrot cake ever!!I give it 5 stars. I only make it for special occasions and everyone always loves it.
By GMB on June 18, 2013
The recipie is amazing. I added lemon zest to give it my touch, but any way I don't think it needed, just the best carrot cake ever. Thank yuo so much for sharing it.
By Monica on April 21, 2013
Made this cake and replaced the oil with applesauce, WOW! Everyone begged me for the recipe:) Thanks!
By princess on March 31, 2013
I've made this cake for my husband and son's birthday parties and didn't have a crumb left over afterward. I recently used this recipe for cupcakes and those were just as big of a hit. The only problem with a recipe this good is that, once people know you can make it, they want you to make it all the time! It is delicious!!!
By Nita on March 04, 2013
I love carrot cake and will definitely try this one.
By Patricia Jiongo on March 02, 2013
Amazing!! I got so many compliments on this cake. I do have a suggestion - increase the batter by 25% to make the layers a little thicker. I only say that because the sides can get a little crunchy and that could be because of over baking it, but i really think a thicker cake helped this. so so delicious!! Thank you Paula!!
By nidya on January 23, 2013
JUST AMAZING!! Thanks Paula for this recipe, I used to watch your shows every day when I lived in Honolulu! I came back and made this recipe... everybody was amazed with this deliciuos cake. kisses from Spain!
By Elena on December 16, 2012
Make this for every holiday and everybody always LOVES it!! Best carrot cake I have ever eaten! This recipe makes a huge cake though. Usually, I cut the recipe in half and bake the batter in a mini cupcake pan. Makes about 24-36 mini cupcakes. The mini cupcakes freeze well too! I frost them up, put them in a glass container with a lid (trying not to squish the tops), and toss them in the freezer. Take them out for 5 mins before serving and they taste delicious!!! I also substitute the oil for applesauce (the cake is healthy then, right??).
By Amanda on December 11, 2012
this is my favorite recipe. I love it.
By Keyba Smith on December 03, 2012
My Recipe Box | Log in to view
Come see Paula's live show at the Alabama Theatre in Birmingham, AL and get a heaping helping of Paula's recipes, and some good old-fashioned fun and laughter!
Tickets available from Ticketmaster here!
Sponsored by Springer Mountain Farms.
Inspired by her early days of selling lunches as The Bag Lady, Paula Deen will host a Box Lunch to End Hunger, presented by The Bag Lady Foundation, Springer Mountain Farms, and Hoffman Media. This grab-and-go lunch event will be held at the Birmingham Botanical Gardens on Tuesday, September 16 from 11:30 a.m. until 1:00 p.m. For a $15 donation at the door (no advanced tickets), guests will receive a box lunch prepared by Edgar's Bakery featuring Springer Mountain Farms chicken and Golden Flake potato chips, and have the opportunity to meet Paula Deen. Grab these delicious boxed lunches and take them back to your office or share with a friend or neighbor. One hundred percent of proceeds will be donated to the Community Food Bank of Central Alabama, which serves 12 counties in our area. For the price of one lunch, 135 meals or 65 pounds of food can be distributed to the food insecure in our area.
"Since September is Hunger Action Month, the timing of this event couldn't be more perfect," says Brian Hart Hoffman, Chief Creative Officer at Hoffman Media. "Paula Deen's dedication to helping those in need and positively impacting people's lives every day makes this event ideal for getting our community involved in the fight to end hunger in Central Alabama."
Each guest will be entered into a raffle to win front-row seats to the Paula Deen Live! show at the Alabama Theatre the same evening.
Sponsors for Paula Deen's Box Lunch to End Hunger include Golden Flake and Edgar's Bakery.
The Birmingham Botanical Gardens are located at 2612 Lane Park Road Birmingham, AL 35223.
Come see Paula's live show at the Times Union Center for Performing Arts in Jacksonville, FL and get a heaping helping of Paula's recipes, and some good old-fashioned fun and laughter!
Tickets available from Ticketmaster here!
Sponsored by Springer Mountain Farms.


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|Grotech Ventures
Link up your social media account to automatically promote the positions at Plink.
Get a job alert every time Plink posts a job.
If you are a motivated, hard worker and you?re excited to be an integral part of a new and innovative start up, we want to hear from you! Plink is a new online to offline rewards program that motivates our members through online media channels to shop and dine offline. We have7/15/2014 Denver, CO Save This Job


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South Sequin Camo Skirt
The new season sees iridescent fabrics put a sparkling spin on classic camouflage in this gorgeous sequin skirt by South.
Camouflage is back with a bang and this season sees the print refuse to blend into the background! Case in point is this camo skirt which fuses the military-inspired print with dazzling sequins for directional new season style. With an elasticated drawstring waist it's a wearable piece that'll see you from day-to-night. Contrasting sequins add texture and subtle shimmer for a touch of glamour, while pockets to the front lend an air of insouciance for effortless chic.
Wear this camo sequin skirt during the day with a chunky tonal knit and boyish brogues. After dark pair with the matching sequin camo top and Shoe Box two part sandals for top to toe sparkle.
Useful info:
- Skirt by South
- All-over sequin camouflage design
- Elasticated drawstring waist
- Two pockets to front
South Value Tube Skirts (2 Pack)
- In Stock
6 reviews
- Delivery
- Next day delivery available
South Value Tube Skirts (2 Pack)
Both items must be returned for a full refund.Colours: Stripe/Black. 95% cotton, 5% elastane. Machine washable.
South Denim Mini Skirt
- In Stock
53 reviews
- Delivery
- Next day delivery available
This season, a denim skirt lends a classic 80's feel to your casual look. We love the length of this South denim mini skirt for a stylish summer look.
This South denim mini skirt is chic and simple. The front and back pockets add a touch of functional detail while the zip fly fastening perfects the fit. This denim skirt is available in an indigo or a vintage wash and the excellent quality cotton will quickly make this mini skirt a favourite.
Pair this South denim mini skirt with strappy sandals or gladiators. Wear this skirt with a jersey top for a pretty, laidback style. Wedge heels add height for a playful and flattering finish. Indigo.
Useful info:
- Denim mini skirt by South
- Front and back pockets
- Zip fly fastening
- Length 16 inch
South Jersey Maxi Skirt
- In Stock
7 reviews
- Delivery
- Next day delivery available
South Jersey Maxi Skirt.
Length 38 inch.Colour: Black. 95% viscose, 5% elastane. Machine washable.
South Ponte Ribbed Pencil Skirt
When you've special plans after a day in the office this ponte ribbed pencil skirt is the perfect pick-me-up to take you out after five!
This figure-hugging pencil skirt will perfect your working wardrobe – its block colour great for pairing with pretty printed blouses and crisp shirts. In a stretch ponte knit this skirt will cover you comfortably from day through to night for an easy all-day wear.
Wear this pencil skirt with a South printed blouse and slick black courts by Shoe Box for a look that'll take you to dinner with friends once the working day is done.
Useful info:
- Pencil skirt by South
- Stretch knit panels to sides
- Length: 25 inches
Definitions Lace Skirt
Inside leg approx 28 inch.Colour: Navy. Shell: 64% cotton, 36% polyamide, Lining: Polyester. Machine washable.
Love Label PU Mini Skirt
- In Stock
5 reviews
- Delivery
Love Label PU Mini Skirt
Add some serious sass to your style this season in this PU mini skirt by Love Label.
This marvellous mini is all you need to flaunt your enviable pins in! In faux leather fabric its neutral tone will go with all of your understated wardrobe favourites and printed pieces. Its snake skin effect lends all of your looks a touch of luxe, while zip detail to the front and an exposed zip fastening to the back adds edge to your style.
Wear this gorgeous faux leather skirt with the ditsy heart print boxy shirt by Love Label. Slip your feet into your favourite shoe boots for flirty Friday night style.
Useful info:
- Mini skirt by Love Label
- Zip detail to front
- PU fabric
South Textured Fashion Pencil Skirt with Illusion Panel
- Low stock, selling fast
8 reviews
- Delivery
South Textured Fashion Pencil Skirt
Add a touch of texture to your workwear wardrobe this season in this fashion pencil skirt by South.
This figure flaunting pencil skirt is just the thing to liven up your nine-to-five looks. Show off your shape in its textured fabric that clings to your curves for a feminine look that means business! With a black contrast waistband and contrast welt pockets to the front this is a sleek piece with bold detail.
Wear this pencil skirt with a crisp white shirt by South and two part heeled sandals by Ravel for a chic and sleek nine-to-five look.
Useful info:
- Pencil skirt by South
- Two contrast welt pockets to front
- Zip fly fastening to back
- Split to hem to back
- Contrast waistband
- Worn length: 26 inches
So Fabulous Jersey Maxi Skirt (Available in sizes 14-28)
- In Stock
25 reviews
- Delivery
- Next day delivery available
So Fabulous! Jersey Maxi Skirt
This maxi skirt by So Fabulous! is light, comfortable and perfect for grounding the seasons favourite hot prints and patterns.
This skirt features an elasticated waist for an easy pull-on style. The soft fabric makes it the perfect choice for wearing with a cute pair of embellished sandals or ballet flats. The black hue of this piece promises plenty of drama for a gorgeous skirt that works for day or for evening.
Wear this So Fabulous! maxi skirt with lace-up pumps or strappy sandals. Add a coloured blouse for an instant style fix or go classic with an embellished denim shirt.
Useful info:
- Jersey maxi skirt by So Fabulous!
- Elasticated waist for a pull-on style
- Designed for girls with curves
- Worn length: 36 inches
So Fabulous Eyelash Lace Hem Pencil Skirt
- In Stock
0 review
- Delivery
- Next day delivery available
So Fabulous Eyelash Lace Hem Pencil Skirt
Stretch textured jersey pull on skirt. Eyelash lace detail to the hem. Worn length: 28 inch.Colour: Black. 99% polyester, 1% elastane. Machine washable.
So Fabulous Pencil Skirt (Available in sizes 14-28)
- In Stock
45 reviews
- Delivery
- Next day delivery available
So Fabulous! Pencil Skirt
If it's sleek, chic and understated you're after, this So Fabulous! pencil skirt is the perfect pick. This pencil skirt is great for a glammed up evening look, but makes for a gorgeous day look, too.
This pencil skirt by So Fabulous! has been designed to complement your curves. The pull-on style makes this an easy-to-wear piece and we love the length for a classic ladylike finish. With a gentle stretch to the fabric this So Fabulous! pencil skirt flatters your shape for a figure-friendly skirt that's exceptionally versatile.
Pair this jersey pencil skirt with a floaty chiffon top for a soft and feminine finish. Add tall peep toe heels and an embellished clutch bag.
Useful info:
- Jersey skirt by So Fabulous!
- Pull-on style; stretch to fabric
- Worn length: 26 inch
Coleen Rooney Mock Wrap Jacquard Skirt
Channel Coleen's love of the sixties in this mock wrap jacquard skirt from her latest collection.
The hot pink hue of this skirt combined with the jacquard fabric gives it a Jackie O look straight out of the 1960s. In a mock wrap style the hemline is given a vintage appeal, while the length makes it a perfect work-to weekend piece.
Wear this jacquard skirt with the matching jacquard top and nude court shoes. Add a colourful statement necklace for impact.
Useful info:
- Jacquard skirt by Coleen Rooney
- Mock wrap style
- Length: 17 inches


text:
Ethiopia, 1954. Twin brothers Shiva and Marion Stone's Indian-nun mother dies during their birth and their British father abandons them. As revolution brews decades later, Marion, a surgeon, flees to America, where he eventually confronts his past.
This book, pubished in 2009, is in the Library for the Blind and Physically Handicapped collection as DB 70131 (21 hrs, 24 min) and in the main DC Public Library collection in Regular Print, Large Print, Book on CD, e-book and e-audio.
Book Clubs
The DC Public Library offers a variety of book clubs for residents to gather and discuss their love of books. Below is a list of just some of the clubs offered. Please note that sometimes book club events are canceled or rescheduled due to unforeseen circumstances. Please check the calendar to make sure an event is scheduled on the date you wish to attend. You can also call the library where the event is scheduled.
Book Club With a Beat
Got a love of music? Want to know more about your favorite band? Curious where that beat came from? Join us the first Tuesday of every month in room 221 at Martin Luther King Jr. Memorial Library to discuss and listen to our incredible, popular music traditions. If you have book recommendations or questions please email email@example.com or call 202-727-1291.
Books & Bars Book Club
Join us at Bistro D'Oc at 518 10 St. NW on the third Wednesday of each month for a modern-day book club. Books & Bars is a book club that promises great food, drinks, a comfortable atmosphere and great discussion on today's most intriguing books. For more information, check out the Books & Bars page, or contact Kari Mitchell at kari.mitchell.dc.gov.
Cleveland Park Library Mystery Book Club
This club meets the first Thursday of each month on the 2nd floor at Barnes & Noble, 12th and E streets N.W. The group chooses the books each month, two to three months in advance. All types of crime writing are considered, from cozies to noir. Monthly notice is sent by e-mail. You don't have to join the group to receive the e-mail. For more information, contact Barbara Gauntt at the Cleveland Park Neighborhood Library. Call 202-282-3072 for more information.
Francis Gregory Adult Book Club
This club for adults only meets every fourth Wednesday at Francis Gregory Neighborhood Library. Selections include fiction (mystery, romance, history, short stories, classics, etc.) and nonfiction (biography, travel, finance, etc.). The facilitator invites suggestions from customers, book club members and staff. Past selections include The Heart Is a Lonely Hunter by Carson McCullers, The Wake of the Wind by California Cooper and The Audacity of Hope by Barack Obama. Call 202-727-6044 for more information.
Georgetown Book Club
We meet on the third Thursday of each month at 7:30 p.m. at the Georgetown Neighborhood Library branch of DC Public Library. We make copies of the books we read available at the Georgetown Neighborhood Library, so there is no need to purchase titles. Anyone who likes to read literary fiction and the occasional nonfiction title is welcome, as are suggestions for upcoming titles. For more information, please e-mail firstname.lastname@example.com or call 202-727-0232.
Mt. Pleasant Library Book Club
We meet the fourth Thursday of every month in Conference Room #1 at 7 p.m. We alternate fiction and nonfiction every month. Everyone is welcome! For more information, please contact Ana Elisa at firstname.lastname@example.com or call 202-671-3122.
Palisades Library Book Club
This club meets once a month on the third Tuesday at the Palisades Neighborhood Library. The club reads a wide variety of fiction and nonfiction with occasional forays into poetry and plays. Everyone makes suggestions, and the club chooses the selection by group consensus. For more information, contact the library at 202-282-3139.
Southeast Adult Book Club
The club meets the last Tuesday of each month (unless there are holiday issues) at 7 p.m. For more information, contact the library at 202-698-3377.
Twentythirtysomething Book Club (T.T.B.C.)
We are a fiction and nonfiction book group for local readers between ages 21 and 35, and we meet every month at a bar located in or near Georgetown. For more information, including meeting dates and locations, check out our Meetup page or email email@example.com or firstname.lastname@example.com.
Watha T. Daniel/Shaw History Book Club
The American History Book Club meets on the first and fourth Mondays of each month at Watha T. Daniel/Shaw Interim Library. We cover Presidents and Reformers through recent biographies. We discuss the new understanding of well known figures that emerage in the biographies. Each month we consider a new figure using these biographies. For more information, contact the library at 202-671-0265.
West End Book Club
This club meets at the West End Neighborhood Library the third Tuesday of every month. Call 202-724-8707 for more information.
'Cutting for Stone' by Abraham Verghese
Published on Saturday, February 1, 2014
Ethiopia, 1954. Twin brothers Shiva and Marion Stone's Indian-nun mother dies during their birth and their British father abandons them. As revolution brews decades later, Marion, a surgeon, flees to America, where he eventually confronts his past.
Featuring "The Emperor's New Clothes"
Published on Friday, January 24, 2014
Calling all readers!
Please join us in the children's room on Monday, Feb. 3 at 4 p.m. for our Reader's Theatre program.
Georgetown Book Club's February Selection
Published on Friday, January 17, 2014
In 1845, Frederick Douglass--already a successful orator and a significant figure in the abolitionist movement -- raised his profile even further with the publication of his Narrative of the Life of Frederick Douglass, an American Slave.
'Life After Life' by Kate Atkinson
Published on Wednesday, January 15, 2014
Ursula Todd was born and died on a cold, snowy night in 1910. That same night, she was born again. Thus Ursula will spend her life: dying. As she grows up, will she use this seemingly inexhaustible store of lives for good? To correct mistakes in her life or prevent the world from heading toward another devastating world war?
Shortlisted for the 2013 Orange Prize for Literature, the Costa Book Awards, and the Women's Prize for Fiction, Kate Atkinson's latest novel is also on the New York Times' 10 Best Books of 2013 list.
A community discussion on Saturday, Jan. 25 at 1 p.m.
Published on Saturday, January 11, 2014
You are cordially invited to attend the Southwest book discussion of Where Do We Go From Here: Chaos or Community? by Martin Luther King Jr. on Saturday, Jan. 25 at 1 p.m.
Copies are available for checkout at the Southwest Library.
Featuring 'The Fisherman and His Wife'
Published on Monday, January 6, 2014
Calling all readers!
Please join us in the children's room on Monday, Jan. 13 at 4 p.m. for our Reader's Theatre program.
Kitchen Table Book Discussion selection, January 2014
Published on Saturday, January 4, 2014
Award-Winning Young Fiction Writers Continues Thursday, Jan. 9
Published on Tuesday, December 31, 2013
This month we're reading Salvatore Scibona's The End, a finalist for the National Book Award in 2008 and winner of the New York Public Library Young Lions Fiction Award the following year.
Featuring 'Puss in Boots'
Published on Saturday, December 28, 2013
Calling all readers!
Please join us in the children's room on Monday, Jan. 6 at 4 p.m. for our first Reader's Theatre program.
Georgetown Book Club's January Selection
Published on Tuesday, December 24, 2013
At 4 years old, Kate Shramm -- the narrator of Curtis Sittenfeld's 2013 novel, Sisterland -- experiences what she and her parents think is a vivid nightmare of a house engulfed in flames. The next night, a house in the Shramms' neighborhood burns to the ground. At dinner soon after, Kate's twin sister Violet mentions that a geographically distant relative is falling down in pain, and that relative soon suffers a fatal heart attack.


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Clinical Trials (PDQ®)
Basic Trial Information
Trial Description
Further Trial Information
Eligibility Criteria
Trial Contact Information
|Protocol IDs
|Phase II
|Temporarily closed
|1 to 31
This phase II trial is studying the side effects of giving bortezomib together with combination chemotherapy and to see how well it works in treating young patients with relapsed acute lymphoblastic leukemia or lymphoblastic lymphoma. Bortezomib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Giving bortezomib together with combination chemotherapy may kill more cancer cells.
Further Study Information
I. To estimate the toxicity, second complete response (CR2) rate at the end of Block 1 therapy, and 4-month event-free survival (EFS) for pediatric and young adult patients with relapsed acute lymphoblastic leukemia (ALL) treated with bortezomib in combination with intensive re-Induction chemotherapy.
II. To evaluate bortezomib pharmacokinetics (PK) in patients receiving the combination regimen.
I. To assess minimal residual disease (MRD) in bone marrow following completion of each therapy block.
II. To assess the feasibility of measuring leukemia initiating cells (LIC) in patient samples before and after chemotherapy.
III. To discover biologic pathways associated with response and drug resistance using gene and protein expression profiles at baseline and following initial exposure to chemotherapy.
IV. To determine if bortezomib inhibits lymphoblast NF-kappa-B activity in leukemia patients.
REINDUCTION BLOCK 1: Patients receive cytarabine intrathecally (IT) on day 1; vincristine sulfate IV on days 1, 8, 15, and 22; doxorubicin hydrochloride IV over 15 minutes on day 1; oral prednisone twice daily on days 1-29; bortezomib IV on days 1, 4, 8, and 11; and pegaspargase intramuscularly (IM) on days 2, 8, 15, and 22. Patients with central nervous system (CNS)-negative disease (CNS1 or CNS2) also receive methotrexate IT on days 15 and 29; patients with CNS-positive disease (CNS3) receive triple intrathecal therapy (TIT) comprising methotrexate, hydrocortisone, and cytarabine IT on days 8, 15, 22, and 29. After completion of reinduction block 1, patients with ALL and M2 or M3 bone marrow proceed directly to reinduction block 2. Patients with ALL and M1 bone marrow or lymphoblastic lymphoma proceed to reinduction block 2 after blood counts recover. Patients with persistent cerebral spinal fluid (CSF) blasts after 6 doses of TIT or patients with progressive lymphoblastic lymphoma are removed from the study.
REINDUCTION BLOCK 2: Patients receive etoposide phosphate IV over 1-2 hours on days 1-5; cyclophosphamide IV over 1 hour on days 1-5; bortezomib IV on days 1, 4, and 8; filgrastim (G-CSF) subcutaneously (SC) or IV daily beginning on day 6 and continuing until blood counts recover*; high-dose methotrexate IV on day 22; and leucovorin calcium orally or IV every 6 hours on days 23 and 24. Patients with CNS-negative disease also receive methotrexate IT on days 1 and 22; patients with CNS-positive disease receive TIT on days 1 and 22. After completion of reinduction block 2, patients proceed to reinduction block 3 immediately or when blood counts recover. Patients with disease progression are removed from the study.
NOTE: *Patients do not receive G-CSF on day 8.
REINDUCTION BLOCK 3: Patients receive cytarabine IV over 3 hours twice daily on days 1, 2, 8, and 9; L-asparaginase IM on days 2 and 9; and G-CSF SC or IV daily beginning on day 10 and continuing until blood counts recover.
After completion of study treatment, patients are followed every 6 months for 3 years and then annually for 2 years.
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of 1 of the following:
- Pre-B acute lymphoblastic leukemia (ALL) in first early (< 36 months from diagnosis) isolated bone marrow or combined bone marrow/extramedullary relapse as documented by histology and immunophenotyping
- T-cell ALL in first isolated bone marrow or combined relapse as documented by histology and immunophenotyping
- T-cell lymphoblastic lymphoma in first relapse as documented by histology
- Measurable disease as documented by clinical, radiographic, or histologic criteria
- Relapsed or refractory to conventional therapy
- No Philadelphia chromosome-positive (Ph+) ALL unless refractory to ≥ 1 tyrosine kinase inhibitor therapy
- Patients who are unable to tolerate tyrosine kinase inhibitor therapy due to toxicity are eligible
- No mature B-cell ALL (i.e., sIg positive and kappa or lambda restricted positivity) with French-American-British Cooperative Group (FAB) L3 morphology and/or myc translocation
- No known optic nerve and/or retinal involvement
- Patients presenting with visual disturbances should have an ophthalmological exam and, if indicated, a magnetic resonance imaging (MRI) to determine optic nerve or retinal involvement
- No extramedullary disease (i.e., isolated CNS disease or isolated testicular disease)
- No concurrent genetic syndrome (e.g., Down syndrome, Fanconi anemia, Kostmann syndrome, Shwachman syndrome, or any other known bone marrow failure syndrome)
- Patients must have a performance status corresponding to Eastern Cooperative Oncology Group (ECOG) scores of 0, 1 or 2; use Karnofsky for patients > 16 years of age and Lansky for patients ≤ 16 years of age
- Creatinine clearance or radioisotope glomerular filtration rate ≥ 70 mL/min OR maximum serum creatinine based on age/gender as follows:
- 0.4 mg/dL (for patients 1 to 5 months of age)
- 0.5 mg/dL (for patients 6 to 11 months of age)
- 0.6 mg/dL (for patients 1 year of age)
- 0.8 mg/dL (for patients 2 to 5 years of age)
- 1 mg/dL (for patients 6 to 9 years of age)
- 1.2 mg/dL (for patients 10 to 12 years of age)
- 1.5 mg/dL (males) or 1.4 mg/dL (females) (for patients 13 to 15 years of age)
- 1.7 mg/dL (males) or 1.4 mg/dL (females) (for patients ≥ 16 years of age)
- Total bilirubin ≤ 1.5 times upper limit of normal (ULN) for age
- Serum glutamate pyruvate transaminase (SPGT) (alanine aminotransferase [ALT]) < 3 times ULN for age (unless elevation due to leukemia infiltration)
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- Shortening fraction ≥ 27% by echocardiogram OR ejection fraction ≥ 50% by gated radionuclide study
- Pulse oximetry ≥ 94% at sea level (> 90% if at high altitude)
- No evidence of dyspnea at rest or exercise intolerance
- No evidence of acute pulmonary infiltrates on chest radiograph
- No known allergy to doxorubicin, cytarabine, etoposide, etoposide phosphate, boron, mannitol, or bortezomib
- No CNS toxicity > grade 2
- Seizure disorder allowed provided patient is on anticonvulsants (e.g., benzodiazepines or gabapentin) and it is well controlled
- Able to receive asparaginase (i.e., no prior severe pancreatitis, stroke, or other toxicity)
- Patients who initially receive asparaginase but discontinue drug due to toxicity are eligible
- Patients with prior allergies to pegaspargase that are clinically significant are eligible provided Erwinia L-asparaginase can be substituted
- Patients who relapse on therapy other than standard ALL maintenance therapy must have fully recovered from the acute toxic effects of all prior chemotherapy, immunotherapy, or radiotherapy prior to entering this study
- At least 14 days since the completion of cytotoxic therapy with the exception of hydroxyurea, which is permitted up to 24 hours prior to the start of protocol therapy
- At least 7 days since the completion of therapy with a biologic agent or donor lymphocyte infusions (DLI); for agents that have known adverse events occurring beyond 7 days after administration, this period must be extended beyond the time during which adverse events are known to occur
- Stem cell transplant or rescue: no evidence of active graft-vs-host disease (GVHD) and ≥ 4 months must have elapsed; must not be receiving GVHD prophylaxis
- No prior cumulative anthracycline exposure > 400 mg/m²
- No prior bortezomib or other proteasome inhibitors
- No prior reinduction attempts or treatment for prior extramedullary relapse
- Patients with primary induction failure are not eligible
- No concurrent anticonvulsants known to activate the cytochrome p450 system (e.g., phenytoin, carbamazepine, and phenobarbital)
- Concurrent benzodiazepines or gabapentin allowed
- No concurrent corticosteroids (including steroids as antiemetics) except as treatment or prophylaxis for anaphylactic reactions OR treatment for pulmonary toxicity
- No other concurrent anticancer chemotherapy or immunomodulating agents
- Patients who relapse while receiving standard ALL maintenance chemotherapy will not be required to have a waiting period before entry onto this study
Trial Lead Organizations/Sponsors
National Cancer Institute
|Terzah Horton
|Principal Investigator
Trial Sites
|UAB Comprehensive Cancer Center
|Alyssa T Reddy
|Ph: 205-934-0309
|Mountain States Tumor Institute at St. Luke's Regional Medical Center
|Eugenia Chang
|Ph: 800-845-4624
|Western Michigan University School of Medicine Clinics
|Jeffrey S Lobel
|Ph: 800-227-2345
|New Jersey
|Overlook Hospital
|Steven L Halpern
|Ph: 973-971-5900
|Legacy Emanuel Hospital and Health Center and Children's Hospital
|Janice F Olson
|Ph: 503-413-2560
|South Carolina
|Cancer Centers of the Carolinas - Faris Road
|Nichole L Bryant
|Ph: 864-241-6251
|McMaster Children's Hospital at Hamilton Health Sciences
|Carol Portwine
|Ph: 905-521-2100ext74595
Link to the current ClinicalTrials.gov record.
NLM Identifer NCT00873093
ClinicalTrials.gov processed this data on September 18, 2014
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Senator Gillibrand Named to Senate Armed Services Committee
January 27, 2011 by Anthony Moll
Today, Senator Kirsten Gillibrand (D-NY), a strong ally during efforts to repeal the military's "Don't Ask, Don't Tell" law, was named to the Senate Armed Services Committee (SASC) for the 112th Congress. Along with other Congressional allies, Gillibrand fought to make repeal legislation a reality in 2010, and has been at the front of efforts to allow service members to serve openly since coming to the Senate in 2009.Continue Reading ►
Senate Leaders Come to Agreement on Senate Fix
January 27, 2011 by Ty Cobb
Senators Reid and McConnell announced today that they have reached agreement on a bi-partisan set of reforms to improve the functioning of the United States Senate. In recent years, particularly during the last Congress, the abuse of Senate rules led to continual filibustering and partisan gridlock. These problems delayed essential executive branch appointments, the appointment of equality-minded judges, as well as the passage of "Don't Ask, Don't Tell" repeal legislation.Continue Reading ►
RFK Jr. is a New Yorker for Marriage Equality
January 27, 2011 by Anthony Moll
The Human Rights Campaign is excited to launch its eleventh video for the New Yorkers for Marriage Equality campaign with the addition of attorney, author and activist Robert F. Kennedy Jr., son of iconic Senator Robert F. Kennedy. Kennedy's voice raises the profile of this timely fight for equal marriage rights in the Empire State. The new video can be viewed online at http://www.hrc.org/NY4marriage. Continue Reading ►
Republicans Introduce Anti-Equality Measures in States Across the Nation
January 27, 2011 by Sarah Warbelow
The Republican wave that swept the country in the November elections was supposed to be a referendum on the state of the economy and the widespread lack of jobs, not on the rights of LGBT Americans. While that has been true in some cases, in several states conservatives are instead using their new-found power to put the rights of LGBT Americans on the chopping block.Continue Reading ►
Equality on the move in Hawaii
January 26, 2011 by Sarah Warbelow
Yesterday was a great day for the equality movement in Hawaii. Not only did the Senate Judiciary Committee advance SB 232, a Civil Unions bill on a 3-2 vote, but newly elected Governor Neil Abercrombie nominated Sabrina McKenna, an out lesbian, to the state's Supreme Court.Continue Reading ►
Top Posts
Speaking at Southern Comfort 2014
September 5, 2014
Federal Judge Strikes Down Florida's Ban on Marriage Equality
August 21, 2014
Take a Look: Updates, Photos and Audio from the Seventh Circuit's Marriage Equality Cases Today
August 26, 2014
Seventh Circuit Rules Bans on Marriage Equality Unconstitutional
September 4, 2014


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46 U.S. Code § 10314 - Advances
(1) A person may not—
(b) A person demanding or receiving from a seaman or an individual seeking employment as a seaman, remuneration for providing the seaman or individual with employment, is liable to the Government for a civil penalty of not more than $500.
(c) This section applies to a foreign vessel when in waters of the United States. An owner, charterer, managing operator, agent, or master of a foreign vessel violating this section is liable to the Government for the same penalty as an owner, charterer, managing operator, agent, or master of a vessel of the United States for the same violation.
(d) The owner, charterer, managing operator, agent, or master of a vessel seeking clearance from a port of the United States shall present the agreement required by section 10302 of this title at the office of clearance. Clearance may be granted to a vessel only if this section has been complied with.
Source(Pub. L. 98–89, Aug. 26, 1983, 97 Stat. 567; Pub. L. 99–640, § 10(b)(4),Nov. 10, 1986, 100 Stat. 3550.)
|Revised section
|Source section (U.S. Code)
Section 10314 forbids advance payment of wages to seamen prior to the commencement of the seaman's employment. It provides a civil penalty of $500 for any person making such a payment, and for any person demanding or receiving remuneration for providing a seaman with employment. This means that the use of employment agencies for hiring seamen is prohibited. It also requires compliance with section 10302 regarding the signing of articles of agreement before a vessel can be cleared from a United States port. This section applies to foreign vessels in United States waters but not to fishing vessels, whaling vessels or yachts.
1986—Subsec. (e). Pub. L. 99–640struck out last sentence which read as follows: "However, this section applies to a vessel taking oysters."
The table below lists the classification updates, since Jan. 3, 2012, for this section. Updates to a broader range of sections may be found at the update page for containing chapter, title, etc.
The most recent Classification Table update that we have noticed was Tuesday, August 13, 2013
An empty table indicates that we see no relevant changes listed in the classification tables. If you suspect that our system may be missing something, please double-check with the Office of the Law Revision Counsel.
|Description of Change
|Session Year
|Public Law
|Statutes at Large
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Cinnamon-Soy Braised Pork
Yield: 8 servings (serving size: about 3 ounces meat and 2 tablespoons sauce)
More From Cooking Light
Recipe Time
2 Hours, 50 Minutes
Nutritional Information
Amount per serving
- Calories: 269
- Fat: 10.1g
- Saturated fat: 3g
- Monounsaturated fat: 4.8g
- Polyunsaturated fat: 1.4g
- Protein: 31g
- Carbohydrate: 10.7g
- Fiber: 0.2g
- Cholesterol: 85mg
- Iron: 1.8mg
- Sodium: 475mg
- Calcium: 36mg
- 1 tablespoon canola oil
- 3 1/2 pounds boneless pork shoulder, trimmed
- 6 tablespoons lower-sodium soy sauce
- 1/2 cup Shaoxing wine or dry sherry
- 1/3 cup packed brown sugar
- 2 tablespoons julienne-cut peeled fresh ginger
- 2 (3-inch) cinnamon sticks
- 1 star anise
- 8 teaspoons chopped fresh cilantro
- 1. Heat oil in a Dutch oven over high heat. Add pork to pan; cook 5 minutes or until browned, turning frequently. Remove from pan; set aside.
- 2. Combine soy sauce and the next 5 ingredients (through star anise) in pan over medium heat, and stir until sugar dissolves. Return pork to pan. Cover, reduce heat, and simmer for 2 1/2 hours or until pork is fork-tender. Discard cinnamon and anise. Shred meat into large pieces using 2 forks; toss with sauce. Sprinkle with cilantro.
My Notes
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Cinnamon-Soy Braised Pork Recipe at a Glance
- COURSE: Main Dishes
- CONVENIENCE: Entertaining, Kid-Friendly
- CUISINE: Asian, Chinese
- MAIN INGREDIENT: Pork
- PUBLICATION: Cooking Light
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Internship Description: Social Media/Writer CoordinatorBookmark This
Best Cruises and Travel Now
DescriptionCompany Information: Eva's Best Travel and Cruises is a premier full service travel agency, home-based In Westport, CT. We customize travel for individuals and groups on land tours, resorts, cruises and air+hotel packages. We are an affiliate of Cruise Planners/American Express Travel. We offer our clients professional travel advice, the best travel values, most amenities and outstanding customer service.
ResponsibilitiesIdeal Candidate: Seeking a creative, hard-working, detail -oriented person who is a very good written and oral communicator. Most English, Communications, Media Studies, Business and Hospitality majors will find this job exceptionally exciting! Please have the ability to follow directions, communicate weekly, excellent phone and presentation skills, work virtually, and stay organized.
Benefits: Learn and get hands-on experience from start to finish on how to analyze social media, maximize our company's social media and email marketing efforts, write press releases, presentations, blogs and email marketing pieces. Work virtually from home or elsewhere. Once a week tele-meetings so you won't have to spend the time or money on commuting. Get exposure to the inner workings of the travel business and entrepreneurship. Take advantage of the many travel and marketing/sales seminars and webinars. Create a group trip. At the end of your successful internship, you will have the materials to use in your portfolio and a reference letter from the President of Eva's Best Travel and Cruises.
Timeline: Starting Immediately! This position is ongoing all year around. Ideally, you will work 10 – 15 hours a week for 15 week commitment.
Compensation: This is an unpaid internship, but the experience is priceless! We will happily help you arrange for academic credit if you wish.
To Apply: Send your resume as an attachment to email@example.com along with an email expressing your interest.


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Most people get health insurance through their employer. This is called employer offered or group insurance. Employers usually offer a choice of plans. Here is an overview of the types of group plans offered by Blue Cross and Blue Shield of Illinois.
If your employer has offered you a choice of health insurance plans, you want a name you can trust, valuable benefits, and a large network. Blue Cross and Blue Shield of Illinois gives you all that and more. Gain access to the largest network of doctors, hospitals and dentists in Illinois. Feel confident in knowing you're backed by the leader in health insurance for more than 65 years. Learn more about the plans your employer may be offering and discover why Blue Cross and Blue Shield of Illinois is your best choice.
Greater Choice and Control
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Who washes the Liberty Bell?
Independence National Parks curator Bob Giannini is the person responsible for maintenance and upkeep of the United States' most prized bell: Philadelphia's Liberty Bell.
Disc Jockey: Kick back with Howard Hawks' hang-out great 'Hatari!'
Howard Hawks' 1962 film "Hatari!" takes John Wayne and an international cast to East Africa for a mostly plotless hang-out session.
YouTube's 'Ask a Slave' creator tells story behind video series
Actress Azie Mira Dungey is the creator of "Ask a Slave," a web series based on her experience playing a slave as a historical re-enactor.


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Collateral ligaments
Flexor hallucis brevis muscle and tendon
Adductor hallucis muscle and tendon
Abductor hallucis muscle and tendon
Flexor hallucis longus insertion
Extensor hallucis longus insertion
Extensor hallucis brevis insertion
Intersesamoid ligament
Pertinent Pearls On Treating First MPJ Injuries In Athletes
- Volume 24 - Issue 6 - June 2011
- 20141 reads
- 0 comments
Orendurff and colleagues studied the foot pressures exerted during cutting, running and jumping.17 The hallux and first MPJ structures have to be stable to withstand push-off. The authors found the forces exerted on the joint are higher than once thought so it is no wonder athletes have so much difficulty getting back to competitive play and are prone to re-injury.
Pinpointing The Source Of Cartilage Injuries
Cartilage injuries to the first MPJ can be difficult to diagnose acutely and may not become evident on X-rays for eight to 10 months. Bone bruising can be visible on MRI acutely or not at all.
All of this can be frustrating to the athlete and surgeon. Despite having essentially a normal exam, normal X-rays and often normal MRIs, the athlete is unable to perform. The minute athletes bear weight, they are in extreme pain. They cannot tolerate any pressure on the hallux. Athletes will often grow desperate and frustrated because we cannot provide them with immediate answers. We need to prove that the joint is the source of their pain.
One option to consider is performing a diagnostic injection. If that relieves pain, a diagnostic arthroscopy of the first MPJ can be beneficial. Many times, I have found a full thickness cartilage flap to be helpful. More often, these isolated cartilage flaps, tears or full thickness defects can go unnoticed diagnostically until we see subchondral damage on X-ray. All the while, the athlete is playing in pain. Over time, these injuries will predispose the athlete to arthritis.
In Summary
Metatarsophalangeal joint injuries can become very debilitating for athletes. Although the mechanism of injury may seem minor, the extent of the injury may not be apparent. The use of MRI has helped to better define these injuries but ultimately treatment has remained the same: rest and immobilization. No matter the injury, these athletes can often have long-term symptoms and be predisposed to post-traumatic arthritis.
Dr. Spitalny is a staff podiatrist at General Leonard Wood Army Community Hospital at Ft. Leonard Wood, Mo. He is a Fellow of the American College of Foot and Ankle Surgeons.


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Wairarapa College have taken a clear lead in the Wairarapa Cricket Association's Umpire's Cup senior men's limited-overs competition.
Their 42-run win over Rathkeale College last weekend took Wairarapa College to 14 points, and they lead by four points from A1 Homes Kuranui Old Boys, whose unbeaten run ended with a narrow defeat by Red Star in their most recent match.
Four teams, Flight Centre Lansdowne, Turkey Red Greytown, Rathkeale College and Red Star, all sit on six points while yet to break their duck are Newbolds Marist Old Boys.
In open grade matches last weekend, Greytown No 2, Lansdowne No 2 and Marist Old Boys secured victories.
Lansdowne No 2 head the Times-Age Cup points table with 10, followed by Marist Old Boys and Greytown 2 on 6, Rathkeale 2 and Wairarapa College 2 on 4, Wairarapa College Colts 2 and Lansdowne 3 zero.
Opening matches in the The Rock Twenty20 senior men's competition will be held tomorrow night with a 5.15pm start. The draw is: Wairarapa College v Red Star at Wairarapa College 1, Newbolds Marist Old Boys v Turkey Red Greytown at Park Sports 1, A1 Homes Kuranui Old Boys v Rathkeale at Kuranui artificial, Flight Centre Lansdowne bye.
The interclub draw for Saturday - Umpires Cup senior, noon start: Flight Centre Lansdowne v Turkey Red Greytown at Queen Elizabeth Park Oval, Rathkeale v Red Star at Rathkeale Oval, Newbolds Marist Old Boys v A1 Homes Kuranui Old Boys at Park Sports 2, Wairarapa College a bye.
Open grade, 1pm start: Wairarapa College 2 v Marist Old Boys 2 at Wairarapa College 1, Rathkeale 2 v Wairarapa College Colts at Rathkeale artificial 2, Lansdowne 3 v Lansdowne 2 at Park Sports 1, Greytown 2 bye.


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The Film: Nobody's Fool (1994)
The Principals: Paul Newman, Jessica Tandy, Bruce Willis, Melanie Griffith, Dylan Walsh, Gene Saks, Josef Sommer, Pruitt Taylor Vince, Philip Bosco, Philip Seymour Hoffman, Margo Martindale. Based on the novel by Richard Russo. Written and directed by Robert Benton.
The Premise: Jaded, sardonic retiree Donald "Sully" Sullivan (Newman) finds himself at a crossroads during the wintry holiday season in the small town of North Bath, New York. At once, Sully reconnects with his estranged son (Walsh), and gets saddled with working for his womanizing construction tycoon boss Carl (Willis) while he fights a workers'-compensation lawsuit against him. Meanwhile, Sully grows romantically close to Carl's wife, Toby (Griffith) and fights to convince his elderly landlady (Tandy) to fend off her banker son (Sommer) from evicting Sully and expounding on a real-estate proposition in town.
Is It Good? Nobody's Fool is a great, great little movie—one of the most unsung sleepers of the past generation, a uniquely episodic character study that highlights a fascinating array of small-town quirks under the guide of one of Hollywood's most underrated New Hollywood heroes. Robert Benton has always been a writer and director who has taken pride in characterization, co-writing Bonnie and Clyde and Superman not to mention an Oscar windfall for Kramer vs. Kramer and the vastly underrated 70's gem The Late Show. Couple him with Paul Newman—whose project selections had become careful and limited in his later years—and the modernity of the film is oddly complemented by a sense of storytelling and characterization from another era.
Case in point: Paul Newman. 33 years out from his career-defining work in The Hustler, it is still clear that, in 1994, Newman maintained a contemporary aura to his screen presence, as apparent here. Donald "Sully" Sullivan is a young-at-heart, aged-to-perfection rebel who lives by the idea that age is but a number. When we're introduced to Sully, we have come into his life at a time where much of his life experiences have weathered over—a failed marriage, a wayward working career—and would hint at someone harboring dark secrets. Newman demystifies the haunts of Sully by his magic, undying charisma, trying to settle a shaky workers'-compensation lawsuit against his employer, construction heir Carl (a brilliantly understated Bruce Willis) with the assistance of his neurotic, one-legged lawyer (Odd Couple director Gene Saks).
One of the most incredible achievements of Nobody's Fool is the way it manages its characters. Living in a small town, the Cheers mantra of "everybody knows your name" is in effect among the townsfolk, and any character traits are presented to us in such a way that they do not obstruct the relaxed grasp Benton has on Richard Russo's novel. A one-legged lawyer would be hammered over our heads in something more like today's Hollywood, but not here: it's simply an added laugh to a character who tries to telepathically communicate with his client during a poker game so that Carl will not clean out his loot.
Restated, this is not traditional storytelling—not in the nonlinear, postmodern Tarantino ideology but in the way that its protagonist never has a clear-cut goal that has to be resolved over three acts of a screenplay. Sully's arc is about experience: at the same time he's trying to coax Carl (who might as well be Joe Hallenbeck based on the way he acts) into giving him his insurance money, he courts Carl's wife Toby (Melanie Griffith, looking sexy for the last time and so charming here) and repeatedly steals his high-end snowblower in order to tend to chores for his caring but ornery landlady Beryl (Tandy).
In her final performance, Jessica Tandy plays the part as frustrated with Sully's Zen way of bumbling around, but ultimately, she proves herself as more of a foil for Sully's morality rather than an enemy. Beryl's complexities come through in the presence of her cutthroat banker son (Josef Sommer), who wants to raze the community for new condominiums and evict Sully. She indeed cares about Sully in the same way he has hopes for his trifecta bets on horse races will clear through for him. "The odds have got to kick in sooner or later," Sully tells Beryl.
"Fine. That's exactly the way I feel about you," Beryl responds.
The significance of the odds of Sully's race track bets weigh strongly on the events of the film. Sully's old-world dealings hinge on pure luck: in reconnecting with his son Peter (Walsh), he finds himself at odds for his closer connection to the grandson he never met than his own son. "You have to start somewhere," Sully wryly remarks. Sully also sees his chance reconnection with Peter as a way to expand upon his intellectual ways and expose him to his blue-collar roots of tossing cinder blocks into a pile.
As they always say, everything happens for a reason in life. One door closes, another opens—it's these clichéd meditations that sell Nobody's Fool so well as a character study: whether betting on horse races, trying to reconcile with loved ones, dick over an unlikable boss, or punching a young Philip Seymour Hoffman in the face for firing an unnecessary warning shot at Sully and Peter while driving on a sidewalk, perseverance, affection and dedication are the keys to satisfaction in life.
Is It Worth a Look? Deserves more credit and love than it gets. Essential Paul Newman. Essential (and unexpected) boobs. No excuses if you're not already madly smitten with it already.
Random Anecdotes: Due to a presumption that he was an action star and the fact that a string of non-action flops had threatened to derail his career, Bruce Willis's name is omitted from posters and the opening credits of the film. Strangely, trailers featured his role prominently.
One of those flops, The Bonfire of the Vanities, also co-starred Melanie Griffith!
This was Jessica Tandy's final role, and the film is dedicated to her memory.
Robert Benton wanted Nick Nolte to play Carl and Jeff Bridges for the role of Peter, Sully's son.
I first rented this one back when I was 13 and on a Paul Newman kick. How unfortunate it was missing Melanie Griffith's half-second nude scene. However, revisiting it over a decade later, I can cite this one as a potential, personal favorite.
Cinematic Soulmates: The Color of Money, Grumpy Old Men, The Straight Story, Wonder Boys, About Schmidt


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19 U.S. Code § 12 to 18 - Repealed. Aug. 2, 1956, ch. 887,
Sections 12 to 15 provided for appointment by Secretary of the Treasury of 30 special agents for purposes of checking the accounts of collectors and other customs officers for prevention of frauds, authorized regulations for the limitations on their number and compensation and authorized appointment of special agents to reside in foreign territory. Customs agents who perform functions formerly exercised by special agents are covered generally by section 2072 of this title.
Section 12 was based on R.S. § 2649.
Section 13 was based on acts Mar. 4, 1911, ch. 285, 36 Stat. 1393; Mar. 4, 1923, ch. 251, §§ 1, 2, 5, 7,42 Stat. 1453, 1454; Mar. 3, 1927, ch. 348, § 3,44 Stat. 1382.
Section 14 was based on R.S. § 2651.
Section 15 was based on R.S. § 2999.
Section 16, R.S. 2940; acts Mar. 4, 1923, ch. 251, § 2,42 Stat. 1453; Jan. 13, 1925, ch. 76, 43 Stat. 748, prescribed qualifications and special oath for customs appraiser at New York.
Section 17, R.S. § 2941, prohibited only employees in office of appraiser at New York from engaging or being employed in any commercial activity.
Section 18, R.S. § 2942, related to duties of appraiser and assistant appraiser at New York.
The table below lists the classification updates, since Jan. 3, 2012, for this section. Updates to a broader range of sections may be found at the update page for containing chapter, title, etc.
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By Hollywood.com, Hollywood.com Staff
Kristen Stewart isn't exactly Hollywood's most popular girl right now. But a little cheating scandal for an already-controversial star isn't about to ruin a lady's career (have you met Angelina Jolie?).
And naturally, with the end of the Twilight franchise upon us, it's natural for everyone to wonder what the 22-year-old actress will have up her sleeve next.
In a new Australian radio interview, James Bond himself, Skyfall star Daniel Craig, was asked if he thought Stewart would make a good Bond girl. His answer, a big N-O. ""No, she's in Twilight,"" he said in mock disgust.
But the actor did offer up another casting suggestion: Rihanna.
Stranger things could happen to the Bond universe. Remember Denise Richards?
[Photo credit: WENN.com]
More:Twilight: Breaking Dawn - Part 2: Kristen Stewart on Bella as a Feminist Role ModelWant to See Twilight: Breaking Dawn - Part 2 Early? Hollywood.com Can Help!Breaking Dawn Part 2 Countdown: A Day in the Life of a Twihard


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Added: 18 Sep 14
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Duration: 0:03:55
Description: Ready for one step further, Nick gets Will bent over the couch for some hot ass penetrating action. Ramming his raging boner inside of Will, it beckons the twink's tight hole to take every inch. Nick slams the hungry ass over and over until both of them are on the verge of blowing their loads. Nick busts first by gushing out warm, creamy man juices all in Will's mouth. After tasting Nick's hot cum, Will is unable to take it any more, blowing his long awaited load all over his taut stomach, making this slender bottom's dreams come true.
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Added: 17 Sep 14
Views: 673
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Description: The fireman grudgingly leans over and opens his lips to the marine's ample cock. Brent moans with ecstasy as his cock is covered in firefighter spit. Rusty occasionally gags on the thick marine meat. When the dominant marine has had enough head, he commands the younger firefighter to get on his back and take his military cock up his ass. Rusty resists at first, but eventually gives in. Within a few seconds Brent is railing Rusty despite moans and groans of ****. Showing no mercy, Brent continues to give the fireman a good military maneuver as he flips him over and takes his ass ***gie-style. When Brent senses that Rusty can take no more, he pulls out and coats the tattooed back of the fireman with stream after stream of white hot jiz. The loads coats almost every square inch of the tanned back with white frostiness.
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Added: 08 Sep 14
Views: 1350
Duration: 0:04:54
Description: The two happily stroke on their own cocks while John checks out Rex's junk in the corner of his eye. Without warning, John reaches over to give his fellow military man a helping hand. Rex doesn't protest, even though there is mild look of disdain on his face. Then John leans over to get a mouthful of the Captain's meat. He slurps up and down while Rex continues to watch the video, wetting every inch of the shaft and head. John decides it's time to go for a ride and gets Rex to lay flat on his back. Then John sits on Rex's cock. Slowly he inches down, eventually making the entire length disappear in his hole. He starts to moan as he slides up and down on the stiff cock. This gets Rex too turned on. He can't hold the cum back in his balls any longer.
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Added: 10 Sep 14
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A 7-year-old girl from Ethiopia is getting a second chance at life thanks to surgeons in Minnesota. On Thursday, doctors told her the procedure was a success while FOX 9 cameras were rolling.
Barkot Yitbarek Kebede was just 5 years old when she underwent surgery a year and a half ago to treat a condition called moyamoya, a vascular disease that causes strokes in children and can eventually cause death.
Without no financial means or doctors to help her, Kebede came to Minnesota with her million-dollar smile and a contagious laugh.
"I love to swing!" Kebede said.
Less than two years ago, she couldn't.
"She couldn't swing or run," Semenesh Mulugeta told FOX 9 News. "Her left leg was dragging."
That was because Kebede suffered a stroke caused by a rare neurological disorder. The family could not find a doctor in Ethiopia who could perform the type of surgery the girl needed -- and they didn't have the money either.
"Her story was full of sad for her, also for her family," Mulugeta said. "Without coming here, Barkot would have died. The doctor in Ethiopia says that. Her system all of a sudden fail."
To save the girl's life, Gillette Children's Hospital teamed up with Delta Airlines and Children's Home Society, an adoption agency where Mulugeta works, to bring Kebede to Minnesota.
In September 2011, Dr. Peter Kim performed a surgery that would give the girl a chance. A year and a half later, the family returned to Minnesota to learn whether the surgery was a success.
On Thursday morning, Kebede got an MRI that showed a significant difference from one taken just last year.
"Her MRI looks great," Kim said. "I'm very happy with that, so I think the surgery is working very well."
That news brought needed relief to Mulugeta, who had been praying for her daughter.
"I'm very much excited and so happy because she is cured," she told FOX 9 News.
When she got the news, Kebede ran to embrace the doctor she credits with saving her life.
"It's incredibly gratifying, especially to treat somebody who might not have had treatment at all," Kim said.
Now, Kebede is back to being a typical 7-year-old. Fittingly, Barkot means "blessed," which is even more poignant now for a family that is definitely feeling it.
"We are so excited. God's prepared all this for us," Mulugeta said.
While nothing is 100 percent certain, Kim told FOX 9 News he is confident Kebede will not have any additional problems; however, the family is not sure when the two will return to Ethiopia because two months ago, Mulugeta learned she has a brain tumor and cannot be treated in her home country. Once again, she's praying for help in the states.
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We owe our veterans a debt we can never repay! Our veterans have sacrificed in many ways to protect the freedoms we enjoy ... freedom of speech, freedom of religion, freedom of opportunity and justice for all. Let us not forget, the strength of our nation is our army.
Our younger veterans face many problems in their transitions to civilian life in the areas of employment, education and medical care. The Veterans' Administration is half- way through a five-year plan to end homelessness. VA secretary Eric Shinseki has pledged to end veteran homelessness by 2015.
Congress must fully fund all potential methods of care for posttraumatic brain disorder and tinnitus. The processing of veterans for injuries and ailments has become more complex and intense. WWII veterans claimed one or two problems, back pain or head pain. Vietnam Veterans had claims for knee pain, back pain and head pain. Today's veterans are coming home with 11 to 14 complaints; not even including the most wounded and injured veterans.
The VA must also ensure that women's health problems are treated equally with those of the men in areas of access, quality, safety and satisfaction.
For decades military planners predicted a day when machines would fight America's battles. We are making good progress in that direction. We currently have unmanned aerial vehicles (drones), robots that send back images of threats encountered, unleash tear gas, and fire a machine gun and grenade launcher. Planners are eager to invest in robotic systems because they save lives. Robots have been developed to detect IEDs, see around corners and provide intelligence, and this is only in the early stages.
In regard to the welfare of our veterans, it must be emphasized that we have a sacred trust with those who wear the uniform of the U.S.A. A commitment that begins with enlistment and must never end.
It is our government's moral and ethical responsibility to provide assistance to integrate all veterans back into our civilian society.
Let us never forget that we owe our veterans a debt forever, a debt that can never be repaid.
God bless and remember all our veterans. God bless our military. God bless America.
Col. Irving Davidoff (ret.)
New Smyrna Beach
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